Objective: The aim of this study is to evaluate perinatal outcome of fetal echogenic bowel.Study Design: In this retrospective cohort study, fetuses with echogenic bowel diagnosed and followed in our center between 2013-2017 were included. Fetuses and infants were evaluated in terms of antenatal comorbidities and postnatal persistent diseases. Infants were followed-up to June 2018 from time of diagnosis. Demographic questionnaire and face to face interview were used to obtain data including immune system diseases and respiratory system pathologies in infants. Results: A total of 100 fetuses with echogenic bowel were included in the study. Fetal aneuploidy was detected in 7 (7%) cases. Trisomy 21 was the most common aneuploidy and identified in 4 (4%) cases. Other chromosomal disorders were tetrasomy 12p (1%), 69XXX (1%) and 46 XX, t (2,22) (9q9) (1%). A fetal echogenic bowel was associated with major congenital malformations in 25 (%25) cases. Cardiac abnormality was the most prevalent (%7). First and second trimester vaginal bleeding history was found in 5 pregnant women. In 3 case with isolated echogenic bowel (no congenital malformation and aneuploidy), lactose intolerance, celiac disease, and non-obstructive hydrocephalus were diagnosed in early childhood. Conclusion: Isolated fetal echogenic bowel which can be considered as a soft marker for aneuploidy may be associated with lactose intolerance and celiac disease. Further clinical studies are warranted to evaluate this relationship.

Purpose: To evaluate outcome of hymenoplasties in private clinics and investigate the factors affecting the risk of dehiscence Method: A retrospective cross-sectional survey of Obstetrics and Gynecology specialists trained over the last five years was conducted. Specialists from private clinics completed surveys on hymenoplasties performed. Rates and types of complications were requested and factors associated with wound dehiscence in patients undergoing permanent hymenoplasty was investigated with multivariate analysis. Results:. A total of 968 patients were included. Hymenoplasty was performed for revirgination in 874 cases (90.2%), incision of the hymen for gynecological procedures in 82 (8.4%) cases and trauma in 12 cases (1.2%). Complications included wound dehiscence (26.1%), infection (1.7%), bleeding (1.7%), pain (1.5%), itching (1.4%) and dyspareunia (0.5%). The technique was permanent in 714 cases and temporary in 254 cases. Among the permanent hymenoplaty cases, multivariate logistic regression analysis showed that obesity (OR=3.1, 95%CI: 1.5-6.2, p=0.001) and tobacco use (OR=2.2, 95%CI: 1.3-3.8, p=0.003) increases the risk of dehiscence. Sedation decreased the risk of dehiscence when compared to local infiltration anesthesia (OR=0.56, 95%CI: 0.33-0.99, p=0.04). Every decrease in the polyglactin suture caliber decreased the risk of dehiscence (OR=0.22, 95%CI: 0.16-0.3, p

Amaç : Bu çalışmada kliniğimizde yatırılarak tedavi alan Arnold chiari tip 2 malformasyonu tanılı, olguların cinsiyet, doğum şekli, gestasyonel hafta, doğum ağırlığı, eşlik eden ek anomaliler, eğitim durumu, antenatal bakım ve folik asit kullanımı, yenidoğan dönemindeki operasyonlar, doğum sonrası yenidoğanda gözlenen problemler ve sekeller gibi postnatal sonuçlar değerlendirilmesi amaçlandı. Gereç ve yöntemler: Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum AD’da Ocak 2016 ile Mayıs 2018 tarihleri arasında Arnold Chiari Tip 2 tanısıyla kliniğine yatırılan tüm bebekler bu tek merkezli retrospektif çalışmaya alındı. Hastalara ait verilere tıbbi kayıtlardan ulaşıldı. Bulgular: Çalışmaya toplam 20 Arnold chiari tip 2 malformasyonu olan olgu dahil edildi. Akraba evliliği hiçbir olguda yoktu. Gebelerde folik asit kullanımı sadece 2 (%20) olguda mevcuttu. 10(%50) olguda tanı viyabilite sınırından önce konulmuş ve aile gebelik terminasyonu istemişti. Terminasyonu kabul eden 10 olgudan 4 (%40) tanesine meningosel/ meningomyelosel eşlik ediyordu. Gebeliğin devamına karar veren 10 olgudan 6 (%60) tanesine meningosel-meningomyelosel eşlik ediyordu. Olguların medyan gebelik yaşı 37 hafta, ortalama yenidoğan ağırlığı 3117±522 gram, medyan 1.dakika ve 5.dakika APGAR skoru sırasıyla 6 ve 8 idi. Yenidoğanların 6 ‘sı erkek (%60), 4’ü kız (%40) idi. Bebekler ortalama postnatal 3. günde opere edildi. %90’nına şant operasyonu uygulandı. 9 olguda fizik tedavi uygulaması gerektiren hareket kısıtlılığı ve güç kaybı mevcuttu. 7(%70) olguda bir ekstremitede hareket kısıtlığı ve güç kaybı var iken, 2 (%20) olguda her iki alt ekstremitede hareket ve kas gücü izlenmedi. Beş (%50) yenioğanda miksiyon ve defekasyon sorunu nedeni ile temiz aralıklı katater uygulaması gereksinimi oluşmuştu. Sonuç: Yapılan çalışmalardan ve kliniğimizdeki olgulardan da anlaşılacağı gibi NTD olgularında folik asit kullanmama yada düzensiz kullanım öyküleri mevcut. Bu sebepten kliniğimizde değerlendirilen olgulara yüksek oranda NTD eşlik etmekte.

Impact of cervical preservation on vaginal length and female sexual function after hysterectomy for benign conditions: a retrospective cohort study - Journal of the Turkish-German Gynecological Association

Objective:The aim of this study was to investigate the effectiveness of fetal right heart doppler findings in determining pulmonary maturity. Method:The study focused on women with late preterm and term pregnancies. The main measurements included the doppler findings of the main pulmonary arter and the right pulmonary artery, as well as the E/A wave ratio of the mitral valve, which represents the ratio of peak blood flow velocity during left ventricular relaxation in early diastole to peak velocity during late diastole caused by atrial contraction, and the lamellar body count. Result:We observed a significantly higher mean number of lamellar body count in the control group (84.70± 42.77) compared to the study group (41.21±34.81).Additionally, we noticed that the systolic-diastolic ratio (S/D) of the MPA and RPA was significantly higher in the preterm group (7.8±1.9, 7.4 ± 1.2) compared to the term group (6.7±1.3,6.1±1.6).However, we did not find any significant difference in the pulsatile index and resistance indices of RPA and MPA, as well as the acceleration/ejection time ratio. Conclusion:We observed that the systolic-diastolic ratio of the main pulmonary artery and right pulmonary artery was significantly higher in preterm cases (study group). Fetal lung maturity can be non-invasively assessed using Doppler ultrasonography.

In recent years, due to the increasing demand, genital aesthetic surgeries, particularly vaginoplasty, have become commonly preferred by women. However, data on the effects of this operation on male sexuality are limited. In recent years, societal awareness of sexual compatibility between partners and the surgical interventions that can be performed on the genital area to improve this compatibility has increased. This study aimed to demonstrate changes in partner satisfaction before and after vaginoplasty performed for aesthetic or medical reasons. This study was planned retrospectively. The sampling method used in the study was purposive sampling. Among 200 patients who underwent vaginoplasty, 47 were selected based on specific inclusion and exclusion criteria such as penis size perception, sexual activity, and the absence of erectile dysfunction. Patient information was screened from our clinic’s database, and demographic data were recorded. Only the partners of women who underwent vaginoplasty were included in the study. Among these partners, only those with an average or above-average penis size were included. The partners of patients who underwent vaginoplasty were interviewed to assess their sexual functions using the Male Sexual Health Questionnaire-Ejaculation Disorder (MSHQ-EjD), the Golombok–Rust sexual satisfaction scale, and the new sexual satisfaction scale (NSSS). These assessments were conducted in the preoperative and postoperative periods, and the data were recorded. In this study, it was observed that there were no significant differences in MSHQ ejaculation function and ejaculation difficulty levels between the preoperative and postoperative periods. The Golombok–Rust sexual satisfaction scale assessed the quality of the relationship in 8 subgroups, finding that levels of frequency, communication, touching, satisfaction, impotence, and quality of sexual intercourse were significantly higher postoperatively, while scores for avoidance and premature ejaculation were significantly lower. This study found that sexual satisfaction increased in the partners of women who underwent vaginoplasty for aesthetic or medical reasons.