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Doktor, yurtdışı dönüşü yoğun hasta bakmakta ve özellikle prostat hastalarıyla çalışmaktadır. Hasta, 25 yaşında bir öğretmen ve profesyonel antrenördür.","Videoda, hastanın altı- yedi ay önce başlayan sık sık idrara gitme, penisteki geri çekilmeler ve sertleşme sorunları anlatılmaktadır. Doktor, hastaya yoğun prostat masajı, ozon ve antibiyotik tedavisi uygulamış ve dört günlük tedavi sonrası hastanın şikayetlerinin azaldığını belirtmektedir. Ayrıca, prostat iltihapının penise baskı yaparak soğukluk hissi ve geri çekilmeler yarattığını açıklamakta ve hastaya yaşam tarzı önerileri vermektedir."]},"endTime":331,"title":"Prostat Hastalığı Tedavisi Röportajı","beginTime":0}],"fullResult":[{"index":0,"title":"Prostat Hastalığı Hikayesi","list":{"type":"unordered","items":["Doktor, yurtdışı dönüşü yoğun hasta bakıyor ve çoğu prostat hastası.","Maraş'tan gelen 25 yaşındaki öğretmen hasta, 6-7 ay önce sık sık idrara gitme problemi yaşamaya başlamış.","Hasta günde 10-15 kere tuvalete gitmek zorunda kalmış, bu durum hayat kalitesini düşürmüş."]},"beginTime":0,"endTime":82,"href":"/video/preview/8007244192462724820?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=0&ask_summarization=1"},{"index":1,"title":"Hastanın Şikayetleri ve Tedavi Süreci","list":{"type":"unordered","items":["Hasta, soğuk suyla idrar yaptığını ve mikrop kaptığını düşündüğünü, antibiyotik kullandığını ancak şikayetlerinde iyileşme olmadığını belirtmiş.","Son 1,5-2 aydır peniste geri çekilmeler, soğukluk ve uyuşukluk hissi yaşamaya başlamış.","Doktor, hastanın prostatı taş gibi ve çok ağrıdığını, ilk masajda sıva attığını ve lökosit çıktığını belirtmiş."]},"beginTime":82,"endTime":186,"href":"/video/preview/8007244192462724820?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=82&ask_summarization=1"},{"index":2,"title":"Tedavi Sonuçları ve Açıklama","list":{"type":"unordered","items":["Hastaya yoğun prostat masajı, ozon, antibiyotik ve şok tedavi uygulanmış, toplam 5 gün tedavi önerilmiş.","Hasta ilk günden itibaren rahatlamayı hissetmiş, idrar sorunu azalmış ve sertleşme sorunu normale dönmüş.","Prostat iltihapla dolunca şişiyor, penise giden sinir ağını ve damarlara baskı yapıyor, bu da soğukluk ve geri çekilme hissi yaratıyor."]},"beginTime":186,"endTime":278,"href":"/video/preview/8007244192462724820?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=186&ask_summarization=1"},{"index":3,"title":"Öneriler ve Gelecek Tedavi Planı","list":{"type":"unordered","items":["Hastaya non-bakteriyel prostat gibi durumda olduğu için yaşam tarzına dikkat etmesi önerilmiş.","İçki, özellikle mayalı içkiler, bira ve şarap, soğuk hava ve soğuk havuzda yüzmek önerilmemiş.","Uyku düzeni, çay, kahve ve baharat tüketimi kontrol edilmeli, 3 ay sonra tekrar tedavi uygulanacak ve kronikleşmeden müdahale edildiği için 6 ay içinde iyileşmesi bekleniyor."]},"beginTime":278,"endTime":330,"href":"/video/preview/8007244192462724820?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=278&ask_summarization=1"}],"linkTemplate":"/video/preview/8007244192462724820?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"#Prostatit Tedavisi OLAN Hastamizin 4 GÜN İyileşme Öyküsü / Doç. 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Ayrıca şok dalga tedavisi, ozon tedavisi, Kegel egzersizleri ve yaşam tarzı değişikliği gibi tedavi yöntemlerinin kronik prostatit hastalığından kurtulma oranını %90'a kadar çıkarabileceğini belirtmektedir."]},"endTime":137,"title":"Kronik Prostatit Tedavisi Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Kronik Prostatit Tedavisinde Karşılaşılan Sorunlar","list":{"type":"unordered","items":["Kronik prostatit teşhisi alındığında çoğu doktor tedavinin olmadığını, sadece altı hafta antibiyotik kullanmanın ve duruma alışmanın gerektiğini söyler.","Bu durum sadece Türkiye'de değil, Avrupa, Amerika ve Ortadoğu coğrafyasında da yaygın bir sorundur.","Kronik prostatit tedavisinde prostatı rehabilite etmek için mikrobun tanımlanması, prostatın kanlanmasının sağlanması, prostat masajı ile kanalların açılması ve antibiyotiklerin prostata girmesi gibi faktörler göz önünde bulundurulmalıdır."]},"beginTime":0,"endTime":55,"href":"/video/preview/12943884612183746951?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=0&ask_summarization=1"},{"index":1,"title":"Kronik Prostatit Tedavisinde Kullanılan Yöntemler","list":{"type":"unordered","items":["Prostattaki gergin ve spazm içinde olan kasların rehabilite edilmesi için şok dalga tedavisi ile ışın gönderilerek kaslar rahatlatılır.","Antibiyotik tedavisi için prostat masajı sonrası alınan prostat sıvısı, üreter akıntı kültürü ve PSEL ile incelenerek hangi mikrop ve antibiyotikin duyarlı olduğu tespit edilir.","Ozon tedavisi, en güçlü mikrop öldüren ozon'un direkt prostat gazına verilmesiyle uygulanır ve bu yöntem faydalıdır."]},"beginTime":55,"endTime":101,"href":"/video/preview/12943884612183746951?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=55&ask_summarization=1"},{"index":2,"title":"Kronik Prostatit Tedavisinde Başarılı Sonuçlar","list":{"type":"unordered","items":["Prostat masajının inanılmaz bir faydası vardır.","Yoğun prostat masajı, vitaminler, ozon tedavisi, yaşam tarzı değişikliği ve Kegel egzersizleri uygulandığında yüzde doksan üzerinde hastalıktan kurtulma başarısı elde edilebilir."]},"beginTime":101,"endTime":104,"href":"/video/preview/12943884612183746951?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=101&ask_summarization=1"}],"linkTemplate":"/video/preview/12943884612183746951?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"#prostatit tedavi yöntemleri - doç. dr. muhsin balaban","related_orig_text":"DOÇ DR. 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Ayrıca, prostat hastalıklarının farklı ülkelerdeki tedavi yöntemleri (Stanford Üniversitesi, Yunanistan, Roma, Tayland, Ukrayna ve Rusya'daki merkezler) hakkında bilgi verilmekte ve Türkiye'ye uygun tedavi protokolleri hakkında gelecek videolarda detaylı anlatımlar yapılacağı belirtilmektedir."]},"endTime":443,"title":"Prostat Tedavisi Hakkında Bilgilendirici Video","beginTime":0}],"fullResult":[{"index":0,"title":"Prostat Hastalığı Hikayesi","list":{"type":"unordered","items":["Doktor, prostat ile ilgili bilgilendirme videolarına devam ediyor ve protokol tedavisi biten bir hastanın görüşlerini paylaşacak.","Hastanın beş aydan beri prostat hastalığı var ve şikayetlerini anlatıyor.","Hastalık, korunmasız ilişki sonrası idrarda yanma ve zorlanma ile başlamış, iki hafta sonra şikayetler artmış."]},"beginTime":0,"endTime":77,"href":"/video/preview/16787534878291429659?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=0&ask_summarization=1"},{"index":1,"title":"Yanlış Tedavi Yaklaşımı","list":{"type":"unordered","items":["Hastanın en büyük şikayetleri aşırı sık tuvalete gitmek ve kesik işeme.","Çoğu kişi bu durumu üretdarlık veya mesane boyun yüksekliği olarak yorumlayıp sistoskopi yapıyor.","Hastaya gereksiz bir sistoskopi yapılmış ve sadece prostat ödemi denilmiş, ancak aslında prostattaki yalancı ödemden dolayı zor idrar yapıyor."]},"beginTime":77,"endTime":139,"href":"/video/preview/16787534878291429659?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=77&ask_summarization=1"},{"index":2,"title":"Doğru Tedavi Protokolü","list":{"type":"unordered","items":["Hastanın penisteki yanması ve tuvalete gitme şikayetleri geçmedi, ancak doktorun tedavisi sayesinde iyileşmeye başladı.","İlk olarak ozon tedavisi, sonra serum tedavisi ve üçlü antibiyotik başlandı.","Prostat çok doluydu ve ilk iki-üç gün ağrı oldu, ancak sonrasında şikayetler geçti."]},"beginTime":139,"endTime":202,"href":"/video/preview/16787534878291429659?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=139&ask_summarization=1"},{"index":3,"title":"Tedavi Sonrası Öneriler","list":{"type":"unordered","items":["Hastaya üç hafta sonra kontrol için gelmesi önerildi.","Tedavi sonrası takviye ilaçları, kuersetin bazlı tedaviler ve sıcak-soğutma önerilecek.","Hastanın iki ay sonra evleneceği için tedirgin olduğu belirtildi ve tedavi sonrası gönül rahatlığıyla evlenebileceği söylendi."]},"beginTime":202,"endTime":294,"href":"/video/preview/16787534878291429659?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=202&ask_summarization=1"},{"index":4,"title":"Prostat Tedavisi Yaklaşımları","list":{"type":"unordered","items":["Doktor, yıllarca sadece antibiyotik ve masajla tedavi edilemeyen durumlarda dünyada ne varsa hepsini kullanıyor.","Stanford Üniversitesi'nin trigger point kaslarını fizyoterapi ile tedavi eden bir protokolü var.","Yunanistan'daki merkez antibiyotik ve yoğun masaj tedavisi ile, Roma'da Profesör Gorgini'nin enjeksiyon tedavisi tartışmalı."]},"beginTime":294,"endTime":372,"href":"/video/preview/16787534878291429659?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=294&ask_summarization=1"},{"index":5,"title":"Farklı Tedavi Protokolleri","list":{"type":"unordered","items":["Tayland'da 1985'te prostat masaj protokolü başlatılmış, ancak profesörün vefat ettikten sonra azalmış.","Dünyada prostat tedavisi konusunda dört-beş merkez var ve doktor bunların avantaj ve dezavantajlarını videolar şeklinde anlatacak.","Yunanistan'daki hekim hastalara bir aylık tedavi protokolü yapıyor, ancak Türkiye'de hastaların bir ay İstanbul'da kalması imkansız olduğu için yedi-on gün arası tedavi uygulanıyor."]},"beginTime":372,"endTime":442,"href":"/video/preview/16787534878291429659?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=372&ask_summarization=1"}],"linkTemplate":"/video/preview/16787534878291429659?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Korumasız ilişki sonrası Kronik #Prostatit - Doç. 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video, bir uroloji doktorunun Ali Bey, Ahmet ve Gülten Hanım gibi ekip üyeleriyle birlikte gerçekleştirdiği varikosel mikro cerrahi ameliyatını adım adım anlattığı bir eğitim içeriğidir.","Videoda, azosperm (sperm üretimi olmayan) bir hastaya yapılan varikosel mikro cerrahi ameliyatının tüm aşamaları gösterilmektedir. Doktor, ameliyat öncesi hazırlıklardan başlayarak, genel anestezi tercihini, testis etrafındaki damarları tespit etme, doppler kullanarak arter ve sperm taşıyan kanalları koruma ve milimetrik damarları bağlama tekniklerini detaylı şekilde anlatmaktadır.","Ameliyat yaklaşık 25 dakika sürmekte ve doktor, hastanın hem tesisin dışındaki büyük bir damar hem de tesisin içinde kritik arterya yakın olan büyük bir damarının iptal edildiğini açıklamaktadır. Ameliyat sonrası cilt dikişlerinin lazer tekniğiyle yapıldığı ve hastanın ameliyat sonrası 4-5 saat içinde evine gidebileceği belirtilmektedir. Doktor, haftada yaklaşık 6-10 ameliyat yaptığını ve mikroskop kullanarak zor vakaları da başarıyla gerçekleştirdiğini vurgulamaktadır."]},"endTime":1393,"title":"Varikosel Mikro Cerrahi Ameliyatı Eğitim Videosu","beginTime":0}],"fullResult":[{"index":0,"title":"Varikosel Mikro Cerrahi Ameliyatı Tanıtımı","list":{"type":"unordered","items":["Hastanın azosperm (sperm var ama çok kötü) durumu var ve mikro cerrahi varikosel doppler ile yapılacak.","Ameliyat sonrası hastaya yaklaşık altı ay tedavi verilecek ve hormon seviyesi düşük olduğu için destesteron besmele üretimi başlayacak.","Ameliyat genel anestezi ile yapılacak, spinal anestezi de olabilir ancak genç hastalarda idrar yapamama problemi nedeniyle genel anestezi tercih ediliyor."]},"beginTime":0,"endTime":52,"href":"/video/preview/8587511206530810408?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=0&ask_summarization=1"},{"index":1,"title":"Ameliyat Hazırlığı","list":{"type":"unordered","items":["Hastanın tek taraflı varikosel durumu var ve sperm çok az (bir iki hücre) olduğu için tüp bebek yapılmayacak.","Ameliyat yaklaşık yirmibeş dakika sürecektir.","Ameliyat sırasında mikroskop kullanılacak ve açılan bölge iki virgül elli eksi üç cm maksimum olacak."]},"beginTime":52,"endTime":151,"href":"/video/preview/8587511206530810408?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=52&ask_summarization=1"},{"index":2,"title":"Mikroskop Öncesi İşlemler","list":{"type":"unordered","items":["Ameliyat sırasında ara sıra ufak kanamalar olabilir ancak bunlar önemli değil.","Ameliyatta kas dokusu kesilmediği için ameliyat sonrası süre çok rahat geçiyor.","Testise giden damar korunacak şekilde işlem 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olarak görülen tüm damarlar bağlanıp iptal ediliyor, böylece nüks riski azaltılıyor."]},"beginTime":804,"endTime":976,"href":"/video/preview/8587511206530810408?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=804&ask_summarization=1"},{"index":5,"title":"Ameliyatın Tamamlanması","list":{"type":"unordered","items":["Büyük damarlar hallettikten sonra küçük damarlar da kontrol ediliyor.","Milimetrik damarların nüksedebileceği için hepsi bağlanıp iptal ediliyor.","Arteri ve lenfler korunarak ameliyat tamamlanıyor."]},"beginTime":976,"endTime":1073,"href":"/video/preview/8587511206530810408?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=976&ask_summarization=1"},{"index":6,"title":"Varikosel Ameliyatının Son Aşamaları","list":{"type":"unordered","items":["Ameliyat sırasında arter korunmuş ve ameliyat tamamlanmıştır.","Ameliyat sırasında ufak bir sızıntı tespit edilmiş, ancak milimetrik noktasal problem yaratmadığı için hastaya en iyi hizmet vermek için işlem devam etmiştir.","Ameliyat yaklaşık 20-25 dakika sürmüş, tesisin dışındaki büyük bir damar ve tesisin içinde kritik arterya yakın olan büyük bir damar iptal edilmiştir."]},"beginTime":1086,"endTime":1201,"href":"/video/preview/8587511206530810408?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=1086&ask_summarization=1"},{"index":7,"title":"Ameliyat Sonrası İşlemler","list":{"type":"unordered","items":["Ameliyat sonrası iki-üç dikiş atılacak ve cilt dikişlerine geçilecektir.","Cilt dikişleri estetik için subkutan teknikle atılacaktır, böylece hastalar tekrar dikiş almaya gerek duymayacaktır.","Ameliyat ekibi, anestezi ve hemşirelerin desteğiyle rahat bir şekilde işlem tamamlanmıştır."]},"beginTime":1201,"endTime":1292,"href":"/video/preview/8587511206530810408?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=1201&ask_summarization=1"},{"index":8,"title":"Hastanın Sonrası Bakımı","list":{"type":"unordered","items":["Hasta İstanbul'da oturuyor ve saat 4-8 civarında yemeği ve çorbası verilecek, yürüyecek ve idrarını yaptıktan sonra saat 9-9:30 civarında evine gidebilir.","Yarın linkte görülecek ve azoosperm için gerekli tedavilere başlanacaktır."]},"beginTime":1292,"endTime":1333,"href":"/video/preview/8587511206530810408?parent-reqid=1765376169353951-3228717689060168730-balancer-l7leveler-kubr-yp-vla-196-BAL&text=DO%C3%87+DR.+MUHS%C4%B0N+BALABAN&t=1292&ask_summarization=1"},{"index":9,"title":"Varikosel Ameliyatı Deneyimi","list":{"type":"unordered","items":["Ameliyat problemsiz ve rahat bir şekilde tamamlanmıştır.","Haftada yaklaşık 6 ile 10 ameliyat yapılmakta ve 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