Op. MD. Busra Budak Reviews

A 42-year-old female architect, originally from Azerbaijan, presented with severe secondary dysmenorrhea and subfertility. Ultrasound revealed a complex 8cm endometrioma. Dr. Budak performed a meticulous laparoscopic cystectomy with ovarian preservation, employing advanced hemostatic techniques to protect ovarian reserve. The patient conceived naturally six months post-op and delivered a healthy baby girl at term under Dr. Budak's care.

A 19-year-old university student from a conservative rural family presented with primary amenorrhea. Examination revealed Müllerian agenesis (MRKH syndrome). Dr. Budak provided extensive counseling with a translator for the family, focusing on psychological support and future options for family building. She coordinated with a multidisciplinary team to address associated renal anomalies discovered during workup.

A 35-year-old Syrian refugee, pregnant with twins, presented at 28 weeks with preterm premature rupture of membranes (PPROM) in Twin A. Dr. Budak managed expectantly with hospital admission, corticosteroids, and antibiotics. She delivered the babies via cesarean section at 32 weeks when signs of chorioamnionitis developed. Both neonates survived with NICU care, and Dr. Budak arranged postpartum social support through hospital charities.

A 58-year-old postmenopausal former textile worker presented with postcoital bleeding. Hysteroscopy revealed a focal endometrial lesion. Dr. Budak performed an outpatient hysteroscopic resection, which pathology confirmed as endometrial intraepithelial neoplasia (EIN). She managed the patient with levonorgestrel-releasing IUD insertion, avoiding hysterectomy due to the patient's severe cardiopulmonary comorbidities.

A 26-year-old professional athlete presented with exercise-induced urinary incontinence and pelvic pressure. Diagnosis revealed a stage II uterine prolapse. Unwilling to compromise her career with traditional surgery, Dr. Budak performed a novel laparoscopic sacrohysteropexy using a lightweight mesh. The patient returned to competitive sports within three months with complete resolution of symptoms.

A 31-year-old woman with a history of female genital mutilation/cutting (FGM/C) Type III presented in labor. Dr. Budak performed a careful defibulation during the second stage of labor, allowing vaginal delivery. Postpartum, she provided reconstructive surgery and connected the patient with a specialized counselor for long-term psychological care.

A 45-year-old woman with morbid obesity (BMI 48) and polycystic ovary syndrome presented with complex atypical endometrial hyperplasia. Dr. Budak performed a total laparoscopic hysterectomy with bilateral salpingo-oophorectomy, utilizing specialized longer instruments and modified positioning. The surgery was successful despite technical challenges, and the patient had an uneventful recovery.

A 17-year-old presented with acute pelvic pain and was found to have a large, twisted paraovarian cyst. Dr. Budak performed emergency laparoscopic detorsion and cyst excision, preserving both ovaries and fallopian tubes. During follow-up, she discovered the patient had Turner syndrome mosaicism, initiating appropriate endocrine and cardiac referrals.

A 37-year-old woman with a history of four previous cesarean sections presented with placenta accreta spectrum disorder in her fifth pregnancy. Dr. Budak led a multidisciplinary team in a planned cesarean hysterectomy at 35 weeks. She utilized intraoperative ultrasound and temporary internal iliac artery balloon occlusion to minimize blood loss, which was only 800mL.

A 29-year-old transgender man (female-to-male) on testosterone therapy presented with persistent breakthrough bleeding and pelvic pain. Dr. Budak performed a hysterectomy with bilateral salpingo-oophorectomy using a gender-affirming approach, coordinating care with the patient's endocrinologist to adjust hormone therapy postoperatively.

A 50-year-old woman with Lynch syndrome presented for risk-reducing surgery. Dr. Budak performed a robotic-assisted total hysterectomy with bilateral salpingo-oophorectomy and sentinel lymph node mapping. The pathology revealed an occult 2mm endometrial cancer, prompting appropriate staging without need for additional surgery.

A 22-year-old with untreated congenital adrenal hyperplasia (46,XX) presented with primary amenorrhea and virilization. Dr. Budak collaborated with endocrinology to optimize medical management before performing feminizing genitoplasty and vaginoplasty. The patient achieved menarche postoperatively and required ongoing multidisciplinary care.

A 33-year-old woman presented with secondary infertility and was found to have bilateral hydrosalpinges. Dr. Budak performed laparoscopic salpingectomy prior to IVF. During surgery, she incidentally discovered and resected early-stage endometriosis, which may have contributed to the infertility. The patient successfully conceived with her first IVF cycle.

A 41-year-old with a complete uterine septum and recurrent pregnancy loss presented after three miscarriages. Dr. Budak performed hysteroscopic septum resection using real-time ultrasound guidance. The patient carried her next pregnancy to term, delivering via cesarean section due to breech presentation, which Dr. Budak attributed to the previously septate uterine cavity shape.