Op. MD. Aysenur Kaya Kahveci

A 17-year-old competitive rhythmic gymnast was referred for primary amenorrhea and pelvic pain. Diagnosis revealed a complex Müllerian anomaly, a didelphys uterus with one obstructed hemivagina. Dr. Kahveci performed a novel vaginoplasty preserving both vaginal canals, allowing normal function. The patient resumed training, later winning a national championship, and expressed future fertility plans.

A 34-year-old transgender man (on testosterone therapy for 5 years) presented with breakthrough uterine bleeding and pelvic pressure. He desired definitive surgery but feared loss of sexual function. Dr. Kahveci performed a robotic-assisted laparoscopic hysterectomy with bilateral salpingo-oophorectomy, meticulously preserving neurovascular bundles for future phalloplasty. Recovery was swift, with the patient reporting profound gender euphoria and no sexual dysfunction.

A 28-year-old refugee from a conflict zone presented with a 20-week pregnancy and a large, symptomatic cervical fibroid causing urinary obstruction. Dr. Kahveci managed her conservatively with monitored decompression, then performed a rare intrapartum myomectomy during her cesarean delivery at 38 weeks. Both mother and baby thrived, and the fibroid showed no recurrence at 1-year follow-up.

A 51-year-old vineyard owner presented with postmenopausal bleeding and a complex endometrial polyp extending into the cervical canal. Hysteroscopy revealed an unusual polyp morphology with focal atypia. Dr. Kahveci performed an office-based hysteroscopic resection using a novel cold-snare technique she developed, achieving complete excision with minimal discomfort and no anesthesia. Pathology was benign.

A 42-year-old female deep-sea sponge diver presented with secondary infertility and severe dysmenorrhea. Imaging revealed extensive pelvic adhesions likely from repeated decompression stress. Dr. Kahveci performed a meticulous laparoscopic adhesiolysis, preserving ovarian function. The patient conceived naturally 8 months post-op and delivered a healthy baby at term, returning to modified diving duties 6 months postpartum.