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ÇAM, HAYDAR KAMİL

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HAYDAR KAMİL

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2016 - 201912020 - 20239
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Author: ŞEKERCİ, ÇAĞRI AKIN ×

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    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.
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    PublicationOpen 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.
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    Ürodi̇nami̇ işlemi̇nde standart şeki̇lli̇ bi̇r form ile hasta bi̇lgi̇lendi̇ri̇lmesi̇ni̇n kaygı düzeyleri̇ne etki̇si̇: Prospekti̇f kli̇ni̇k çalışma
    (2022-11-13) ŞAHİN, BAHADIR; ŞEKERCİ, ÇAĞRI AKIN; ONUR, AHMET RAHMİ; ÇAM, HAYDAR KAMİL; TARCAN, TUFAN; ÖZKAN O. C., Güçtaş A. Ö., ŞAHİN B., ŞEKERCİ Ç. A., ONUR A. R., ÇAM H. K., TARCAN T.
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    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.
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    PublicationOpen 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, survey
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    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.
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    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.
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    PublicationOpen Access
    Management of Neonatal Priapism: Report of Two Cases and Review of the Literature
    (GALENOS YAYINCILIK, 2016-03-30) ŞEKERCİ, ÇAĞRI AKIN; Talibzade, Farhad; Akbal, Cem; Sekerci, Cagri Akin; Ozgur, Mehmet Ozay; Cam, Haydar Kamil; Simsek, Ferruh
    Priapism in a newborn is a rare entity with only 15 cases reported in the literature since 1879. The most commonly detected etiologic factor is polycythemia, but most of the cases are idiopathic. Conservative treatment seems to be sufficient and surgical approach is usually unnecessary. Here, we present a prolonged erection in two newborns which occurred at the first day of life and detumescence was achieved with conservative approach at the 6th and 7th day of life, respectively. We also reviewed the literature to investigate the most adequate evaluation and management criteria.
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    PublicationOpen 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.
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    Alt üriner sistem semptomu olan hastalarda işeme günlüğündeki maksimum mesane kapasitesi ile uroflovmetrideki maksimum işeme hacminin karşılaştırılması
    (2023-10-25) ŞEKERCİ, ÇAĞRI AKIN; ÇAM, HAYDAR KAMİL; TARCAN, TUFAN; Şekerci Ç. A., Altuntaş T., Güçtaş A. Ö., Tanıdır Y., Çam H. K., Tarcan T.
    Amaç: İşeme günlüğü (İG) ile elde edilen maksimum mesane kapasitesi (MMK) ve üroflovmetri (UF) ile ölçülen maksimum işeme hacmi (MİH) alt üriner sistem semptomları (AÜSS) değerlendirilmesinde önemli parametrelerdendir. Literatürde çocuklarda MMK ile MİH’in uyumlu olduğu raporlanan çalışmalar mevcuttur. Bu çalışmada AÜSS olan yetişkin hastalarda MMK ve MİH’in demografik özellikler ve diğer UF parametrelerine göre alt grup analizleri yapılarak karşılaştırılması amaçlanmıştır. Yöntem: Retrospektif tasarlanan bu çalışmamıza 01.03.2022-01.04.2023 tarihleri arasında tarafımıza AÜSS ile başvuran hastalar dahil edildi. Hastalar Uluslararası Kontinans Derneğinin (ICS) önerilerine göre değerlendirildi. Tüm hastalara en az 2 gün İG tutturuldu . Sabah ilk idrarı ölçüme dahil edilmedi. MİH’i 150 ml’nin altında ise ölçüm tekrarlandı ve ikinci test çalışmaya dahil edildi. Verileri eksik olan hastalar çalışma dışı bırakıldı. 150 ml’nin üzerindeki PVR değerleri anlamlı kabul edildi. Hastaların MMK ve MİH değerlerinde oluşan farklılara etkisini incelemek üzere cinsiyet, PVR ve UF’deki işeme paternine göre gruplara ayrıldı. Bulgular: Hastaların yaş ortalaması 56,4 +/- 12,2 ’ydi. Hastaların MMK’sı 358,3 ml (85-1000), MİH’i 322,75 ml (71-1081) hesaplandı ve istatistiksel anlamlı fark görüldü (p: 0,011). İşeme hacimleri alt gruplara göre kıyaslandığında >50 yaş hastalarda, erkeklerde, PVR<150 ml olanlarda ve işeme paterni plato olan grupta MMK’nın MİH’e göre daha yüksek olduğu saptandı (Sırasıyla p:0,002, p:0,005, p:0,035, p:0,005) (Tablo 1). Sonuç: Retrospektif dizayn edilen bu çalışmada AÜSS’lü hastalarda İG ve UF’deki işeme hacimlerinin farklı olduğu saptanmıştır. Klinik değerlendirme sırasında hacimlerin birbiriyle karşılaştırılmasının ve gerekirse tekrarlanmasının mesane kapasitesiyle ilgili daha güvenilir sonuç vereceğini düşünmekteyiz. Prospektif dizayn edilmiş yeni çalışmalarla bu konuda daha net sonuçlara ulaşılabilir.