Publications by authors named "Fulya Kayikcioglu"

Objective: To determine factors affecting obstetric outcomes in pregnancies after conization by loop electrosurgical excision procedure (LEEP) or cold-knife conization (CKC) due to cervical intraepithelial neoplasia.

Material And Methods: The maternal and clinical characteristics and obstetric outcomes of CKC, LEEP and control groups were evaluated and compared. Risk factors for adverse pregnancy outcomes were evaluated using multiple logistic regression analyses.

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Objective: The mental, physical and sexual health of women as well as maternal and fetal health should be considered during the prenatal and postnatal periods. Investigating the effect of clinical Pilates exercises and prenatal education (CPE & PE) on obstetric and neonatal outcomes as well as the mental, physical, and sexual health of women was intended.

Methods: In the second trimester, mothers with singleton pregnancies who attended (n=79, study group) or did not attend (n=80, control group) CPE & PR were recruited to this prospective cohort study, and were evaluated in the prenatal and postnatal periods.

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Purpose: To investigate the role of partial human papillomavirus (HPV) genotyping tests in predicting the diagnosis of high-grade cervical intraepithelial lesion and cancer (HSIL +) as a result of colposcopic histopathology.

Materials And Methods: The study included 2872 patients who presented at our colposcopy unit between January 1, 2015 and December 31, 2019 and underwent colposcopy for the first time. The patients were compared in terms of HSIL + results as HPV 16/18 and HPV other type positive groups.

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Aim: To develop a treatment and management algorithm for vulvar abscess.

Methods: We evaluated the clinical findings and treatment modalities of patients hospitalized with vulvar abscess via a comprehensive literature review and a clinical study. Patients with a diagnosis of vulvar abscess (n = 28) between 2015 and 2019 in the gynecology clinic of our hospital were included in the clinical study.

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Importance: Currently, apical prolapse is diagnosed via assessing the levels of C and D points in the pelvic organ prolapse quantification (POP-Q) system. However, it is not yet known whether the other components of this system are useful for diagnosing apical prolapse and its symptoms.

Objective: The aim of the study was to evaluate the association between the perineal body size (PB), total vaginal length (TVL), and apical prolapse and its symptoms.

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Objective: The purpose of the present study was to evaluate the clinical and pathological features and oncological outcomes of Brenner tumors (BT).

Material And Methods: Evaluation was performed on the data of 46 patients with BTs retrieved from the oncology clinic database and pathology reports between 2005 and 2020.

Results: The median (range) age of the patients was 52 (22-75) years.

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Background And Objectives: Evaluating nodal metastases in low-grade serous ovarian cancer (LGSOC) patients.

Methods: Women with LGSOC who had undergone primary cytoreductive surgery comprising systematic pelvic-paraaortic lymphadenectomy were included. Data were obtained retrospectively from 12 oncology centers.

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Article Synopsis
  • The study focused on diagnosing high-grade cervical intraepithelial lesions and cancer (HSIL+) in patients aged 50 and older, comparing them to younger patients and analyzing the role of cytology, HPV test results, and HPV genotyping in predicting these conditions.
  • Among the 1,102 patients aged ≥50, the cervical cancer diagnosis rate was 2.2%, which was higher than the 1.2% in younger patients; the majority of cancer cases in older patients were diagnosed at more advanced stages.
  • The findings suggest that HPV genotyping is equally effective for patients aged 50 and older as it is for younger ones, indicating a need to reconsider the age limits for cervical cancer screening
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Aims: Childbirth training programs together with exercise during pregnancy have drawn attention in many countries. The aim of this study was to investigate the effects on pregnancy and delivery outcomes of clinical Pilates exercises given with or without childbirth training.

Methods: A total of 64 pregnant women were randomly separated into three subgroups as Group 1, who received childbirth training with clinical Pilates exercises (n = 21), Group 2, who received only childbirth training (n = 21) and Group 3 as a control group (n = 22).

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Background/aim: The objective of the study was to evaluate the response, relapse, reproductive results and demographic features of the patients with endometrioid adenocancer (EAC) and endometrial intraepithelial neoplasia (EIN) who were treated with conservative treatment. This is the largest study when we consider the single center studies in this field.

Materials And Methods: In the current retrospective study, 38 patients (6 EAC, 31 EIN, 1 synchronous tumors of ovary and endometrium) were recruited.

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Aim: To evaluate if the neutrophil-to-lymphocyte ratio (NLR) and the platelet-to-lymphocyte ratio (PLR) could be used to diagnose adnexal torsion.

Methods: A retrospective study reviewed medical records of women who underwent surgery due to an adnexal mass between January 2012 and December 2017 at a tertiary referral center in Turkey. According to the surgical findings, the women were divided into a torsion group and a control group.

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Article Synopsis
  • The study aimed to explore factors related to recurrence, death, and survival rates in patients with low-grade endometrial sarcoma (LGESS) after surgery.
  • It involved 124 patients, with most undergoing extensive surgeries; findings revealed some patients had lymph node metastasis, contributing to later disease recurrence or death.
  • Results indicated that while lymphadenectomy improved disease-free survival, chemotherapy had a negative impact on survival outcomes, especially in patients with more advanced stages (≥II) of the disease.
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Purpose: Demonstrate survival outcomes of stage 3B/3C ovarian-tubal-peritoneal epithelial cancer patients who had metastases on diaphragm.

Methods: 141 patients who had undergone diaphragm surgery as a part of primary cytoreductive surgery procedures performed for stage 3B and 3C ovarian-tubal-peritoneal epithelial cancers were reviewed retrospectively. Patients who were administered neoadjuvant chemotherapy and patients who were suboptimally cytoreduced were not included to the study.

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Purpose: Understanding the effect of contraceptive use on high-risk human papillomavirus (HPV) positivity may provide information that is valuable to women in contraceptive decision-making. This study includes women aged 30-65 years who admitted to Family Planing outpatient clinic and have hrHPVDNA positivity.

Methods: We included a total of 801 women.

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The aim of this study is to evaluate the oncologic outcome in patients with pure ovarian dysgerminomas treated and followed-up in our hospital. This study included 18 ovarian dysgerminoma patients with unilateral and/or bilateral salpingo-oophorectomy (BSO) ± hysterectomy+omentectomy+bilateral pelvic ± para-aortic lymphadenectomy+peritoneal cytologic sampling. Four (22%) patients underwent definitive surgery, including type I hysterectomy and BSO.

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Objective: To evaluate surgical outcomes and survival outcomes of cervical cancer patients who underwent complementary surgery after an extrafacial hysterectomy METHODS: Patients with cervical cancer, who underwent extrafacial hysterectomy initially and thereafter underwent complementary surgery were reviewed retrospectively. Complementary surgery consisted of radical parametrectomy, proximal vaginectomy and pelvic lymphadenectomy.

Results: Twenty patients were evaluated.

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Purpose: To determine the prognostic impact of the lymph node ratio (LNR) in node-positive low-grade serous ovarian cancer (LGSOC).

Methods: We retrospectively reviewed women with LGSOC who had undergone maximal cytoreduction followed by standard chemotherapy in 11 centers from Turkey during a study period of 20 years. Sixty two women with node-positive LGSOC were identified.

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Leiomyomas are mostly located in the uterus.Retroperitoneal presentation of leiomyomas are rare and have a greater diagnostic challenge.Because retroperinoteal tumours are quite rare and mostly malignant.

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Purpose: To evaluate the significance of parenchymal, hilar and capsular involvement of the spleen with regard to survival.

Methods: All patients who underwent primary cytoreductive surgery for advanced ovarian-tubal-peritoneal (OTP) epithelial cancer were reviewed retrospectively. Stage 3C patients who had an upper abdomen involvement and who were optimally debulked were included.

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Article Synopsis
  • The study aimed to assess if a history of cesarean section increases the risk of abnormal uterine bleeding in patients with uterine leiomyomas, while also identifying other potential risk factors.
  • Researchers analyzed medical records of patients who had hysterectomies for uterine leiomyomas between 2009 and 2014 at a specific hospital in Turkey, comparing those with and without abnormal bleeding symptoms.
  • Results revealed that women with a history of cesarean sections had a higher incidence of abnormal uterine bleeding, along with associated factors like submucosal leiomyomas and coexisting adenomyosis.
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Objective: To determine if the ultrasonographic morphology of a tubo-ovarian abscess (TOA) could be used to predict if a patient will require surgical treatment.

Method: A retrospective cohort study reviewed medical records from patients diagnosed with TOA via ultrasonography between January 2009 and January 2014 at a tertiary referral center in Turkey. Patients with pelvic inflammatory disease and an inflammatory adnexal mass, identified during sonographic examination, were included in the study.

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Background: Our aim was to compare the therapeutic efficacies of norethisterone acid (NETA), tranexamic acid and levonorgestrel-releasing intrauterine system (LNG-IUS) in treating idiopathic heavy menstrual bleeding (HMB).

Methods: Women with heavy uterine bleeding were randomized to receive NETA, tranexamic acid or LNG-IUS for 6 months. The primary outcome was a decrease in menstrual bleeding as assessed by pictorial blood loss assessment charts and hematological parameters analyzed at the 1st, 3rd and 6th months.

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Article Synopsis
  • - The study aimed to determine how common endometrial polyps are in patients with uterine fibroids and what factors influence their coexistence.
  • - Out of 772 patients reviewed, 20.1% had endometrial polyps; factors like being over 45, having hypertension, endometrial hyperplasia, and cervical polyps increased the likelihood of having both conditions.
  • - Interestingly, the study found that using condoms was linked to a lower occurrence of polyps, while having two or more fibroids and a largest fibroid size under 8 cm was associated with a higher prevalence of polyps.
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