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The daughter was at the appointment of a mammologist with Dr. Ostapenko. Amazing doctor. Thank him very much. Reassured my daughter. He told her in plain language that she was fine, that there was no reason to worry. All this was done so elegantly that the daughter left in high spirits. Calmed down. And for me this is the most important thing. Thank you Doctor!!!!"},"order":{"diagnostic":{"id":127,"name":{"jp":"乳房検査","en":"Consultation with a mammologist"}}},"clinic_info":{"id":253,"name":"Meliva Kardiolita Hospital ","alias":"kardiolita-private-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-01-02T12:43:06.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"はい。ありがとうございます","en":"Yes. Thank you"},"summary":{"positive":{"jp":"医師について: 「素晴らしい医師です。」「本当に感謝しています。」「大丈夫で心配することはないと、彼女に分かりやすく伝えてくれました。」「すべてがとても優雅に行われたため、娘は気分良く立ち去りました。」 クリニックについて: 結果について: 「彼女に大丈夫で心配することはないと、分かりやすく伝えてくれました。」 経験について: 「娘を安心させてくれました。」「落ち着かせてくれました。」 最も肯定的な文: 「そして私にとってこれが最も重要なことです。ありがとうございます、先生!!!!。」","en":"\"And for me this is the most important thing. Thank you Doctor!!!!.\"Return:  About the doctor: \"Amazing doctor.\", \"Thank him very much.\", \"He told her in plain language that she was fine, that there was no reason to worry.\", \"All this was done so elegantly that the daughter left in high spirits.\" About the clinic:  About the results: \"He told her in plain language that she was fine, that there was"}}},{"id":1845,"user":{"id":92934,"name":"Natalija Komilova","country_code":"LT","country_name":{"jp":"リトアニア","en":"Lithuania"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"マリナさんに個人的に感謝申し上げます。クリニックは素晴らしく、すべてが的確で迅速です。皆様にお勧めしますし、家族と一緒に何度も来院するつもりです。","en":"Many thanks personally to Marina. The clinic is excellent, everything is clear, quickly. 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Scab separation may cause delayed bleeding at 1-3 weeks.","restrictions":["Avoid strenuous exercise and heavy lifting until about 4-6 weeks","Avoid sexual activity and cycling for several weeks as advised"]},{"phase":"Months 1-3","description":"Symptoms and flow settle to final level.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Ordinary functional recovery to daily activities after uncomplicated TURP; no formal rehabilitation program needed."},"result_longevity":"Symptom relief is typically durable for years, but prostate tissue can regrow and a minority of men need retreatment over the long term.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat surgery for stricture, bladder neck contracture or regrowth within about 5-8 years."},"scars":"No external incisions because surgery is done through the urethra.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"resection","label":"Transurethral resection of obstructing prostate tissue","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Single-stage procedure; follow-up checks are not treatment sessions."},"success":{"metric":"IPSS symptom score improvement","value":70,"unit":"percent reduction","horizon":"12 months","population":"Men with benign prostatic obstruction and prostate about 30–80 mL","evidence_status":"proven"},"techniques":[{"name":"Monopolar TURP (glycine or sorbitol irrigation)","suits_whom":"Men with benign prostatic obstruction and moderate prostate size.","recovery":"Typically 1-3 nights in hospital; slightly higher risk of TUR syndrome."},{"name":"Bipolar TURP (saline irrigation)","suits_whom":"Similar patients, including those with higher bleeding or cardiac risk.","recovery":"Similar recovery; avoids TUR syndrome and may shorten catheter time."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Operating time for standard TURP in a typical prostate; larger glands take longer."},"initial_assessment_documents":["Prostate ultrasound report with volume","PSA blood test result","Uroflowmetry report","Urinalysis and urine culture result","Kidney function blood tests","List of current medicines including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-10 days including 1-3 hospital nights and catheter removal. 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