Researcher: Mercan, Ramazan
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Mercan, Ramazan
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Publication Metadata only Sexual dysfunction in women with human papilloma virus infection in the turkish population(Taylor & Francis, 2019) Mercan, Sibel; Sur, Haydar; Kilciksiz, Can Misel; Apaydin, Zuhal; Ayhan, Cem; N/A; Mercan, Ramazan; Durmaz Çetin, Birsen; Kaçar, Anıl Şafak; Ata, Mustafa Barış; Faculty Member; Faculty Member; PhD Student; Faculty Member; School of Medicine; School of Medicine; Graduate School of Health Sciences; School of Medicine; 125526; 111719; N/A; 182910Human papilloma virus infection (HPV) is the most common sexually transmitted disease. It may increase the risk of several cancers, including those of the cervix, vulva, vagina, head and neck. HPV is usually transmitted during sexual intercourse; there are limited data about sexual dysfunction (SD) after infection with this virus. We aimed to measure the incidence of SD in women with HPV. In this study, we evaluated 67 HPV-infected female patients and 66 healthy controls. The Arizona Sexual Experience Scale (ASEX), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Socio Demographic Form were used for evaluation. Gynaecologists and psychiatrists evaluated the participants. Women with HPV were found to have significantly higher Arizona Sexual Experience Scale (ASEX) total scores and ASEX sub scores than the control group in the domains of sexual desire, arousal, genital response, orgasmic experience and their satisfaction from orgasm (p.05). The study group shows a statistically significant difference in the Beck Depression Inventory (BDI), but Beck Anxiety Inventory (BAI) scores show no significant differences between the experimental and control groups. Our study shows that HPV positivity in female patients is associated with a significant impairment in sexual function and that this impairment is not related to depression or anxiety.Impact statementWhat is already known on this subject? There are only a few studies concerned with sexual dysfunction in HPV patients. These studies have methodological problems, as they do not rule out the effect of depression on sexual dysfunction. It is very difficult to perform studies on sexual dysfunction and sexually transmitted diseases, because both physicians and patients are reluctant to talk about sexual problems. In the present study, only 6 out of 15 physicians accepted to contribute to the study. Although the physicians gave a questionnaire to more than 400 patients, only 133 of them completed that questionnaire. The most important difficulties in this study was to find enough patients.What do the results of this study add? Depression and sexual dysfunction are frequently seen in HPV patients. Although depression is one of the most common causes of sexual dysfunction, an HPV infection may lead to sexual dysfunction even in the patients without depression.What are the implications of these findings for clinical practice and/or further research? HPV infections may be associated with mental health problems and sexual dysfunction. The gynaecologists and other clinicians working with HPV patients should also evaluate patients psychologically and refer patients to psychiatry if required. The psychiatric problems associated with an HPV infection do not only impair sexual functions, but also may lead to difficulties in social life.Publication Metadata only Clinical pregnancy and implantation rates decline gradually and insidiously with small rises in serum progesterone on the HCG day: an analysis of 3,767 IVF cycles(Oxford University Press (OUP), 2016) Balaban, B.; N/A; Öktem, Özgür; Yakın, Kayhan; Mercan, Ramazan; Urman, Cumhur Bülent; Faculty Member; Faculty Member; Faculty Member; Faculty Member; School of Medicine; School of Medicine; School of Medicine; School of Medicine; 102627; 106822; 125526; 12147N/APublication Metadata only Use of 3-0 V-Loc(®) suture for vaginal cuff closure in laparoscopic hysterectomy: single center experience(Elsevier, 2015) Çelik S; N/A; Mısırlıoğlu, Selim; Bengisu, Hale; Türkgeldi, Engin; Öktem, Özgür; Ata, Mustafa Barış; Mercan, Ramazan; Urman, Cumhur Bülent; Taşkıran, Çağatay; Doctor; Doctor; Faculty Member; Faculty Member; Faculty Member; Faculty Member; Faculty Member; Faculty Member; N/A; N/A; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; Koç University Hospital; Koç University Hospital; N/A; N/A; N/A; N/A; N/A; N/A; N/A; N/A; 329649; 102627; 232576; 125526; 12147; 134190N/APublication Metadata only Laparoscopic management of deep pelvic endometriosis with minimal complications: three-year experience(Elsevier, 2015) Çelik, S.; Türkgeldi, Engin; Urman, Cumhur Bülent; Mısırlıoğlu, Selim; Yakın, Kayhan; Mercan, Ramazan; Taşkıran, Çağatay; Faculty Member; Faculty Member; Faculty Member; Faculty Member; Faculty Member; Faculty Member; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; Koç University Hospital; 329649; 12147; N/A; 106822; 125526; 134190Study Objective: To describe our surgical experience with laparoscopic management of deep infiltrating endometriosis (DIE) while keeping complications to a minimum. Design: Retrospective observational cohort study. Setting: University hospital and academic affiliated private hospital. Patients: All patients had stage IV endometriosis according to the American Fertility Society (AFS) classification and were operated on between 2012-2015. Intervention: All women underwent multidisciplinary preoperative evaluation by an experienced team of gynecologists, general surgeons and an urologist before the surgery. Laparoscopic endometrioma excision, cul-de-sac dissection and nodule excision from uterosacral ligament, ureter or bladder wall resection, bowel surgery including shaving and/or segmental resection-anastomosis were performed. Patient history, complaints, physical findings, details of the performed procedures, and complications were recorded for each patient. Measurements and Main Results: fifty-eight patients underwent laparoscopic surgery. Of these, two were converted to laparotomy due to need for ureteroneocystostomy. Cul-de-sac dissection was done in all of the cases. Nodule was excised from the uterosacral ligaments in 45 cases. Thirty-nine patients had bowel endometriosis; 21 patients underwent rectosigmoid bowel shaving while segmental bowel resection and anastomosis was performed in 18 patients. Six cases suffered from urinary system endometriosis and had ureter and/or bladder nodule excisions. No major complication was seen. Four patients had subileus, one patient who underwent laparotomy for ureteroneocystostomy had temporary voiding problems due to kinking of the intramural part of the contralateral ureter. There were no perforations, fistulas, or infections. Blood transfusion was not required in any of the cases. Conclusion: an experienced team of surgeons with different backgrounds can collaborate to minimize the complications for this challenging surgery.Publication Metadata only Aging women and common gynecologic problems(Elsevier, 2022) N/A; Department of Computer Engineering; Mercan, Ramazan; Faculty Member; Student; Department of Computer Engineering; School of Medicine; College of Engineering; 125526; N/AThe world's total number of women aged 50 years and older is estimated to reach 1.6 billion by 2050. The increase in the aging population has very important implications for economics and human health. Because life expectancy of women is more than 80years in developed countries, women will spend more than one third of their lives in the postmenopausal period. This chapter discusses the most frequent health problems associated with aging in women.