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Executive Male Check-Up
Check Up & Preventive Medicine

Executive Male Check-Up

About This Department

 
Biruni Executive Check-Up

Nine specialists, 83 checks, three days and nothing left to book afterwards.

Total and free PSA read by a urologist, gastroscopy and colonoscopy under sedation, a low-dose lung CT, a brain MRI, carotid arteries on Doppler, bone density and fifty-four laboratory tests. One physician reads the whole file at the end and tells you what it means.

3 days
One coordinated schedule
83 items
Tests, scans and exams
9 doctors
One combined review
Free
Pre-travel review
The most complete package we run

Everything Included in the Executive Male Check-Up

Nine specialist examinations, two endoscopies with biopsy, six radiology studies, the full cardiac and respiratory workup, dental care and fifty-four laboratory tests.

Examinations, 9
Check-up evaluation
Urology
Gastroenterology
Cardiology
Pulmonary medicine
Otorhinolaryngology, ear, nose and throat
Ophthalmology
Dietician counseling
Body composition analysis
Endoscopy and pathology, 4
Esophagoscopy, gastroscopy and duodenoscopy with biopsy
Colonoscopy with biopsy
Stomach biopsy, examined by a pathologist
Colon biopsy, examined by a pathologist

No shorter package contains this part. A gastroscope shows the lining of the esophagus, stomach and duodenum as it actually is, and a colonoscopy that finds a polyp usually removes it in the same session, years before it could have become anything.

Colonoscopy with biopsy applies only to people older than 40.

Radiology, 6
Low-dose screening CT of the thorax
Brain MRI without contrast
Bilateral carotid color Doppler ultrasound
Abdominopelvic ultrasound
Thyroid ultrasound
Bone mineral density

The abdominopelvic scan sweeps liver, gallbladder, pancreas, spleen, kidneys, bladder and prostate in one pass, which pairs neatly with what the urologist and the PSA figures are telling you.

Heart, lungs, hearing and dental, 10
Cardiac. Stress ECG, resting ECG, echocardiography, 24-hour ambulatory blood pressure monitoring
Respiratory. Pulmonary function test
Hearing. Audiometry with tympanometry, pure tone audiometry
Dental. Check-up examination by a dentist, panoramic dental X-ray, dental scaling for one jaw

Four separate views of one organ. The resting trace, the muscle in motion, the response to exertion and a full day of pressure readings say more together than any of them manages alone.

Laboratory tests, 54
Prostate. Total PSA, free PSA
Blood count and clotting. Complete blood count, aPTT
Blood sugar. Fasting glucose, hemoglobin A1c
Kidney and electrolytes. Blood urea nitrogen, creatinine, uric acid, sodium, potassium, chloride, calcium, magnesium
Liver and pancreas. ALT, AST, alkaline phosphatase, GGT, lactate dehydrogenase, amylase, lipase
Lipids and cardiovascular risk. Total cholesterol, HDL, direct LDL, VLDL, triglyceride, lipoprotein a, homocysteine
Protein and urine. Total protein, urinalysis
Vitamins and minerals. Vitamin B12, folic acid, 25-hydroxy vitamin D, iron, iron binding capacity, ferritin, zinc
Hormones. Thyroid stimulating hormone, free T4, free T3, prolactin
Tumor markers. CEA for the colon and rectum, CA 19-9 for the pancreas and bile duct, alpha fetoprotein for the liver, CA 15-3
Infection screening. Hepatitis B surface antigen, hepatitis B surface antibody, hepatitis C virus antibody, HIV antibody 1 and 2 with p24 antigen, SARS-CoV-2 antigen quick test, quantitative SARS-CoV-2 IgG antibody
Cultures and stool. Throat culture, parasite screening in stool, fecal occult blood
Two PSA figures, because one of them settles very little

A total PSA above the reference range is where most prostate anxiety begins, and most of the time the cause turns out to be a larger prostate rather than a cancer. What separates the two is the proportion of PSA circulating in its free form. Benign enlargement tends to push that proportion up, and cancer tends to push it down, so the ratio adds information a single number simply does not carry. Elsewhere this comes as a paid extra once a total PSA has already worried somebody. Here both figures are drawn together on day one, and a urologist has the pair in front of him when he examines you.

Swipe the table sideways on a narrow screen to see the second column.

Where the Executive package leaves the shorter ones behind
Only in the Executive package Also in Nova Vita or Integrum
Free PSA beside the total, no extra charge Total PSA with a urology examination
Gastroscopy and colonoscopy, both with biopsy Fecal occult blood for the bowel
Low-dose lung CT, brain MRI and carotid Doppler Abdominal ultrasound and echocardiography
Stress ECG and 24-hour blood pressure monitoring Resting ECG and the full lipid profile
Bone density, lung function, hearing tests and dental scaling Dental examination, dietician and body composition
Colonoscopy with biopsy applies only to people older than 40. Everything else in the left-hand column is included at any age from 18.
Where the extra days go

What Sets These Three Days Apart

Prostate, properly

The Full Prostate Picture in One Morning

Total PSA, free PSA, a urology examination and an ultrasound that includes the prostate. Four pieces of the same puzzle, gathered on the same day, so nobody is guessing from a single figure.

Under load

Your Heart Tested While It Is Working

A narrowed artery can look untroubled at rest and give itself away the moment the muscle demands more blood. The stress ECG asks that question. The echocardiogram and a day of pressure readings fill in the rest.

Seeing it directly

A Camera Where Markers Only Guess

Reflux damage, ulcers, gastritis, polyps. Every one of those is something an endoscope reports in an afternoon while a stool test and a tumor marker can only raise a suspicion about it.

One conclusion

One File, One Conclusion

Nine specialists contribute and a single check-up physician closes the whole thing. You fly home with an explanation in your own language instead of nine separate opinions to reconcile.

Schedule breakdown

How the Three Days Are Laid Out

1

Day One, Bloods, Scans and the Monitor

One fasting draw supplies all fifty-four laboratory tests, both PSA figures among them, and the urine and stool samples go in beside it. Most of those results report the same day. After breakfast come the ultrasound scans, the low-dose CT and the brain MRI. The blood pressure monitor goes on before you leave and records through the night.

2

Day Two, Urology, Cardiology and the Preparation

The monitor comes off and the cardiologist reads it next to your stress ECG and echocardiogram. The urologist sees you with both PSA figures and the ultrasound already in hand. Ear, nose and throat, eye, chest, dental and dietician appointments fill the remainder, and your bowel preparation starts that evening on written instructions.

3

Day Three, Endoscopy, Then the Closing Review

Both procedures run in a single sedated session, so you sleep through them and wake up with them behind you. The gastroenterologist describes what the camera showed once you are awake. When you have recovered and eaten, the check-up physician works through everything gathered across the three days and hands you the written report.

4

Afterwards, the Pathology in Five to Seven Days

Blood work is already in your hands before you fly. Tissue is slower. The stomach and colon biopsies have to be processed and read under a microscope, which runs to five to seven days, so those reports reach you at home once the laboratory releases them. Anything on them worth discussing earns a phone call.

Before you travel

Getting Ready

The endoscopy day

Sedation covers both procedures, and the colonoscopy needs a bowel cleansing preparation taken the day before.

You get the full written protocol well ahead of the trip. It sets out the low-residue diet, the hour to start the preparation, and which of your regular tablets to hold back. Blood thinners and diabetes medication always need a conversation first.

Do not come alone that morning. Nobody drives or flies solo after sedation, and the rest of the day is best spent quietly.

Before the PSA

Tell the coordinator if you have cycled hard, had a prostate examination, or had a urinary infection recently.

Any of those raises a PSA reading by itself, and a perfectly healthy prostate can end up producing an alarming figure for no reason. Say so in advance and the urologist reads the result correctly, or the draw moves by a few days.

You fast twice, once on the first morning for the blood work and the abdominal scan, and again ahead of the endoscopy. Water is fine up to the hours your instructions specify.

Practical things

The blood pressure cuff stays on for a full 24 hours, inflating through the night as well. Loose sleeves help. Carry on with an ordinary day while you wear it, since that is what makes the readings worth having.

Bring trainers or comfortable shoes for the stress ECG, your medication list, your glasses, and any results you already have. An earlier PSA figure matters most of all, because the direction it is moving tells the urologist more than today's number does.

Right package, right man

Is the Executive Package the One You Want?

Good fit
Worth the three days if
  • Over 40 and never once had a colonoscopy
  • Prostate, bowel or stomach cancer somewhere in the family
  • A PSA reading already came back borderline and nobody explained it
  • Years of reflux or indigestion that has never been looked at
  • A smoking history, whether current or long behind you
  • You would rather settle all of this once than keep repeating half of it
Talk to us first
A smaller package or a local doctor may serve you better

Screening at this depth is designed for a man who feels well and wants the whole question closed. Where something is already wrong, what you need is a diagnosis, and that is a different appointment entirely.

  • Blood in the urine or the stool that is already being investigated
  • Chest pain or breathlessness that comes on with mild effort
  • A heart or lung condition that makes sedation a question for your own specialist

Open to men from 18 upwards, with no upper age limit. Colonoscopy with biopsy applies only to people older than 40, and the other eighty-odd items run at any age.

Three Honest Notes Before You Commit

Testosterone sits outside this package. A good number of men book an executive check-up hoping for exactly that figure, so it deserves saying plainly. The male hormone panel can be added at booking. Worth knowing as well, an underactive thyroid and low iron stores cause much the same complaints, and both are already measured here.

Broad imaging turns up harmless things. Scan a healthy man from head to abdomen and something small and meaningless will often appear, a nodule, a cyst, a spot on the liver. Every image here is reported by a radiologist and then explained by a physician who says whether it needs watching, needs acting on, or needs neither.

Tumor markers monitor, they do not diagnose. CEA, CA 19-9, AFP and CA 15-3 all rise for benign reasons and can sit perfectly normal in someone who has cancer. What they give you here is a personal baseline, read on the day beside your scans, your endoscopy findings and your examinations.

Complimentary review

Before you clear three days, let a doctor look at whether you need them

Send your age, your family history and the dates you have in mind, along with any results already in your file. An old PSA or an endoscopy report is especially useful. A physician tells you whether this package answers your actual question or whether a shorter one would. The review is free.

International logistics

Planning the Trip to Istanbul

Book five nights

One night to land and start the fast, three hospital days, then a night to recover from the sedation before you fly. Anything tighter turns the last day into a rush.

Flying after sedation

Keep a clear night between the endoscopy and the flight. You will be eating and walking normally within hours, though an airport that same evening suits nobody.

Working while you are here

Days one and two leave usable gaps for calls. Day three does not, and neither does the evening before it, so clear both in your calendar rather than trying to work around them.

Your own language, all three days

Nine consultations in a language you actually think in. The in-house team works in English, Arabic, French, Russian, Serbian, Romanian and Spanish, and other languages are arranged when you name one at booking.

Transport, family and visas

A car meets you at the airport and runs between hotel and hospital on every one of the three days. You may bring two relatives into the examinations. If your passport requires a visa, the invitation letter is issued roughly ten days before departure.

After you get home

Pathology follows you back, roughly five to seven days after the endoscopy. The same WhatsApp number stays open for questions about it, and a PSA repeated locally next year can be sent in for comparison.

Before you compare

Reading an Executive Quote Properly

Executive is a word, and it attaches itself to packages that differ by fifty items. The gap almost always hides in the expensive half, which means endoscopy, cross-sectional imaging and pathology. Five questions get you to a real comparison.

Whether free PSA is included or only the total figure is
Whether both endoscopies are there, with biopsy and pathology attached
Whether sedation and the anesthetist are inside the figure or billed separately
Whether a polyp removed during the colonoscopy counts as an extra procedure
Whether hotel, transfers and interpreting across all three days are counted in

No figure appears on this page. A number printed here would be wrong for most men who read it, and out of date within a season. Send the team your age and the weeks you have in mind. You get back a line-by-line breakdown covering the standard package and any addition you have asked about, and there is no charge for that.

Common questions

Frequently Asked Questions

What does free PSA add that total PSA does not?
Context. PSA travels in the blood in two forms, bound and free, and the share that is free tends to run higher when a prostate is simply enlarged and lower when something more serious is behind the number. So a man with a mildly raised total and a reassuring free proportion is in a very different position from a man with the same total and a low one. Most clinics treat the free figure as a follow-up test ordered after the total has already alarmed somebody. Here both are drawn at once.
Will the endoscopy hurt?
No, because you sleep through it. One sedated session covers both procedures, and most men remember nothing between lying down and waking up. The part people actually complain about is the bowel preparation the evening before, which is tedious more than painful and occupies a few hours in the hotel. You may feel mildly bloated for an hour afterwards, and then you eat normally.
Why three days when your other packages run in one?
Because three of the items refuse to be compressed. A 24-hour blood pressure recording occupies 24 hours by definition. A colonoscopy demands its preparation evening beforehand. And a sedated endoscopy earns a morning of its own instead of a slot wedged between clinics. Three days is simply what doing all of that properly costs.
I am under 40. Does that change anything?
One item only. Colonoscopy with biopsy applies only to people older than 40, so under that age the gastroscopy still goes ahead and the colonoscopy does not. Everything else runs exactly as listed, PSA included. Where bowel cancer runs in your family the picture changes, and that is worth raising with us before you book.
And if they find a polyp?
It usually comes out there and then. That is exactly what a camera can do and a stool test never can. Removing a polyp is bowel cancer prevented rather than treated, and it happens while you are still under sedation. The tissue joins the rest at pathology, and your report then names the year your next colonoscopy falls due.
How much radiation is in all this?
The thorax CT uses a low-dose screening protocol, a fraction of what a standard chest CT delivers, and it is the same approach national lung screening programs use. The brain MRI carries none at all, since it works with magnets. The panoramic dental X-ray is a very small dose. Every study here is ordered because it answers a question worth asking, and the physician can talk you through any of them beforehand.
Can my wife book alongside me?
Plenty of couples do. Her Executive package carries eighty-seven items, built around cervical screening, mammography or breast ultrasound by age, and a gynecology examination in place of urology. The two schedules run alongside each other over the same three days and you meet again for the closing consultations, which turns two trips into one.
Written by the Biruni Hospital medical editorial team Reviewed by Dr Yunus Emre Yavuz, Urology
Free consultation

Start with a message

Give us your age, your family history and the weeks that could work. We will confirm whether these 83 items answer what is worrying you, how the three days fit together, and what the sedation day asks of you. If a shorter package covers you just as well, we will tell you that before you book.