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KILIÇ, NİZAMETTİN

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KILIÇ

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NİZAMETTİN

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2013 - 201912020 - 20222
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    Publication
    Bladder calculi with hypospadias and hypercalciuria
    (Springer, 2013-08-01) Erdoğan, Hakan; Aygün, Deniz; Kaçar, Mesut; Kılıç, Nizamettin; Kaçar, Mesut; KILIÇ, NİZAMETTİN; Uludağ Üniversitesi; AAI-3656-2021; CWL-1467-2022
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    Publication
    Rare emergency in children: Priapism and stepwise treatment approach
    (Travma Acil Cerrahisi, 2022-04-01) Akgül, Ahsen Karagözlü; Uçar, Murat; Özçakır, Esra; Balkan, Emin; Kılıç, Nizamettin; KILIÇ, NİZAMETTİN; BALKAN, MEHMET EMİN; Özçakır, Esra; Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Cerrahisi Anabilim Dalı/Çocuk Ürolojisi Bilim Dalı; Bursa Tıp Fakültesi/Çocuk Cerrahisi Anabilim Dalı/Sağlık Bilimleri Üniversitesi; 0000-0002-0773-7430; EKV-9541-2022; JHK-5969-2023; AFW-3677-2022
    BACKGROUND: Priapism is a rare condition in children and the treatment algorithm is controversial in this age group. Herein, we report eight cases with low-flow priapism and our stepwise treatment approach in light of literature. METHODS: We present a simple stepwise treatment for low-flow priapism including five steps. Step 1: Cold compress and analgesia while evaluation the priapism and its etiology. Step 2: Corporal aspiration and adrenaline infusion in the ward. Step 3: Modified Winter shunt in the same place. Step 4: Ketamine application and caudal block in the operating room. Step 5: Sapheno-cavernous (Grayhack) shunt. Eight cases with low-flow priapism were reviewed retrospectively. Symptoms, duration of tumescence, the interventions, and step that provide detumescence were recorded. RESULTS: The mean age of patients was 8.5 years (1-17 y). The median time of the priapism before admission was 15 h (4-165 h). The etiological factors were sickle cell disease, hemodialysis due to chronic renal failure, and factor V Leiden mutation in three patients. Detumescence was achieved in one patient at Step 2, in two patients at Steps 3, 4, and 5, respectively. Rigidity of cavernous body was observed in one patient in long-term follow-up. CONCLUSION: Low-flow priapism is a urological emergency that may cause erectile dysfunction. Treatment options should be selected according to a protocol that prevents time loss and avoids more invasive treatment in unnecessary situations. Our algorithm with simple nature and its steps from less invasive to more invasive procedures may be an alternative for the treatment of low-flow priapism.
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    Publication
    Laparoscopy is a definitive diagnostic method for auto-amputated ovary in infants
    (Springer, 2022-08-14) Parlak, Ayşe; Çelik, Fatih; Sezer, Bilge Türedi; Yılmaz, Mehmet Uğur; Kılıç, Nizamettin; Kiriştioğlu, İrfan; Balkan, Emin; Doğruyol, Hasan; PARLAK, AYŞE; ÇELİK, FATİH; TÜREDİ SEZER, BİLGE; YILMAZ, MEHMET UĞUR; KILIÇ, NİZAMETTİN; KIRIŞTIOĞLU, İRFAN; BALKAN, MEHMET EMİN; Doğruyol, Hasan; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Cerrahisi Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Cerrahisi Anabilim Dalı/Çocuk Ürolojisi Bilim Dalı.; 0000-0001-7686-2561; 0000-0003-2728-9521; 0000-0003-3532-0912; 0000-0002-5662-9479; AAI-4220-2021; AAD-3537-2020; AAH-6766-2021; AAI-2145-2021; JYY-5340-2024; GRA-7433-2022; FDI-4997-2022; ETC-9949-2022
    Purpose Antenatal auto-amputation of the ovary is an extremely rare event, and its diagnosis is difficult. We aimed to retrospectively review the cases with antenatal auto-amputation, where the diagnosis was made based on detection of free-floating cyst during surgery. Methods Patients diagnosed with auto-amputated ovary during the surgery between 2012 and 2021 were included in the study. The data were reviewed retrospectively. Clinical, radiological, surgical, and histopathological findings were recorded. Results Eight patients underwent surgery for an abdominal cystic mass. The age range of patients who were operated was from 21 days to 9 months. None of the patients had symptoms, except one patient who had a large cyst and was vomiting. Prenatal ultrasound examination indicated an intra-abdominal cyst in all patients, but auto-amputated ovary diagnosis was not made. Differential postnatal diagnoses included an ovarian cyst, ovarian teratoma, tuba-ovarian torsion, mesenteric lymphatic malformation, and intestinal duplication cyst. Only one patient had an auto-amputated ovary suspicion in computed tomography. Laparoscopic exploration (n: 7) or laparotomy (n: 1) was performed. Histopathologic examination was necrosis and calcification (n: 6), necrosis (n: 1), and serous cystadenoma and necrosis (n: 1). Conclusion We suggest that laparoscopy should be used for diagnosis and treatment of antenatal intra-abdominal cysts that persist postnatally because of diagnostic dilemmas. We recommend in patients diagnosed with auto-amputated ovary that the other ovary should be carefully monitored and followed up in terms of ovarian cyst, due to the possible risk of torsion.