GİRİŞProstat kanseri (PCa) tanısında son yıllarda belirgin bir artış gözlenmektedir. Bu durum, organa sınırlı PCa tanısını ve buna paralel olarak radikal prostatektomi (RP) adayları-nın sayısını da arttırmıştır.[1] Hastaların görece gençleşmesi, kanser kontrolünün yanında yaşam kalitesini etkileyecek fonksiyonların da yeterli düzeyde korunması gerekliliğini ortaya çıkarmıştır.[2] RP uygulayan cerrahlar deneyim kazandıkça, tekniklerini geliştirerek daha iyi fonksiyonel sonuçların ortaya çıkmasını sağlamaktadır.[3] RP'nin PCa'da
Semen analizi erkeğin üreme kapasitesini öngörebilmek amacıyla ejakülatın makroskobik ve mikroskobik özelliklerinin değerlendirilmesidir. [1] Bu analizin sonuçlarına bakıldığında sağlıklı bireylerin kendi içinde veya bireyler ABSTRACT OBJECTIVE: Semen analysis, the assessment of the macroscopic and microscopic properties of ejaculate in order to predict the reproductive capacity of a man, is influenced by some intrinsic and extrinsic factors. The aim of this study was to evaluate the effects of the duration of sexual abstinence on conventional semen parameters. MATRERIAL and METHODS: One hundred-seventy patients with normal semen analysis in our andrology laboratory between January 2015 and June 2017 were included in the study. Patients were divided into 3 groups according to their sexual abstinence periods: 0-1 days (30 patients), 2-5 days (90 patients) and 6-7 days (50 patients) and the volume, pH, concentration, and motility rates were compared between groups. RESULTS: The mean age of the patients was 31.06±6.08 years and there was no statistically significant difference among the groups. In the semen analysis of the patients; the volume, concentration and immotility sperm rates were increased, total motility and progressive motility rates were decreased significantly with the duration of sexual abstinence. There was no statistically significant difference between groups in terms of pH and non-progressive motility rates. CONCLUSION: The results of this study show that as the duration of sexual abstinence increases, the volume and sperm concentration increases and the motility decreases in semen analyses of normal healthy individuals. We consider that these data will be useful to evaluate semen analysis.
ÖzAmaç Robot yardımlı laparoskopik radikal prostatektomi (RYLRP) sonuçlarımızı sunmak.( Sakarya Tıp Dergisi 2018, 8(1):134-140 ) Gereç ve Yöntemler Şubat 2015 -Aralık 2017 yılları arasında lokalize prostat kanseri (PCa) nedeniyle Sakarya Üniversitesi'nde RYLRP operasyonu uygulanan hastaların sonuçları retrospektif olarak değerlendirildi. Bulgular Hastaların ortalama takip süreleri 16,1 (1-36) ay olarak bulundu. Hastaların ortalama yaşı 64,04 ± 6,33 yıl olarak saptandı. D'Amico risk sınıflamasına göre hastaların 29'u (%60,4) düşük risk, 13'ü (%27,1) orta risk ve 6'sı (%12,5) yüksek risk sınıfında saptandı. Ortalama operasyon süresi 237,7 ± 48,07 dk, ortalama tahmini kan kaybı 190,4 ± 65,8 ml olarak bulundu. Ortalama dren çekilme süresi 3,93 ± 1,81 gün, ortalama hastanede kalış süresi 4,66 ± 1,91 gün, ortalama sonda çekilme süresi 14,1 ± 2,1 gün olarak bulundu. On (%20,8) hastada cerrahi sınır pozitif saptandı. Kontinans oranları postoperatif 1. ay, 6. ay ve 12. ay'da sırasıyla %50, %71,4 ve %85,2 olarak bulundu. Potens oranları postoperatif 1. ay, 6. ay ve 12. ay'da sırasıyla %37,5, %42,9 ve %51,2 olarak tespit edildi. Takiplerde 1 hastada biyokimyasal nüks tespit edildi. Sonuç RYLRP lokalize PCa'nin tedavisinde etkin ve güvenilir bir yöntemdir. Sonuçlarımız literatürle uyumludur. Cerrahi tecrübe arttıkça daha iyi onkolojik ve fonksiyonel sonuçlar alınacaktır. AbstractObjective To present our robot assisted laparoscopic radical prosatatectomy (RALRP) results. ( Sakarya Med J 2018, 8(1):134-140 ). Materials and MethodsThe results of patients who underwent RALRP between February 2015 and December 2017 for localized prostate cancer (PCa) at Sakarya University were retrospectively evaluated. ResultsIMean follow-up time was 16.1 (1-36) months. The mean patient age was 64.04 ± 6.33 years. According to D'Amico risk classification; 29 (60.4%) patients were found to have low risk, 13 (27.1%) patients have moderate risk and 6 (12.5%) patients have high risk. Mean operation time was 237.7 ± 48.07 min, mean estimated blood loss was 190.4 ± 65.8 ml. Mean draining time was 3.93 ± 1.81 days, mean hospitalization time was 4.66 ± 1.91 days and mean catheterization time was 14.1 ± 2.1 days. Surgical margin positivity was found in 10 (20.8%) patients. The continent rate at postoperative 1th, 6th and 12th months were 50%, 71.4% and 85.2%; respectively. The potency rates at postoperative 1th, 6th and 12th months were 37.5%, 42.9% and 51.2%; respectively. Biochemical recurrence was detected in 1 patient at follow-up period.Conclusion RALRP is an effective and reliable method for localized PCa treatment. Our results are consistent with the literature. Better oncologic and functional results will be obtained as surgical experience increases.
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