Sağır, Süleyman
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Sagir, Suleyman
Sagir, Sueleyman
Sagir, Sueleyman
Job Title
Doç. Dr.
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suleymansagir@artuklu.edu.tr
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Department of Surgical Medical Sciences / Cerrahi Tıp Bilimleri Bölümü
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Current Staff
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3
GOOD HEALTH AND WELL-BEING
5
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14
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55
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3
Documents
18
Citations
61
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15
Articles
15
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45/450
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0
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0
WoS Citation Count
15
Scopus Citation Count
15
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2
Scopus h-index
2
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0
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0
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1.00
Scopus Citations per Publication
1.00
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9
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0
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| Journal | Count |
|---|---|
| Archivos Españoles de Urología | 2 |
| Academic Journal of Health Sciences | 2 |
| Archivos Espanoles de Urologia | 1 |
| BMC Urology | 1 |
| Cirugia Y Cirujanos | 1 |
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Now showing 1 - 10 of 15
Article Alt Kutup Böbrek Taşlarının Tedavisinde Tek Kullanımlık ve Yeniden Kullanılabilir Üreteroskopların Sonuçlarının Karşılaştırılması(2025) Aktaş, Yasin; Tunçekin, Adem; Arslan, Erkan; Sağır, Süleyman; Tongal, ArdaAmaç: Böbrek taşı hastalığı, önemli bir sağlık sorunu olup bireylerin yaşam kalitesini büyük ölçüde etkiler. Böbrek taşlarının yaklaşık %30’u alt kutupta yer alır ve bu durum retrograd intrarenal cerrahi sırasında taşlara erişimde zorluklara neden olur. Alt kutup böbrek taşlarının cerrahi tedavisinde tek kullanımlık ve yeniden kullanılabilir üreterorenoskopların etkinliğini ve başarı oranlarını değerlendirmeyi; bu bulgulara dayanarak en iyi seçeneği belirlemeyi amaçladık. Gereç ve Yöntemler: Çalışmamıza, esnek üreterorenoskopi kullanılarak retrograd intrarenal cerrahi ile tedavi edilen alt kutup böbrek taşı olan hastalar dahil edildi. Hastalar, kullanılan üreterorenoskop tipine göre tek kullanımlık veya yeniden kullanılabilir esnek üreterorenoskop gruplarına ayrıldı. Elde edilen veriler bu iki grup arasında karşılaştırıldı. Bulgular: Çalışmamıza 34 erkek ve 27 kadın olmak üzere toplam 61 hasta dahil edildi. Tek kullanımlık grupta 34 hasta ve yeniden kullanılabilir grupta ise 27 hasta değerlendirildi. Yeniden kullanılabilir grupta ortanca taş boyutu 78.5 mm² (50.3–127.6) mm², tek kullanımlık grupta ise 125.3 mm² (56.5–201.1) mm² olarak bulundu. Gruplar arasında demografik özellikler, Clavien-Dindo skorları veya postoperatif komplikasyonlar açısından istatistiksel olarak anlamlı bir fark gözlenmedi (p>0,05). Tek kullanımlık grupta kusma, yeniden kullanılabilir gruba göre anlamlı ölçüde daha az sıklıkta gözlendi (p<0,05). Sonuç: Alt kutup böbrek taşlarının cerrahisinde esnek üreterorenoskoplar yaygın olarak kullanılır. Tek kullanımlık ve yeniden kullanılabilir esnek üreterorenoskoplar arasında seçim yaparken, maliyet ve kullanım kolaylığı dikkate alınmalıdır. Her iki üreterorenoskop tipinin avantajlarını karşılaştırmak ve daha güvenilir sonuçlar elde etmek için daha büyük serilere ve prospektif çalışmalara gereksinim duyulmaktadır.Article Mesane Tümörü Rezeksiyonunda Karl Storz ve Olympus Bipolar Rezeksiyon Sistemlerinin Karşılaştırılması(Harran Üniversitesi Tıp Fakültesi Dergisi, 2023) Sağır, Süleyman; Toktaş, İzzettinAmaç: Kasa invaze olmayan mesane kanserli hastalarda mesane tümörlerinin tedavisinde Olimpus ve Karl Storz bipolar transüretral mesane rezeksiyonunun perioperatif sonuçlarını ve komplikasyonlarını karşılaştırmayı amaçladık. Materyal ve metod: Etik Kurulu onayı (Karar No. 2023/5-17) takibinde, 01 Ocak 2019 ile 28 Şubat 2023 tarihleri arasında Olimpus ve Karl Storz bipolar sistemleri ile transüretral mesane tümörü rezeksiyonu yapılan tüm hastalar değerlendirilmeye alındı. Bulgular: Olimpus grubunda hemoglobin (hbg) değişimi 1,11±0,61 iken Karl Storz grubunda 1,35±0,82 olarak görüldü ve anlamlı istatistiksel fark görülmedi (p= 0,180). Tümör boyutu Olimpus grubunda 3,20±1,55 cm olup Karl Storz grubunda 4,20±2,79 cm olarak değerlendirildi. Benzer şekilde obturator reflex, mesane perforasyon varlığı, kan tranfuzyonu, postoperatif pıhtı retansiyonunda da istatistiksel olarak farklılıklar saptanmadı. Sonuç: Kasa invaze olmayan mesane kanserinin transüretral rezeksiyonunda bipolar teknolojinin kullanımı güvenli ve etkili bir yöntemdir. Her iki tekniktede mesane perforasyon oranı, postoperatif pıhtı retansiyonu, postoperatif hemoglobin düşüşü, obturator reflex oranı benzer bulunmuş olup, istatistiksel olarak fark görülmemiştir.Article Citation - WoS: 2Citation - Scopus: 2Prognostic and Predictive Value of Tertiary Lymphoid Structures in Turbt Materials: Should It Be Seated in the Routine Pathological Examination, and Can It Be Used in Deciding on the Treatment Method?(Elsevier Science inc, 2024) Yilmaz, Fatih; Sagir, SuleymanObjective: This study aims to reveal the importance of tertiary lymphoid structures (TLS) in transurethral resection of bladder tumor (TURBT) materials with a practical and applicable method in which the effect of a certain threshold value on survival and treatment response can be implicated. Methods: TURBT materials that had not previously received any treatment (chemotherapy, radiotherapy, or immunotherapy) and were diagnosed for the first time at Mardin Training and Research Hospital between 2014 and 2022 were included in the study. The maximum TLS per 4x magnification field (field diameter: 4.5 mm) was recorded. Grouping and statistical analysis of the TLS number were performed using threshold values of ">= 1", ">= 2", and ">= 3". Results: TLSs were more frequently found in high-grade tumors (P = 0.008) and showed a strong association with stage progression (P < 0.001). It was also significantly associated with many adverse histopathological parameters. Conversely, high TLS (>= 1, >= 2, and >= 3) appeared to be associated with fewer recurrences (P = 0.032, P = 0.001, and P = 0.018, respectively), and cases with higher TLS showed longer recurrence-free survival (P = 0.089, P = 0.023, P = 0.037, respectively). TLS >= 3 was found to be an independent parameter that was associated with favorable RFS (P = 0.019, HR = 0.401), and multifocality was found to be an independent risk factor for RFS (P = 0.023, HR = 2.302). Conclusion: This study is the first to demonstrate the relationship between the presence and specific thresholds of TLS in TURBT materials with prognostic parameters. Including this information in the routine pathological examination of TURBT materials will allow a more accurate approach to treatment and follow-up, especially in patients with non-muscle invasive bladder cancer (NMIBC).Article Prematür Ejakülasyon Tanılı Hastalarda Depresyon ve Kaygı Düzeylerinin Değerlendirilmesi(2024) Sağır, Süleyman; Allahverdi, Şule; Ergün, Müslüm; Katar, Kübra SezerAMAÇ: Prematür ejakülasyon şikayeti olan hastalar sıklıkla kötü psikolojik durumla hastaneye başvururlar. Bu çalışmada amacımız prematür ejakülasyon şikayetiyle başvuran hastalarda depresyon ve kaygı düzeylerinin değerlendirilmektir. GEREÇ ve YÖNTEMLER: Çalışmaya sadece yaşam boyu prematür ejakülasyon (PE) ve sonradan kazanılmış olan PE hastaları dahil edildi. Bu çalışmaya toplam 80 hasta dahil edildi. Dahil edilme kriterlerini karşılayan hastaların yaş, boy, kilo, vücut kitle indeksi (BMI), meslek gibi demografik verileri kaydedildikten sonra depresyon ve anksiyete şiddetini değerlendirmede kullanılan Beck Depresyon Ölçeği (BDÖ) ve Hastane Anksiyete ve Depresyon Ölçeği (HADÖ) anketleri doldurtuldu. BULGULAR: Araştırmaya katılanların prematür ejakülasyon süresi 30 saniyesinin altında olanlarda 30 saniyenin üstünde olanlara göre; PE değerlendirme anketi puanı, Beck Depresyon Ölçeği ve HAD Ölçeği puanları anlamlı olarak yüksek bulunmuştur (p<0,05). Ayrıca yaılan korelasyon analizleri Prematür ejakülasyon anketi puanı arttıkça; BDÖ puanı (r=0,775) ve HAD Ölçeği puanının da (r=0,882) arttığını göstermektedir. SONUÇ: Erkek hastalarda prematür ejakülasyon şiddeti arttıkça depresyon ve anksiyete düzeylerinde artış gözlenmekte bu nedenle hasta değerlendirilmesinde ve tedavisinde multidisipliner bir yaklaşım sergilenmelidir.Article Evolving Approach in Nephron-Sparing Surgery: Has Anything Changed From Open Surgery To Laparoscopy(Iniestares, S.A., 2024) Ergun, Muslum; Sagir, Suleyman; Akyuz, Osman; Akman, Ramazan YavuzObjective: This study aimed to provide valuable insights into the comparative efficacy of different surgical approaches fornephron-sparing surgery (NSS) and contribute to the existing literature in this field. Materials and Methods: This study included patients who underwent NSS for small renal masses between January 2016 andMarch 2024. A total of 97 patients (41 in the open approach group, 56 in the laparoscopic approach group) with demographic,radiological, intraoperative, renal functional, and oncological follow-up data were included. Three different anatomical scoringsystems (R.E.N.A.L. nephrometry score, PADUA score and C-index) were utilised to assess tumour location and estimate prox-imity to the hilum and collecting system. Results: In the open nephron-sparing surgery (ONSS) and laparoscopic nephron-sparing surgery (LNSS) groups, the mean kid-ney tumour diameters (SD) were 5.20 +/- 2.30 and 4.90 +/- 2.10, which were similar in both surgical method groups (p= 0.061).However, tumours treated with ONSS had significantly more adverse morphometric features (p<0.05). For ONSS and LNSSgroups, the mean R.E.N.A.L. nephrometry scores (SD) were 6.15 +/- 2.04 and 5.2 +/- 1.4 (p= 0.032), respectively; The mean PADUAscores (SD) were 7.46 +/- 1.14 and 6.8 +/- 1.0 (p= 0.049), respectively; And the mean C-index (SD) scores were 1.39 +/- 0.4 and 1.37 +/- 0.5 (p= 0.062), respectively. No significant differences were found in the mean tumour diameter (cm) (Inter Quantile Range(IQR)) distribution of both groups (p= 0.058). Despite the slight increase in transfusion rate in the LNSS group, estimated bloodloss (EBL), transfusion rates, and length of hospital stay were similar in both groups. Conclusions: Although LNSS does not appear superior in terms of intraoperative blood loss, length of hospital stay and transfu-sion rate, it provides comparable long-term outcomes to ONSS. Our study suggests that when matched with nephrometry scores,LNSS can achieve similar outcomes to ONSSArticle Factors Affect Progressive Sperm Motility(Mexican Acad Surgery, 2025) Sagir, Suleyman; Tuncekin, AdemObjective: In this study, it was aimed to investigate the effects of age, body mass index, and diet factors on sperm parameters and developing a novel index (Artuklu Sperm Quality Index [ASQI]). Method: The study incorporated a total of 115 patients who sought medical attention due to infertility and underwent semen analysis (spermiogram). The ASQI score was developed. Results: About 73% reported eating three meals daily, while 62% consume fruits a few times a week. When considering grain consumption, 30% rarely do, mirroring the 25% who never do. Carbonated drinks are consumed a few times in 15 days by 39% of respondents. Salt consumption showed 47% taking very little, whereas 42% consume caffeine very minimally. Sausage/ salami is minimally consumed by 44%, and 32% of participants reported never being exposed to air pollution. ASQI score ranges from 6 to 61 point. A lower score indicates good nutrition and quality of life, while a higher score suggests deteriorating nutrition and increasing unhealthy habits. Cronbach alfa value was noted as 0.72. A negative correlation was found between ASQI and sperm progressive motility (p < 0.001, r = -0.405). Conclusions: This study revealed a clear negative correlation between the ASQI score, which signifies deteriorating nutrition and escalating unhealthy habits, and sperm progressive motility.Article Comparison of the Transobturator Tape and Minisling Methods in the Treatment of Stress Urinary Incontinence(Iniestares, S.A., 2025) Sagir, Suleyman; Basgut, Ozlem; Tuncekin, Adem; Ergun, Muslum; Turgut, OmerBackground: This study aims to evaluate and compare the transobturator tape and minisling surgical techniques in the treatment of stress urinary incontinence, focusing on their effectiveness and postoperative outcomes. Methods: This retrospective analysis included 113 patients who underwent midurethral sling surgery for stress urinary incontinence at Islahiye State Hospital between January 2016 and October 2022. The patients were divided into two groups: Those treated with transobturator tape (Group 1, n = 70) and those treated with minisling (Group 2, n = 43). Data were collected from medical records and follow-up interviews. The variables assessed included demographics (age and body mass index), preoperative and postoperative Urinary Incontinence Quality of Life Scale scores, and postoperative pain details. Operative details, such as procedure duration and hospital stay length, were recorded. Patients were also asked about postoperative symptoms, including groin pain and dyspareunia. Additionally, the duration of symptom-free months following surgery was documented. Binary logistic regression analysis was conducted to evaluate the effect of surgical methods on long-term well-being. Results: The transobturator tape and minisling techniques demonstrated similar improvements in postoperative Urinary Incontinence Quality of Life Scale scores (p = 0.213). However, the minisling procedure had significantly shorter operative time (29.2 min vs. 52.2 min, p <0.001) and hospital stay (1.33 days vs. 1.96 days, p = 0.003) than transobturator tape. Postoperative complications were notably higher in the transobturator tape group, with significantly more patients reporting groin pain (28.6% vs. 4.7%, p = 0.002) and dyspareunia (20.0% vs. 0.0%, p = 0.002). Logistic regression analysis identified surgical method as the primary predictor of long-term well-being beyond one year (p = 0.040). Conclusions: While the transobturator tape and minisling surgeries are effective for treating stress urinary incontinence, the minisling method offers advantages, such as shorter operative time, reduced hospital stay, and fewer postoperative complications, over the transobturator tape method. These findings suggest that the minisling approach may provide a more favorable patient experience, particularly due to reduced postoperative pain and quick recovery, than the transobturator tape method.Article Combining Multiparametric MRI and PSA Density for Improved Diagnostic Accuracy in Prostate Cancer(Galenos Publ House, 2024) Celikkaleli, Ferhat; Ozden, Cuneyt; Bulut, Suleyman; Gokkaya, Cevdet Serkan; Aktas, Binhan Kagan; Kizilkan, Yalcin; Sagir, SueleymanObjective: The objective of this research was to investigate the combined use of multiparametric magnetic resonance imaging (Mp-MRI) and prostate-specific antigen density (PSAD) to increase diagnostic accuracy in detecting prostate cancer (PCa) and to reduce unnecessary biopsies. Materials and Methods: This retrospective analysis included 399 patients who underwent prostate biopsy at Ankara City Hospital between 2021 and 2022, primarily due to clinical indications suggestive of PCa. The patient cohort was categorized into distinct groups according to their PSAD, with a defined threshold of 0.15 ng/mL/cc, and their respective prostate imaging reporting and data system (PI-RADS) scores; subsequently, the diagnostic performance metrics, including sensitivity, specificity, and predictive values for determining Pca, were meticulously evaluated across different combinations of PI-RADS classifications and PSAD levels. Results: Among the 399 patients, 37.6% had PCa and 16.8% had clinically significant PCa (csPca). Patients who exhibited PI-RADS scores of 3 or higher combined with a PSAD score of at least 0.15 ng/mL/cc exhibited the greatest positive predictive value, achieving 74.1% for overall PCa and 39.3% for csPca. The integration of PI-RADS assessment with PSAD thresholds notably enhanced diagnostic accuracy, leading to improved detection rates of clinically significant cases while concurrently minimizing the frequency of unnecessary biopsy procedures. Conclusion: The simultaneous application of Mp-MRI and PSAD enhances the precision of Pca diagnosis and serves as a valuable tool for reducing the need for unnecessary biopsies, especially in patients with PI-RADS scores of 3 or above accompanied by elevated PSAD levels.Article Citation - WoS: 7Citation - Scopus: 8Oxidative stress, apoptosis, inflammation, and proliferation modulator function of visnagin provide gonadoprotective activity in testicular ischemia-reperfusion injury(Verduci Editore srl, 2023) Sağır, Süleyman; Şeker, Uğur; Pekince Özener, Merve; Yüksel, Meral; Demir, MehmetOBJECTIVE: Visnagin (Vis) is a compound found in the flowers and seeds of the Ammi visnaga plant with promising antioxidant and anti-inflammatory properties. We aimed to investigate the dose-dependent gonadoprotective effects of visnagin in rats while considering oxidative stress, apoptosis, and inflammation-related protein expression levels. MATERIALS AND METHODS: Twenty-eight adult rats were divided into four groups of seven animals each; control, ischemia/reperfusion (I/R), I/R+30Vis, and I/R+60Vis. Animals in control received no surgical application and were sacrificed at the end of the experiment. The rats in I/R, I/R + Vis30, and I/R + Vis60 were exposed to testicular ischemia and the animals in I/R + Vis30, and I/R + Vis60 groups received either 30 or 60 mg/kg visnagin intraperitoneal. At the end of the experiment, testis tissues were used for the measurement of oxidative stress, apoptosis, and inflammation. RESULTS: Our microscopic examinations indicated that I/R resulted in testicular degenerations and morphological alterations, which were improved in visnagin-treated animals. The biochemical analyses demonstrated that oxidative stress in the I/R group increased significantly (p<0.05) compared to the control group. The immunohistochemical examinations showed that pro-apoptotic Bax and Caspase 3 expressions, and pro-inflammatory tumor necrosis factor-alpha (TNF-α) levels were significantly up-regulated (p<0.05) but proliferating nuclear antigen (PCNA) levels in I/R group was significantly (p<0.001) down-regulated compared to the control group. CONCLUSIONS: Ischemia leading to testicular torsion is a reproductive health-affecting problem, and current surgical treatment methods might be insufficient to recover the testis due to the accumulation of reactive oxygen species (ROS). Our observations indicate that visnagin is a potential co-modality along with the surgical interventions for the recovery of ischemia encountered testis, but we believe the requirement of more detailed studies to explore the underlying signaling pathways and the strength of visnagin against testicular ischemia-reperfusion injury.Article Breaking Misconceptions: Assessing the Quality of Youtube Videos on Penile Fracture With Validated Scoring Tool(Mre Press, 2025) Sagir, Suleyman; Ertek, Mehmet Sirin; Toktas, IzzettinBackground: The main objective of this research was to evaluate the effectiveness of YouTube videos related to penile fracture by applying established rating systems. Methods: A descriptive investigation was carried out by browsing YouTube for videos related to "Penile fracture". Out of a total of 108 videos that were found, 47 were deemed eligible for inclusion in the analysis. The features and substance of the videos were assessed utilizing the adjusted DISCERN tool, the criteria from the Journal of the American Medical Association (JAMA), and the Global Quality Scale (GQS). Statistical analysis was performed using SPSS 22.0 software, with a significance level of p < 0.05. Results: High-quality videos, as classified by GQS, had more views, likes, and comments than lower-quality videos; however, these differences were not statistically significant (p > 0.05). In contrast, videos with detailed and accurate content had significantly higher view counts (approximately tenfold) and more likes (approximately twofold) than poor-content videos (p < 0.05). A strong positive correlation was found between content analysis scores and DISCERN (r = 0.815, p < 0.001), JAMA (r = 0.781, p < 0.001), and GQS (r = 0.722, p < 0.001). Videos made by urologists and surgeons demonstrated superior quality across all measured criteria in comparison to those crafted by individuals without healthcare backgrounds (p <0.001). Conclusions: The quality of YouTube content addressing penile fracture exhibits a wide range, with content generated by healthcare experts standing out for its high quality. It is imperative for medical professionals to actively engage in disseminating accurate health information on these platforms.
