Aging men have health problems. Tanfer Hospital Urology Specialist who made statements about this subject. Dr. Serkan Deveci, “aging prostate is not the only problem in men.”

Explaining the relationship between andropause and prostate diseases Tanfer Hospital Urology Specialist. Dr. Serkan Deveci, yaş Aging is the main factor in both cases. The aging hormone balance of an aging man leads to the growth of the prostate. Some men get prostate cancer. In others, the enlarged prostate obstructs the urinary tract and leads to urinary complaints. These two situations should be evaluated together. Mostly prostate disease is treated and the symptoms of andropause are ignored. However, these two intertwined situations should be evaluated together. ”

Deveci also expressed his opinion about what is andropause, “Aging and serum testosterone (T) is a biochemical syndrome accompanied by a series of symptoms accompanied by a decrease. The andropause; menopause, male climacteria, androgen failure in the aging man, partial androgen failure in the aging man. In addition to affecting man’s quality of life, andropause also has harmful effects on numerous organ systems (muscle, bone, consciousness and glycemic control). Testosterone production is gradually reduced in the aging man. ” Explaining the symptoms of andropause, Deveci said, “Male T level decreases by 10 percent per decade (1 in every 10 years) from the age of 30 years. Men over the age of fifty years have lost 25 percent of T level. After the age of seventy, there is a 50 percent loss. ”


Evaluating the effects of andropause on quality of life, Deveci said, “The man does not feel energetic as before, decrease in intellectual activity, decrease in muscle mass and resistance, sexual reluctance, increase in erectile dysfunction, increase in fat around the navel, decrease in bone mineral density, sleep disorders, decrease in body hair. changes, depressive mood, decreased glycemic control, increased insulin resistance and increased risk of metabolic syndrome are among the symptoms that affect quality of life. ”


Explaining the drugs used in the treatment, Deveci said, amaç The aim of the treatment of andropause is to replace low TU. Replacement can be done orally, intramuscularly, subcutaneously. Selection can be determined according to patient and physician preference. The form applied on short-acting skin should be preferred because it captures the circadian rhythm of T. Nowadays, the most accepted method is the form applied to the skin (gel, patch). This treatment should be avoided in the presence of breast cancer in men. ” Deveci, explaining the success rates of drugs in treatment, concluded: “With appropriate diagnosis and T replacement, quality of life, restoration of sexual life, improvement in cognitive functions, general well-being, improvement in glycemic control, decrease in cardiovascular risk are expected.”

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With age, sexual problems start to appear in men. Urology Specialist Dr. Serkan Deveci gives information about prostate and andropause.

With age, sexual problems start to appear in men. Urology Specialist Dr. Serkan Deveci, men’s fearful prostate and andropause provides information about the dream. “Often, prostate disease is treated and the symptoms of andropause are ignored. However, these two conditions should be evaluated together,” he says. Saying that andropause causes fat around the navel. Dr. Deveci points out that complaints will decrease with medication. “With medication, there has been an increase in quality of life, a decrease in the risk of sexual problems and heart disease,” he says.

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Endoscopy is an oral procedure to examine the digestive system without surgery. Gastroenterology allows the physician to examine the organ without making an incision in the body. Endoscopy, sometimes used to diagnose disorders of the esophagus, stomach and duodenum, consists of a flexible tube with a camera and light at the end. In some cases, special instruments may be added to the endoscope to perform a biopsy.

What is the reason for endoscopy?

Diagnostic: Endoscopy can be performed because of many symptoms.

·         Abnormal bleeding

·         Stubborn abdominal pain

·         Swallowing difficulty, swallowing difficulty or esophageal obstruction

·         Persistent nausea

·         Diarrhea and constipation not lasting for a long time

·         Unidentified weight loss

·         Stomach ulcer

·         Infections

·         Pancreatitis

·         Stones of the gallbladder

·         Tumors

·         It can be used to investigate the causes of different disorders of the digestive system.

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Commonly seen in men under the age of 30, ıl Hair Rotation ”or tıbbi Pilonidal Sinus tıbbi, called its medical name, is called the hair nest under the skin. It occurs when the hairs enter the coccyx, rarely in the belly, under the skin for various reasons and create wounds, abscesses, fistulas or skin cavities.

In this disease, which is a cyst full of hair, abscess may occur due to infection of the cyst. If the disease is not timely intervened, the abscess progresses to the other hair follicles and can spread to the subcutaneous fat tissue. The free-flowing hair and the hairballs, which occur as a result of the accumulation of hair balls in some areas, cause complaints such as swelling, stiffness, discharge and pain.

Hair loss is 3 times more common in men than in women. The most common age of hair rotation is between 15-25 years. Although the hair structure is one of the most important factors in hair rotation, some factors may cause the problem to be experienced more.

Being overweight, sitting and sweating too much during the day are among the factors that cause hair turn. With the movements of the hip muscles while walking or sitting, the hairs are buried deeper, causing the hair to rotate.

For this reason, especially in the professional groups such as bankers, students and drivers, athletes who are interested in cycling or horseback riding, hair growth is quite common. In addition, the body structure is very hairy, dense and coarse grain structure of the hair, skin thickness and poor hygiene, other prominent factors of the disease.

Diagnostic Methods

With the examination of an experienced physician in this field, the diagnosis of hair rolling can be made with certainty.

How does hair rotation occur? How to tell hair rotation?

Human hairs are constantly shed and replaced. These bristles, which are poured from the back, head and coarse meats, are stuck in the sweaty groove between the two coarse meats, especially in the coccyx. These free hairs can then progress slowly, without hurting into subcutaneous adipose tissue as the person walks and moves, sitting down, rubbing coarse flesh on each other or on the floor, entering any pore at the bottom of the trough.

Bristle rotation is the coccyx of the hair and rarely passes under the skin in the navel to form wounds, abscesses and fistulas. The back and head hairs are inserted between the two coarse meats in the coccyx, inserted into the hairy and sweaty gutter and rotated like a screw through the sweat gland holes at the bottom of the gutter into the subcutaneous adipose tissue and the inflammation of the area with the contribution of bacteria; purulent or bloody, currents and abscesses.

Hair Rotation Symptoms – Pilonidal Sinus Symptoms

In most patients, the condition may progress silently and present symptoms at an advanced stage. Patients often first notice the pain in the coccyx during washing.

Symptoms of hair rotation in general;

  • Regional swelling and sensitivity
  • Skin redness
  • Smelly discharge
  • Ache
  • High fever
  • Weakness
  • Nausea

Symptoms of hair rotation may range from a small pit to a large painful mass. It may be clear, dark or bloody discharge. With infection, the coccyx region may become red, tender, and purulent discharge. If the infection is severe, it may also cause fever, weakness and nausea.

The disease may present with many different conditions. Nearly all patients have an acute abscess process with severe pain, fever and tenderness. It often ends with purulent discharge and pus. After the abscess dissolves, many patients develop a pilonidal sinus spontaneously or as a result of medical intervention. The sinus is a space that extends below the surface of the skin, opening to the surface by one or more small orifices. Although few of these sinuses heal without treatment, most patients require surgery. Chronic illness causes attacks with swelling, pain and discharge. Surgical treatment is always necessary to treat this condition.

Treatment Methods

Depending on the stage of the disease, local treatment and baths, hair removal, crystallized phenol application, as well as surgical methods can be used in the treatment of hair rotation. In patients with very new, small, midline 1-2 sinuses, this can only be reversed with epilation and local care / baths.

When the problem is more common and deep, hair removal / pit excision / sinus removal with local anesthesia (micro sinusectomy) or crystallized phenol is performed. Although there are short and painless procedures that do not require hospitalization, these methods should be applied by experts.

In cases where non-operative methods cannot be applied, various interventional methods are applied to the patients.

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Inguinal hernia, is the most common hernia occurring in the inguinal region. Inguinal hernia, which is approximately 3 times more common in men than in women, constitutes 80% of all hernia types. An intraabdominal defect or rupture in the abdominal wall, which means that the abdominal tissues go out abnormally and cause swelling on the skin.

Symptoms of inguinal hernia

Some hernias are detected during routine controls and do not cause any complaints. Although inguinal hernias do not show acute symptoms, they are usually characterized by swelling or swelling in the inguinal region. The person usually feels relaxation of the groin and then pain. These soft and compressible swellings appear when the intra-abdominal pressure is increased and disappear when the person is lying down. There may be burning and pain feeling on the swelling. Feeling pressure, discomfort and pain during heavy lifting. Pain may be felt after meals and in some cases may lead to constipation. In some types, hernia descends to the testicular bag and swelling is seen in this area. Most of the time, the diagnosis is made by physical examination, but in some cases the inguinal ultrasound is requested by the physician.

Causes inguinal hernia?

When the baby is in the mother’s abdomen, the testes located in the abdomen pass through two separate channels called inguinal and descend into the bags in the last two months of pregnancy. The inguinal canal on both sides closes spontaneously with the development of the baby’s muscles shortly after birth. In some cases, however, one or both channels do not close and form the weak region required for hernia formation. This is why it is more common in men than in women. Hereditary causes, decreased collagen synthesis, weakening of connective tissues, old age, overweight or weight gain, heavy lifting, constipation, straining, chronic cough, urinary difficulty, pregnancy, traumas, abdominal tumors can also cause hernia formation. Other factors that cause the formation of inguinal hernia are:

·         Chronic lung diseases

·         Chronic Constipation

·         Prostate diseases

·        Genetic factors

·         To be born premature

·         Previously had hernia surgery

·         Smoking

·         Exercise

What are the risks of inguinal hernia?

Inguinal hernia can reach life-threatening dimensions as a result of sagging and compression of internal organs that play a role in its formation. This risk is usually caused by strangulation of a hernia. In stuck hernias, the dome-like protrusion, which was initially soft, becomes tense, painful and does not shrink when lying down. Since the stuck organ cannot be fed with enough blood, it may cause gangrene formation, perforation or peritonitis known as inflammation of the abdominal membrane. Drowned hernia is a condition that must be operated urgently.

Where does inguinal hernia pain hit?

Inguinal hernia, which is felt in the groin, waist and abdomen, can also be felt in the testes in men.

Treatment of inguinal hernia

There is no medicated treatment for inguinal hernia and the only treatment is surgery. However, people with inoperable physiology and elderly patients may rarely use inguinal ligaments according to the physician’s recommendation. The groin ligament restricts the movements of the legs and forms a tampon on the hernia, preventing the hernia from escaping. However, if the groin ligament protrudes from the rim, it may become stuck, causing the hernia to suffocate. Therefore, surgery should be preferred if possible. The aim of hernia surgery is to place the hernia in the abdomen, to eliminate the sac formation, to close the cavity that causes the exit and to repair the defect in the abdominal wall in order to prevent recurrence.

Inguinal hernia surgery

The tear in the abdominal wall, the abdominal wall, tends to grow rather than shrink and heal in its natural course. Therefore, it is recommended that people who have been diagnosed with hernia should be operated immediately. If the hernia is small, general anesthesia is preferred, although it can easily be operated under local anesthesia. Inguinal hernias, which can be operated with open or laparoscopic closed surgery methods, are applied to the groin area approximately 5 to 6 cm. made with an incision in length. In laparoscopic surgery, three small incisions are made and the camera is inserted through one of these holes. In both surgeries, after the organs in the hernia area are taken into the abdomen, a patch called mesh is placed on the area between the muscle and the membrane and the formation of hernia is prevented. The mesh is easily accepted by the body and has no side effects. Although the procedure performed in both types of surgery is the same, closed surgery is more comfortable and less painful than open surgery. However, closed surgery is not performed in cases where general anesthesia is not possible, a history of prostate surgery, stuck and suffocated hernias or very large hernias. A few hours after the operation, the patient can be fed and can stand up after approximately 8 hours. Most patients are discharged the next day. There is no diet program and you can start working as soon as the person feels well. They should not lift heavy at home for one and a half months, should be interrupted for the same period of exercises, regular and balanced diet should keep the weight under control. For a healthy life, make sure to do your checks periodically.

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Gallbladder stone is more common in women than men and it is a very painful disease. About 1 liter of bile is released from the liver daily and performs various functions, particularly the absorption of some vitamins from the intestine with fats. When bile flows from the liver to the intestine, which is the continuation of the stomach, the gallbladder on its way accumulates here, absorbing its water and increasing its density. After eating some foods, especially fatty foods, the gallbladder contractes and sends the concentrated bile into the duodenum. It maintains its flowability thanks to the mixture of various amounts of various substances in its composition under normal conditions. However, any increase or decrease in these components contained in the saffron leads to deterioration of the flowability of the saffron and to a “sediment-releasing” state.

Both these deposits and bile deposits, which are known to be fed only by intravenous or prolonged starvation for long periods, also play a role in the formation of gallstones.

Symptoms of gallstones

After the formation of gallstones, the number and size of the stones increase, but usually do not cause any complaints. Gallbladder stones, the majority of which are silent, are detected by chance during some examinations or in some surgeries except for emergencies. However, the stones in the gallbladder and moving under the influence of gravity start to show signs when they obstruct the exit of the gallbladder and prevent the normal discharge. If the stone falls into the main bile duct during the course of gallstone disease, a more problematic process is entered. In this process called jaundice jaundice, abdominal pain, jaundice, red or brown urine color, nausea, vomiting and sometimes fever can be seen. If the infection is added to this picture, it causes serious problems that can be life threatening. It’s called cholangitis. Apart from cholangitis, a gallstone falling into the common bile duct can also cause acute pancreatitis, an inflammatory disease of the pancreas. This disease can seriously endanger life.

Do gallbladder stones cause other diseases?

Stones of the gallbladder; inflammation of the gallbladder, jaundice that develops due to falling stones in the bile duct, inflammation of all bile ducts and pancreas can cause many serious diseases such as. The complaints in the patients are usually pain in the upper-right abdomen, spreading to the right and feeling on the right side of the back, nausea and sometimes vomiting attacks.

If there is inflammation, fever is added to the table. These painful attacks usually start after a heavy fat meal and last around 1-5 hours.

Another complication of gallbladder stones is that the disease caused by a large stone in the gallbladder penetrates the sac wall in a long time and passes into the intestine and causes mechanical obstruction in a narrow part of the small intestine. Gallstones, which are growing and increasing in number during their natural course, constantly irritate the inner wall of the gallbladder, increasing the risk of a chronic inflammation in the form of cancer. This risk is especially high in stone cases exceeding 2–3 cm.

Gallbladder stone risk factors

Gallbladder stones are more common in women than in men. In addition, age, excess weight and many births are among the risk factors.

How is gallbladder diagnosed?

Diagnosis of the disease; blood, urine, stool examinations and ultrasonography (US). With these examinations, close to 100 percent definite diagnosis can be achieved. Other imaging methods such as computed tomography and MRI are rarely used. In addition, endoscopic interventions, which we call ERCP, are used in both diagnosis and treatment, except for ultrasound for the stones in the bile duct.

Gallbladder stone treatment

Various methods are used in the treatment of the disease and its complications. Laparoscopic surgery is the most commonly used method. Less than 5 percent of gallbladder operations are performed with open surgery. The most important reason for open surgery is the previous episodes in the abdomen or adhesions due to surgeries. ERCP and PTK are other treatment methods used when necessary.

Some of the complaints caused by gallbladder stones can be improved following a short-term treatment. However, sometimes the clinical course becomes more severe and may require emergency surgery. Especially in patients with diabetes and similar problems because of the severe course of an immediate surgical intervention inevitably still can come. In addition, the attacks can be decided in cases of repeated recurrence. Because each attack causes permanent damage to the gallbladder and surrounding tissues at varying levels.

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Anal fistulas are not self-healing. This thought will only cause time for the patient and worsen the situation. It is also suggested that advanced fistula formation triggers skin cancer in that area.

The treatment of anal fistula is surgical. Antibiotic therapy can only be used for support, it has no healing effect. Surgical treatment of the fistula involves the opening and scraping of this long canal with inflammation in the fistula tract. Anal sphincters will also be affected during this procedure. The magnitude of this influence is related to the surgeon’s experience and knowledge.

What happens if the fistula is not treated?

In this case, the fistula continues to develop and spread by branching and knotting over the years, and treatment becomes increasingly difficult. Continuous inflammatory process in the region, can go up to cancer. Because of the continuous inflamed discharge, fungus develops around the anus and itching occurs in the anal area.

What is Anal Fistula?

Anal fistula is an abnormal connection between the breech inner surface and the skin outside the breech. It is reminiscent of the ways the mole makes under the ground. However, the places where these roads pass are very important because there are muscles that are very important in human life in terms of their functions in this region. Once the fistula has occurred, it means that the inflammation will flow continuously. Spontaneous recovery is very rare and requires treatment.

What are the causes of anal fistula?

The most important cause of breech fistula and abscess is inflammation of the glands under the skin and between muscles in the anus. Causes of breech fistula are as follows:

Acute diarrhea attack, Foreign body or hard defecation traumas, Inflammatory anal fissures, Inflammatory anal hematomas, Intestinal parasites, Macular worms, Crohn’s disease, Ulcerative colitis, Tuberculosis, Intestinal fungi, Cancers, Intra-abdominal infiltrations, Severe genital infections

What are the symptoms of anal fistula?

·         Pain, swelling in and around the breech

·         Itching and burning in the breech

·         Difficulty in sitting

·         Redness in the breech

·         Feeling fullness from the rectum

·         Smelly or bloody discharge around the breech

·         Contamination in underwear

·         High fever

·         Painful urination

·         Constipation

How is fistula diagnosed?

The examination is often sufficient for diagnosis. It may be necessary to perform some imaging tests in cases where the flow is stopped or the fistula hole remains in the rectum. Some tests, such as MRI and colonoscopy, can be performed to determine the extent of the disease, where the fistula pathway is located, whether there is an abscess focal point inside, or if there is a fistula due to another disease. If simple fistula, colonoscopy may not be performed. But colonoscopy is useful if there is a recurrent fistula or if you are worried about another underlying disease.

Fistula Treatment Methods

Anal fistulas are not self-healing. This thought will only cause time for the patient and worsen the situation. It is also suggested that advanced fistula formation triggers skin cancer in that area.

For the treatment of anal fistula, intervention is absolutely necessary. Antibiotic therapy can only be used for support, it has no healing effect.

Surgical treatment

Surgical treatment of the fistula involves the opening and scraping of this long canal with inflammation in the fistula tract. Anal sphincters will also be affected during this procedure. The magnitude of this influence is related to the surgeon’s experience and knowledge.

During the operation, after opening the breech of the anesthetized patient with retractor, oxygenated water is given from the outer mouth of the fistula close to the skin and the position of the inner mouth of the breech is confirmed. The course of the fistula tract is also determined with the help of a special metal wire called stylet. The amount of muscle to be affected is then estimated and surgery is performed.

In cases where the fistula is too long, more complicated surgical procedures such as mucosal advancement flaps, late fistulotomy and seton administration can be performed.

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In its simplest definition, anal fissure is a fracture in the breech area caused by various causes. Ruptures in this region may occur due to difficulty in defecation and constant straining, as well as frequent defecation and frequent cleaning of the breech in diarrhea. The cracks in the area can be quite simple, but can cause severe pain due to the delicate structure of the area. This pain is felt as a sharp object, like a piece of glass, penetrates the breech area during defecation. There may also be bleeding in varying amounts depending on the size of the crack. People who develop anal fissures in the breech region due to constipation feel the need to keep the breech muscles constantly muscular in order to reduce the pain caused by rupture. Patients also avoid going to the toilet because pain occurs in each defecation. These conditions increase the severity of constipation and prevent the healing of the disease. In some patients, the breech fracture may have spread over a larger area within the anal canal. In this case, the disease is more difficult to cure, and the measures to be taken for constipation and diarrhea will have a greater share in the treatment. For all these reasons, people who have anal fissure problems should apply to a health institution and undergo the necessary examinations and treatment.

How is anal fissure treatment?

The first step in the treatment of breech fractures is the elimination of the problem of constipation. The best method for this is to create a healthy and balanced diet plan. Whole grain breads, bulgur, legumes, fruits and vegetables and oil seeds are the best and healthiest sources of dietary fibers. The regular placement of these nutrients in the diet plan is very effective in increasing the stool volume and bringing the consistency to the required shape. In addition, 2-2.5 liters of water should be used daily. Fecal softening medication may be recommended in patients who have constipation problems due to spastic colon, bowel laziness or those who experience anal fissure after birth. In addition, applications such as sitting baths with hot water, use of topical creams and ointments, and the use of pain medications in people suffering from severe pain are also effective on improving breech fractures and reducing complications due to fractures.

Untreated breech fractures may progress and become chronic. In this case, surgical operations will usually become the only solution. If you are experiencing breech fractures, you should go to a health institution immediately and see a doctor. You can plan your treatment process in accordance with the recommendations of your doctor by having the necessary examination and diagnostic tests related to your disease in the early period.

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Göbek Fıtığı, göbek deliğinin içerisinde ya da dış kısmında meydana gelen belirgin şişliktir. Bu şişlik bazen bir nohut tanesi kadar iken bazen bir portakal kadar büyüme gösterebilir. Göbek fıtıkları gebelik döneminde oluşabileceği gibi daha sonraki süreçte de meydana gelebilmektedir. Bazı gebeliklerde göbek fıtığının doğumun ardından kaybolduğu gözlemlenmiştir.Umbilical hernia is a pronounced swelling that occurs inside or outside the umbilicus. This swelling can sometimes grow as much as a chickpea grain and sometimes grow as an orange. Umbilical hernias may occur during pregnancy or may occur later. In some pregnancies, umbilical hernia disappeared after delivery.Göbek Fıtığı, göbek deliğinin içerisinde ya da dış kısmında meydana gelen belirgin şişliktir. Bu şişlik bazen bir nohut tanesi kadar iken bazen bir portakal kadar büyüme gösterebilir. Göbek fıtıkları gebelik döneminde oluşabileceği gibi daha sonraki süreçte de meydana gelebilmektedir. Bazı gebeliklerde göbek fıtığının doğumun ardından kaybolduğu gözlemlenmiştir.

How does umbilical hernia occur?

The formation of the umbilical hernia is manifested by the outward swelling of the normally inward belly button. The area where the umbilical hernia occurs is an opening region. The area where the hernia occurs is the area where the cord, which acts as blood flow between the mother and the baby, enters the baby’s abdominal wall when the baby is in the womb. When you look from the outside you will see a swelling in the belly.

What are the symptoms of umbilical hernia?

The most obvious thing in umbilical hernia is swelling. Besides the swelling, deformity may also occur in the navel.

What are the causes of umbilical hernia?

Hernia may occur as a result of insufficient closure of the umbilical cord in infants. However, of course, except for infants excess weight, accumulation of water in the abdomen, pregnancy and so on. can cause hernia. This disease is more common in women. The reason for this is the umbilical hernia experienced during pregnancy. Does umbilical hernia cause pain? The question is another important question. Pain symptoms are present in the symptoms of umbilical hernia. Pain is felt when the hernia is stuck. Pain may be felt depending on the compression ratio of the hernia in cases such as coughing and straining.

Umbilical Hernia Treatment

Hernia surgery for hernia treatment (other than the disease itself) can be easily recovered. With surgery, the person can easily continue his daily life in a short time. In the operation of umbilical hernia, effective results are obtained with patch method. In some cases of small hernia, patching is not applied. However, umbilical hernia surgeries performed with patch method have a greater protection rate at the point of recurrence. After the operation of umbilical hernia, care should be taken not to lift heavy. While the daily diet can be continued, painkillers can be taken without exceeding the rate given by the physician. Care should be taken to consume plenty of water within 2 days after surgery.

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