Person: ÇAM, HAYDAR KAMİL
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ÇAM
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HAYDAR KAMİL
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Publication Metadata only Is Cognitive MR Fusion Biopsy Superior to Standard TRUS Guided Prostate Biopsy? Our Clinical Experience(2022-06-01) FİLİNTE, DENİZ; ÇAM, HAYDAR KAMİL; ŞAHİN, BAHADIR; DÖRÜCÜ, DOĞANCAN; ŞAHİN B., DÖRÜCÜ D., TİNAY İ., FİLİNTE D., ÇAM H. K.Objective: To share our clinical experience with cognitive prostate biopsy and compare results of cognitive biopsies with standard biopsies.Publication Metadata only The effect of using a standard Illustrated consent form on anxiety levels in the urodynamic investigation: A prospective clinical study(2022-09-07) ŞAHİN, BAHADIR; ŞEKERCİ, ÇAĞRI AKIN; ONUR, AHMET RAHMİ; ÇAM, HAYDAR KAMİL; TARCAN, TUFAN; Özkan O., Güçtaş A. Ö. , Şahin B., Şekerci Ç. A. , Onur A. R. , Çam H. K. , Tarcan T.Publication Open Access Diagnosis of Testicular Torsion and Differentiation From Other Pathologies Using Near-Infrared Spectroscopy(2023-01-01) ŞEKERCİ, ÇAĞRI AKIN; YÜCEL, SELÇUK; ÇAM, HAYDAR KAMİL; Ali Üncü Y., ŞEKERCİ Ç. A., YÜCEL S., Sircan-Kucuksayan A., ÇAM H. K., Savaş M., Yıldırım A., Ağras K., Baykara M., CANPOLAT M.© 2023 Elsevier Inc.Objective: To develop a near-infrared (NIR) spectroscopy device to diagnose testicular torsion with high sensitivity and specificity. Specifically, we aim to investigate the differentiation between testicular torsion from other pathologies such as orchidoepididymitis, varicocele, and hydrocele. Methods: Two LEDs with wavelengths of 660 nm and 940 nm were used as light sources in the device. Each wavelength was sent to the testicle successively, and a photodiode detected back-reflected diffuse light. The ratio of the light intensities of 660 nm and 940 nm was used as a diagnostic parameter. A multi-center clinical trial was performed in 5 different hospitals. Results: In total, 62 patients in urology clinics with acute testicular pain have been recruited for the study. The developed NIR spectroscopy correctly defined all 8 testicular torsion cases. Besides, 3 orchidoepididymitis, 1 varicocele, and 3 hydrocele cases were correctly distinguished from testicular torsion. Only 1 hydrocele case was misdiagnosed as torsion. The range of the ratio was between 0.14 and 1.16 overall measurements. The ratio varied between 0.14 and 0.3 for the testicle with torsion. The ratio was between 0.49 and 1.16 for the normal testicle and testicle with other pathologies mentioned above. Conclusion: We have chosen the threshold ratio of 0.4 to differentiate between the normal and torsion testis and diagnosed all the torsion cases among all normal and other pathologies. The developed optical device to diagnose testicular torsion is inexpensive, user-friendly, and works based on objective criteria with high sensitivity and specificity in real time.Publication Open Access Risk factors of patients with prostate cancer upgrading for international society of urological pathology grade group I after radical prostatectomy(2022-01-01) ÖZGÜR, GÜNAL; FİLİNTE, DENİZ; ÇAM, HAYDAR KAMİL; ÖZGÜR A., ÖZGÜR G., ŞAHİN B., FİLİNTE D., TİNAY İ., ÇAM H. K., TÜRKERİ N. L.Objective: This study aimed to determine the predictive factors for patients whose International Society of Urological Pathology (ISUP) score was upgraded in radical prostatectomy (RP) pathologies with a prostate biopsy pathology of ISUP grade group 1. Materials and Methods: Among patients who underwent RP in our clinic within 10 years, 158 patients with prostate biopsy pathology of ISUP grade group 1 were examined retrospectively. Age, serum prostate-specific antigen (PSA) level, prostate biopsy ISUP grade group, number of cores taken in the prostate biopsy, number of tumor-positive cores, RP pathology ISUP grade group, and pathological stage were evaluated. Results: The mean age (± standard) of the 158 patients whose prostate biopsy pathology was ISUP grade group 1 were 64.07 (±6.6). ISUP group upgrading was detected in 47 patients (29.7%). The mean PSA value of these patients was 10.6 ng/mL (±6.9). The mean PSA value of the other 111 patients without ISUP group upgrading was 7.98 ng/mL (±4.9). The serum PSA level was significantly higher in patients with upgraded ISUP in the RP pathology (p=0.02). The percentage of tumor-positive cores in the group with ISUP group upgrading (37%) was significantly higher than that in the group without ISUP group upgrading (27%) (p=0.01). The detection rates of surgical margin positivity (42.6% vs. 18%), capsule invasion (55.3% vs. 19.8%), and seminal vesicle invasion (23.6% vs. 3.6%) were also significantly higher in the upgraded ISUP group after RP (p<0.05). Conclusion: The results of this trial suggest that active surveillance may not be an appropriate option for patients with biopsy ISUP grade group 1 with PSA level >10 ng/mL. Moreover, the presence of a higher number and percentage of tumor-positive cores constituted risks of ISUP group upgrading with concomitant poor pathological outcomes such as surgical margin positivity, capsule invasion, and seminal vesicle invasion.Publication Metadata only Nadir bir olgu: Grynfelt-lesshaft hernisi.(2022-11-09) GENÇ, YUNUS EMRE; ŞEKERCİ, ÇAĞRI AKIN; TANIDIR, YILÖREN; ÇAM, HAYDAR KAMİL; Genç Y. E. , Güçtaş A. Ö. , Şekerci Ç. A. , Tanıdır Y., Çam H. K.Publication Open Access A survey study on evaluation and management of nocturnal enuresis in pediatricians and family physicians(2023-09-01) ŞEKERCİ, ÇAĞRI AKIN; KÜTÜKOĞLU, MEHMET UMUT; DÖRÜCÜ, DOĞANCAN; TANIDIR, YILÖREN; ÇAM, HAYDAR KAMİL; TARCAN, TUFAN; YÜCEL, SELÇUK; Şekerci Ç. A., Kütükoğlu M. U., Dörücü D., Ergün R., Tanıdır Y., Çam H. K., Tarcan T., Yücel S.Objective:Nocturnal enuresis (NE) is one of the most common disorders in pediatric urology, and patients often turn to family physicians (FP) and pediatricians (P) initially. The aim of this study was to understand the awareness, self-confidence and suggestions of physicians regarding the management of NE.Materials and Methods:In this study, 360 FP and family medicine residents (FMR), as well as 280 P and pediatrics residents (PR), were contacted through a cellular phone texting system. A simple multiple-choice questionnaire (Surveymonkey®) consisting of 10 questions was used to gather data. The survey included questions about their experience, training, evaluation, and management of NE.Results:A total of 119 FPs and Ps (18.5%) filled the questionnaire. Thirty (25.21%) of the participants were P, 27 (22.69%) PR, 3 (2.52%) FP and 59 (49.58%) FMR. The rate of physicians who encounter at least 5 children with NE per month is 31.33%. The mean self-confidence in the management of NE was 4.5 out of 10. The self-confidence of pediatricians was significantly higher than that of PR and FMR (p<0.001, p<0.001). Most (n=78, 65.55%) of the participants stated that they received training on EN during medical faculty and 62 (52.10%) during residency. Psychological problems (89.92%), sleep disorders (78.15%), and excessive fluid intake (75.63%) were the most frequently considered factors in etiology. While most responders (75.63%) considered dietary regulation and behavioral interventions as the first-line treatment, 25.21% consult a pediatric urologist and only 1.6% recommend medical treatment.Conclusion:Although FP and P admit they had training on NE, they mostly felt incompetent to manage NE and exclusively avoided pharmacological treatment.Keywords:Children, enuresis nocturna, pediatric urology, physicians, surveyPublication Metadata only Evaluation of depression and anxiety conditions in patients with lower urinary tract symptoms(2022-09-07) KÜTÜKOĞLU, MEHMET UMUT; ŞEKERCİ, ÇAĞRI AKIN; ÇAM, HAYDAR KAMİL; TARCAN, TUFAN; Güçtaş A. Ö. , Kütükoğlu M. U. , Şekerci Ç. A. , Tarcan T., Çam H. K.Publication Metadata only Ürodinami işleminde standart şekilli bir form ile hasta bilgilendirilmesinin kaygı düzeylerine etkisi: prospektif klinik çalışma(2022-11-09) ŞAHİN, BAHADIR; ŞEKERCİ, ÇAĞRI AKIN; ONUR, AHMET RAHMİ; ÇAM, HAYDAR KAMİL; TARCAN, TUFAN; Özkan O. C. , Güçtaş A. Ö. , Şahin B., Şekerci Ç. A. , Onur A. R. , Çam H. K. , Tarcan T.Publication Open Access Majör yanıklı hastalarda erektil disfonksiyon: Takibin önemi Erectile dysfunction in patients with major burn injury: The significance of follow-up(2022-11-01) ŞEKERCİ, ÇAĞRI AKIN; TANIDIR, YILÖREN; ÇAM, HAYDAR KAMİL; Akdeniz F., ŞEKERCİ Ç. A. , TANIDIR Y., Yılmaz Y., ÇAM H. K.BACKGROUND: There were few prospective studies investigating the relationship between the burn injury and erectile dysfunction (ED). The aim of this study was to prospectively explore the alteration in erectile functions regarding major burn. METHODS: This study was conducted as a prospective survey in patients with major burn injury. The study group consisted of burn cases with at least 20% of body surface area affected according to the Wallace Rule of Nines. Initially International Index of ED-5 (IIEF-5) was administered to the patients in the burn unit, and it was repeated in the 2rd and 6th months. Burn types, the severity of burns, age of patients, and alteration in IIEF-5 scores were compared. RESULTS: The study included 63 male patients. The median age of the patients was 35 (20-73) years, and the median burn percent-age was 22 (20-60). The rate of ED was markedly increased during follow-up as 8%, 39.7%, and 25.4% at baseline, 3rd, and 6th month evaluation, respectively. The median initial IIEF-5 score of the patients was 23 (5-25). Subgroup analysis revealed that IIEF-5 score of patients with electrical and flame burn significantly decreased at 3rd month compared with the baseline values. The median IIEF-5 score of patients with electrical burn increased at 6th month compared with 3rd month (p=0.042). Binary logistic regression analysis showed that age and service period, and IIEF-5 Score at 3rd month and burn grade were all statistically significantly associated with the normal erectile function (IIEF-5>=18), at 3rd month and 6th month, respectively. CONCLUSION: The current trial demonstrated that IIEF-5 scores of patients with major burn can show significant impairment in long term, and it seems a time-dependent process. This is the first prospective trial showing that IIEF can be utilized to monitor erectile function of burn patients in a longer follow-up program.Publication Metadata only Radi̇kal prostatektomi̇ patoloji̇si̇nde gleason grade grubu yükselmesi̇ni̇n kli̇ni̇k önemi̇ var mı?(2021-11-13) ÖZGÜR, GÜNAL; TOPBAŞ, FEVZİ BATUHAN; TİNAY, İLKER; ÇAM, HAYDAR KAMİL; DÖRÜCÜ, DOĞANCAN; Özgür G., Topbaş F. B., Şahin B., Dörücü D., Tinay İ., Çam H. K.RADİKAL PROSTATEKTOMİ PATOLOJİSİNDE GLEASON GRADE GRUBU YÜKSELMESİNİN KLİNİK ÖNEMİ VAR MI?Günal Özgür, Fevzi Batuhan Topbaş, Bahadır Şahin, Doğancan Dörücü, Haydar Kamil Çam ve İlker TinayAMAÇ :Bu çalışmada biyopsi patolojisi Gleason Grade Grup (GGG) 1 ve 2 olarak rapor edilen prostat kanseri hastalarının radikal prostatektomi (RP) patolojileri ile prostat biyopsileri (PB) patolojileri arasındaki farklılıkların değerlendirilmesini ve GGG’da yükselme olan hastalarda onkolojik sonuçların değerlendirilmesini amaçladık. YÖNTEM: Ekim 2015 ve Haziran 2020 tarihleri arasında ameliyatı gerçekleştirilen ve sonrasında düzenli Üroonkoloji poliklinik takiplerine devam eden 101 hastanın verileri retrospektif olarak incelendi. Hastalar GGG yükselmesi olan ve olmayan hastalar olarak 2 gruba ayrıldı. Bu iki grup arasında yaş, ameliyat öncesi prostat spesifik antijen (PSA), biyopsi GGG, PB kor sayısı, RP GGG, kapsül invazyonu, seminal vezikül invazyonu ve biyokimyasal nüks oranları değerlendirildi. BULGULAR: Çalışmaya dahil edilen 101 hastanın yaş ortalaması 63,47 (+/-6,25) yıl olarak saptandı. Toplam 20 (%19,8) hastada GGG yükselme olduğu ve 81 (%80,2) hastada ise değişik olmadığı saptandı. Bu iki grup arasında yaş, ameliyat öncesi PSA, PB’de alınan kor sayıları tümör saptanan kor sayıları ve tümör pozitif kor yüzdeleri arasında istatistiksel anlamlı fark saptanmadı (Tablo 1). Seminal vezikül invazyonu ve biyokimyasal nüks görülme oranı, GGG yükselmesi olan grupta daha fazla olmakla beraber iki grup arasında istatistiksel anlamlı fark izlenmedi. Patolojik bulgulardan kapsül invazyonunun ise GGG yükselmesi olan grupta istatistiksel olarak anlamlı düzeyde daha fazla olduğu saptandı (p=0,039)(Tablo 1).SONUÇ: Biyopsi patolojisi prostat kanseri GGG 1 ve 2 olarak raporlanan hastaların önemli bir kısmında ameliyat materyalinin patolojisinde daha yüksek bir GGG ile karşılaşılabileceği akılda tutulmadır. Biyopsi ve RRP patolojileri arasındaki farklılıkların azaltılabilmesi için özgüllük ve duyarlılığı yüksek moleküler belirteçler ve hedef odaklı biyopsi yöntemleri üzerine yapılacak çalışmalar büyük önem taşımaktadır.Anahtar Kelimeler: Prostat Kanseri, Prostat Biyopsisi, Gleason Grade Grubu, Radikal ProstatektomiTablo 1: İki grubun biyopsi öncesi ve nihai patolojik bulguları ve onkolojik takiplerinin karşılaştırılması: GGG Yükselmesi (+) (n=20) GGG Yükselmesi (-) (n=81) Yaş 65.0 (61.75-70.5) 63.0 (60.0-68.0) 0,1801 PSA 9.26 (5.94-12.66) 8.0 (5.2-11.74) 0,0931 Toplam Kor Sayısı 12.0 (12.0-12.5) 12.0 (12.0-18.0) 0,3001 Tümör Pozitif Kor Sayısı 4.5 (2.75-6.5) 5.0 (3.0-8.0) 0,3001 Tümör Pozitif Kor Yüzdesi 37.5 (22.92-51.78) 32.05 (16.67-50.0) 0,7911 Biyopsi Kor Sayısı 12 odak >12 odak 15 (75.0) 51 (66.23) 0,4542 5 (25.0) 26 (33.77) Kapsül İnvazyonu (+) (-) 15 (75.0) 40 (49.38) 0,03922 5 (25.0) 41 (50.62) Seminal Vezikül İnvazyonu (+) (-) 5 (25.0) 12 (14.81) 0,2762 15 (75.0) 69 (85.19) Biyokimyasal Nüks (+) (-) 2 (10.0) 5 (6.25) 0,5322 16 (80.0) 69 (86.25) 1 Mann-Whitney U Testi2 x2 Testi.