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Detaylı bilgi için: Telefon: 444 4 324...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/789346/8057f125de27813723b86c33d26dedb4/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/fqw-CgIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"6","reqid":"1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=videoid:16007679725247864668","teaser":[{"list":{"type":"unordered","items":["Özel Denizli Cerrahi Hastanesi üroloji uzmanı operatör Dr. Alper Başakçı, Worktürk'e erkeklerde sertleşme problemleri hakkında bilgi verdi.","Video, erkeklerde ereksiyon sıkıntısının nedenleri, tanı yöntemleri ve tedavi seçenekleri hakkında detaylı bilgiler sunuyor. Dr. Başakçı, şeker, tansiyon, kalp hastalıkları ve yüksek kolesterol gibi kronik hastalıkların sertleşme problemlerine etkisini anlatırken, tanı için anamnez alma ve penil doppler ultrason gibi yöntemleri açıklıyor. 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uzmanlarımızdan Op. Dr. Alper Başakcı, erkek hastalarda sıklıkla karşılaşılan “sertleşme problemi” ile ilgili soruları Denizli Metropol Tv'de yayınlanan "20de20" programında ya...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3852559/8d134780fc4c5fd9349ba3e93d204413/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/VPFmNwIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"9","reqid":"1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=videoid:16733349073218304557","teaser":[{"list":{"type":"unordered","items":["Bu video, Denizli Metropol Ekranları'nın \"20'de 20\" programında sunucu ve Özel Denizli Cerrahi Hastanesi'nden üroloji uzmanı operatör doktor Alper Başakçı arasında geçen bir röportajdır.","Röportajda erkeklerin korkulu rüyası olarak tanımlanan iktidarsızlık (ereksiyon bozukluğu) konusu detaylı olarak ele alınmaktadır. Video, ereksiyon sorunlarının tanımı, nedenleri, tanı yöntemleri ve tedavi seçeneklerini adım adım anlatmaktadır. İlaç tedavileri, kan sulandırıcılar, şok dalga tedavisi, PRP tedavisi, damar genişletici kokteyller, penil protez ameliyatları ve penis uzatma-kalınlaştırma teknikleri gibi çeşitli tedavi yöntemleri açıklanmaktadır.","Röportajda ayrıca erken boşalma ve geç boşalma gibi cinsel sorunlar, bu sorunların psikolojik ve anatomik sebepleri ve hastaların beklentilerinin gerçekçi olması gerektiği vurgulanmaktadır. Doktor, internetten veya merdiven altı satılan ilaçların tehlikelerini belirterek, her hastaya göre özel bir tedavi planı oluşturulması gerektiğini ve kulaktan dolma tedavilerden kaçınılması gerektiğini ifade etmektedir."]},"endTime":1776,"title":"Erkek Cinsel Sağlığı ve Tedavi Yöntemleri","beginTime":0}],"fullResult":[{"index":0,"title":"Program Tanıtımı ve Konu Tanıtımı","list":{"type":"unordered","items":["Denizli Metropol Ekranları'nın \"Yirmi'de Yirmi\" programında erkeklerin korkulu rüyası olan iktidarsızlık ve sertleşme sorunu konusu ele alınacak.","Özel Denizli Cerrahi Hastanesi'nden üroloji uzmanı operatör doktor Alper Başakçı programda yer alacak.","Bu konu son zamanlarda eşler, partnerler ve kendileri tarafından daha çok konuşulmaya ve tedavi aranmaya başlanmış."]},"beginTime":8,"endTime":105,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=8&ask_summarization=1"},{"index":1,"title":"Sertleşme Bozukluğu Tanımı","list":{"type":"unordered","items":["İktidarsızlık halk arasında yaygın olarak kullanılan bir terim olup, tıpta ereksiyon bozukluğu olarak adlandırılır.","Penisin sertleşmesinde ve idamesinde yetersizlik olduğu zaman ereksiyon sıkıntısı olarak tanımlanır.","Boşalma sorunları (erken boşalma, geç boşalma veya hiç boşalmama) da bu rahatsızlıkların bir parçasıdır."]},"beginTime":105,"endTime":166,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=105&ask_summarization=1"},{"index":2,"title":"Sertleşme Bozukluğunun Nedenleri","list":{"type":"unordered","items":["Kırk yaşından sonra erkeklerin yaklaşık yüzde kırk'ında, elli-altmış yaşlarda ise yüzde elli-altmış oranında sertleşme bozukluğu görülmektedir.","Sigara, alkol, şeker hastalığı, kalp hastalığı, sedanter hayat, spor yapmama ve obezite bu sorunun en büyük etkenleridir.","Nörolojik rahatsızlıklar, belinden ameliyat geçirmiş veya kaza sonucu belinde problem olan hastalarda da ereksiyon sıkıntısı görülebilir."]},"beginTime":166,"endTime":213,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=166&ask_summarization=1"},{"index":3,"title":"Damarsal Sorunlar ve Psikolojik Etkiler","list":{"type":"unordered","items":["Ereksiyon için penise kanın gitmesi gerekir; atardamarın açık olması ve toplardamarın kapanması gerekir.","Şeker hastalarında ve kalp hastalarında damar tıkanıklığı görülebilir, bu durumda kardiyolojik değerlendirme yapılabilir.","Ekonomik sıkıntılar, çevresel faktörler ve stres önemli etkenlerdir; hastaların yaklaşık yüzde altmış-yetmiş'i bu psikolojik etkenlerden etkilenmektedir."]},"beginTime":213,"endTime":344,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=213&ask_summarization=1"},{"index":4,"title":"Tanı ve Tedavi Yöntemleri","list":{"type":"unordered","items":["Hastalar eskiden korkarak gelirken, şu anda rahatlıkla gelmekte ve eşleriyle beraber konuşabilmektedir.","Tanı için muayene, doğumsal rahatsızlıklar, nörolojik rahatsızlıklar, sigara, alkol, obezite durumu değerlendirilir.","Kan tahlilleri alınır, kolesterol, şeker ve hormon değerleri kontrol edilir, ardından penil doppler ultrason testi yapılır."]},"beginTime":344,"endTime":402,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=344&ask_summarization=1"},{"index":5,"title":"İlaç Tedavisi ve Riskleri","list":{"type":"unordered","items":["Eczaneden rahatlıkla alınabilen ilaçlar önerilmemektedir, ancak bazı hastalar utanmadan bu ilaçları kullanmaya çalışmaktadır.","İlaçlar belirli bir zaman dilimi içerisinde damarların açılmasına ve sertleşmeyi sağlamaya yardımcı olabilir.","İlaçların dozları, molekül yapısı, alkol ve yemekle alınması gibi faktörler önemlidir; piyasada farklı doz ve yan etkileri olan birçok ilaç bulunmaktadır."]},"beginTime":402,"endTime":476,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=402&ask_summarization=1"},{"index":6,"title":"İlaç Kullanımı ve Riskleri","list":{"type":"unordered","items":["İlaçların kim tarafından, ne kadar dozda kullanılacağı ve hangi ilaçlarla birlikte kullanılmaması gerektiği doktor ve hasta arasında konuşulmalıdır.","Eczaneden kendi bilgimizle ilaç alıp kullanmak veya internetten veya merdiven altı yollardan ilaç almak tavsiye edilmez çünkü doz bilgisi eksik olabilir ve ilaçların orijinal olup olmadığı sorun yaratabilir.","Benzin istasyonlarında satılan enerji içeceklerinde de bu tür ilaçlar bulunabilir ve insanlar bilmeden kullanabilir, bu da karaciğer yetmezliği, böbrek yetmezliği veya yan etkilerle sonuçlanabilir."]},"beginTime":491,"endTime":584,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=491&ask_summarization=1"},{"index":7,"title":"Tedavi Yöntemleri","list":{"type":"unordered","items":["İlk basamak tedavi olarak cinsel ilişki öncesinde kullanılan veya her gün düşük dozda sürekli kullanılan ilaçlar kullanılır.","İlaç tedavisinden fayda görülmezse ikinci basamak tedavi yöntemleri olarak coraspin gibi kan sulandırıcılar kullanılabilir, ancak bu ilaçların etkisi çok aşırı değildir.","Dil altı hapları ve tansiyon ilaçları ile bu tür ilaçlar aynı anda kullanılmamalıdır çünkü tansiyonu düşürerek kalp krizi veya ani ölüm riski oluşturabilir."]},"beginTime":584,"endTime":681,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=584&ask_summarization=1"},{"index":8,"title":"Düşük Yoğunluklu Şok Dalga Tedavisi","list":{"type":"unordered","items":["Son on yılda düşük yoğunluklu şok dalga tedavisi (SHD) popüler hale gelmiş ve kitaplarda kullanılmaya başlanmıştır.","Bu yöntem önce koroner arterleri açmak için kullanılmış, sonra penis arterlerinde de pozitif etki görülmüştür.","Tedavi, damar yapısını açarak yeni damar oluşumunu sağlayan hücreleri uyararak kanın oraya gitmesini artırır ve ereksiyonu artırır."]},"beginTime":681,"endTime":740,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=681&ask_summarization=1"},{"index":9,"title":"ŞD Tedavisinin Detayları","list":{"type":"unordered","items":["Bu yöntem penis eğriliği (Peyronie hastalığı) ve penisin kalınlaşması gibi durumlarda da kullanılabilir.","Yaklaşık 10-15 dakika süren, yan etkisi, ağrısı veya sızısı olmayan bir işlemdir.","Dışarıdan penisin belli bölgelerine düşük yoğunluklu şok dalgası verilerek yaklaşık 1500 atış yapılarak 6-12 seans uygulanır ve başarı oranı %60-70 civarındadır."]},"beginTime":740,"endTime":812,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=740&ask_summarization=1"},{"index":10,"title":"PRP Tedavisi ve Diğer Yöntemler","list":{"type":"unordered","items":["PRP (plazma) yöntemi ile hastanın kanı alınıp santrifüjden geçirilerek zengin hücreler penise enjekte edilir.","PRP tedavisi özellikle yaşlı hastalarda dizlere, saç çıkması için veya başka yerlerde de kullanılır.","PRP tedavisi şok dalga tedavisinin başarı oranını %60-70'den %70-80'e çıkarabilir.","İlaç ve şok dalga tedavisi başarısız olursa vakum cihazları ve iğne tedavisi gibi cerrahi operasyonlar da düşünülebilir."]},"beginTime":812,"endTime":874,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=812&ask_summarization=1"},{"index":11,"title":"Ereksiyon Sorunlarının Tedavisi","list":{"type":"unordered","items":["Damar genişletici kokteyller, hastaya ilişkiden önce kendi kendine veya penis bölgesine uygulanarak sertleşmeyi sağlar ve başarı şansı yüzde yetmiş civarındadır.","İlaç tedavisi başarısız olursa son çare olarak penil protez (mutluluk çubuğu) ameliyatı uygulanır.","Penil protez ameliyatlarında partner memnuniyeti yüzde doksan, hasta memnuniyeti yüzde doksan-doksanbeş'e kadar çıkabilir."]},"beginTime":879,"endTime":947,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=879&ask_summarization=1"},{"index":12,"title":"Penil Protez Ameliyatı Detayları","list":{"type":"unordered","items":["Üç parçalı protez yönteminde penisin iç kısmına özel silikon madde yerleştirilir, karnın arkasına rezervuar, testislerin yanına pompa konulur.","Ameliyat sonrası altı hafta hasta ilişkiye girmemeli, vücut yabancı cisimi kabul ettikten sonra pompayı sıkarak penisin içine su akışı sağlanır.","Düğmeye basıldığında su rezervuara geri döner ve penis normal boyutuna döner, böylece hasta istediği kadar ilişkiye girebilir."]},"beginTime":947,"endTime":1062,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=947&ask_summarization=1"},{"index":13,"title":"Tek Parçalı Penil Protez","list":{"type":"unordered","items":["Tek parçalı penil protez yönteminde penisin içerisine özel sert silikon madde yerleştirilir ve penis sürekli sert kalır.","Hasta penisi istediği gibi büküp eğebilir, bu yöntem hasta tercihine göre uygulanır.","Bazı hastalar sadece dik duran penisle ilişkiye girmek isteyebilir."]},"beginTime":1062,"endTime":1129,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=1062&ask_summarization=1"},{"index":14,"title":"Üroloji Alanındaki Gelişmeler","list":{"type":"unordered","items":["Yirmi yıl önce sadece penis protez ve damarsal ameliyatlar yapıldıysa da, son zamanlarda ilaç tedavileri, düşük yoğunluklu ses dalga tedavisi ve PRP tedavisi gibi yeni yöntemler ortaya çıkmıştır.","Ereksiyon sıkıntısı damarsal ve sinirsel bir rahatsızlıktır, ailede damarsal rahatsızlık varsa bu tür rahatsızlıklar daha erken yaşta görülmeye başlar.","Gen tedavisi ileriki dönemlerde daha aktif hale gelecek ve daha az invaziv yöntemlerle tedavi edilecek."]},"beginTime":1129,"endTime":1209,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=1129&ask_summarization=1"},{"index":15,"title":"Erken Boşalma Sorunu","list":{"type":"unordered","items":["Erken boşalma, partnerin orgazmı olmadan boşalma durumudur ve Türkiye'de ortalama boşalma süresi üç dakikadır.","Erkeklerin yüzde yetmişinde erken boşalma sıkıntısı vardır ve bu sorunun yüzde seksen sebebi psikolojiktir.","Erken boşalma tedavisinde hem ilaç tedavisi hem de psikolojik tedavi (psikoterapi) önerilir ve eşle beraber tedavi olması gerekir."]},"beginTime":1209,"endTime":1414,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=1209&ask_summarization=1"},{"index":16,"title":"Geç Boşalma ve Boşalamama","list":{"type":"unordered","items":["Geç boşalma veya boşalamama durumunda hasta ilaç kullanıyor mu, şeker hastalığı var mı, boşalma kanallarında anatomik rahatsızlık var mı gibi faktörler önemlidir.","Karın ameliyatında boşalma ile ilgili sinirler hasar görmüş olabilir veya psikolojik faktörler etkili olabilir.","Geç boşalma veya boşalmanın kesin bir tedavisi yoktur, araştırıp psikologla beraber tedavisinin gerçekleştirilmesi gerekir."]},"beginTime":1414,"endTime":1479,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=1414&ask_summarization=1"},{"index":17,"title":"Penis Uzatma ve Kalınlaştırma Operasyonları","list":{"type":"unordered","items":["Son dönemlerde estetik kaygılar ön plana çıkmış, penis uzunluğu ve kalınlığından memnun olmayan hastalar için operasyonlar yapılmaktadır.","Penis uzatma operasyonlarında hastanın muayene olması önemlidir; kilolu hastalarda göbek kısmındaki yağlar penisin içeriye doğru kaçmasını sağlayabilir.","Penis uzatma için farklı yöntemler kullanılmaktadır: liposuction, penisin bağlı olduğu liflerin gevşetilmesi ve karından alınan yağların penisin belli bölgelerine enjekte edilmesi."]},"beginTime":1481,"endTime":1557,"href":"/video/preview/16733349073218304557?parent-reqid=1769743230306331-12132124401619149952-balancer-l7leveler-kubr-yp-vla-59-BAL&text=Alper+Ce&t=1481&ask_summarization=1"},{"index":18,"title":"Operasyonların Sonuçları ve Beklentiler","list":{"type":"unordered","items":["Hastanın beklentileri çok önemlidir; bazı hastalar aşırı beklentiler besleyebilir ve bu beklentileri karşılayamayabiliriz.","Penis uzatma ve kalınlaştırma operasyonları sonrasında fonksiyonel veya sinirsel anlamda rahatsızlık yaratmaz.","Karından alınan yağlar en fazla altı ay kalabilir, bu süre sonra tekrar enjekte edilmesi gerekir; dışarıdan enjekte edilen jeller ve kollajenler ise bir sene bir buçuk sene 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