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Daha sonra iktidarsızlık, cinsel yolla bulaşan hastalıklar, laparoskopik ameliyatlar, idrar yolu enfeksiyonları, erkek infertilitesi, varikosel, inmemiş testis ve hipospadias gibi konular incelenmektedir.","Her hastalığın belirtileri, teşhis yöntemleri ve tedavi seçenekleri hakkında kapsamlı bilgiler sunulmaktadır. Özellikle erken teşhisin önemi vurgulanmakta, tedavi yöntemleri (ilaç tedavisi, cerrahi müdahaleler, kemoterapi, radyoterapi) ve hastaların normal hayatına dönme olasılıkları açıklanmaktadır. Ayrıca, hipospadias gibi bazı hastalıkların cerrahi tedavisi ve erkek infertilitesi için sperm tahlili önemi gibi güncel bilgiler de paylaşılmaktadır."]},"endTime":2071,"title":"Ürolojik Hastalıklar ve Tedavileri Hakkında Bilgilendirici Program","beginTime":0}],"fullResult":[{"index":0,"title":"Doktorun Tanıtımı","list":{"type":"unordered","items":["Özel Medikal Hastanesi Üroloji Bölümü Uzmanı Dr. Emin Coşkun programda konuk olarak yer alıyor.","Dr. Coşkun 1968 yılında Karabük Bulak'ta doğmuş, ilk ve ortaöğretimini Karabük'te tamamlamış, uzmanlığını İstanbul Eğitim Araştırma Hastanesi'nde almış.","2005'ten beri Karabük Şirinevler Özel Vatan Hastanesi'nde çalışmakta ve şu anda Medikal Hastanesi'nde beş yıldır görev yapmaktadır."]},"beginTime":67,"endTime":112,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=67&ask_summarization=1"},{"index":1,"title":"İdrar Yolları Taşları","list":{"type":"unordered","items":["İdrar yolları taşları, böbrek, üreter, mesane ve üretra gibi idrar yollarında meydana gelen taşlardır.","Taşların %85'i kalsiyum oksalat veya kalsiyum fosfat taşlarıdır, diğerleri sitrit, ürik asit ve magnezyum fosfat taşlarıdır.","Taş hastalığının belirtileri en çok kolik ve şiddetli ağrıdır, taşın yeri ve şekline göre sağ veya sol yan ağrısı, idrar yaparken yanma ve sızı gibi belirtiler görülebilir."]},"beginTime":112,"endTime":255,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=112&ask_summarization=1"},{"index":2,"title":"Taş Hastalığının Tedavisi","list":{"type":"unordered","items":["Taşların tedavisi eskiden açık ameliyatlar olmakla birlikte, şu anda kapalı yöntemle yapılmaktadır.","Flexible urs (flexible üreteroskopi) yöntemiyle hastanın idda yaptığı delikten kamera ile taşın olduğu yere ulaşılarak, pnömatik veya lazer aletlerle taş kırılarak dışarı alınmaktadır.","Böbrekte 2 cm ve üzerindeki taşlar için perkütan yöntem uygulanır, bu yöntemde hastanın yan tarafından 1 cm'lik bir kesi ile böbreğe girilerek taşlar kırılarak parçalar halinde dışarı alınır."]},"beginTime":255,"endTime":379,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=255&ask_summarization=1"},{"index":3,"title":"Prostat Hiperplazisi","list":{"type":"unordered","items":["Prostat hiperplazisi (BPH), mesanenin çıkışında bulunan prostatın yaşa bağlı olarak büyümesi ve idrar kanalını daraltmasıdır.","Hastalığın belirtileri idrar yapmakta zorlanma, kesik kesik idrar yapma, idrarda yanma ve sızı, geceleyin sık idrara çıkma ve idrarın geride kalmasıdır.","Teşhis için idrar ve kan tahlilleri yapıldıktan sonra ultrasonla prostatın büyüklüğü ölçülür ve üroflometri (işeme testi) ile hastalığın şiddeti belirlenir."]},"beginTime":379,"endTime":506,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=379&ask_summarization=1"},{"index":4,"title":"Prostat Hastalığının Tedavisi ve Erken Teşhis","list":{"type":"unordered","items":["Prostat hastalığının tedavisi öncelikle medikal olup, ilaç tedavisi verildikten sonra hasta kendini iyi hissediyorsa senelerce ilaç kullanabilir.","Prostat hastalığından korunmak zordur çünkü hastalığın %99,9'u genetiktir ve yaşlanınca prostat büyümesi kaçınılmazdır.","Erken teşhis için PSA (prostat spesifik antijen) tahlili yapılır, bu tahlilde 4 ng/mL değerinin üstünde ise prostat altında kanser olabileceği belirtisidir."]},"beginTime":506,"endTime":619,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=506&ask_summarization=1"},{"index":5,"title":"Cerrahi Tedavi ve İdrar Kaçırma","list":{"type":"unordered","items":["İlaç tedavisi yeterli olmazsa, idrar şikayetleri sosyal hayatını etkiliyorsa cerrahi tedavi uygulanır.","Cerrahi tedavide transüretral rezeksiyon (kapalı prostat ameliyatı) uygulanır, hasta bir-iki gün hastanede sondalı olarak kalır ve hayatına devam eder.","İdrar kaçırma, bayanların belli bir yaştan sonra çok sık görülen bir durumdur ve doğumlarda, yaşlanmaya bağlı üretra kas tabakasının zayıflığına bağlı olarak meydana gelir."]},"beginTime":619,"endTime":724,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=619&ask_summarization=1"},{"index":6,"title":"İdrar Kaçırma Tedavisi","list":{"type":"unordered","items":["İdrar kaçırma iki tip olarak ayrılır: sıkışma tipi (earch inkontinans) ve stres tipi (stres inkontinans).","Sıkışma tipi idrar kaçırması ilaç tedavisiyle (antikoljikler) veya botoks enjeksiyonu ile tedavi edilebilir.","Stres tipi idrar kaçırması cerrahi tedaviyle (askı ameliyatı veya slink ameliyatı) yüzde 75-95 oranında şifa sağlar."]},"beginTime":726,"endTime":818,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=726&ask_summarization=1"},{"index":7,"title":"Prostat Kanseri","list":{"type":"unordered","items":["Prostat kanserinde hasta şikayetleri olabilir veya olmayabilir, önemli olan PSA (prostat spesifik antijen) değerinin 4 ve üstünde olmasıdır.","Prostat kanserinde idrar yaparken zorlanma, kesik idrar yapma, yanma ve idrar sonrası geride kalmış hissi belirtileridir.","Erken evrede (PSA 4-10 arasında) tespit edilen prostat kanserlerinde açık, laparoskopik veya robotik yöntemlerle ameliyat yapılarak yüzde 90-100 şifa sağlanabilir."]},"beginTime":818,"endTime":919,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=818&ask_summarization=1"},{"index":8,"title":"Mesane Kanseri","list":{"type":"unordered","items":["Mesane kanserinde en önemli belirti idrarından kan gelmesidir, yanma ve sızı olmadan bile pıhtı gelmesi önemlidir.","Sistoskopi işlemi, penisten ileri yapılan kamera ile idrar kesesine girilerek kanser tespit edilir ve kapalı ameliyatla tedavi edilir.","Mesane kanserlerinin en büyük sebebi sigaradır, özellikle sigara içen erkeklerde daha sık görülür."]},"beginTime":919,"endTime":1068,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=919&ask_summarization=1"},{"index":9,"title":"Böbrek Kanseri","list":{"type":"unordered","items":["Böbrek kanserinde hiçbir belirti olmadan ortaya çıkabilir, \"dahileci tümörü\" olarak da bilinir.","Böbrek tümörü toplayıcı sistemi sıkıştırırsa ağrı, ilerlediyse idrarından kan ve genel kanser belirtileri (iştahsızlık, halsizlik) görülebilir.","Böbrek dışına çıkmadan yakalanan böbrek kanserlerinde tümör çıkarılmasıyla tam kür sağlanabilir, ancak böbrek dışına çıkmış kanserler tedavi edilemez."]},"beginTime":1068,"endTime":1240,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1068&ask_summarization=1"},{"index":10,"title":"Testis Kanseri","list":{"type":"unordered","items":["Testis kanseri özellikle 25-40 yaş aralığında görülen bir kanser türüdür.","Testis kanserinde sağ veya sol testiste şişlik, büyüme veya sertlik hissedilirse hemen üroloji uzmanına başvurulmalıdır.","Testis dışına çıkmamış testis kanserlerinde testisin alınmasıyla yüzde 90-95 şifa sağlanabilir, yayılıp yayılmasına bağlı olarak kemoterapi ve radyoterapi de uygulanabilir."]},"beginTime":1240,"endTime":1315,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1240&ask_summarization=1"},{"index":11,"title":"İktidarsızlık ve Tedavisi","list":{"type":"unordered","items":["İktidarsızlık, erkeklerde cinsel ilişkiyi sağlayacak sertleşmeyi sağlayamama veya devam ettirememe durumudur ve şeker hastalığı, kalp hastalığı ve sigara gibi sistemik hastalıkların en büyük sebeplerinden biridir.","İktidarsızlık tedavisinde öncelikle ilaç tedavisi ve penise yapılan internal enjeksiyon uygulanır, daha sonra protez (mutluluk çubuğu) ameliyatı en son çare olarak uygulanır.","Edebin adlı yeni bir alet geliştirilmiş olup, ilaç tedavisine veya interaka enjeksiyonuna cevap vermiyorsa, penise kısa şok dalgalarıyla yeni damar oluşumu yaparak sertleşmeyi artırır ve iktidarsızlığı ortadan kaldırır."]},"beginTime":1323,"endTime":1443,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1323&ask_summarization=1"},{"index":12,"title":"Cinsel Yolla Bulaşan Hastalıklar","list":{"type":"unordered","items":["Cinsel yolla bulaşan hastalıkların başında üretrit (ideal yolundaki yanma, sızı ve sarı/yeşil renkli akıntı) gelir, bu hastalık antibiyotik tedavisiyle kolaylıkla tedavi edilebilir.","Kondilom (genital bölgede görülen siğiller) koterize edilerek (yakılarak) tam kür sağlanır.","Herpes simplex (genital bölgede çıkan papül şeklinde ağrılı veya ağrısız akne tipi) medikal tedaviyle tamamen tedavi edilebilir."]},"beginTime":1443,"endTime":1532,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1443&ask_summarization=1"},{"index":13,"title":"Laparoskopik Ameliyatlar","list":{"type":"unordered","items":["Laparoskopik ameliyatlar ürolojide artık açık ameliyat yerine tercih edilmektedir ve böbrek ve prostat ameliyatlarında kullanılmaktadır.","Bu yöntemde batı bölgesinde belli delikler açılarak portlar yerleştirilir ve aletler sokularak kapalı yöntemle ameliyat yapılır.","Laparoskopik ameliyatların faydaları: hastaların kısa sürede normal hayatlarına dönmesi, kan kaybının az olması, iyileşmenin rahat olması ve ağrı duymasının az olmasıdır."]},"beginTime":1532,"endTime":1596,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1532&ask_summarization=1"},{"index":14,"title":"İdrar Yolu Enfeksiyonu","list":{"type":"unordered","items":["İdrar yolu enfeksiyonu klinikte en sık görülen hastalık grubudur ve belirtileri idrar yaparken yanma, sık idrara gitme, idrar varmış gibi hissetme ve göbek altında ağrıdır.","Enfeksiyonun şiddetine bağlı olarak ateş, üşüme, titreme ve halsizlik gibi belirtiler de görülebilir.","İdrar yolu enfeksiyonu bayanlarda erkeklere göre daha sık görülür çünkü üretra (idrar yolu) bayanlarda daha kısa olduğu için enfeksiyon idrar kesesine daha kolay geçebilir.","İdrar yolu enfeksiyonu zamanında tedavi edildiğinde basit bir antibiyotikle tedavi edilebilir."]},"beginTime":1596,"endTime":1682,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1596&ask_summarization=1"},{"index":15,"title":"Erkek İnfertilitesi","list":{"type":"unordered","items":["Erkek infertilitesi (kısırlık) durumunda, çift korunmasız ilişki bir sene geçtikten sonra gebelik oluşmuyorsa önce erkeğin en yakın koruyucu uzmanına başvurması gerekir.","Erkekte infertilitenin en büyük sebeplerinden biri varikosel'dir, bu testislerde besleyen damarlarda normalden fazla genişleme ve sperm kalitesinde azalma ile karakterize olan bir hastalıktır.","Varikosel fizik muayene ile tespit edilebilir ve skrotal doppler ultrasonla da görülebilir, tedavisi cerrahi olup kasık bölgesinden yapılan insizyonla mikroskobik yöntemle genişleyen venlerin bağlanmasıdır."]},"beginTime":1682,"endTime":1796,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1682&ask_summarization=1"},{"index":16,"title":"İnmemiş Testis","list":{"type":"unordered","items":["İnmemiş testis tedavi edilmezse kısırlığa yol açabilir ve çocuklarda doğduktan sonra fizik muayene sırasında mutlaka kontrol edilmelidir.","Testis bir yaşına kadar takip edilir, eğer hala yerinde değilse iki fizik muayene ile ayrılır: rekreatil (utangaç) testis veya inmemiş testis.","Rekreatil testis için hormon tedavisi kullanılabilir, sağlanmazsa cerrahi yöntemle testis normal scrotuma indirilir; inmemiş testis için ise direkt cerrahi tedavi uygulanır.","İnmemiş testis tespit edilmezse kasıkta kalan testis kansere sebep olabileceğinden zamanında tedavi edilmelidir."]},"beginTime":1796,"endTime":1893,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1796&ask_summarization=1"},{"index":17,"title":"Hipospadias","list":{"type":"unordered","items":["Hipospadias, erkek çocuklarında idrarını normal yerinden yapamama durumudur ve idrar deliği penisin ucunda değil ortasında bir yerde olur.","Bu durum doğar doğmaz aile tarafından fark edilir ve çocuk doktorları muayenesinde tespit edilir.","Hipospadias, idrarın normal yaptığı yerin dışında penisin glansla scrotum birleşim yerine kadar olan kısmının herhangi bir yerinde çıkması olayıdır ve zamanda tespit edilip cerrahi tedavi edilmesi gerekir."]},"beginTime":1893,"endTime":1945,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1893&ask_summarization=1"},{"index":18,"title":"Hipospadias Tedavisi","list":{"type":"unordered","items":["Hastalar anestezi alacak düzeye geldiklerinde, özellikle bir yaş ve sonrasında hipospadias durumu cerrahi olarak tedavi edilmektedir.","Cerrahi tedavi, penisin kozmetik olarak normal görünümlü olmasını sağlayarak hastada normal idarını normal şekilde yapmasını mümkün kılmaktadır.","Hipospadias durumunun tespit edilmesi için ailenin veya doktorun uyanık olması ve bir üroloji uzmanına başvurması gerekmektedir."]},"beginTime":1955,"endTime":1980,"href":"/video/preview/16978184041482186744?parent-reqid=1765352577186144-15031505603597725747-balancer-l7leveler-kubr-yp-vla-194-BAL&text=MED%C4%B0KAR+HASTANES%C4%B0&t=1955&ask_summarization=1"},{"index":19,"title":"Program 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