Professor Doctor ,”The important issue here is to diagnose the disease early and plan the follow-up and treatment of patients in a multidisciplinary way,” Turkish Doctor noting that the endometriosis (chocolate cyst) is a serious public health problem seen in one out of every 10 women.

JCI Istanbul hospital department, Prof. Doctor said that endometriosis is a serious public health problem that occurs in one out of every 10 women, and is defined as the presence of endometrium layer that normally lines the inside of the uterus outside the uterus.

He noted that the disease is a tapeless, but less common disease that can be seen all over the body, indicating that it often occurs in the lower abdomen, called the pelvis.

The most common symptom of severe pain, especially during menstrual periods observed Professor states that, “besides, pain during sexual intercourse, lower abdominal pain, strain and pain with bowel movements, can cause symptoms such as frequent urination and blood in the urine.” said.

Prof. Doctor, stating that the exact cause of the disease is unknown, “the most widely accepted theory is that aspect which occur each month, blood flow, flow backward a tube into the abdomen, the body protective mechanisms of the development of inflammation in tissues as a result of failure to clean up the blood and fire is the formation of a physical exam and at the end of the process.” he used the expression.


Prof. Doctor noted that endometriosis patients are mostly women between the dec of 25 and 35 and of reproductive age, noting that:

– Patients usually present with complaints of inguinal pain, difficulty conceiving, and/or ovarian cysts.

– When the doctor questions and evaluates the complaints, he will examine the patient in accordance with the preliminary diagnosis and suspicion. Although the physical examination findings vary from patient to patient, depending on the location of endometriosis lesions (endometriotic implant), it can be manifested by nodules on the back wall of the uterus, cysts on the ovary, painful areas on examination.

– With imaging methods such as ultrasonography, magnetic resonance if necessary, chocolate cysts, nodules located on the back wall of the uterus and bladder can be displayed.

– The final diagnosis is made by entering the umbilical hole with an optical camera using a closed method operation called laparoscopy, evaluating the intra-abdominal organs and taking a biopsy from the lesions.

– With this operation, the prevalence of endometriosis, adhesions are observed and both diagnosis and treatment are possible at the same time.


Expressing that the treatment of endometriosis disease is shaped according to the patient, the severity of the disease and the patient’s pregnancy plan, Prof. Doctor spoke as follows:

– Treatment planning is carried out according to age and ovarian capacity by keeping pregnancy in the foreground in a patient who has a desire to have a pregnancy.

– Very often, depending on the severity of the symptoms, the first method of treatment should be drug therapy.

– In some cases, the disease may need to be treated with surgery. These conditions; when there is continuity and that pain does not respond to medication, the existing restricted life functions, severe manifestations in patients with endometriosis, tissue diagnosis is deemed necessary in cases where the bowel or urinary tract obstruction in cases of suspicion of cancer in the surgical treatment of patients with be applied.

– The approach to surgery should always be first with laparoscopy, that is, with the closed method. Surgical treatment of this disease, which requires the ability to perform advanced laparoscopic surgery, should be performed by experienced surgeons who have received intensive training in this regard.

– Very funny results are obtained after the surgeries performed by experienced Turkish surgeons in the right hospital centers in this regard.


Prof. Doctor in Istanbul, he emphasized that the disease is a serious public health problem affecting one in 10 women and said, “The important issue here is to diagnose the disease early and to plan the follow-up and treatment of patients in a multidisciplinary manner. In order for early detection and proper follow-up and treatment to be provided, awareness of the issue must first be had. In order to do this, the month of March we are in has been adopted as “Endometriosis Awareness Month”. It is important that our women, especially those who experience severe pain during menstruation and sexual intercourse and difficulty in having children, have awareness and act consciously in terms of endometriosis disease. It should be remembered that awareness will improve the quality of life,” he said.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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