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Öğe The 46XX Ovotesticular Disorders of Sexual Development with Dismorphic Features(Elsevier Science Inc, 2015) Eklioglu, Beray Selver; Atabek, Mehmet Emre; Akyurek, Nesibe; Yuca, Sevil Ari; Piskin, MesutBackground: Ovotesticular disorders of sexual development (OT-DSD) represent a rare sex development disorder characterized by the presence of both ovarian and testicular tissues in the same or the contralateral gonad. Case: We present the case of a 14-year-old female patient with signs of virilization at a pubertal age and with dysmorphic features, diagnosed as 46, XX OT-DSD. Conclusion: We want to point out that patients with 46 XX OT-DSD may present with virilization at puberty and may be accompanied by dysmorphic features.Öğe INITIAL REPORT OF 'MICROPERC' IN THE TREATMENT OF PAEDIATRIC KIDNEY STONES(Mary Ann Liebert, Inc, 2012) Silay, Mesrur Selcuk; Tepeler, Abdulkadir; Atis, Gokhan; Piskin, Mesut; Sancaktutar, Ahmet Ali; Gurbuz, Cenk; Penbegul, Necmettin[Abstract Not Availabe]Öğe Initial report of microperc in the treatment of pediatric nephrolithiasis(W B Saunders Co-Elsevier Inc, 2013) Silay, Mesrur Selcuk; Tepeler, Abdulkadir; Atis, Gokhan; Sancaktutar, Ahmet Ali; Piskin, Mesut; Gurbuz, Cenk; Penbegul, NecmettinBackground/Purpose: To report the first technical feasibility and safety of microperc in the treatment of pediatric nephrolithiasis. Methods: A multicenter prospective trial was initiated and microperc was performed in 19 children from four different centers. In all cases, 4.85-Fr all-seeing needle was used to access the collecting system under direct vision. Stone fragmentation was performed using a 200-mu m holmium: YAG laser fiber either through the same needle sheath or an 8-Fr microsheath. Patient-and procedure-related factors and perioperative and postoperative parameters were analyzed. Results: The mean age of the children was 7.5 +/- 4.4 years. Mean stone size was 14.8 +/- 6.8 mm. Conversion to Mini-PNL was required in two patients because of optical default in one and the high stone burden in the other. The mean hospital stay was 1.8 +/- 0.8 days and the mean hemoglobin decrease was 0.1 mg/dl. The overall stone-free rate at 1 month was 89.5%. In one patient with obstructed ureteropelvic junction, intravasation of the irrigation fluid has led to abdominal distention and managed with percutaneous drainage intraoperatively. No other postoperative complication was recorded and no ancillary procedure was required. Conclusions: Microperc is a safe and effective procedure in the treatment of pediatric kidney stones. (C) 2013 Elsevier Inc. All rights reserved.Öğe PRELIMINARY EXPERIENCE WITH MICROPERC IN KIDNEY AND BLADDER STONES: AS FINE AS POSSIBLE(Mary Ann Liebert, Inc, 2012) Piskin, Mesut; Guven, Selcuk; Kilinc, Mehmet; Arslan, Mehmet; Goger, Emre; Ozturk, Ahmet[Abstract Not Availabe]