S. Yildiz

Erişkin Enürezis Nokturnada İmipramin Ve Dezmopresin (Ddavp) İle Uzun Süreli Tedavi Sonuçlarının Karşılaştırılması

The Comparison of Imipramine and Desmopressin (DDAVP) Long-Term Therapy Results in Adult Enuresis Nocturna The long-term therapy results of Imipramine and Desmopressin were compared in 35 adult patients with monosymptomatic enuresis nocturna. Randomly selected 17 patients were treated with 1 mg/kg oral Imipramine and 18 with 20 pg intranasal Desmopressin nightly for three months. Dose titration was done for Desmopressin monthly. Complete improvoment rates in the Desmopressin group were 55%, 61% and 72% after the first, the second and the third months respectively, whereas in the Imipramine group these were found 23%, 40% and 47 %, respectively. The difference between the improvement rates of two groups were not statistically significant (p>0.05). Three months after the end of therapy, complete improvement rates were 30% and 28% for Desmopressin and Imipramine respectively. Relaps rates were 61% in the Desmopressin group and 30% in the Imipramine group (p 0.05). Tedavi kesildikten 3 ay sonra tam iyilesme oranlan dezmopressin icin %30 ve imipramin icin %28 bulundu. Rolaps oranlan ise dezmopressin icin %61 ve imipramin icin %30 idi (p<0.05). Ilaclara bagli ciddi yan etki saptanmadi. Rolaps orani dezmopressin grubunda yuksek olmasina ragmen eriskin enurezis nokturnanin uzun sureli tedavisinde iki ilac arasinda fark bulunamadi.

Üreteroneosistostomi: 26 Olgunun Gözden Geçirilmesi

SUMMARY URETERONEOCYSTOSTOMY: REVIEW OF 26 CASES The results of 39 ureteroneocystostomy operations were performed in 26 cases between April 1979 and April 1989 at the Department of Urology, Ondokuz Mayis University, Faculty of Medicine determined retrospective i y . Indications for ureteroneocystostomy were vesicoureteral reflux in 17 patients, stenosis at ureterovesical junction in 8 patients, and distal ureteral traumatisation in 1 patient. Operations were performed bilaterally in 11 of the patients with reflux and 2 of the patients with obstruction. The operative techniques were Politano-Leadfoetter in 22 units, Cohen in 12 units and Lich-Gregoir in 5 units. The success rate of the operations were 92.8 %. OZET Ondokuz Mayis universitesi Tip Fakultesi Hastanesi uroloji Klini¬ginde Nisan 1979- ile Mart 1989- tarihleri arasinda vezikoureteral reflu, obstruksiyon ve distal ureter yaralanmasi nedeniyle 26 olgu icin yapilan 39 ureteroneosistostomi girisimlerine ait so¬nuclar degerlendirildi. Ureteroneosistostomi indikasyonu 17 olgu icin vezikoureteral reflu, 8 olgu icin ureterovezikal birlesim yeri obstruksiyon ve bir olgu icin, ise distal ureter yaralanmasiydi. Reflulu olgularin 11* inde, obstruksiyonlu olgularin 2sinde iki tarafli girisim yapildi. Politano - Leadbetter yontemi 22, Cohen yontemi 12 ve Lich-Gregoir yontemi 5 birimde uygulandi. Girisimlerin basarisi % 92.8 olarak belirlendi.

Üriner Sistem Taş Hastalığı Nedeniyle Nefrektomi Uygulana 66 Olgunun Değerlendirilmesi

SUMMARY THE REVIEW OF 66 CASES WITH URINARY LITHIASIS UNDERWENT NEPHRECTOMY 66 cases with urinary lithiasis who underwent nephrectomy have been reviewed retrospectively. Flank pain was the most common complain. There were no pathological findings in 25 cases (35%) on physical examination. The rate of postoperative complication was 13.5 percent in this group. During the same period of this study 699 surgical procedures were performed for the patients with urinary lithiasis and among these surgical procedures the rate of nephrectomy was 9.4 percent OZET Uriner sistem tas hastaligi nedeniyle nefrektomi uygulanan 66 olgu retrospektif olarak degerlendirildi. Olgularda en sik kar¬silasilan semptom yan agrisiydi. Fizik incelemede 25 olguda (%35) herhangibir patolojik bulgu tespit edilemedi. Calismaya dahil olgularda %13.5 oraninda postoperatif komplikasyon gelisti. Bu calismanin kapsadigi sure icerisinde uriner sistem tas hasta¬ligi nedeniyle klinigimizde toplam 699 cerrahi girisim yapildi. Bu tedavi girisimleri arasinda nefrektominin oraninin %9.4 oldugu goruldu.

Transüretral Cerrahi Girişimlerde Sodyum Seftizoksim ile İki farklı Doz Uygulanmasının Karşılaştırılması

Summary Fifteen non-infected patients undergoing transurethral surgery were given 2 gr./ day sodium ceftizoxime up to the removal of their Foley catheters whereas fifteen cases in the control were administered 1 gr.i.v sodium ceftizoxime immediately before and 6 hours after operation The efficiacy of these two different antibiotic regimens on prevention of postoperative infection has been compared Ozet Transuretral cerrahi girisim uygulanan nonenfekte 15 has¬taya Foley kateterleri cekilinceye kadar gunluk total 2 gr kontrol grubundaki 15 hastaya ise toplam 2 gr sodyum seftizoksim verildi. Bu iki farkli doz uygulamasinin transuretral cerrahide postoperatif enfeksiyon gelisme riski uzerine etkileri karsilastirildi.

Familyol Primer Obstrüktif Megaüreter

SUMMARY Familial Primary Obstructive Megaureter In this article, primary obstructive megaureter in two sisters Were presen¬ted and relevant literature has been reviewed. Ozet Bu makalede, primer obstruktif megaureterli iki kizkardes sunulmus ve il¬gili literatur gozden gecirilmistir.