Publications by authors named "Ahsen Karagozlu Akgul"

Article Synopsis
  • The study focuses on evaluating children suspected of having a retrocaval ureter (RCU) during treatment for hydronephrosis, given that such cases are rarely diagnosed and can be easily missed.
  • A total of 13 patients were analyzed, with final diagnoses revealing 4 cases of RCU, 7 cases of ureteropelvic junction obstruction (UPJO), and 2 of duplicated collecting system.
  • Utilizing imaging techniques like ultrasonography, particularly with a stent in place, is crucial for confirming or ruling out RCU, and laparoscopic surgery can also help visually clarify the condition if needed.
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Article Synopsis
  • The study explores the debate between performing orchiectomy or orchidopexy after testicular torsion, focusing on the need for objective criteria to define testicular viability.
  • Researchers analyzed 289 cases across 14 centers, finding that 8.8% of testes showed reversible grade 1 injuries despite adverse clinical findings like prolonged symptoms.
  • The results suggest the potential for testicular fixation, as many patients with severe symptoms did not have conclusive high-grade injuries, indicating a need for improved criteria in evaluating testicular health post-torsion.*
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Background: Complications are frequently reported after hypospadias repair and there is a need to understand the factors that influence their occurrence.

Methods: Data from boys with hypospadias born between 2000 and 2020 were obtained from the International Disorders of Sex Development (I-DSD) Registry. Logistic regressions, fisher's exact tests and spearman's correlation tests were performed on the data to assess associations between clinical factors and complication rates.

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Objective: Surgeons observed that the outcomes after the same repair technique in the same type of hypospadias performed by the same surgeon may be different. There may be some indeterminate factors that influence the results such as subclinical inflammation. Our study evaluated the predictor values of inflammatory hematologic parameters on the complications after hypospadias repair.

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Background: The major influencing factors for complications during hypospadias repair are the original location of the meatus, previous urethral surgery, surgical technique, and surgeon’s experience. While the effect of the technique of regional analgesia on complication rates has been considered in some studies, this issue remains controversial.

Aims: To determine the effect of caudal block and penile block on complication rates of hypospadias repair in patients with subcoronal hypospadias.

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Article Synopsis
  • Priapism is a rare and serious condition in children that requires careful treatment; this study outlines a stepwise approach based on eight cases of low-flow priapism.
  • The treatment protocol includes five key steps ranging from non-invasive methods like cold compresses to more invasive procedures like sapheno-cavernous shunts, with various outcomes noted among the patients reviewed.
  • The study emphasizes the importance of timely intervention to prevent complications like erectile dysfunction, suggesting that a structured treatment plan could improve care for children with low-flow priapism.
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Clitoromegaly usually develops due to hyperandrogenism. There are a few cases of clitoromegaly described without clinical and biochemical hyperandrogenism. Clitoromegaly due to clitoral priapism and clitoral priapism after appendectomy have not been reported previously.

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Objective: We aimed to evaluate the efficacy and safety of intravesical onabotulinum toxin A (onaBoNTA) injections for the treatment of children diagnosed with refractory overactive bladder (OAB) by using non-invasive methods.

Methods: A total of 31 pediatric patients with a mean age of 10.2 years received intravesical onaBoNTA injection at the dose of 10 U/kg (max: 200 U).

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Background: Diphallia is a very rare anomaly and seen once in every 5.5 million live births. True diphallia with normal penile structures is extremely rare.

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Introduction: Upper pole access in percutaneous nephrolithotomy (PCNL) provides a straight tract to the ureter, resulting in easier placement of a guidewire to the ureter, good exposure of the pelvis, calices, and upper ureter, and comfortable manipulations. However, despite these benefits, upper pole access is usually avoided because of the risk of chest complications in both pediatric and adult patients.

Objective: We aimed to evaluate the safety and morbidity of single upper pole access in pediatric patients undergoing PCNL.

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Purpose: Percutaneous renal puncture (PRP) is one of the most important and critical step of urology, especially while performing percutaneous nephrostomy and percutaneous nephrolithotomy (PCNL). In the learning period of this procedures, there is a need for validated, effective, economical models for such training. This study describes a simple non - biological model for learning PRP.

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Background: Urethral duplication and megalourethra are rare urethral anomalies. However, the concomitance of urethral duplication and double megalourethra has not been reported previously.

Case Report: A newborn was presented with penile swelling during voiding.

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Sacrococcygeal teratoma (SCT) is rarely associated with syndromes. We report a female newborn with a prenatal diagnosis of small sacrococcygeal teratoma and postnatally diagnosed as having trisomy 13. The sacrococcygeal teratoma was excised.

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Purpose: Cystic echinococcosis, which is one of the most important helminthic infestations, is a serious life-threatening health problem in developing countries. Hydatid cyst of the kidney is a rare condition in children that can be treated with medical therapy or surgical treatment in some resistant cases. Here, we present a case of renal hydatid cyst that was treated with laparoscopic excision with diode laser.

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Background: Spontaneous perforation of the bile duct (SPBD) is a rare cause of acute abdominal pain during childhood. Pancreatico-biliary malfunction has been postulated to contribute to its etiology. Factors related to diagnosis and treatment and difference from the other common causes of acute abdominal pain are emphasized.

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