Sağır, Süleyman
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Sagir, Suleyman
Sagir, Sueleyman
Sagir, Sueleyman
Job Title
Doç. Dr.
Email Address
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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Sustainable Development Goals
1
NO POVERTY
0
Research Products
8
DECENT WORK AND ECONOMIC GROWTH
0
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7
AFFORDABLE AND CLEAN ENERGY
0
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17
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0
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13
CLIMATE ACTION
0
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2
ZERO HUNGER
0
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4
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3
GOOD HEALTH AND WELL-BEING
5
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9
INDUSTRY, INNOVATION AND INFRASTRUCTURE
0
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16
PEACE, JUSTICE AND STRONG INSTITUTIONS
0
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5
GENDER EQUALITY
0
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12
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10
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0
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14
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0
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11
SUSTAINABLE CITIES AND COMMUNITIES
0
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15
LIFE ON LAND
0
Research Products
6
CLEAN WATER AND SANITATION
0
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Documents
14
Citations
56
h-index
3
Documents
18
Citations
62
Scholarly Output
18
Articles
18
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66/20
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0
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0
WoS Citation Count
16
Scopus Citation Count
16
WoS h-index
3
Scopus h-index
3
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0
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0
WoS Citations per Publication
0.89
Scopus Citations per Publication
0.89
Open Access Source
10
Supervised Theses
0
| Journal | Count |
|---|---|
| European Review for Medical and Pharmacological Sciences | 2 |
| Archivos Españoles de Urología | 2 |
| Academic Journal of Health Sciences | 2 |
| BMC Urology | 1 |
| Cirugia Y Cirujanos | 1 |
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Now showing 1 - 10 of 18
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 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, Sueleyman; Şenel, SametObjective: 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 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 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 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 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 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 Factors Determining the Number of Sessions in Successful Extracorporeal Shock Wave Lithotripsy Patients(Walter de Gruyter GmbH, 2025) Ergün, M.; Sagir, S.Background and aim: The aim of this study is to investigate whether certain clinical nomograms influencing the success of extracorporeal shock wave lithotripsy (ESWL) also play a role in determining the number of treatment sessions required in patients who achieved stone-free status following ESWL. Methods: The data of 354 patients with successful ESWL outcomes were analyzed. Patients were evaluated 4–6 weeks post-ESWL using X-ray, ultrasound, or computed tomography. The presence of residual stones larger than 4mm was considered a treatment failure. Data recorded included age, gender, laterality of stone localization (right/left), stone location (renal pelvis, mid calyx, upper calyx, proximal ureter, mid ureter, distal ureter), stone size (maximum longitudinal dimension), body mass index (BMI), and stone Hounsfield unit (HU) values. Patients were categorized into two groups: single-session and multiple-session treatment. Results: In the univariate model, factors such as age, BMI, distal ureter, renal pelvis, mid-calyx stone localization, stone size, and stone HU value showed a significant (p < 0.05) effect in distinguishing between single-session and multiple-session groups. Stone size and HU values were significantly higher (p < 0.05) in the multiple-session group compared to the single-session group. In the multivariate model, age, stone size, and HU value emerged as significant independent factors (p < 0.05) in differentiating between single-session and multiple-session treatments. Conclusion: Several factors influencing the success of ESWL also affect the number of sessions required. BMI, age, stone size, stone HU value, and certain stone locations are key determinants of the number of ESWL sessions. © 2025 Elsevier B.V., All rights reserved.Article Citation - WoS: 3Citation - Scopus: 3Low-Intensity Extracorporeal Shock Wave Therapy and Platelet-Rich Plasma: Effective Combination Treatment of Chronic-Phase Peyronie's Disease(Iniestares, S.a., 2025) Ergun, Muslum; Sagir, SuleymanObjective: This study aimed to investigate the effectiveness, safety and outcomes of the combination therapy of low-intensity extracorporeal shockwave therapy (Li-ESWT) and platelet-rich plasma (PRP) for the treatment of chronic-phase Peyronie's Methods: The clinical outcomes of patients diagnosed with Peyronie's disease and treated with Li-ESWT combined with PRP at our clinic between January 2018 and January 2024 were retrospectively reviewed and analysed. Twenty-three patients were excluded based on inclusion criteria, leaving 26 patients for the retrospective analysis. Each patient received three sessions of PRP and six sessions of Li-ESWT. The treatment regimen involved sessions administered twice weekly over a period of 3 weeks, followed by 1-week post-treatment follow-up. The patients were then monitored for 24 weeks. Result: After treatment, no significant reduction in average plaque size was observed. However, a statistically significant average improvement of 10 degrees was noted for penile curvature. Among the patients, 14 (53.8%) reported satisfaction with the treatment outcome, and 12 (46.2%) expressed dissatisfaction. No significant adverse effects were observed at the injection sites or in the areas subjected to Li-ESWT post-procedure. Conclusions: The combination of Li-ESWT and PRP is effective and safe for the treatment of chronic-phase Peyronie's disease.
