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    A new approach in the management of the hydrocele with a silicone catheter
    (ELSEVIER SCIENCE INC, 2004) Arslan, M; Kilinc, M; Yilmaz, K; Ozturk, A
    Introduction. To describe a new alternative technique to overcome several disadvantages of previous techniques to repair idiopathic hydrocele. Idiopathic hydrocele, which causes scrotal enlargement and discomfort for patients, is an abnormal fluid collection between the parietal and visceral layers of tunica vaginalis of the testis. Surgical and sclerotherapy treatments have previously been used to treat this problem. Technical Considerations. Forty-five patients with hydrocele (aged 19 to 67 years) underwent an alternative procedure using a silicone catheter 15 to 20 cm in length in which holes had been made to enable flow of the hydrocele fluid from the parietal layer of the tunica vaginalis to the surrounding scrotal tissue. After an incision of approximately 5 mm on the scrotal wall with a scalpel knife, a cannula was pushed through the hydrocele sac with a gentle rotation until reaching the upper scrotal wall. A-silicone catheter with holes was passed through the cannula to the point of the incision by way of the cannula. At the end, both tips of the catheter were sutured. During the procedure, the hydrocele fluid was emptied using an angiocatheter before the cannula was removed. Conclusions. The results of this study indicate that this procedure does not require dissection, incision, or manipulation of the scrotal contents during treatment. It also resulted in a low rate of recurrence during the 1 to 3 years of follow-up. Additionally, the procedure has minimal complications and requires a short time, only about 15 minutes. (C) 2004 Elsevier Inc.
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    Transanal electrovaporisation of rectal tumours
    (SCANDINAVIAN UNIVERSITY PRESS, 1999) Yol, S; Kartal, A; Kilinc, M; Tavli, S; Karahan, O; Tatkan, Y
    Objective: To present our early results with endoscopic transanal electrovaporization of rectal tumours. Design: Retrospective study. Setting: Department of Surgery, Faculty of Medicine, University of Selcuk. Subjects: 10 patients, 4 with malignant and 6 with benign lesions. Interventions: Vaporization of the tumour using a new ridged roller electrode, the VaporTrode, and a standard 24F urological resectoscope. Main outcome measures: Morbidity and recurrence. Results: There were no complications and all adenomas were vaporized completely. 2 patients with obstruction required a further treatment 3 and 5 months later because of recurrence. Median duration of operation was 22.5 minutes (range 10-38) and median duration of hospital stay was 3 days (range 1-4). Conclusion: The VaporTrode is a safe and potentially useful tool for transanal excision of rectal tumours, the long term efficacy of which should be tested in larger series of patients.