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Öğe The 46XX Ovotesticular Disorders of Sexual Development with Dismorphic Features(ELSEVIER SCIENCE INC, 2015) Eklioğlu, Beray Selver; Atabek, Mehmet Emre; Akyürek, Nesibe; Yuca, Sevil Arı; Pişkin, 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 Management of Multiple Stones in a Single Session Using Minimally Invasive Methods in Infants with Renal Failure: Renal Salvage(SPRINGER, 2012) Öztürk, Ahmet; Güven, Selçuk; Pişkin, Mesut; Kılınç, Mehmet; Çelik, Jale; Arslan, MehmetThe goal in the treatment of stone disease causing infantile obstructive uropathy is to obtain a quick resolution of the obstruction using the least invasive treatment modality available and rendering the patient stone-free, if possible. Two infants with bilateral kidney stones, the first of whom also had ureteral stone, were referred to our clinic with acute renal failure and were treated successfully in a single session using minimally invasive methods. In this report, we discuss the management of these two cases, aged 9 and 26 months, which resulted in favorable outcomes.Öğe Percutaneous Nephrolithotomy is Highly Efficient and Safe in Infants and Children Under 3 Years of Age(Karger, 2010) Güven, Selçuk; İstanbulluoğlu, Okan; Öztürk, Ahmet; Öztürk, Bülent; Pişkin, Mesut; Çiçek, Tufan; Kılınç, Mehmet; Özkardeş, Hakan; Arslan, MehmetObjective: We aimed to evaluate the efficacy and safety of percutaneous nephrolithotomy (PNL) in infants and small children (12-36 months). Methods: The PNL applications conducted in children <3 years of age in two centers were evaluated. Whereas pediatric PNL instrumentation was used in the first center, adult-size instrumentation was utilized in the second center. The complications were given according to the modified Clavien classification system. Results: The mean age of the patients was 22.76 months (5-36 months) and the mean body weight was 11.51 kg (6-15 kg). In twelve renal units, pediatric instrumentation was used and among these, two had miniperc. In the other eight renal units, adult-size instrumentation was employed. Except for the patient with complex renal stones, all patients were stone free after the intervention and none required a conversion to open surgery. There were grade 1-2 complications in 3 patients. The postoperative hemoglobin drop was greater in the children who underwent PNL with adult-size instrumentation. Conclusion: In this young age group, in addition to standard PNL, simultaneous bilateral PNL, tubeless PNL and in urgent cases of renal failure, urgent PNL, are safe and effective treatment modalities provided patients are selected properly and the surgeon performing the procedure has the necessary experience.Öğe PERCUTANEOUS NEPHROLITHOTOMY: HIGHLY EFFICIENT AND SAFE IN INFANTS AND CHILDREN UNDER AGE 3(MARY ANN LIEBERT INC, 2010) Güven, Selçuk; İstanbulluoğlu, Okan; Öztürk, Ahmet; Öztürk, Bülent; Pişkin, Mesut; Çiçek, Tufan; Kılınç, Mehmet; Özkardeş, Hakan; Arslan, Mehmet[Abstract not Available]
