Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numb... more Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18–49, 50–69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst ...
PURPOSE: Radical prostatectomy (RP) is the gold standard treatment option for localized prostate ... more PURPOSE: Radical prostatectomy (RP) is the gold standard treatment option for localized prostate cancer (Pca) treatment. In this study, we aimed to evaluate the potance condition of patients who completed the first year after the radical prostatectomy operation with the perineal approach . PATİENTS AND METHODS: The study included 107 preoperatively potant patients who underwent RPP for localized PCA between April 2006 and September 2009. Besides to 65 patients with a preoperative International Index of Erectile Function (IIEF)- 5 score of 21 or over, 42 patients who were evaluated with their partners, even though whose preopeative IIEF-5 score was between 16-20; however, answered yes to the SEP 2 and SEP 3 questions, were considered as potant. RESULTS: The mean age of the patients was 62.4 years. The mean preoperative PSA value was 6.5 ng/dL. The mean prostate volume was 48cc (15-70). Eighty-one (75.7%) of all patients were able to continue their sexual life with or without medicati...
Sexual activity is important role in life of men. Decreased sexual function has a negative impact... more Sexual activity is important role in life of men. Decreased sexual function has a negative impact on the quality of life of the patients and their partners. In this study, we aimed to evaluate the relationship of erectile dysfunction (ED) with self‐esteem, symptom severity and depression. The 80 patients were evaluated prospectively. Group 1 (cases group) included 40 patients who with ED an age range of up to 18–70 years. Group 2 (healthy control group) included 40 patients who apply to the urology clinic for various reasons without ED. All patients were filled international index of erectile function‐5 (IIEF‐5), Beck Depression questionnaire (BDI‐2) and Rosenberg self‐esteem questionnaires (RESQ). Demographic characteristics and inventory results of the patients were compared between the two groups. Significant differences were found between the two groups in IIEF‐5, RESQ and BDI‐2 scores. In Group 1, IIEF‐5 score was low, RESQ, BDI‐2 scores were significantly higher (All scores p ...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2021
OBJECTIVE To analyse changes in semen parameters according to different age groups in men presen... more OBJECTIVE To analyse changes in semen parameters according to different age groups in men presenting to an infertility clinic, and determine the age threshold for decline in semen quality. STUDY DESIGN Observational study. PLACE AND DURATION OF STUDY Andrology Laboratory, Department of Urology, Kahramanmaraş Sütçü İmam University, Turkey, from January 2018 to December 2019. METHODOLOGY Semen analysis records of infertile men, who were referred to Andrology Laboratory, were retrospectively evaluated. The age groups were categorised as 20-29, 30-34, 35-39, 40-44, and 45-55 years. Each group was completed to 100 semen samples retrospectively and sequentially without any preferences. The differences of semen parameters between age groups were analysed with the one-way ANOVA test. Linear relationship was checked by ANOVA. RESULTS The mean age of 500 patients was 37.18 ± 8.11 years. While no linear relationship was observed in semen volume, concentration, and total sperm count with age (...
Ferit Akıl1, Eşref Araç2, Ayhan Kaydu3, Muhammed Ayral4, Serkan Dedeoğlu4, Erhan Gökçek3, Ahmet Ü... more Ferit Akıl1, Eşref Araç2, Ayhan Kaydu3, Muhammed Ayral4, Serkan Dedeoğlu4, Erhan Gökçek3, Ahmet Üzer5, Bilal Hamarat6 1Diyarbakır Selahaddin Eyyubi Devlet Hastanesi Kulak Burun Boğaz Kliniği, Türkiye 2Gazi Yaşargil Eğitim Araştırma Hastanesi Dahiliye Kliniği, Diyarbakır, Türkiye 3Diyarbakır Selahaddin Eyyubi Devlet Hastanesi Anestezi kliniği, Diyarbakır, Türkiye 4Gazi Yaşargil Eğitim Araştırma Hastanesi Kulak Burun Boğaz Kliniği, Diyarbakır, Türkiye 5Çorum Eğitim Araştırma Hastanesi Psikiyatri Kliniği, Çorum, Türkiye 6Artvin Devlet Hastanesi Üroloji Kliniği, Artvin, Türkiye
Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2021
INTRODUCTION There are not enough studies showing the degree to which the SARS-CoV-2 virus affect... more INTRODUCTION There are not enough studies showing the degree to which the SARS-CoV-2 virus affects the semen parameters after coronavirus infection in comparison to before they were infected. In this study, we aimed to assess the effect of SARS-CoV-2 infection on semen parameters. METHODS Patients were screened if they had had semen analysis performed from October 1, 2019, to December 1, 2020, in the assisted reproduction unit and later had positive polymerase chain reaction (PCR) test for SARS-CoV-2 infection. The patients' semen parameters were recorded before and after SARS-CoV-2 infection, along with degrees of SARS-CoV-2 infection, dates of SARS-CoV-2 infection, durations between the treatment for SARS-CoV-2 infection and the second semen analysis, time of symptom onset, duration of their symptoms, ages, comorbidities, and any medications patients were taking. RESULTS Forty-one patients were included in the study. The mean age of the patients was 31.29±5.95 years. The mean ...
Benign prostat hipertrofisi olan hastalarda prostat kapsuler arter rezistif indeksin hastaligin ... more Benign prostat hipertrofisi olan hastalarda prostat kapsuler arter rezistif indeksin hastaligin siddetini belirleme ve uygulanan α-bloker tedavi etkinligini degerlendirmede parametrik bir olcut olup olamayacagini degerlendirmeyi amacladik. Hastanemize basvuran ve tedavi olan alt uriner sistem semptomlari olan hastalarin tedavi, islem, tetkik asamasinda hasta bulgulari ve goruntuleri kayit altina alindi. Daha sonra retrospektif olarak bu kayitlar ve hastanemiz verileri incelendi. Calismaya 66 hasta dahil edildi. IPSS skoru yuksek olup tedavi onerilen 36 hastanin rezistif indeks ortalama degeri 0,68±0,09 , IPSS skoru dusuk olan hastalarin rezistif indeks ortalama degeri 0,65±0,05 dir. Bu iki deger arasindaki fark istatiksel olarak anlamli bulunmustur(p<0,05). Alt uriner sistem semptomlari olan ve tedavi verilen 36 tedavi oncesi rezistif indeks degeri ortalama 0,68±0,09 ’dir. Tedavi sonrasinda ortalama 0,64±0,07 degere gerilemistir. Bu gerileme istatistiksel olara...
Despite the successful achievements with SWL there is presently a trend towards the preferred use... more Despite the successful achievements with SWL there is presently a trend towards the preferred use of invasive endoscopic procedures rather than a non-invasive approach by means of SWL. This development is an effect of a considerable discrepancy in SWL results. Literature data name stone-free rates for renal and ureteral stones in the range of 32-90 % and 43-98 %, respectively, and a similar variation in terms of successful stone disintegration. Proper use of the lithotripsy system and correct application of shock waves are crucial aspects for the SWL outcome regarding efficacy and safety. Before asking for technical improvement it needs to be pointed out that a significant fraction of patients with inferior SWL results could have been better treated if the SWL technique had been used in an appropriate way. Lack of interest in SWL and the false assumption that it is the lithotripter rather than the operator that is responsible for the treatment result are a bad prerequisite for success. All users should be aware, that SWL is a complex technology with potential risks and that they must have basic knowledge of the underlying physics as well as of characteristics and features of the used lithotripsy system. Sufficient analgesia, fixation of the patient, proper coupling of the shock wave system and a slow shock wave administration rate are important measures to ensure a good stone disintegration. Patient adapted selection of shock wave parameters, pretreatment with low shock wave energy and renoprotective drugs like calcium channel blockers or antioxidants seem to be beneficial for a reduction of tissue traumatization. Stonefree rate after SWL can be improved with supporting measures like physical therapy (percussion, diuresis, inversion) and short term medical therapy (medical expulsive therapy) with a1-receptor blockers or calcium channel blockers. In spite of all newly arisen discussion SWL still remains the only non-invasive treatment modality for urolithiasis besides conservative stone management and it plays a major role in stone therapy due to its efficacy, low rate side effects and comfortable application, without the need of general anaesthesia and-last but not leastpatients' acceptance. COI: No.
Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numb... more Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18–49, 50–69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst ...
Aim: We aimed to asses the success, complications, ease of application and advantages of percutan... more Aim: We aimed to asses the success, complications, ease of application and advantages of percutaneous nephostomy procedure with seldinger tehcnique which can be life saving for most patients with our clinical experience. Material and Method: 692 patients which we applied percutaneous nephrostomy with Seldinger technique between 2010-2015 are included in this study. Demographic information, etiology of obstruction, success rate and duration of procedure are retrospectively studied.
Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numb... more Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18–49, 50–69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst ...
PURPOSE: Radical prostatectomy (RP) is the gold standard treatment option for localized prostate ... more PURPOSE: Radical prostatectomy (RP) is the gold standard treatment option for localized prostate cancer (Pca) treatment. In this study, we aimed to evaluate the potance condition of patients who completed the first year after the radical prostatectomy operation with the perineal approach . PATİENTS AND METHODS: The study included 107 preoperatively potant patients who underwent RPP for localized PCA between April 2006 and September 2009. Besides to 65 patients with a preoperative International Index of Erectile Function (IIEF)- 5 score of 21 or over, 42 patients who were evaluated with their partners, even though whose preopeative IIEF-5 score was between 16-20; however, answered yes to the SEP 2 and SEP 3 questions, were considered as potant. RESULTS: The mean age of the patients was 62.4 years. The mean preoperative PSA value was 6.5 ng/dL. The mean prostate volume was 48cc (15-70). Eighty-one (75.7%) of all patients were able to continue their sexual life with or without medicati...
Sexual activity is important role in life of men. Decreased sexual function has a negative impact... more Sexual activity is important role in life of men. Decreased sexual function has a negative impact on the quality of life of the patients and their partners. In this study, we aimed to evaluate the relationship of erectile dysfunction (ED) with self‐esteem, symptom severity and depression. The 80 patients were evaluated prospectively. Group 1 (cases group) included 40 patients who with ED an age range of up to 18–70 years. Group 2 (healthy control group) included 40 patients who apply to the urology clinic for various reasons without ED. All patients were filled international index of erectile function‐5 (IIEF‐5), Beck Depression questionnaire (BDI‐2) and Rosenberg self‐esteem questionnaires (RESQ). Demographic characteristics and inventory results of the patients were compared between the two groups. Significant differences were found between the two groups in IIEF‐5, RESQ and BDI‐2 scores. In Group 1, IIEF‐5 score was low, RESQ, BDI‐2 scores were significantly higher (All scores p ...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2021
OBJECTIVE To analyse changes in semen parameters according to different age groups in men presen... more OBJECTIVE To analyse changes in semen parameters according to different age groups in men presenting to an infertility clinic, and determine the age threshold for decline in semen quality. STUDY DESIGN Observational study. PLACE AND DURATION OF STUDY Andrology Laboratory, Department of Urology, Kahramanmaraş Sütçü İmam University, Turkey, from January 2018 to December 2019. METHODOLOGY Semen analysis records of infertile men, who were referred to Andrology Laboratory, were retrospectively evaluated. The age groups were categorised as 20-29, 30-34, 35-39, 40-44, and 45-55 years. Each group was completed to 100 semen samples retrospectively and sequentially without any preferences. The differences of semen parameters between age groups were analysed with the one-way ANOVA test. Linear relationship was checked by ANOVA. RESULTS The mean age of 500 patients was 37.18 ± 8.11 years. While no linear relationship was observed in semen volume, concentration, and total sperm count with age (...
Ferit Akıl1, Eşref Araç2, Ayhan Kaydu3, Muhammed Ayral4, Serkan Dedeoğlu4, Erhan Gökçek3, Ahmet Ü... more Ferit Akıl1, Eşref Araç2, Ayhan Kaydu3, Muhammed Ayral4, Serkan Dedeoğlu4, Erhan Gökçek3, Ahmet Üzer5, Bilal Hamarat6 1Diyarbakır Selahaddin Eyyubi Devlet Hastanesi Kulak Burun Boğaz Kliniği, Türkiye 2Gazi Yaşargil Eğitim Araştırma Hastanesi Dahiliye Kliniği, Diyarbakır, Türkiye 3Diyarbakır Selahaddin Eyyubi Devlet Hastanesi Anestezi kliniği, Diyarbakır, Türkiye 4Gazi Yaşargil Eğitim Araştırma Hastanesi Kulak Burun Boğaz Kliniği, Diyarbakır, Türkiye 5Çorum Eğitim Araştırma Hastanesi Psikiyatri Kliniği, Çorum, Türkiye 6Artvin Devlet Hastanesi Üroloji Kliniği, Artvin, Türkiye
Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2021
INTRODUCTION There are not enough studies showing the degree to which the SARS-CoV-2 virus affect... more INTRODUCTION There are not enough studies showing the degree to which the SARS-CoV-2 virus affects the semen parameters after coronavirus infection in comparison to before they were infected. In this study, we aimed to assess the effect of SARS-CoV-2 infection on semen parameters. METHODS Patients were screened if they had had semen analysis performed from October 1, 2019, to December 1, 2020, in the assisted reproduction unit and later had positive polymerase chain reaction (PCR) test for SARS-CoV-2 infection. The patients' semen parameters were recorded before and after SARS-CoV-2 infection, along with degrees of SARS-CoV-2 infection, dates of SARS-CoV-2 infection, durations between the treatment for SARS-CoV-2 infection and the second semen analysis, time of symptom onset, duration of their symptoms, ages, comorbidities, and any medications patients were taking. RESULTS Forty-one patients were included in the study. The mean age of the patients was 31.29±5.95 years. The mean ...
Benign prostat hipertrofisi olan hastalarda prostat kapsuler arter rezistif indeksin hastaligin ... more Benign prostat hipertrofisi olan hastalarda prostat kapsuler arter rezistif indeksin hastaligin siddetini belirleme ve uygulanan α-bloker tedavi etkinligini degerlendirmede parametrik bir olcut olup olamayacagini degerlendirmeyi amacladik. Hastanemize basvuran ve tedavi olan alt uriner sistem semptomlari olan hastalarin tedavi, islem, tetkik asamasinda hasta bulgulari ve goruntuleri kayit altina alindi. Daha sonra retrospektif olarak bu kayitlar ve hastanemiz verileri incelendi. Calismaya 66 hasta dahil edildi. IPSS skoru yuksek olup tedavi onerilen 36 hastanin rezistif indeks ortalama degeri 0,68±0,09 , IPSS skoru dusuk olan hastalarin rezistif indeks ortalama degeri 0,65±0,05 dir. Bu iki deger arasindaki fark istatiksel olarak anlamli bulunmustur(p<0,05). Alt uriner sistem semptomlari olan ve tedavi verilen 36 tedavi oncesi rezistif indeks degeri ortalama 0,68±0,09 ’dir. Tedavi sonrasinda ortalama 0,64±0,07 degere gerilemistir. Bu gerileme istatistiksel olara...
Despite the successful achievements with SWL there is presently a trend towards the preferred use... more Despite the successful achievements with SWL there is presently a trend towards the preferred use of invasive endoscopic procedures rather than a non-invasive approach by means of SWL. This development is an effect of a considerable discrepancy in SWL results. Literature data name stone-free rates for renal and ureteral stones in the range of 32-90 % and 43-98 %, respectively, and a similar variation in terms of successful stone disintegration. Proper use of the lithotripsy system and correct application of shock waves are crucial aspects for the SWL outcome regarding efficacy and safety. Before asking for technical improvement it needs to be pointed out that a significant fraction of patients with inferior SWL results could have been better treated if the SWL technique had been used in an appropriate way. Lack of interest in SWL and the false assumption that it is the lithotripter rather than the operator that is responsible for the treatment result are a bad prerequisite for success. All users should be aware, that SWL is a complex technology with potential risks and that they must have basic knowledge of the underlying physics as well as of characteristics and features of the used lithotripsy system. Sufficient analgesia, fixation of the patient, proper coupling of the shock wave system and a slow shock wave administration rate are important measures to ensure a good stone disintegration. Patient adapted selection of shock wave parameters, pretreatment with low shock wave energy and renoprotective drugs like calcium channel blockers or antioxidants seem to be beneficial for a reduction of tissue traumatization. Stonefree rate after SWL can be improved with supporting measures like physical therapy (percussion, diuresis, inversion) and short term medical therapy (medical expulsive therapy) with a1-receptor blockers or calcium channel blockers. In spite of all newly arisen discussion SWL still remains the only non-invasive treatment modality for urolithiasis besides conservative stone management and it plays a major role in stone therapy due to its efficacy, low rate side effects and comfortable application, without the need of general anaesthesia and-last but not leastpatients' acceptance. COI: No.
Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numb... more Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18–49, 50–69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst ...
Aim: We aimed to asses the success, complications, ease of application and advantages of percutan... more Aim: We aimed to asses the success, complications, ease of application and advantages of percutaneous nephostomy procedure with seldinger tehcnique which can be life saving for most patients with our clinical experience. Material and Method: 692 patients which we applied percutaneous nephrostomy with Seldinger technique between 2010-2015 are included in this study. Demographic information, etiology of obstruction, success rate and duration of procedure are retrospectively studied.
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Papers by Bilal Hamarat