ASSOC. PROF. DR.ARİF DEMİRBAŞUrologistMENUTESTIMONIALS+90 532 485 0016Contact Information

Cushing Syndrome Treatment Turkey

These are symptoms and findings that develop due to excessive cortisol release and exposure in our body. This excess cortisol release is produced by the adrenal gland and enters the bloodstream.

Cushing Syndrome Treatment Turkey

Why Does Cushing Syndrome Happen?

Cushing's syndrome may develop due to medications, adrenal gland and pituitary pathologies.

If there is excess hormone released from the adrenal gland as a result of stimulation of the ACTH hormone produced in excess by the pituitary gland, this condition is called Cushing's Disease.

​Causes of Cushing Syndrome

  • Using long term and high dose cortizol like medicines (glucocorticoids)
  • Adrenal gland adenoma,tumor, cancer or disease
  • Pituitary tumor, adenoma (Cushing’s Disease)
  • Familial cushing syndrome
  • Brain tumors
  • The other ectopic tumors (lung, pancreas, thyroid)

Can Cushings be caused by stress?

Yes. Chronic stress and poor stress management can cause Cushing disease, because of cortisol is the hormone of stress mood.

Cushing Syndrome Symptoms and Signs

One or more of the following may be seen: (How do you feel when your cortisol is high?)

  • Weight gain in the trunk but thining in legs and arms
  • Weakness of muscles
  • A round and moon shaped face
  • Fatty deposits between the shoulders
  • Pink or purple stretch marks on the stomach, hips, thighs, breasts and underarms.
  • Acne
  • Fatigue
  • Impairement of wound healing
  • Frajil skin that bruises easily.
  • Hypertension
  • High blood sugar
  • Mood changes
  • Tendency to infection
  • Disruption of menstrual cycle
  • Erectile dysfunction
  • Infertility

Cushing Syndrome Diagnosis

Increased cortisol levels are detected after special tests such as 24-hour urine cortisol measurement and dexamethasone suppression test. Later, pathologies that cause increased cortisol levels (pituitary adenoma, adrenal masses) can be diagnosed with ultrasonography, tomography or MRI.

Cushing Syndrome Turkey

Cushing Syndrome Cortisol Level

It varies depending on the measurement method of cortisol, the age of the patient, the time of measurement and laboratory references. However, in general, a cortisol value greater than 50-100 micrograms in 24-hour urine may be diagnostic of Cushing's syndrome.

Can Cushings Be Temporary?

Yes it can be temporary if the reason is overuse of medicines. But it is persistant if you have a adrenal adenoma or pituitary tumor and you need treatment like surgery.

Does Cushing’s Disease Go Away?

When the cause of high cortisol is eliminated (such as adrenalectomy, surgery of pituitary) Cushing's syndrome or disease disappears. Additionally, the symptoms and signs it causes regress and disappear.

How can I lower my cortisol naturally?

Since cortisol is a stress hormone, reducing mental fatigue and work pressure will lower your cortisol levels. Regular and adequate sleep, exercise, hobbies, and a balanced diet will also reduce your cortisol level.

How long can you live with Cushing's?

In the presence of untreated cushing syndrome, the mortality rate also increases due to increased comorbidities (diabetes, hypertension, susceptibility to infection). Cushing's disease or syndrome requires cause-specific treatment.

Is Cushing's fatal if untreated?

Yes. Cushing's disease causes uncontrolled hypertension and diabetes, which can severely deteriorate vascular health. Additionally, obesity and metabolic syndrome also lead to an increased risk of heart attack.

Cushing Syndrome Treatment Turkey

Treatment of Cushing's syndrome should be directed towards the cause. If the problem originates from the pituitary or adrenal gland, drug treatment does not provide a cure and surgical treatment is necessary.

Can Cushings be treated with medication?

Medical treatment does not provide a cure and can only be used temporarily. It may constitute the main treatment option in patients with a high risk of surgery. Ketaconazole, osilodrostat, mitotane, mifepristone, metyrapone, which suppress the release of cortisol in the adrenal gland, are drugs used in the treatment of Cushing's syndrome. It should be used under the supervision of an endocrinologist.

What is the best treatment for Cushing's disease?

The best treatment of Cushing’s syndrome is treatment of reason. Surgical resection of causative tumor (adrenal gland or pituitary) is mandatory. The primary therapy for pituitary tumor is transsphenoidal surgery, and the primary therapy for adrenal tumors is adrenalectomy.

Endoscopic pituitary surgery

Endoscopic pituitary surgery is a minimally invasive surgical method performed transsphenoidally for pituitary adenomas. It is applied by entering through the nose and advancing through the sphenoid sinus.

For Cushing’s Syndrome Treatment: +905324850016

Laparoscopic Adrenalectomy

Laparoscopic adrenal gland surgery is a surgical method performed with the help of three 1-centimeter trocars placed in the abdomen in the treatment of functional adrenal adenomas, providing complete cure, excellent cosmetic results and rapid recovery.

Laparoscopic Adrenalectomy cost in Europe

Laparoscopic adrenal gland surgery costs range from 5000 to 8000 USD in Turkey (More information: Whatsapp: +90 532 485 0016)

Can you recover from Cushing's syndrome?

​By eliminating the cause, Cushing's syndrome can be completely treated. With the correct diagnosis and treatment, you can definitely get rid of this disease.

For Cushing’s treatment and laparoscopic adrenalectomy cost in Turkey

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Update Date: 14.11.2023
Assoc. Prof. Dr. Arif Demirbaş
Doç. Dr. Arif Demirbaş
Üroloji Uzmanı
The content of this page is for informational purposes only.
Please consult your physician for diagnosis and treatment.
Assoc. Prof. Dr. Arif Demirbas
Urology Specialist
Dr. Arif Demirbaş was born in 1985 in Turkey. He graduated from Uludag University Faculty of Medicine in 2010. He completed his urology residency training at Ankara Training and Research Hospital between 2011-2016. As a result of intensive academic studies after his specialization, he received the title of Associate Professor in March 2021.

Although he has experience with each of urological diseases, he has a special interest in the diagnosis, medical treatment and surgical treatment of urological cancers (prostate cancer, kidney cancer, bladder cancer and testicular cancer),kidney stone diseases, benign prostate enlargement, adrenal gland diseases (surrenal gland) and pediatric urology diseases (ureteropelvic stenosis, vesicoureteral reflux, undescended testicles). If possible, the surgeries are planned laparoscopically and endoscopically in a way that creates the least discomfort for the patient as required by the era.
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