docdrhanifisahin

11/10/2026

GENİTAL ESTETİK UYGULAMALARINDA KİŞİYE ÖZEL PLANLAMA

Her kadının anatomisi, beklentisi ve ihtiyacı farklıdır. Bu nedenle ge***al estetik işlemler standart değil, kişiye özel değerlendirilmelidir.

Labioplasti, klitoral hudoplasti, perineoplasti, yağ enjeksiyonu, Venüs tepesi estetiği ve ge***al gençleştirme uygulamalarında amaç; doğal görünüm, anatomik uyum ve fonksiyonel konforun birlikte korunmasıdır.

Prof. Dr. Hanifi Şahin
Kadın Hastalıkları & Ge***al Estetik

📞 0538 469 81 61
📍 Nişantaşı / İstanbul

Bilgilendirme amaçlıdır. Tanı ve tedavi için hekim değerlendirmesi gereklidir.

***alEstetik ***alGençleştirme ̇stanbul

10/10/2026

Complex Endometriosis Surgery After a Previous Incomplete Operation

Endometriosis surgery, especially in advanced-stage disease and in patients who have undergone previous surgery, requires advanced surgical experience and careful planning.

Our patient had undergone surgery at another center approximately 2 months earlier, but the procedure could not be completed because of the extent and complexity of the disease.

Our approach is not simply to remove visible endometriosis lesions. The goal is to remove deep endometriosis as completely as possible, preserve the uterus and ovaries whenever appropriate, restore pelvic anatomy, and improve the patient’s quality of life.

Deep endometriosis involving areas close to the bowel, bladder, ureters, or pelvic nerves requires significant experience in advanced laparoscopic surgery and pelvic anatomy.

🎯 Our goals: to reduce pain, preserve organs, restore pelvic anatomy as much as possible, and help the patient return to daily life with greater comfort.

📍 Prof. Dr. Hanifi Şahin
Obstetrics & Gynecology – Gynecologic Oncology
Endometriosis • Adenomyosis • Uterus-Preserving Advanced Gynecologic Surgery
📍 Şişli / Istanbul
📞 0538 469 81 61 | 0553 978 56 36 | 0553 890 03 81
🌐 hanifisahin.com | hanifisahin.com.tr

This content is for informational purposes only. Diagnosis and treatment are individualized for each patient. Prepared in accordance with the Turkish Ministry of Health regulations on healthcare promotion and informational activities.

08/10/2026

06/10/2026

🌸 POSTMENOPAUSAL BLEEDING SHOULD NEVER BE IGNORED

Vaginal bleeding after menopause does not always mean cancer, but it is one of the most important warning signs of endometrial cancer.

Therefore, even a single episode of postmenopausal bleeding should be properly evaluated.

Today, we performed surgery for a patient diagnosed with endometrial cancer using a scarless V-NOTES approach.

🔹 The uterus and cervix were removed
🔹 Both ovaries and fallopian tubes were removed
🔹 Sentinel lymph node mapping and sampling were performed
🔹 The entire procedure was completed through the natural vaginal route, without visible abdominal incisions

V-NOTES surgery is a minimally invasive technique that allows selected gynecologic procedures to be performed through the natural vaginal opening, avoiding visible abdominal scars.

In endometrial cancer surgery, the goal is not only to remove the uterus but also to achieve accurate surgical staging and appropriate lymph node assessment when indicated.

With the sentinel lymph node technique, the first lymph nodes most likely to receive cancer spread can be identified and evaluated, potentially avoiding unnecessary extensive lymph node dissection in suitable patients.

📌 Postmenopausal bleeding should never be considered normal.
Early evaluation and accurate diagnosis are among the most important steps in the successful treatment of endometrial cancer.

Prof. Dr. Hanifi Şahin
Obstetrics & Gynecology
Gynecologic Oncology Surgery
📍 Şişli / Istanbul

📞 0538 469 81 61
📞 0553 890 03 81
📞 0553 978 56 36

🌐 hanifisahin.com
🌐 hanifisahin.com.tr

This content is for informational purposes only and does not replace medical diagnosis or individualized treatment. It has been prepared in accordance with the Turkish Ministry of Health regulations on healthcare information and promotion.

30/09/2026

Miyom nedeniyle rahminizi kaybetmek zorunda değilsiniz.
Uygun hastalarda rahim koruyucu cerrahi seçenekleriyle miyomlar çıkarılabilir; laparoskopik, izsiz vajinal veya mini kesi yöntemleri değerlendirilebilir.

Size uygun yöntemi öğrenmek için muayene randevusu oluşturabilirsiniz.

Prof. Dr. Hanifi Şahin
Kadın Hastalıkları / Jinekolojik Onkoloji
📞 0538 469 81 61
🌐 www.hanifisahin.com.tr

30/09/2026

TUBAL REVERSAL SURGERY
Reopening Previously Tied Fallopian Tubes

Today, we performed tubal reversal surgery for a patient whose fallopian tubes had previously been tied for permanent contraception and who now wished to have another child.

Tubal reversal, also known as tubal reanastomosis, aims to reconnect the healthy remaining segments of the fallopian tubes using microsurgical principles and restore natural tubal passage.

For appropriately selected patients, tubal reversal can be an alternative to IVF. One of its potential advantages is that, if tubal function is successfully restored, the patient may have repeated opportunities to conceive naturally rather than relying on a single assisted-reproduction cycle.

Published studies report pregnancy rates after tubal reversal of approximately 42–69%, while pooled series cited by the American Society for Reproductive Medicine have reported pregnancy rates of around 65–68% in selected patients.

The likelihood of success depends on several factors, including the patient’s age, ovarian reserve, the original sterilization method, the length and condition of the remaining tubes, pelvic adhesions, endometriosis, and the partner’s s***m parameters.

It is also important to know that the risk of ectopic pregnancy is higher after tubal reversal, with rates of approximately 4–8% reported in the literature. Therefore, early ultrasound evaluation is recommended once pregnancy is confirmed.

With careful patient selection and appropriate microsurgical technique, tubal reversal may offer some women another opportunity for natural conception.

👨‍⚕️ Prof. Dr. Hanifi Şahin
Obstetrics & Gynecology Specialist
Gynecologic Oncology Specialist

📍 Şişli / Istanbul, Türkiye

📞 +90 538 469 81 61
📞 +90 553 978 56 36
📞 +90 553 890 03 81

🌐 www.hanifisahin.com.tr

⚠️ This post is for informational purposes only and does not replace individual medical evaluation, diagnosis, or treatment. Outcomes vary from patient to patient.