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    Long-term results of burch colposuspension
    (Karger, 2001) Demirci, Fuat; Yücel, Oğuz; Eren, Şadiye; Alkan, Akif; Demirci, Elif; Yıldırım, Uzay
    The study included 220 women who had undergone Burch colposuspension. Group I (65 women) was studied prospectively and the mean follow-up was 1.5 years. Group II (155 women) was studied retrospectively and the mean follow-up was 4.5 years. The cure rate was 87.7% in group I and 77.4% in group II. The cure rate was significantly higher following the primary procedure than the secondary procedure. At follow-up, late complications in 220 women were: cystocele in 18; rectocele in 32; enterocele in 35; dyspareunia in 6, and groin or suprapubic pain in 15. In group I, of the 11 women with detrusor instability preoperatively, 10 were cured and in 1 detrusor instability persisted postoperatively, Two women had de novo detrusor instability. In conclusion, the cure rate of Burch colposuspension is satisfactory, although it declines a little with time. Women who had previous anti-incontinence surgery have a greater probability of recurrence. The procedure elevates the bladder neck into the abdominal cavity and stabilizes it. Surgical failure is related to inadequate elevation and stabilization of the bladder neck. Copyright (C) 2001 S. Karger AG, Basel.
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    Pure ovarian choriocarcinoma: a difficult diagnosis of an unusual tumor presenting with acute abdomen in a 13-year-old girl
    (Blackwell Munksgaard, 2004) Özdemir, İsmail; Demirci, Fuat; Yücel, Oğuz; Demirci, Elif; Alper, Murat
    A 13-year-old girl before sexual debut presented with lower abdominal pain and a positive urine pregnancy test. On admission her face was very pale, and a physical examination revealed an acute abdomen with rigidity and tenderness. She was in intermediate shock. Ultrasound examination showed presence of fluid arising from the posterior cul-desac up to the liver, consistent with a possible hemoperitoneum, and identified a 68 78-mm mass in the right adnexa. Laboratory studies revealed the following values: white blood cells 12 109 /L, hemoglobin 5.2 g/L and hematocrit 0.16. Liver function results were within normal limits.
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    A retrospective review of perioperative complications in 360 patients who had burch colposuspension
    (Australian Nz J Obstet Gynaec, 1999) Demirci, Fuat; Yücel, Neşe; Özden, Selçuk; Delikara, Nuri; Yaltı, Serap; Demirci, Elif
    This retrospective study reviews intraoperative and early complications of Burch colposuspension of 360 patients. Ten patients had massive haemorrhage and 8 of them had a blood transfusion. Three patients had a haematoma. Bladder injuries were noticed in 10 patients, 3 of whom were diagnosed postoperatively. One patient had unilateral ureteral kinking. Urinary retention occurred in 20 patients for more than 10 days and 2 required catheterization for 26 and 32 days respectively. Eighteen patients had a wound infection and 4 had a wound abscess. Twenty nine patients had a urinary infection. Urinary tract injury, haemorrhage and blood transfusion were significantly more common in women having secondary surgery than those having primary surgery. Deep venous thrombosis was diagnosed in 3 patients who had a Burch colposuspension with concomitant abdominal hysterectomy. Knowledge of possible risks and complications of Burch colposuspension may help plan a better preoperative work-up of patients and may minimize the intraoperative complications and increase surgical success and patient satisfaction.
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    Ten-year results of Marshall Marchetti Krantz and anterior colporraphy procedures
    (Royal Australian N Z College Obstetricians & Gynecologists, 2002) Demirci, Fuat; Yıldırım, Uzay; Demirci, Elif; Ayas, Selçuk; Arıoğlu, Petek; Kuyumcuoğlu, Umur
    Objective To evaluate subjective results of Marshall Marchetti Krantz (MMK) and anterior colporraphy (AC) procedures. Study design Patients who had operations for genuine stress incontinence 10 years ago were surveyed regarding their current incontinence status. Results of both procedures were evaluated and compared. Results Fourteen of 28 patients in the MMK group and 21 of 67 patients in the AC group were evaluated at 10 years, the cure rates were found to be 64% and 38%, respectively. Conclusion We conclude that the success rate of both procedures declines over time. The anterior colporraphy procedure appears to have a lower success rate than MMK, although this was not found to be statistically significant.