Ismail Mete Itil

Ege University · Department of Obstetrics and Gynecology

Aim: The present study investigates the effects of lavender oil and ice applications on episiotomy pain and wound healing. Materials and Methods: This study was organized as a semi-randomized controlled type of research. A total of 96 term pregnant women who gave birth in the delivery service of Nazilli State Hospital and underwent episiotomy at bi...

Study Objective : To evaluate the effect of concomitant hysterectomy on perioperative outcomes in patients who underwent obliterative pelvic organ prolapse (POP) surgery. Material and Methods : This retrospective study included 95 consecutive patients with no prior hysterectomy who underwent obliterative surgery for POP between February 2015 and A...

Aims: This study aims to describe our transvaginal natural orifice transluminal endoscopic surgery (vNOTES) technique for ectopic pregnancy that can be performed using conventional laparoscopic equipment with the addition of a self-constructed pessary port and to evaluate the safety, feasibility, and outcomes of the technique. Methods: This is a...

Study Objective To describe a vaginal approach combining vaginal hysterectomy (VH) with transvaginal natural orifice transluminal endoscopic surgery (vNOTES) bilateral salpingo-oophorectomy (BSO) for hysterectomy in transgender men and to evaluate the feasibility, safety, and surgical outcomes of this approach in comparison with laparoscopy. Mater...

Study Objective To evaluate the impacts of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) on the hysterectomy route and concomitant adnexal surgery at the time of vaginal hysterectomy (VH). Material and Methods This retrospective study analyzed all hysterectomies performed for benign indications between 1 January 2017 and 31...

Introduction Placenta accreta spectrum is a major obstetric disorder that is associated with significant morbidity and mortality. The objective of this study is to establish a prediction model of clinical outcomes in these women Materials and methods PAS-ID is an international multicenter study that comprises 11 centers from 9 countries. Women who...

Objective: To compare peripartum outcomes of uterus preserving procedures to caesarean hysterectomy in women with placenta accreta spectrum (PAS), and to identify risk factors associated with adverse maternal outcomes. Design: Retrospective study (ClinicalTrials.gov identifier: NCT04384510) Setting:11 tertiary centres from 9 countries Population or...

Objective To create a model for prediction of success of uterine‐preserving procedures in women with placenta accreta spectrum (PAS). Methods PAS‐ID is a multicenter study that included 11 centers from 9 countries. Women with PAS, who were managed between January 1, 2010 and December 31, 2019, were retrospectively included. Data were split into mo...

Study Objective To describe a low-cost self-constructed pessary port for Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) and to demonstrate the feasibility of several procedures using the port. Design Description of the port and demonstration of its clinical applications using surgical video footage. Setting A tertiary unive...

Study Objective To describe a two-step technique which facilitates Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) and to demonstrate the feasibility of the technique in different conditions. Design Description of the technique and demonstration of its performance using surgical video footage. Setting A tertiary university h...

Objective To demonstrate a case of left tubal stump pregnancy successfully treated using our two-step technique for transvaginal natural orifice transluminal endoscopic surgery (vNOTES). Design Demonstration of the technique using surgical video footage. Setting A tertiary university hospital. Intervention A 27-year-old G3P0 patient with a histo...

Objective To describe our simplified two-step technique for transvaginal natural orifice transluminal endoscopic surgery (vNOTES) and to demonstrate the application of the technique. Design Step-by-step description of the technique and demonstration of its application using surgical video footage from two different cases. Setting Tertiary univers...

Aims: To evaluate the relationship between overactive bladder (OAB) and systemic atherosclerosis in a cohort of women. Methods: In this case-control study, we assessed atherosclerosis indicators, such as Framingham risk scores and carotid and femoral artery intima-media thickness, and evaluated possible bladder wall responses to atherosclerosis...

Objective: To evaluate the effect of atherosclerosis on the storage and voiding symptoms of the bladder in women with overactive bladder (OAB). Study design: We retrospectively reviewed the charts of women with OAB who were evaluated between 2013 and 2015 in our urogynecology unit. Charts were assessed for history, examination findings, urinary...

Objective: To determine whether symptoms of urinary incontinence is reduced by pelvic floor muscle training, to determine whether urinary incontinence can be totally eliminated by strengthening the pelvic floor muscle to grade 5 on the Oxford scale. Design: Prospective randomized controlled clinical trial. Setting: Outpatient urogynecology dep...

Objective: The purpose of our study is to determine whether there is a difference in pelvic floor muscle strength attributable to pelvic floor muscle training conducted during different stages of menopause. Methods: One hundred twenty-two women with stress urinary incontinence and mixed urinary incontinence were included in this prospective cont...

Objective To evaluate the relation between overactive bladder (OAB) and sexual dysfunction in sexually active nurses without stress urinary incontinence and pelvic organ prolapse. DesignProspective, observational study. Setting Tertiary care center Population200 nurses, under 49years of age. Method Data were obtained with Turkish language-validated...

To determine the association between mode of delivery, parity, and pelvic organ prolapse, as assessed by the pelvic organ prolapse quantification system. Cross-sectional study. Tertiary referral center, Turkey. A total of 1964 women with benign gynecological disorders who presented between October 2009 and July 2011. Evaluation using the pelvic org...

To evaluate the associated risk factors of probable overactive bladder (OAB) and to determine the effect of OAB on quality of life through validated questionnaires in Turkish midwifery students. 279 midwifery students were invited to participate, and 265 (95.0%) were included in the study, which was approved by the local ethics committees. The rela...

Contraception (birth control) prevents pregnancy by interfering with the normal process of ovulation, fertilization, and implantation. There are different kinds of birth control that act at different points in the process. The rapid increase in the world population makes it mandatory to develop new contraceptive methods. According to WHO data, eve...

Although appendicitis is the most common non-obstetric surgical problem in pregnancy, it is difficult to diagnose. Because, clinic examinations, laboratory findings are different and all of the radiologic imaging techniques can not be used in pregnancy. In order to this, complications of appendicitis may occur. One of the most important complicatio...

To evaluate the quality of life and surgical outcomes in women who had undergone colpocleisis. This was a prospective small cohort study conducted between August 2010 and September 2011. Twelve women with pelvic organ prolapse were offered obliterative vaginal surgery and were informed about the surgical procedure. Ten women accepted this operation...

To examine the association between placenta previa and adverse perinatal outcomes such as low birth weight, preterm delivery, stillbirth and fetal growth restriction (FGR). This retrospective cohort study includes 12,034 delivered pregnant women who were recruited for the study between 2004 and 2010 in Ege University Hospital. Data were collected b...

To determine the relationship between overactive bladder symptoms and urodynamic verification of overactive bladder. Between June 2011 and November 2011, 159 patients underwent urodynamics (UDS) at our urogynecology unit in the Ege University Hospital. Of these, 95 patients who complained of urgency, did not have any overt neurological diseases, bl...

Rudimentary horn is one of the mullerian canal anomalies, the probability of rudimentary horn pregnancy is between 1/76000 and 1/150000. Usually, it is diagnosed after the rupture. In this case report, a patient who had a cesarean section before and who had an early diagnosis of rudimentary horn pregnancy in the eighth pregnancy week is mentioned....

Incidence of heterotopic pregnacy is definition that 1/30000. Prior surgery specially tubal surgery is one of the most important risk factors. We presented heterotopic pregnancy with literature that was in reproductive age and had prior ectopic pregnancy history treated by salpingostomy. In this patient had a succesful vaginal delivey before ectopi...

Operative vaginal delivery is simply defined as the use of either vacuum or forceps device to asist mother in effecting vaginal delivery of a fetus. Medicolegal problems, patients desire and the obstetricians position after a possible complication of the vaginal delivery has increased the rate of ceserean section. With the recent enforcements among...

Imperforate hymen is a congenital anomaly that is rarely seen in woman genital system. Imperforate hymen is reported %0,1 of all newborns and it is think that cause of imperforate hymen is congenital defect in the degeneration of central cells of hymen. Although it is generally isolated anomally, sometimes genitourinary anomalies may associate this...

Objective: The assessment of thrombocytopenia in pregnancy which is the most frequently seen haematologic complication. Material and method: We reviewed 96 thrombocytopenic pregnants retrospectively that were followed up in the Department of Obstetrics and Gynecology in Ege University between 2005-2009. Following process of pregnancy, thrombocyte...

Objective: The purpose of this study was to investigate obstetric and neonatal outcomes and to discuss benefit effects of preconception counseling of women with epilepsy. Design: Retrospective evaluation of the pregnancy outcomes of women with epilepsy, which it was diagnosed by neurologist at Department of Obstetrics and Gynecology, Ege Universit...

Objective: To compare the success rates, complications and the effects on the life quality of TOT and TVT operation. Methods: 32 patients who were diagnosed as stress urinary incontinance between March 2005 and november 2006 were included in the study. All patients filled urinar diary and underwent uradinamical exemination after negative urine cul...

Objective: Schizophrenia is a severe psychiatric disorder. Much attention has been paid to the relationship between psychiatric disorders and the menstrual cycle. Premenstrual syndrome is a medical condition which is related to various pstciatric disorders. The aim of this study was to investigate premenstrual symptoms (PMS) and premenstrual exacer...

The purpose of this study was to compare the clinical symptoms and histopathological findings in subjects with adenomyosis uteri. Infiltration depth and spread of adenomyotic foci together with clinical symptoms and findings were compared in a total of 103 subjects who had undergone hysterectomy and were diagnosed with adenomyosis uteri through his...

The purpose of this study was to assess the prevalence of female urinary incontinence (UI) and risk factors of bothersomeness and help-seeking behavior of hidden female UI in urology and obstetrics and gynecology outpatient clinics. This multicentric and cross-sectional study was conducted as a part of the Turkish Overactive Bladder Study. Female p...

AMAÇ: Bu çalismada klinigimizde uyguladigimiz Tension-free Tape operasyonunun stres üriner inkontinasli vakalardaki etkinligini ve komplikasyon oranlarini belirtmeyi amaçladik. METOD: Retrospektif olarak 4 yillik süre içerinde klinigimizde 153 hastaya uyguladigimiz TVT operasyonun intraoperatif ve postoperatif komplikasyonlarini ve basari oraninini...

To investigate the effect of Bacillus Calmette-Guerin (BCG) vaccine on peritoneal implantation of endometrial tissue in rats. Forty sexually mature virgin Wistar albino rats weighing 190-200 g were randomly assigned (double blind) to two groups. The rats in the first group were vaccinated with 0.1 mL BCG and those in the second group were injected...

The aim of the study was to determine mammographic breast density changes during raloxifene therapy in postmenopausal patients Fifty-five cases who were using raloxifen therapy were included in this retrospective analysis. Raloxifene was given for osteopenia and osteoporosis according to low bone mineral density measured by dual-energy X-ray absorp...

The aim of this study is to evaluate the changes in Doppler resistive index (RI) and plasma creatinine and magnesium concentrations after unilateral ureteral obstruction in a rabbit model. Fourteen adult female rabbits were used in this study. In seven rabbits, the left ureter was ligated with silk suture, and the control group was sham operated. B...

The aim of this study is to evaluate the changes in Doppler resistive index (RI) and plasma creatinine and magnesium concentrations after unilateral ureteral obstruction in a rabbit model. Fourteen adult female rabbits were used in this study. In seven rabbits, the left ureter was ligated with silk suture, and the control group was sham operated. B...

Spontaneous heterotopic pregnancy is a clinic entity that is seen very rarely. It is a life threatening condition and always must be kept in mind especially in intrauterin gestation with abdominal pain and the presence of intraabdominal fluid that is due to intraabdominal bleeding. Ultrasound is very important in diagnosis and the treatment choice...

OBJECTIVE: The comparison of the effects of hormone replacement therapy with pulse estrogen-medroxyprogesterone acetate and conjugated estrogene-medroxyprogesterone acetate on vasomotor complaints and uterine bleeding patterns in physiologic postmenopausal patients. STUDY DESIGN: Total 80 cases who were admitted to Ege University Medical Faculty Gy...

There is no established therapeutic regimen for treatment of hypoparathyroidism during pregnancy. This is due to uncertainty about the use of vitamin D or its analogues, as in animal experiments teratogenic side-effects have been reported. Nevertheless, vitamin D or its analogues are required to control tetany predisposing to abortion and preterm l...

The aim of the study was to determine the role of perineal sonography in diagnosis of stress urinary incontinence. Thirty patients with stress urinary incontinence and 17 age-matched control patients were included in the study. Perineal sonography was carried out in both groups to evaluate the role of this technique in the diagnosis of stress urina...

The aim of this study was to determine the changes in circulating T-cell subpopulations, B cells and natural killer cells in patients with imminent preterm labour. Thirty-five pregnant patients with imminent preterm labour and 35 women with uncomplicated pregnancies were included in the study. The gestational ages of the patients ranged from 28 to...

The objective of this study is to demonstrate the distribution of extracellular matrix components of fibronectin, laminin and collagen type IV in the materno-fetal boundary zone of the developing mouse placenta. Mice fetuses and placentas were removed serially every day until the 19th gestational day. Implantation sites were processed and stained b...

Objective: The objective of this study is to demonstrate the distribution of extracellular matrix components of fibronectin, laminin and collagen type IV in the materno-fetal boundary zone of the developing mouse placenta. Material and methods: Mice fetuses and placentas were removed serially every day until the 19th gestational day. Implantation s...

To determine maternal and fetal outcomes in pregnancies complicated by gestational diabetes mellitus as compared to nondiabetic pregnancies matched on the basis of age and parity and to study the association between different treatment regimens and fetal outcomes. The records of 128 consecutive pregnancies complicated with gestational diabetes mell...

To determine the metabolic effects and efficacy of high-dose continuous megestrol acetate administration in the treatment of endometrial pathology. 27 women with histologically proven endometrial pathology (endometrial hyperplasia and irregularly proliferative endometrium) were treated with megestrol acetate orally 160 mg/d given once-a-day for 3 m...

We present the case of a 34-year-old pregnant woman who had an elevated maternal serum alpha-fetoprotein level and sonographic findings of a semisolid mass protruding from the fetus's oral cavity. The large, heterogeneous mass filled the oropharynx and nasopharynx. Abnormal Doppler waveforms were detected in the umbilical artery of the fetus, who d...

The objective of this study is to discuss the myomatous erythrocytosis syndrome in a patient with a giant subserous uterine myoma. She presented with plethora and an abdominal mass. After venesection of 4 units of blood, the preoperative haematocrit value of 53.3% and haemoglobin value of 17.5 g/dL had decreased to 48.6% and 16.8 g/dL levels, respe...

To investigate p53 expression in endometrial cancer and its significance as a prognostic indicator. Thirty-five consecutively surgically treated patients with endometrial cancer had their p53 expression studied by immunoperoxidase staining and quantified by lighted microscopic evaluation of the staining pattern. The determination of mean percentage...

To investigate the effects of tamoxifen on the endometrium in postmenopausal breast cancer patients. Endometrial thickness was measured by transvaginal sonography and endometrial biopsies were done in 104 postmenopausal breast cancer cases who were treated with tamoxifen. Histopathologic findings were discussed. Mean endometrial thickness was 11.7+...

A case of a benign presacral schwannoma which was detected incidentally in a patient with a complaint of a vague right lower abdominal pain is presented with preoperative radiographic evaluations which suggested a left adnexal mass consistent with ovarian tumor. Laparotomy findings and surgical excision of the tumor as well as the complications dur...

Burkitt's Lymphoma mostly occurs in children. The disease sometimes can be represented as a pelvic mass in adults. Burkitt's lymphoma should be remembered in differential diagnosis of the pelvic masses. Because of the common character of the disease, the history and symptoms of the patient should be asked carrefully. We report an ovarian Burkitt's...