Gait analysis in bladder exstrophy patients in late follow-up period Ayten Ceren Bakır, Ozan Ali Erdal, Mehmet Eliçevik, Haluk Emir, Yunus Söylet, Nur Danişmend, Cenk Büyükünal Journal of Orthopaedic Surgery and Research, 2026 BACKGROUND: Bladder exstrophy (BE) is a rare congenital anomaly associated with complex urogenital malformations and musculoskeletal sequelae. Despite surgical advances, the long-term biomechanical implications of reconstructive procedures, particularly on gait and pelvic kinematics, remain underexplored. Previous studies have reported inconsistent findings regarding hip motion, pelvic tilt, and gait symmetry, and the influence of osteotomy on locomotor function is not well defined. This study aimed to investigate long-term gait and pelvic biomechanics in patients with BE following childhood surgical repair, to evaluate the effects of pelvic osteotomy, and to determine correlations between radiographic pubic diastasis and quantitative gait parameters. METHODS: This retrospective cross-sectional study included 27 patients (20 males, 7 females; age 12-33 years) treated for BE at a tertiary pediatric surgery center. All participants underwent comprehensive evaluation including clinical history, physical examination, radiological assessment, and three-dimensional gait analysis using a motion capture system with reflective markers. Parameters assessed included trunk and pelvic rotation, pelvic obliquity, hip abduction, and electromyographic muscle activation. Subgroup analyses compared patients with and without osteotomy, and correlations between gait parameters and radiographic pubic diastasis were examined. Data were analyzed using Student's t-test, Mann-Whitney U test, Chi-square/Fisher's exact test, and Spearman correlation, with p < 0.05 considered significant. RESULTS: Quantitative gait analysis demonstrated significant deviations compared with normative values, including a 5° increase in trunk obliquity at initial contact, a 3° decrease during pre-swing, and a 10° increase in bilateral hip abduction during the swing phase. Patients with a history of osteotomy exhibited greater posterior pelvic tilt and increased pelvic obliquity during swing (p < 0.01). Pubic diastasis correlated with trunk and pelvic rotation parameters (rho values ranging from - 0.585 to 0.552, p < 0.05). Despite these measurable deviations, none of the participants reported difficulties in daily activities, school attendance, or recreational physical activity, indicating effective neuromuscular compensation. CONCLUSIONS: Bladder exstrophy patients demonstrate persistent alterations in pelvic biomechanics and gait kinematics in long-term follow-up, particularly after pelvic osteotomy. However, these changes did not translate into clinically limiting impairments, highlighting the adaptive capacity of the neuromuscular system. Quantitative gait analysis provides objective insights into musculoskeletal sequelae and underscores the importance of tailored long-term surveillance strategies.
Confusing Tumoral Lesions in the Chest Wall of a Deceased-Donor Transplant Candidate , Ahmet Murt, Mehmet Elicevik, , Nil Comunoglu, , Salih Pekmezci, , Nurhan Seyahi, , Sinan Trabulus, and Turkish Journal of Nephrology, 2023 Patient selection and preparation for kidney transplantation may pose clinical challenges. A 35-year-old male patient was presented with chest wall tumoral lesions on the day when he was matched with a deceased-donor kidney. Apart from the tumoral lesions, his medical, surgical, and immunologic evaluations were quite favorable to proceed with the operation. Pre-operative thorax surgery and orthopedics consultations were asked for cytopathological evaluation to rule out a pos- sible malignancy. However, considering the cold ischemia time of the donated kidney, there was not enough time to plan and wait for the pathological evaluation of the biopsy. On chest tomography imaging, the expansile tumoral lesions had a lytic–cystic character with well-defined borders. High parathyroid hormone and alkaline phosphatase levels of the patient suggested Brown tumor the most likely diagnosis and we chose to proceed with the operation. Post-operative biopsy find- ings supported our clinical diagnosis. We herein share the role of clinical evaluation and imaging studies for differential diagnosis of tumoral lesions in kidney transplantation candidates. Cite this article as: Murt A, Elicevik M, Çomunoglu N, Pekmezci S, Seyahi N, Trabulus S. Confusing tumoral lesions in the chest wall of a deceased-donor transplant candidate. Turk J Nephrol. 2023;32(3):260-263.
Cardiometabolic Risk Factors in Pediatric Kidney Transplant Recipients , Seha Kamil Saygili, Esra Karabag Yilmaz, , Secil Kezer, , Reyhan Dedeoglu, , Sevval Kaplan Kilic, , Rumeysa Yasemin Cicek, , Ruveyda Gulmez, , Ebru Burcu Demirgan, , Ayse Agbas, , Mehmet Elicevik, , Salim Caliskan, , Nur Canpolat, and Turkish Archives of Pediatrics, 2023 Objective: There is an increased risk of obesity and metabolic syndrome among kidney transplant recipients, which adversely affects cardiovascular and renal outcomes in these patients. The present study aims to investigate the prevalence of metabolic syndrome in pediatric kidney transplant recipients and the associations of metabolic syndrome with cardiovascular disease and graft function. Materials and Methods: This cross-sectional, single-center study included 52 kidney transplant recipients (27 males) transplanted before 18 years of age. All subjects underwent a comprehensive assessment that included anthropometric and blood pressure measurements and laboratory tests. Metabolic syndrome was defined based on the recent recommendations of the Pediatric Renal Nutrition Taskforce. Left ventricular hypertrophy was assessed as a risk factor for cardiovascular disease, and estimated glomerular filtration rate was assessed to determine graft function. Results: The median age of patients was 15.9 (13.8;18.4) years, and the median follow-up time was 35.5 (20.0;62;0) months after transplantation. Nineteen patients (36.5%) were obese or overweight, 43 (83%) had hypertension or controlled hypertension, 23 (44%) had dyslipidemia, and 9 (17%) had hyperglycemia. Ten patients (19.2%) were diagnosed with metabolic syndrome. Twenty-eight patients (54%) had left ventricular hypertrophy. The prevalence of left ventricular hypertrophy was higher in patients with metabolic syndrome than in those without metabolic syndrome (90% vs. 45%, P = .014), whereas estimated glomerular filtration rate did not differ between the 2 groups. Conclusion: Cardiometabolic risk factors are common in pediatric kidney transplant recipients. Approximately one-fifth of patients have metabolic syndrome, and left ventricular hypertrophy is much more common among patients with metabolic syndrome. However, there is no relationship between metabolic syndrome and graft dysfunction.
Sequential analysis of single-center experience of living donor kidney transplants with several vascular anastomosis techniques Berrin Papila KUNDAKTEPE, Ali Vedat DURGUN, Ertuğrul GÖKSOY, Salih PEKMEZCİ, Metin KAPAN, Kaya SARIBEYOĞLU, Mehmet VELİDEDEOĞLU, Mehmet ELİÇEVİK Turkish Journal of Medical Sciences, 2021 Background and aim Vascular variations of grafts are handled with various reconstruction techniques in renal transplantation. We aimed to analyze the effects of these reconstruction techniques and sites on patient/graft outcomes. Materials and methods Renal transplantation cases at the Transplantation Unit of the General Surgery Department, İstanbul University Cerrahpaşa Medical Faculty between January 1st, 2000 and December 31st, 2012 were analyzed retrospectively. Postoperative duplex ultrasound results, urea-creatinine reduction rates, and complications were evaluated. Results There were 228 living-donor transplantation cases evaluated. For single-renal-artery living-donor transplantations, there were 45 end-to-side external iliac artery, 15 end-to-side internal iliac artery, 152 end-to-end internal iliac artery, and 3 end-to-side common iliac artery anastomoses performed. In cases with double-arteries, 3 had end-to-side external iliac artery anastomoses, and 10 had endto-end internal iliac artery anastomoses. No statistically significant differences were found between reconstruction techniques with regard to complications or urea-creatinine reduction rates. Conclusion Internal, external, and common iliac arteries can be safely used for anastomoses. The presence of more than one renal artery creates no short or long-term problems when a side-to-side anastomosis is initially performed.
Transient minimal hydronephrosis on contralateral kidney in infants with unilateral hydronephrosis: Is it an early sign of worsening of the affected kidney? Mirzaman HUSEYNOV, Rahşan ÖZCAN, Şenol EMRE, Nur CANPOLAT, Sebuh KURUĞOĞLU, Haluk Burçak SAYMAN, Mehmet ELİÇEVİK, Yunus SÖYLET, Cenk BÜYÜKÜNAL, Haluk EMİR Turkish Journal of Medical Sciences, 2021 Background/aim The criteria for surgical management of ureteropelvic junction obstruction are not well-defined, and there is a risk for loss of renal function before the operation. In this context, certain changes in contralateral kidney had been investigated in order to increase the sensitivity of diagnosis. In this study, we aimed to investigate whether contralateral transient minimal hydronephrosis (CTMH) can be considered as an “early alarm” sign for worsening of the affected kidney in infants with hydronephrosis. Materials and methods A total of 182 infants (92 surgically treated and 90 conservatively followed-up) with unilateral hydronephrosis were retrospectively analyzed. Ultrasonography and renal scan findings were evaluated. Correlation between the appearance of CTMH, contralateral compensatory hypertrophy (CCH) on ultrasonography, and prognosis of the affected kidney were evaluated. Results Among the surgically treated patients, 18 (19.6%) patients developed CTMH on average 7 months (0–13 months) before surgery. Among these 18 patients with CTMH, 12 patients (66.6%) had loss of renal function preoperatively, while this ratio was 29.7% on their counterparts (p = 0049). CCH was observed in 31 (33.7%) individuals in surgically treated patient group including all 18 patients with CTMH, while none of the conservatively followed-up patients developed CCH and/or CTMH. In the multiple logistic regression analysis, among the variables investigated, CTMH was found as an independent predictor of the deterioration in the affected kidney and of the poor prognosis (p = 0.011 and p = 0.0004, respectively). Conclusion In our study, among the variables investigated, CTMH was found as an independent predictor of the deterioration in the affected kidney and poor prognosis in infants followed-up with isolated unilateral hydronephrosis. Additionally, CTMH can be considered as an “early alarm” sign for worsening of the affected kidney and the need for surgical intervention.
A homozygous HOXA11 variation as a potential novel cause of autosomal recessive congenital anomalies of the kidney and urinary tract Seha Saygili, Emine Atayar, Nur Canpolat, Mehmet Elicevik, Sebuh Kurugoglu, Lale Sever, Salim Caliskan, Fatih Ozaltin Clinical Genetics, 2020 Congenital anomalies of the kidney and urinary tract (CAKUT) is the leading cause of end‐stage kidney disease in children. Until now, more than 50 monogenic causes for CAKUT have been described, all of which only explain 10% to 20% of all patients with CAKUT, suggesting the presence of additional genes that cause CAKUT when mutated. Herein, we report two siblings of a consanguineous family with CAKUT, both of which rapidly progressed to chronic kidney disease in early childhood. Whole‐exome sequencing followed by homozygosity mapping identified a homozygous variation in HOXA11. We therefore showed for the first time an association between a homozygous HOXA11 variation with CAKUT in humans, expanding the genetic spectrum of the disease.
Risk continues: Very late manifestation of helicobacter pylori at gastric augmented bladder Journal of the Pakistan Medical Association, 2016
Results of a two-stage technique for treatment of proximal hypospadias with severe curvature: Creation of a urethral plate using a vascularized preputial Island flap Urology Journal, 2016
A rare surgical pathology in childhood; lateral ventral hernia (Spigelian Hernia): A case report Cocuk Cerrahisi Dergisi, 2007
Reviewing the reviewers: The first name publications of referees of the Journal of Turkish Association of Pediatric Surgeons in PUBMED Cocuk Cerrahisi Dergisi, 2007
Gait analysis in bladder exstrophy patients in late follow-up period AC Bakır, OA Erdal, M Eliçevik, H Emir, Y Söylet, N Danişmend, ... Journal of Orthopaedic Surgery and Research , 2025 2025
Psychological and sexual outcomes in patients with bladder exstrophy and their caregivers AC Bakır, HM Emül, M Eliçevik, H Emir, Y Söylet, N Danişmend, ... Journal of pediatric surgery, 162832 , 2025 2025
Increased risk of chronic kidney disease in children with anorectal malformations EK Yilmaz, AE Hakalmaz, S Saygılı, A Agbas, K Karatas, MN Cebi, ... Journal of Pediatric Urology , 2025 2025 Citations: 1
Choosing a pediatric surgery career: affecting factors and status assessment A Karagöz, G Yavuz, S Çakmakkaya, M Eliçevik, S Celayir Pediatric Surgery International 41 (1), 33 , 2024 2024 Citations: 1
Confusing Tumoral Lesions in the Chest Wall of a Deceased-Donor Transplant Candidate. A Murt, M Eliçevik, N Çomunoglu, S Pekmezci, N Seyahi, S Trabulus Turkish Journal of Nephrology 32 (3), 260-264 , 2023 2023
Growth in Children After Kidney Transplantation SK Saygılı, S Kezer, EK Yılmaz, R Gülmez, EB Demirgan, A Ağbaş, ... Cerrahpaşa Medical Journal 47 (2), 182-186 , 2023 2023 Citations: 1
Cardiometabolic risk factors in pediatric kidney transplant recipients SK Saygılı, EK Yılmaz, S Kezer, R Dedeoğlu, ŞK Kılıç, RY Çiçek, ... Turkish archives of pediatrics 58 (2), 220 , 2023 2023 Citations: 4
Increased risk for kidney sequelae surrogates in survivors of Wilms tumor E Arslan, S Saygili, TT Celkan, S Kurugoglu, M Elicevik, AE Camcioglu, ... Pediatric Nephrology 37 (10), 2415-2426 , 2022 2022 Citations: 4
The Investigation of Gastroesophageal Reflux in Children with Portal Hypertention A Alim, M Eliçevik, ER Alim, Z Önal, G Can, OF Şenyüz Cerrahpaşa Medical Journal 45 (1), 28-32 , 2021 2021
Using immersive technologies to develop medical education materials SS Ovunc, MB Yolcu, S Emre, M Elicevik, S Celayir Cureus 13 (1) , 2021 2021 Citations: 26
Transient minimal hydronephrosis on contralateral kidney in infants with unilateralhydronephrosis: Is it an early sign of worsening of the affected kidney? M Huseynov, R Özcan, Ş Emre, N Canpolat, S Kuruğoğlu, HB Sayman, ... Turkish Journal of Medical Sciences 51 (4), 2029-2035 , 2021 2021 Citations: 1
Sequential analysis of single-center experience of living donor kidney transplants withseveral vascular anastomosis techniques BP Kundaktepe, AV Durgun, E Göksoy, S Pekmezci, M Kapan, ... Turkish Journal of Medical Sciences 51 (3), 1439-1447 , 2021 2021 Citations: 4
A homozygous HOXA11 variation as a potential novel cause of autosomal recessive congenital anomalies of the kidney and urinary tract S Saygili, E Atayar, N Canpolat, M Elicevik, S Kurugoglu, L Sever, ... Clinical genetics 98 (4), 390-395 , 2020 2020 Citations: 10
Bilateral synchronous testicular germ cell tumors in children: case report and review of the literature R Kebudi, A Sezer, M Eliçevik, S Ocak, N Çomunoğlu, D Birgen, ... Urology 140, 155-158 , 2020 2020 Citations: 2
Does prematurity indicate poor prognosis in the treatment of infant ureteropelvic junction obstruction? M Huseynov, S Emre, R Ozcan, AC Bakir, N Canpolat, M Elicevik, H Emir, ... Annals of Medical Research 26 (4), 542-5 , 2019 2019 Citations: 1
THE IMPACT OF PRIMARY RENAL DISEASE ON LONG-TERM GRAFT SURVIVAL IN KIDNEY TRANSPLANT RECIPIENTS S Ozcan, N Canpolat, SK Saygili, M Elicevik, E Yilmaz, S Caliskan, ... PEDIATRIC NEPHROLOGY 33 (10), 1956-1956 , 2018 2018
Anorectal malformations RJ Wood, MA Levitt Clinics in colon and rectal surgery 31 (02), 061-070 , 2018 2018 Citations: 218
Survey of HLA Distribution in Patients with End Stage Renal Disease Secondary to Reflux Nephropathy RNBSD Böbrek, HGH HLA İ STANBULTIPDERG İ S İ, 255 , 2018 2018
A rare cause of abdominal pain: ectopic ovary and intestinal malrotation E Altınay-Kırlı, R Özcan, M Öncül, E Özmen, M Eliçevik, C Büyükünal, ... The Turkish Journal of Pediatrics 59 (6), 699-703 , 2017 2017 Citations: 4
KOROZİV MADDE İÇİMİNE BAĞLI ÖZOFAGUS DARLIĞI GELİŞİMİ VE HLA İLİŞKİSİNİN İNCELENMESİ R Özcan, E Yılmaz, G Can, M Eliçevik, S Kuruoğlu, E Erdoğan Zeynep Kamil Tıp Bülteni 48 (3), 84-88 , 2017 2017
MOST CITED SCHOLAR PUBLICATIONS
Anorectal malformations RJ Wood, MA Levitt Clinics in colon and rectal surgery 31 (02), 061-070 , 2018 2018 Citations: 218
Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration I Adaletli, S Kurugoglu, S Ulus, H Ozer, M Elicevik, F Kantarci, I Mihmanli, ... Pediatric radiology 37 (1), 33-40 , 2007 2007 Citations: 139
Reoperations in Hirschsprung disease A Peña, M Elicevik, MA Levitt Journal of pediatric surgery 42 (6), 1008-1014 , 2007 2007 Citations: 128
Jugular phlebectasia in children: is it rare or ignored? S Sander, M Eliçevik, M Ünal, Ö Vural Journal of pediatric surgery 34 (12), 1829-1832 , 1999 1999 Citations: 117
Bronchoscopic removal of tracheobroncheal foreign bodies: value of patient history and timing H Emir, G Tekant, C Beşik, M Eliçevik, OF Şenyüz, C Büyükünal, ... Pediatric surgery international 17 (2), 85-87 , 2001 2001 Citations: 100
Tubularized incised plate urethroplasty: 5 years’ experience M Eliçevik, G Tireli, S Sander European urology 46 (5), 655-659 , 2004 2004 Citations: 98
Ovary-sparing surgery for teratomas in children R Özcan, S Kuruoğlu, S Dervişoğlu, M Eliçevik, H Emir, C Büyükünal Pediatric surgery international 29 (3), 233-237 , 2013 2013 Citations: 79
Histological evaluation of the testicular nubbins in patients with nonpalpable testis: assessment of etiology and surgical approach H Emir, B Ayık, M Eliçevik, C Büyükünal, N Danişmend, S Dervişoğlu, ... Pediatric surgery international 23 (1), 41-44 , 2007 2007 Citations: 68
Tubularized incised plate urethroplasty for hypospadias reoperations in 100 patients M Eliçevik, G Tireli, O Demirali, M Ünal, S Sander International urology and nephrology 39 (3), 823-827 , 2007 2007 Citations: 60
Persistent cloaca: a 10‐year review of prenatal diagnosis JC Livingston, M Elicevik, L Breech, TM Crombleholme, A Peña, MA Levitt Journal of Ultrasound in Medicine 31 (3), 403-407 , 2012 2012 Citations: 57
The effects of intranasal midazolam on urodynamic P Bozkurt, N Kilic, G Kaya, Y Yeker, M Elicevik, Y Söylet British journal of urology 78 (2), 282-286 , 1996 1996 Citations: 52
Transvesicoscopic cross-trigonal ureteroneocystostomy in children: a single-center experience H Emir, E Mammadov, M Elicevik, C Buyukunal, Y Soylet Journal of pediatric urology 8 (1), 83-86 , 2012 2012 Citations: 44
Bladder augmentation: urodynamic findings and clinical outcome in different augmentation techniques N Kilic, S Celayir, M Elicevik, N Sarimurat, Y Söylet, C Büyükünal, ... European journal of pediatric surgery 9 (01), 29-32 , 1999 1999 Citations: 42
Remifentanil-based total intravenous anesthesia for pediatric rigid bronchoscopy: comparison of adjuvant propofol and ketamine M Bakan, U Topuz, T Umutoglu, G Gundogdu, Z Ilce, M Elicevik, G Kaya Clinics 69 (6), 372-377 , 2014 2014 Citations: 41
Timing of surgery in perineal ectopic testes: analysis of 16 cases AC Celayir, S Sander, M Elicevik Pediatric surgery international 17 (2), 167-168 , 2001 2001 Citations: 39
Jeune's asphyxiating thoracic dystrophy of the newborn N Sarimurat, N Elçioğlu, GT Tekant, M Elicevik, D Yeker European journal of pediatric surgery 8 (02), 100-101 , 1998 1998 Citations: 37
Elastic bandaging facilitates primary closure of large ventral hernias due to giant omphaloceles S Sander, M Elicevik, M Ünal Pediatric surgery international 17 (8), 664-667 , 2001 2001 Citations: 36
Management of esophageal perforation secondary to caustic esophageal injury in children M Eliçevik, A Alim, GT Tekant, N Sarimurat, I Adaletli, S Kurugoglu, ... Surgery today 38 (4), 311-315 , 2008 2008 Citations: 35
Expression of estrogen and androgen receptors in children with hypospadias: preliminary report S Celayir, M Eliçevik, G Tireli, S Dervişoğlu, S Sander Archives of Andrology 53 (2), 83-85 , 2007 2007 Citations: 27
Congenital short bowel syndrome associated with appendiceal agenesis and functional intestinal obstruction N Sarimurat, S Celayir, M Elicevik, S Dervisoglu, D Yeker Journal of pediatric surgery 33 (4), 666-667 , 1998 1998 Citations: 27