Dr Muammer Kendirci is a distinguished urologist working at the Liv Hospital Ulus, Istanbul, Turkey. He specialises in a myriad of procedures and diseases such as Microsurgical varicocele repair, Microsurgery applications in infertility, Semen duct obstructions, Microscopic TESE, IVF treatment, Prostate diseases, An enlarged prostate, Prostate related urinary disorders, Prostatitis, Men's Health, Andropause, Healthy ageing in men, Hormone disorders; Testosterone deficiency, Sexually transmitted diseases, Endourology and Stone Diseases and Treatment of stones, tumours and strictures with flexible and rigid ureterorenoscopy. He obtained his medical education from Istanbul University, Istanbul Faculty of Medicine. He has also studied at the Tulane University, School of Medicine, Department of Urology, New Orleans, LA, USA.
Dr Muammer Kendirci has been a part of many different medical articles in reputed medical journals. He is also a part of many associations such as Sexual Medicine Society for North America (SMSNA), European Society for Sexual Medicine ESSM), American Society of Andrology (ASA), Endourology Association and Turkish Geriatrics Association.
We have listed for your convenience the conditions that are treated by Dr. Muammer Kendirci.:
The conditions that are present in reproductive system in males as well as conditions of the urinary tract are treated through several procedures by this surgeon. The Urosurgeons operate patients for tumors of kidney, ureter, prostate and bladder. A condition that is pretty common is Hernia for which the patients approach Urosurgeons.
A urogenital condition can be the reason behind these symptoms and signs.:
Frequent urinary tract infections (UTI) and bladder incontinence are really a worrying sign and indicate that you must consult the Urosurgeon immediately. It is wise to get yourself checked with a Urosurgeon if certain symptoms like blood in urine, strong smelling urine or reduced urine output become clear.
10 am to 5 pm, Monday to Saturday are the surgeons' operating hours, Sunday is a holiday. The surgeon has been endorsed by several patients owing to the high success rates of the procedures performed with least complications.
Here is a list of popular procedures performed by Dr. Muammer Kendirci.:
It is not just the outpatient surgeries that the doctors perform but inpatient ones as well. A number of procedures such as inguinal hernia surgery, total cystectomy and bladder tumor surgery which are actually urogenital procedures come under this specialty. All factors must be taken into account while performing the procedures and this includes due consideration of what the patient needs.
You can book a video consultation with Dr. Muammer Kendirci on our platform
The prostate gland is present below the urinary bladder in men. It surrounds the urethra and produces fluid that helps in the movement of the semen. Prostatectomy is a surgery that involves total or partial removal of the prostate gland. It is commonly performed as a part of treatment for prostate cancer.
Radical prostatectomy: This surgery involves the removal of the entire prostate gland along with the surrounding lymph nodes. The surgical techniques used to conduct radical prostatectomy include the following:
Open simple prostatectomy: This surgical procedure involves removal of just the affected part of the prostate gland and is recommended for men with the cancerous prostate gland or benign prostatic hyperplasia (BPH).
Cancer in Bladder can be found to vary depending on the type of its origins. It can arise from the lining of the epithelium which is the inner lining of the urinary bladder or the urothelium. Rare forms of cancer are not of epithelial origins like the sarcoma or lymphoma. Tumours in bladder is found to be the 9th leading type of cancer in United States as per a survey conducted in 2012 with 430,000 new cases and mortality of 165000 deaths annually.
The first and foremost question to ask is where is your bladder located? The sac like muscular urinary bladder is located in the pelvis region above the pelvic bone. It is connected to the kidneys through the two ureters that transfer the urine from the kidney to the bladder for storage. An abnormal growth of cells in the inner lining causes a tumour requiring diagnosis and then followed by a turbt surgery.
In most cases the tumour cannot be assessed in the primary stages. There are hardly any notable evidences found when the patient is harbouring a primary tumour.
The next stage is designated as Oa and categorized as a non invasive type papillary cancer.
In the stage next of the stage 0 or the carcinoma in situ the inner lining of the bladder is affected and is still considered non invasive.
In stage I the cancer has spread into the lining of the bladder further but has not affected the muscular wall of the bladder.
While in Stage II the inside part gets affected including the muscles of the bladder making it now invasive.
And when the cancer has spread enough in muscles and the tissues around the bladder like the reproductive organs it is considered to be in stage III.
And in the final or stage IV the cancer will spread to the lymph nodes affecting the organs around it as well.
The causes of tumour in bladder are not always very clear and well defined but it has been linked with smoking, chemical exposure and radiation or a parasitic infection. The abnormal cells undergo some mutation that allows them to multiply in a non orderly fashion and goes beyond control and they do not die thus giving rise to the tumour.
A person suffering from a tumour will experience mild sensation of burning and discomfort in the times of urination for quite a few days. The force of the urinary stream may also undergo significant changes which can be observed for a week to a fortnight. Usually there could be none of the symptoms and in certain cases all symptoms even if experienced may not lead to the conclusion that it is a bladder cancer. There can be blood or clots of blood in the urine along with a tendency of urinating too frequently. Tendency of urinating at night may be felt more but there can be general problems in urine passing. Associated along with this the patient can experience pain on either side of the body.
This procedure aims at removing bladder tumours at an early stage by inserting a scope through the urethra leading to the bladder. In the TURBT procedure bladder cancer can be detected by the urologist and potentially allow the urologist to treat various other kinds of bladder related disorders. But 75% of the cancer of bladders that are detected are superficial in nature causing growth only on the surface of the walls of the bladder and does not get very deep. So this facilitates the surgeon to have the tumour removed at the bladder wall level causing no damage to the deeper layers of the organ. The information that is collected while executing the procedure will help the surgeons to decide the type of the abnormality of the tumour and the extent of the tumour. This later allows the urologist surgeons to decide whether further treatments will be required or not.
Some of the other treatment alternatives for TURBT are being worked upon while some of them have tremendous side effects
Blue light fluorescent cystoscopy : Enhanced tumour visualization is possible and detection of tumour chances are increased by almost 20 to 25% with this method where an ultraviolet blue light is used. A dye is injected an hour prior to the procedure.
Adjuvant bladder cancer therapy: TURBT is not suitable for many who have high chances of suffering a recurrence within 12 months from the treatment. In this case adjuvant therapy is recommended. It includes intravesicle chemotherapy. Chemotherapy for bladder cancer includes giving medication to curb the abnormal growth of cells. But it also has its sets of side effects like experiencing irritation in bladder and loss of hair, nails and feeling debilitated for a very long period of time.
The enlarged prostate gland can become a subject of concern after a certain age in men. It causes trouble while urinating and that is one of the main reason why such men are advised to undergo trans urethral resection of prostate (TURP) surgery.
The prostate gland goes through two phases as a man grows old. The growth phase occurs during puberty when the gland assumes double its size. The second phase of growth takes place after a man has attained the age of 25. This final size at this stage continues to remain the same throughout the life. But when men suffer from benign prostatic hyperplasia, the prostate gland gets further enlarged.
When the gland enlarges, it squeezes the urethra and as a result, the wall of the bladder grows thick. With time, the bladder grows weak and loses its ability to empty the urine completely. This allows some urine to stay back in the bladder at all times. Along with this, the urethra also narrows and hence, all the problems associated with urination keep coming back.
As of now, it is not totally clear why most men develop BPH but it mainly indicates an imbalance of hormones and sexual activities with advanced age. Apart from that, there can be urinary tract infection, narrowing of the urethra known as urethral stricture, inflammation of the prostate, bladder or stones in the kidney, nerve problems in controlling the bladder, or scarring in the neck of the bladder as a result of previous surgery.
The following are some of the symptoms of BPH:
Frequent urge to urinate
Some of these above symptoms can occur even in men whose prostate has not enlarged significantly.
Dr Muammer has 26 years of experience as a urologist in turkey.
He specialises in a myriad of procedures and diseases such as Microsurgical varicocele repair, Microsurgery applications in infertility, Semen duct obstructions, Microscopic TESE, IVF treatment, Prostate diseases, An enlarged prostate, Prostate related urinary disorders, Prostatitis, Men's Health, Andropause, Healthy ageing in men, Hormone disorders; Testosterone deficiency, Sexually transmitted diseases, Endourology and Stone Diseases and Treatment of stones, tumours and strictures with flexible and rigid ureterorenoscopy.
Yes, Dr Muammer provides online consultation through MediGence.
It costs 160 USD for online consultation with Dr Muammer.
Dr Muammer is a part of the following associations –
Sexual Medicine Society for North America (SMSNA)
European Society for Sexual Medicine ESSM)
American Society of Andrology (ASA)
Turkish Geriatrics Association
Istanbul Medical Chamber
Whenever a patient complains of a problem related to the kidney, penis, urinary bladder or any other part of the excretory system of the body, then the patient needs to see a urologist. Dr Muammer is a specialist in the treatment and diagnosis of illnesses regarding this excretory system.
He can be easily consulted by registering your profile with MediGence and writing down your enquiry. A meeting with the surgeon will be scheduled. Following which the consultation can be done.
This surgeon is the most sought after for pain and discomfort related to the various urogenital conditions in patients. Their is appropriate testing and screening which is involved prior to the procedure itself done under the supervision of the Urosurgeon. Refining the processes and enabling better results with greater finesse is also one of the responsibilities of a Urosurgeon. It is the responsibility of the surgeon to recommend the best medicines, adequate lifestyle changes if needed and guide the patient through to the surgery.
A Urosurgeon consultation means that certain recommended tests may be needed and we have listed them here for your convenience.:
The tests which have a natural correlation with the urogenital conditions are advised by the Urosurgeons and these include Kidney tests of various kinds. The surgeons can, after due consideration advise you to get a kidney or prostate biopsy if cancer is to be ruled out or confirmed regards abnormal growth in kidney or prostate. As per the emergent situation, the doctor can also advise you to get Kidney Ultrasound, Prostate/Rectal Ultrasound.
When medical treatment has been ruled out either right at the onset or it has been applied and has failed to help you, it is then that you go to see a Urosurgeon. Instead of being referred by a primary care doctor, you can choose to approach a Urosurgeon directly if the symptoms are severe and a clear indication that only surgery can help you. Kindly ensure that if and when complications arise post urogenital surgery then you do not waste time and visit the surgeon as soon as possible. Sometimes the symptoms do not have a direct reference as a urogenital problem but may lead to them, to rule out this possibility, your doctor may refer you to a Urosurgeon.