Serap Topkara Sucu

The impact of human papillomavirus 16/18 positivity on cyberchondria levels in women undergoing colposcopy

SUMMARY OBJECTIVE: The negative consequences of the widespread use of the Internet for health-related information have recently become a topic of research. Recently, the impact of internet information-seeking on anxiety has been defined as cyberchondria, and a standardized scoring system has been developed to document it. However, the significance of this scoring system in gynecologic oncology has not yet been established. Therefore, the aim of this study was to evaluate the impact of human papillomavirus 16/18 positivity on the level of cyberchondria in women with human papillomavirus positivity undergoing colposcopy. METHODS: The study included 333 women with human papillomavirus 16/18 and other high-risk human papillomavirus positivity who underwent colposcopy in the gynecologic oncology clinic. Participants were divided into two groups: human papillomavirus 16/18 positive (Group 1, n=201) and other high-risk human papillomavirus positive (Group 2, n=132). Both groups were administered the short form of the Cyberchondria Severity Scale (CSS-12). Demographic and clinical findings and cyberchondria scores were compared between the groups. RESULTS: The median ages of the study groups were 36 (26–59) and 40 (25–63) years, respectively (p=0.004). Both groups had similar body mass index, parity, menopausal status, and educational levels (p>0.05). When comparing the four subscales and the total score, the excessiveness (11 [3–15] vs. 9 [3–15], p<0.001, respectively) and the total CSS-12 score (31 [12–55] vs. 28 [12–49], p=0.002, respectively) were statistically significantly different between the two groups. CONCLUSIONS: In women with human papillomavirus 16/18 positivity undergoing colposcopy, cyberchondria levels were found to be significantly higher. Specifically, excessive information-seeking behavior significantly contributed to this elevated level of cyberchondria.

Investigation of human papilloma virus frequency in pregnant women

AbstractObjectiveThe aim of this study was to determine the frequency of human papillomavirus (HPV), HPV types, and the association with age, pregnancy, and childbirth in pregnant women.MethodFour hundred and forty‐eight pregnant women who visited our clinic were enrolled in the study. Polymerase chain reaction was used to determine HPV DNA and typing by cervical smear in the initial applications of patients with detailed history. Statistical Package for the Social Sciences (SPSS) 13.0 was used to analyze the data.ResultsHPV DNA was positive in 26 (5.8%) of 448 patients who participated in the study. High‐risk HPV types were detected in 77% of HPV‐positive cases and low‐risk HPV types in 23% of cases. Only one HPV type was detected in 13 patients (50%), while multiple HPV types were detected in 13 patients (50%) of the HPV‐positive cases. A significant negative association was found between gravidity and positivity of HPV DNA. HPV is more common in women with lower parity and gravidity.ConclusionStudies conducted in different populations in different regions of Turkey have shown that the incidence of HPV in women ranges from 2.2% to 26%. In our study, the incidence of HPV DNA in pregnant women was 5.8%. It was found that there was an inverse relationship between parity and HPV DNA positivity. The HPV DNA positivity decreased with the number of births.

Comparison of laparoscopy and vNOTES in early‐stage endometrial cancer

Abstract Aim To compare the demographic, clinical, surgical, histopathological, and oncological outcomes of vNOTES and conventional laparoscopy (CL)for early‐stage endometrial cancer. Methods A retrospective study was carried out in the Gynecologic Clinic of a tertiary hospital from January 2019 to November 2020. Patient demographic characteristics, surgical outcomes, histopathological characteristics, visual analog scale (VAS) pain scores at postoperative 6th, 12th, and 24th, intra‐ and postoperative complications, and follow‐up results were noted. Results A total of 45 patients enrolled, of which 16 underwent CL and 29 were vNOTES. The operative time and decrease in hemoglobin levels were similar for both groups ( p  = 0.202, p  = 0.699). Postoperative hospital stay did not differ between the vNOTES group and the CL group ( p  = 0.549). VAS pain scores at postoperative 6th, 12th, and 24th h were significantly lower in vNOTES group than in the CL group ( p  < 0.001). The requirement for additional opioid/narcotic analgesic was lower in the vNOTES group than in the CL group ( p  = 0.037). Conclusion vNOTES may be a safe and feasible option in early‐stage endometrial cancer, having less postoperative pain and less requirement of opioid/narcotic analgesic compared with laparoscopy.