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    A Novel Electrocardiographic Marker to Predict the Development of Preeclampsia: Frontal QRS-T Angle-A Prospective Pilot Study
    (MDPI, 2024) Uçar, Elif; Toprak, Kenan; Karatas, Mesut
    Background and Objectives: Preeclampsia, a pregnancy-induced hypertensive disorder, shares cardiovascular characteristics in etiology, prognosis, and fetomaternal risks. Electrocardiography plays a pivotal role in assessing cardiovascular risks. Beyond conventional predictors, identifying easily obtainable and reproducible electrocardiographic markers may significantly contribute to the early identification of individuals at risk of preeclampsia. In this study, we aimed to investigate the value of the Frontal QRS-T angle and other electrocardiographic parameters in predicting the development of preeclampsia. Materials and Methods: A total of 62 pregnant patients diagnosed with preeclampsia and 50 healthy pregnant patients as the control group were included in this study. The first- and third-trimester electrocardiographic parameters were compared within groups and between groups. Results: The Frontal QRS-T angle was significantly elevated in patients with preeclampsia compared to the controls (55.0 +/- 40.8 vs. 19.5 +/- 15.1; p = 0.002). The first-trimester Frontal QRS-T angles in the patients with preeclampsia were higher than those of the controls (29.5 +/- 25.0 vs. 15.3 +/- 11.5; p = 0.015). A high Frontal QRS-T angle independently marked preeclampsia development in antenatal and late pregnancy (p = 0.003 and p = 0.042, respectively). The diagnostic accuracy of the Frontal QRS-T angle in predicting preeclampsia surpassed other electrocardiographic parameters. Conclusions: This study shows that the Frontal QRS-T angle may be a candidate to be an independent predictor for the development of preeclampsia. In this context, the Frontal QRS-T angle, which is an electrocardiographic parameter, seems promising.
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    Comparison of Sexual Functions in Transobturator Tape Surgeries Performed with Inside-Out Technique and Outside-In Technique
    (Mary Ann Liebert, Inc, 2024) Uçar, Elif; Dogan, Ozan
    Objectives: To compare the postoperative sexual function results of inside-out transobturator tape (TOT) and outside-in TOT in the treatment of stress urinary incontinence. Materials and Methods: The study included 54 women with stress incontinence between 2020 and 2022. Group 1 patients underwent the inside-out transobturator tape (TOT) procedure, while Group 2 patients underwent the outside-in TOT procedure. Female Sexual Function Index (FSFI), Female Sexual Distress Scale-R (FSDS-R), Golombok-Rust Sexual Satisfaction Scale, Quality of Sexual Experience Scale (QSES), and Patient Global Impression of Improvement (PGI-I) were applied to the patients preoperatively and 18 months postoperatively to compare the results of the 2 surgical procedures on sexual functions. Results: Postoperative results were statistically significantly higher in both groups. Group 1 was found to be more effective for FSDS, FSFI sexual desire, FSFI sexual arousal, FSFI lubrication, FSFI orgasm, FSFI pain, and FSFI total variables. When the p values of Golombok levels in Groups 1 and 2 were examined, it was concluded that there was a significant difference between the groups because the p values of communication, avoidance, satisfaction, and vaginusmus scales were <0.05. Conclusion: When the methods were compared with each other, it was observed that the increase in sexual functions was more significant in the group with inside-out TOT procedure.
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    Does the Surgical Margin Affect Sexual Function Following Linear Labiaplasty Technique?
    (Oxford Univ Press Inc, 2024) Dogan, Ozan; Uçar, Elif; Yassa, Murat
    Background How much labial tissue should be left after labiaplasty is a controversial issue.Objectives The objective was to investigate the effect of residual labial tissue following labiaplasty operations on sexual function.Methods A total of 150 females who underwent labiaplasty between 2019 and 2021 and their partners were included in the study. In this retrospective study, linear labiaplasty technique was applied according to the patient's request. Patients were either below 1 cm or above 1 cm according to the remaining labial width at follow-up. The remaining labial tissues were classified according to the Motakef classification. Patients with a labial width above 1 cm were included in Group 1, and patients with a labial width below 1 cm were included in Group 2. Sexual function, sexual experience, body image, and erectile function of their partners were compared preoperatively and 2 years postoperatively with appropriate questionnaires.Results Sexual function, sexual experience, and body image of females improved in all patients. However, the improvement was more apparent with with remaining labial tissue of greater than 1 cm. The increase in the survey results of the partners was found to be similar.Conclusions The sexual function of the patients was better when the width of the labium was longer than 1 cm. This may be due to better protection of the neurovascular structures. This favorable effect was also seen in the subjective evaluation of the partners.
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    Partner Satisfaction in Labiaplasty Patients
    (Oxford Univ Press Inc, 2024) Bestel, Melih; Uçar, Elif; Dogan, Ozan
    Background Labiaplasty, which has become increasingly popular in recent years, is chosen by women for both cosmetic and functional reasons. It creates significant changes in female sexuality, resulting in high satisfaction rates, but there are limited data on its effects on male sexual response.Objectives The aim of this study was to investigate the effects of labiaplasty on partners.Methods The partners of 49 patients who underwent labiaplasty between January 2020 and May 2023 were included in the study. Male Sexual Health Questionnaire Ejaculatory Dysfunction (MSHQ-EjD), Golombok-Rust Sexual Satisfaction Scale, and New Sexual Satisfaction Scale questionnaires were administered to the partners preoperatively and 6 months postoperatively.Results There was no significant difference between preoperative and postoperative responses to the MSHQ-EjD questionnaire. The postoperative increase in the New Sexual Satisfaction Scale compared with the preoperative score was statistically significant. Statistically significant positive changes were observed postoperatively in the Golombok-Rust Sexual Satisfaction Scale categories of intercourse frequency, communication, satisfaction, and nature of sexual intercourse.Conclusions Labiaplasty operation had positive effects on male sexual response but had no effect on ejaculation function and difficulty.