Person: DANSUK, RAMAZAN
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Publication Metadata only Minimal invasive approaches in the management of cervical pregnancy Servikal Gebelik Yönetiminde Minimal İnvaziv Yaklaşım(2015-01-01) BATMAZ, Gonca; MOLLA, Fulya; MOLLA, Taner; AYDIN, SERDAR; Dansuk, RAMAZAN; AYDIN, SERDAR; DANSUK, RAMAZANPublication Metadata only Olgu sunumu: İzole tuba torsiyonu(2013-05-19) KILIC, GÖKHAN; Sarıoğlu, Aslı Elif; Şevket, OSMAN; Dane, Banu; Dansuk, RAMAZAN; KILIC, GÖKHAN; ŞEVKET, OSMAN; DANSUK, RAMAZANPublication Metadata only Effect of vaginal electrical stimulation on female sexual functions: a randomized study.(2015-02-01) Aydın, SERDAR; Arıoğlu, Aydın; BATMAZ, G; Dansuk, RAMAZAN; AYDIN, SERDAR; DANSUK, RAMAZANPublication Metadata only Hydrosonographic assessment of the effects of 2 different suturing techniques on healing of the uterine scar after cesarean delivery(2014-06-01) Sevket, OSMAN; Ates, SEDA; MOLLA, Taner; OZKAL, Fulya; Uysal, Omer; Dansuk, RAMAZAN; ŞEVKET, OSMAN; ATEŞ, SEDA; UYSAL, ÖMER; DANSUK, RAMAZANObjective: To compare the effects of 2 suturing techniques (single versus double layer) on healing of the uterine scar after a cesarean delivery. Methods: In the present randomized, prospective study, 36 women with a term pregnancy who had an elective cesarean delivery were randomly assigned to closure of the uterine incision with a single-layer locked suture or with a double-layer locked/unlocked suture. Six months after the operation, the integrity of the cesarean scar at the uterine incision site was assessed by hydrosonography. The healing ratio and the thickness of the residual myometrium covering the defect were calculated as markers of uterine scar healing. Results: There were no significant differences between the groups in terms of estimated blood loss, operation time, or additional hemostatic suture. However, the mean thickness of the residual myometrium covering the defect was 9.95 +/- 1.94 mm after a double-layer closure and 7.53 +/- 2.54 mm after a single-layer closure (P = 0.005). The mean healing ratio was significantly higher after a double-layer closure (0.83 +/- 0.10) than after a single-layer closure (0.67 +/- 0.15; P = 0.004). Conclusion: A double-layer locked/unlocked closure of the uterine incision at cesarean delivery decreases the risk of poor uterine scar healing. (C) 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.Publication Open Access Retrospective analysis of patients with placenta previa Plasenta previa olgularının retrospektif incelemesi(2015-12-01) BATMAZ, Gonca; MOLLA, Fulya; MOLLA, Taner; ÖZCAN, PINAR; Dansuk, RAMAZAN; Dane, Banu; ÖZCAN, PINAR; DANSUK, RAMAZAN; KILIÇOĞLU DANE, PAKİZER BANUAim: To evaluate risk factors of patients with placenta previa and investigate management strategies. Methods: A retrospective review of medical records of 41 cases with placenta previa who were followed up in our center. The cases were evaluated according to demographic features, presence of placental invasion of the uterus, and necessity of blood transfusion. Requirement for a peripartum hysterectomy, relaparotomy rates and neonatal outcomes were also addressed. All patients with placenta previa were considered for elective surgery. Results: Eighteen patients, who did not have any sign of uterine invasion in their antenatal sonographic evaluations, were observed alike during cesarean section. In 23 patients, uterine invasion was detected by antenatal sonographic evaluations, 15 patients underwent hysterectomy due to invasion. Subsequent laparotomy was needed in four patients in whom hysterectomy was performed. Out of 15 patients, who underwent hysterectomy, 9 had placenta accreata, 2 had placenta percreata, and 2 had placenta increata. Organ-preserving treatment was performed in 8 patients who had a suspicious uterine invasion owing to their antenatal sonographic evaluations. Conclusion: In our study, abnormal placental invasion was predicted by antenatal sonographic findings. Multidisciplinary approach is required for patients with placenta previa to determine appropriate mode and timing of delivery.Publication Metadata only Olgu sunumu: 11 Haftalık skar gebeliğine bağlı spontan uterus rüptürü(2013-05-19) KILIC, GÖKHAN; Dane, Banu; Şevket, OSMAN; Dansuk, RAMAZAN; KILIC, GÖKHAN; ŞEVKET, OSMAN; DANSUK, RAMAZANPublication Open Access Development and Validation of Turkish Version of The Female Sexual Distress Scale-Revised.(2016-03-01) Aydın, SERDAR; ONARAN, ÖI; TOPALAN, K; AYDıN, ÇA; Dansuk, RAMAZAN; AYDIN, SERDAR; AYDIN, CEMALETTİN; DANSUK, RAMAZANIntroduction: The sexually related personal distress becomes an obligation for the diagnosis of female sexual dysfunction (FSD). The Female Sexual Distress Scale-Revised (FSDS-R) was developed, extensively validated, and is among the most widely used tools to measure distress associated with impaired sexual function. Aim: This study aims to develop a Turkish version of the FSDS-R, to evaluate its psychometric reliability and validity, and to estimate the optimal cutoff score that corresponds best to the clinical diagnosis of sexual dysfunction. Methods: Ninety-five participants were diagnosed with female sexual interest and arousal disorder (FSIAD), 25 participants were diagnosed with another FSD, and 128 participants were healthy. Alpha coefficients (α) were used as an indicator of internal consistency. Test-retest reliability over a 2-week period was estimated using intraclass correlation coefficients (ICCs). Correlation analysis conducted between the FSDS-R total score, the Female Sexual Function Index subscale, and total score was examined for convergent validity. Discriminant validity was assessed by comparing mean scores of the FSD and control groups in a between-groups analysis of variance. Receiver operating characteristic analysis was performed to determine optimal cutoff values of the Turkish version of Female Sexual Distress Scale-Revised (Tr-FSDS-R). Main outcomes measures: Sexuality-related distress measured by the Turkish version of the FSDS-R. Results: Internal consistencies of the FSDS-R across the two assessments point for the three groups of women ranged from α = 0.87 to α = 0.99. ICCs ranged from 0.92 to 0.94 for baseline and day 15 for FSIAD, other FSD, and no FSD groups. One-factor unidimensional model explained 85.7% of the total variance of the Tr-FSDS-R items. The optimal cutoff score was found to be >11.5 to provide optimal sensitivity (97.9%) and specificity (83.2%). Significant differences in the FSDS-R scores were found between healthy women, women with hypoactive sexual desire disorder, and women with other types of FSD. Conclusion: The Turkish version of FSDS-R is a valid, reliable tool with well discriminative and psychometric validity for use in the Turkish female population and can be used as a screening questionnaire for females with sexual interest/arousal disorder. The score of ≥11.5 was proposed as a cutoff to detect the presence of sexually related personal distress in Turkish women with FSD.Publication Open Access Cerebral venous sinus thrombosis and posterior reversible encephalopathy syndrome in a preeclamptic woman(2015-01-01) KÖROGLU, Nadiye; SUDOLMUS, Sinem; SARIOGLU, Elif Asli; ALKAN, ALPAY; Dansuk, RAMAZAN; ALKAN, ALPAY; DANSUK, RAMAZANCerebral venous sinus thrombosis (CVST) and posterior reversible encephalopathy syndrome (PRES) are two rare diseases which may present with similar symptoms and signs. We report a case with coexisting PRES and CVST in a preeclamptic woman. A 24-year-old woman, G2 P1, at 33 wk and 5 d of pregnancy presented with headache. Her blood pressure was 180/120 mmHg and urinary test revealed +3proteinuria. Cesarean section was performed with indications of severe preeclampsia, intrauterine growth retardation and fetal distress. Cranial MR venography of the patient revealed thrombiin superior sagittal sinus, confluenssinuum, right transverse and right sigmoid sinus and diffusion MRI showed increased signal intensity (vasogenicoedema) in cortical and subcortical areas of parietooccipital and posterior frontal lobes.The patient was treated with magnesium sulfate and heparin successfully. After treatment period, control cranial MRI and diffusion MRI were normal. Thrombi within the sinuses were totally regressed. Albeit rare, these two diseases should be kept in mind especially in preeclamptic/eclamptic patients that present with neurological symptom and/or sign.Publication Metadata only Olgu sunumu: Over kanserini taklit eden dev endometrial kist(2014-05-19) KILIC, GÖKHAN; Dane, Banu; Batmaz, Gonca; Dansuk, RAMAZAN; KILIC, GÖKHAN; DANSUK, RAMAZANPublication Open Access Female sexual distress in infertile Turkish women İnfertil türk kadınlarda cinsel sıkıntı(2015-12-01) AYDIN, SERDAR; KURT, Nihan; MANDEL, Selen; KAPLAN, Mustafa Arda; KARACA, Nilay; Dansuk, RAMAZAN; AYDIN, SERDAR; DANSUK, RAMAZANObjective: To evaluate the effect of infertility on sexual distress in women attending the infertility clinic. Materials and Methods: In a cross-sectional study we evaluated sexual distress among 88 women who attended the infertility clinic in our institute between January and June 2015. All women who were experiencing primary or secondary infertility during the study sampling were included in the sudy. Sexual distress was measured using the Female sexual distress scale-revised (FSDS-R), a cross-validated patient-reported outcomes measure. Correlations of FSDS-R with patient characteristics and laboratory measurements were calculated using Spearman’s rank correlation tests. Results: With the exceptions of the age of couples and serum anti-mullerian hormone (AMH) levels, no predictor of high sexual distress was found in the univariate analysis when comparing groups with regard to the FSDS-R cut-off score. The mean age of the sexually distressed women (33.6±5.8 years vs. 29.3±5.1 years) and their partners (35.4±4.8 years vs. 31.6±4.2 years) was significantly higher than those of the non distressed women, according to a FSDS-R score over 11 (p<0.05). The serum level of AMH was significantly lower in infertile women with high total sexual distress scores (1.4 vs. 7.6 ng/ mL (p<0.001)). Conclusion: In infertile women, age of woman, age of partner, and serum AMH levels are related with the hope of women to have a child despite an association with sexual distress. Serum AMH, which is perceived as necessary for fertility, had a significant inverse correlation with levels of sexual stress.