Bilateral Adrenalectomy Treatment in Turkey
About Bilateral Adrenalectomy
Key Highlights
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Definitive treatment for hormone-secreting tumors or bilateral adrenal diseases.Can be performed using minimally invasive techniques (laparoscopic/robotic) for reduced scarring and faster recovery.Urologist's expertise provides precise dissection near critical structures like kidneys and major blood vessels.Eliminates the source of problematic hormone overproduction, resolving related symptoms.May be a curative procedure for certain adrenal cancers or conditions when detected early.
Who is this surgery for?
- Cushing's syndrome caused by bilateral adrenal hyperplasia or ACTH-independent sources.
- Bilateral pheochromocytomas (often associated with genetic syndromes like MEN2 or VHL).
- Bilateral adrenal tumors or metastases from other cancers.
- Primary bilateral macronodular adrenal hyperplasia (PBMAH).
- Failed medical management of severe, bilateral adrenal conditions.
- Prophylactic removal in certain high-risk genetic syndromes.
How to prepare
- Comprehensive endocrine evaluation to confirm diagnosis and assess hormone levels.
- Imaging studies (CT or MRI) to map adrenal gland anatomy and rule out other issues.
- Pre-operative medication management (e.g., alpha and beta-blockers for pheochromocytoma).
- Discontinuation of blood thinners and certain supplements as advised by the surgeon.
- Fasting for 8-12 hours before surgery.
- Pre-operative counseling regarding lifelong steroid (cortisol) and mineralocorticoid replacement.
Risks & possible complications
- Adrenal insufficiency (Addisonian crisis) requiring immediate and lifelong hormone replacement.
- Bleeding, infection, or injury to nearby organs (kidneys, spleen, liver, pancreas).
- Damage to major blood vessels (e.g., inferior vena cava, renal veins).
- Blood clots (deep vein thrombosis or pulmonary embolism).
- Anesthesia-related complications.
- Pneumothorax (collapsed lung) due to proximity to the diaphragm.
- Long-term need for careful medication management and stress-dose steroids during illness.
Recovery & hospital stay
- Initial hospital stay for monitoring of vital signs, pain, and electrolyte balance.
- Immediate initiation of glucocorticoid (e.g., hydrocortisone) and mineralocorticoid (fludrocortisone) replacement therapy.
- Gradual increase in mobility to prevent blood clots.
- Education on "sick-day rules" for adjusting steroid doses during illness, injury, or stress.
- Follow-up appointments to monitor hormone levels, adjust medications, and check surgical wounds.
- Wearing a medical alert bracelet indicating adrenal insufficiency is crucial.
- Avoidance of strenuous activity for several weeks to allow internal healing.
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Typical hospital stay:
5-10 days
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Expected recovery time:
4-6 weeks for initial recovery; lifelong medication management required
Frequently Asked Questions
If you are considering bilateral adrenalectomy in Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for bilateral adrenalectomy in Turkey include Liv Hospital Ankara, Istinye Üniversitesi Hastanesi Liv, VM Medical Park Pendik Hastanesi, Medical Park Florya, Medical Park Bahçelievler, Medical Park Bahçelievler, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform bilateral adrenalectomy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for bilateral adrenalectomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 2,753 – USD 7,708 | 5-10 days | ~ 4-6 weeks for initial recovery; lifelong medication management required | Know More |
| Turkey | USD 20,489 – USD 57,369 | 5-10 days | ~ 4-6 weeks for initial recovery; lifelong medication management required | Know More |
Top hospitals for Bilateral Adrenalectomy in Turkey
These partner hospitals in Turkey have dedicated urology teams and experience managing patients undergoing bilateral adrenalectomy.
Instabul, Turkey
140 Doctors
Aadya Johnson, a 32-year-old high school...
Aadya Johnson, a 32-year-old high school biology teacher and avid rock climber, had been struggling for over a year. Her once-stable weight ballooned, she developed a round, red face, severe acne, and a pronounced hump on her upper back. Uncontrollable high blood pressure emerged despite medication. The final straw was a spontaneous rib fracture from weakened bones. After extensive testing by her endocrinologist, she was diagnosed with Cushing's syndrome caused by bilateral adrenal hyperplasia, both adrenal glands were overproducing cortisol. Her urologist, Dr. Chen, explained that a bilateral adrenalectomy was the definitive treatment to remove the source of the excess hormones. The robotic-assisted surgery went smoothly, but the immediate aftermath was challenging. Aadya now requires lifelong steroid replacement therapy (hydrocortisone and fludrocortisone) to survive, a fact that initially terrified her. Emotionally, she felt a profound loss of her former robust health and independence, grieving the spontaneity of her active life. However, over six months, her Cushing's symptoms reversed. Her body composition normalized, her blood pressure stabilized, and her energy slowly returned. While managing her medication is a daily responsibility, she feels liberated from the debilitating disease. She has returned to teaching and modified climbing, with a deep empathy for patients with chronic conditions and a renewed appreciation for her resilience.
Urologists for Bilateral Adrenalectomy
Explore experienced urologists who regularly perform bilateral adrenalectomy and provide pre- and post-operative care in Turkey.
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