The department of Oncourology of the Istanbul Anadolu Clinic was headed by an associate professor of Marmara University Ilker Tinay is one of the youngest opinion leaders in Turkish oncourology. Portal of the South.ru talked with him about the speed of development of medical technologies and what can be done for men’s health today.
Ilker Tinay graduated from Istanbul Medical University, during his studies he interned at university hospitals in Oslo (Norway) and Cleveland (USA). He continued his education in Germany, at the University of Heidelberg, and then completed his studies and worked at the Harvard Medical School. By the age of 43, he became an executive member of the board of the Association of Oncourologists of Turkey and the winner of several national and international awards in oncourology.
When you graduated from the university, you continued your education (residency) in Germany and America. What did studying in these countries give you?
— I studied at a German school, so I had a connection with Germany. In addition, training in the field of oncourology in Germany is one of the best in the world, especially in prostate, bladder and scrotum oncology. I could also speak German almost as if it were my native language.
America is really one of the most advanced countries in the world in terms of technological aspects. And I am glad that I was able to visit there twice.
What was your job at Harvard?
— I was an assistant associate professor at Istanbul University when I went to the States for an internship. The trip helped to make a step in my career, I was engaged in the molecular study of prostate oncology and robotic surgery. Harvard Medical School has become the best place to study these topics.
Did you have the opportunity to stay in the United States?
– Yes, I had a job offer, but for family reasons we decided to return. I went for an internship with my wife, who also works as a doctor — she is an ENT surgeon. Our first child was born there. We always wanted to raise our children at home, surrounded by family, grandparents, so we returned to Turkey.
Why did you choose Anadolu ? What are your impressions of the clinic and the team?
— I first visited Anadolu as an assistant in 2005. Then I was impressed by the capabilities of the hospital and the team of doctors. When you go to the clinic, it seems that you have come to the States. Here is a special place, well-educated staff and high service. And the medical director of the clinic is an old friend of mine.
The diagnosis is cancer:
What about the availability of technologies for the treatment of patients at Anadolu?
— All modern technologies are available here, and not only in urology — the hospital is good at everything. Here is the best department of radiation oncology, radiology and nuclear medicine, the laboratory can conduct any currently known research very quickly. This is a multidisciplinary approach — we discuss the treatment of each patient with colleagues of different directions at urological consultations.
They involve a medical oncologist, a radiologist and a doctor of nuclear medicine, a pathologist, a surgeon and a urologist. If the patient has features of the disease, we call other doctors to the consultation. Consultations are held every week, each patient with oncourology is discussed at them. We listen to each specialist in order to jointly choose the optimal method of treatment. This reduces the risk of medical error and helps to determine the most effective treatment.
Tell us about the innovations in oncourology.
– Now robotic surgery, medical oncology, immunotherapy, radiation therapy are being improved. I consider myself a happy doctor, because every month there are new methods that I can offer to my patients. When I was an assistant and a patient with kidney cancer came to us, there was practically nothing we could do. Today we can offer several treatment options. This is great for the patient and for us.
Is robotic surgery a standard in oncourology or is it still something new?
— It is impossible to say that robotic surgery is a new direction in oncourology, because robotic operations have been used for more than ten years. We can talk about a new generation of equipment that is being used now. Most often, the robot is used for prostate cancer, bladder cancer and kidney cancer.
After robotic operations, patients recover quickly. This is also good for a doctor — he gets less tired, which means he does his job better.
Targeted therapy and immunotherapy are used to treat bowel and breast cancer. Is there something similar for metastatic prostate cancer?
— They almost don’t talk about it, but the first cancer vaccination was against prostate cancer. But it was very expensive, so the vaccine was not put into mass production. Now in oncourology, we are introducing immunopreparations — “smart medicines” of a new generation. We also offer the patient to undergo immunotherapy before surgery.
In recent years, there have been more and more happy patients to whom we have preserved men’s health to the fullest
If we talk about prostate cancer surgery, then most men associate it with urinary incontinence and impotence for the rest of their lives. Can modern medicine prevent these consequences?
— First, you need to understand that we are not doing an aesthetic operation, but an operation for oncology. Its goal is that the patient should not have any tumor tissue left. Secondly, the quality of life of the patient is, of course, important. Modern technologies allow us to avoid the appearance of side effects such as urinary incontinence or erection problems. If the size of the tumor allows, then we save all the nerve endings responsible for these processes. But if the tumor is large, then we will choose the patient’s life and remove the tumor, even if we have to sacrifice some of the male functions. Modern technologies allow us to successfully perform operations even at late stages, so in recent years there have been more and more happy patients to whom we have preserved men’s health to the fullest.
The main thing is that if the tumor has grown into the muscle tissue of the bladder, then it must be removed. But let me remind you: now we can create a new bladder from a section of the intestine — and a person will have a natural physiological urination.
Is there really a direct link between bladder cancer and smoking?
— If a person smokes, the risk of bladder cancer is very high, as well as the risk of lung and kidney cancer. New research has shown that two years after a person quits smoking, the risk of developing bladder cancer decreases by 60%. If a patient with bladder cancer quits smoking, then the results of his treatment are much better than those of smoking patients.
What should I do to prevent cancer?
— Like my fellow oncologists, I recommend activity, nutrition and healthy habits. It is important to move, get enough sleep, eat more vegetables, healthy fats and oils, do not abuse meat, alcohol, sugar, quit smoking. And pass a basic health check every year.
#Interview #oncourologist #robotic #operations #consultations #url