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When I learned that I needed back surgery I was terrified.  I started to research neurosurgeons, and needed up on bookimed, and then to Ponderas.  I was becoming more comfortable as we went through setting up the consultation, and once we were there and met the coordinator and the surgeon, we felt much better.  They answered all our questions and helped to accommodate the long drive we had to make. After checking in for surgery, the medical staff were so caring and kind.  Even the little special touches, as in the picture.  I feel like they gave me a good idea of recovery, and what to expect at home. 10/10"},"order":{"operation":{"id":690,"name":{"jp":"椎間板ヘルニア摘出術","en":"Removal of herniated disc with preoperative diagnostic"}}},"clinic_info":{"id":6339,"name":"Ponderas Academic Hospital","alias":"ponderas-academic-hospital","flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}]},"created_at":"2026-03-19T16:54:12.453+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true}],"images":[{"full_url":"review/69bc3441a8ac2_b.jpeg","preview_url":"review/69bc3441a8ac2_s.jpeg"},{"full_url":"review/69bc344203380_b.jpeg","preview_url":"review/69bc344203380_s.jpeg"}],"client_response":{"preview_to_review_text":{"jp":"ルーマニアに住んでいた頃、最も大きな不安の一つは、重大な医療上の出来事が起こることでした。背骨の手術が必要だと告げられた時、私は非常に恐ろしく感じました。脳神経外科医を調べ始め、Bookimedにたどり着き、そしてPonderasへと繋がりました。診察の予約を進める中で、だんだんと安心感が増してきました。そして実際にコーディネーターと外科医に会った時、私たちはずっと気持ちが楽になりました。彼らはすべての質問に答えてくれ、長い道のりを運転してきた私たちへの配慮もしてくれました。手術のために入院した後、医療スタッフはとても親切で温かく接してくれました。写真にあるような、ちょっとした心遣いも嬉しかったです。回復の見通しや、帰宅後に何を心掛けるべきかについても、丁寧に説明していただいたと感じています。10/10","en":"One of my biggest fears while living in Romania was a major medical event.  When I learned that I needed back surgery I was terrified.  I started to research neurosurgeons, and needed up on bookimed, and then to Ponderas.  I was becoming more comfortable as we went through setting up the consultation, and once we were there and met the coordinator and the surgeon, we felt much better.  They answered all our questions and helped to accommodate the long drive we had to make. After checking in for surgery, the medical staff were so caring and kind.  Even the little special touches, as in the picture.  I feel like they gave me a good idea of recovery, and what to expect at home. 10/10"},"what_like_text":{"jp":"手続きは非常に整然としており、スタッフ全員がプロセスの各段階を丁寧に説明してくださいました。スタッフの方々はみなさん親切で、とても助かりました。看護師の方々も、車まで送ってくださった方も、とても丁寧で親切でした。","en":"The process was very organized and everyone was careful to explain each part of the process.  All of the staff were so kind and helpful.  The nurses and even the man who transported me to the car was so careful and kind."},"what_not_like_text":{"jp":"食事はかなりひどかった。それでも、食事があっただけましだった。","en":"The food was pretty bad.  At least there was food though."}},"comment_about_bookimed":{"jp":"ヴェロニカさんは素晴らしかったです！セットアップを手伝ってくれただけでなく、その後も様子を確認して、私が大丈夫かどうか気にかけてくれました。本当に助かりました。ありがとう、ヴェロニカさん！","en":"Veronica was awesome!  She didn’t just help set it up, but she checked on me after and made sure I was ok.  Such a blessing for me.  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Report clear nasal fluid, thirst or severe headache.","restrictions":["No nose blowing","Avoid heavy lifting and bending","Sneeze with the mouth open"]},{"phase":"Weeks 3–6","description":"Return to normal daily activities and desk work; nasal healing and crust clearance.","restrictions":["Avoid strenuous exertion until cleared"]},{"phase":"Months 2–4","description":"Hormone replacement is adjusted and MRI and vision are reassessed.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated endoscopic transsphenoidal surgery; no formal rehabilitation program is usually required."},"result_longevity":"Many tumors are controlled long term after complete resection, but recurrence is possible, depending on tumor type and extent of resection, so long-term imaging and hormone surveillance is advised.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat surgery for residual or recurrent tumor, or CSF leak repair, within about 5 years."},"scars":"No visible scar with the endoscopic transnasal approach, because the tumor is reached through the nostril and sphenoid sinus.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation; follow-up checks are not counted as treatment sessions."},"stages":[{"code":"surgery","label":"Endoscopic transsphenoidal tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Standard endoscopic transsphenoidal resection in one stage."},"success":{"metric":"Gross total resection of non-functioning macroadenoma","value":70,"unit":"percent of patients","horizon":"3 months on postoperative MRI","population":"Adults with non-functioning macroadenoma, endoscopic transsphenoidal surgery","evidence_status":"limited"},"techniques":[{"name":"Endoscopic endonasal transsphenoidal resection","suits_whom":"Most pituitary adenomas, including macroadenomas and those with suprasellar extension.","recovery":"Typically 2–5 nights in hospital and return to desk work in 2–6 weeks."},{"name":"Microscopic transsphenoidal (sublabial or transnasal) resection","suits_whom":"Smaller adenomas and microadenomas confined to the sella.","recovery":"Similar to the endoscopic approach."},{"name":"Transcranial (craniotomy) approach","suits_whom":"Rare large tumors with extensive lateral or suprasellar extension that cannot be reached transnasally.","recovery":"Longer hospital stay and recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for a standard endoscopic transsphenoidal resection of an uncomplicated adenoma."},"initial_assessment_documents":["Pituitary MRI report and images","Pituitary hormone blood test results","Visual field test report","Neurology or endocrinology consultation notes","Previous pituitary surgery or radiotherapy reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7–14 days, including 2–5 hospital nights. Endocrine and MRI follow-ups usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that a steroid plan is in place before discharge, because pituitary surgery may require steroid replacement","scope":"procedure","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/endoscopic-transsphenoidal-pituitary-surgery","host":"uclh.nhs.uk","quote":"Steroid plan in place (see Steroid medication).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that follow-up with endocrinology and neurosurgery is arranged before discharge","scope":"procedure","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/endoscopic-transsphenoidal-pituitary-surgery","host":"uclh.nhs.uk","quote":"Follow up plan with endocrinology and neurosurgery in place.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that blood testing is arranged after discharge to assess water balance and cortisol hormone","scope":"procedure","source":{"url":"https://www.royaldevon.nhs.uk/media/rn0d42cl/your_pituitary_operation_-_what_to_expect_rd_21_062_002.pdf","host":"royaldevon.nhs.uk","quote":"One week after the surgery you will have a blood test to check your water balance and cortisol hormone.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check that postoperative visual assessment and MRI follow-up are planned","scope":"procedure","source":{"url":"https://www.northerncarealliance.nhs.uk/patient-information/patient-leaflets/neurosurgery-endoscopic-surgery-pituitary-tumour","host":"northerncarealliance.nhs.uk","quote":"You will also need to have a repeat visual assessment and a MR scan usually at 3-4 months post-operatively.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Vision loss","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/diagnosis-treatment/drc-20350553","host":"mayoclinic.org","quote":"Vision changes, such as double vision or vision loss.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Double vision","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/diagnosis-treatment/drc-20350553","host":"mayoclinic.org","quote":"Vision changes, such as double vision or vision loss.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Heavy urine output and extreme thirst","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/symptoms-causes/syc-20350548","host":"mayoclinic.org","quote":"You may pass a lot of urine and feel very thirsty.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tumor's growth can be controlled without surgery","name":"Radiation therapy","source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/symptoms-causes/syc-20350548","host":"mayoclinic.org","quote":"Or its growth may be controlled with medicines or radiation therapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null},{"id":"A2","text":"Your tumor's growth can be controlled with medicines","name":"Medication therapy","source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/symptoms-causes/syc-20350548","host":"mayoclinic.org","quote":"Or its growth may be controlled with medicines or radiation therapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"endoscopic-endonasal-transsphenoidal","name":"Endoscopic endonasal transsphenoidal resection","how_it_works":{"text":"An instrument enters through the nostril to access the tumor","source":{"url":"https://www.mayoclinic.org/diseases-conditions/pituitary-tumors/diagnosis-treatment/drc-20350553","host":"mayoclinic.org","quote":"In endoscopic transnasal transsphenoidal surgery, a surgical instrument is placed into the nasal cavity through the nostril and alongside the nasal septum to access a pituitary tumor.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":6,"unit":"weeks","label":"6 weeks","source":{"url":"https://www.mayoclinic.org/tests-procedures/transsphenoidal-surgery/about/pac-20583059","host":"mayoclinic.org","quote":"Most people can get back to usual activities within six weeks of the surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}},{"id":"microscopic-transsphenoidal-resection","name":"Microscopic transsphenoidal (sublabial or transnasal) resection","how_it_works":{"text":"The surgeon removes the tumor through the nose under a microscope","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC5409268","host":"pmc.ncbi.nlm.nih.gov","quote":"Microscopic transsphenoidal surgery has long been considered the \"gold standard\" in surgical treatment of pituitary tumors.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"transcranial-approach","name":"Transcranial (craniotomy) approach","how_it_works":{"text":"The surgeon removes larger or complicated tumors through the skull","source":{"url":"https://careinfo.mayoclinic.org/pituitary-tumor","host":"careinfo.mayoclinic.org","quote":"Transcranial surgery (craniotomy) to remove larger or more complicated tumors through the upper part of the skull via an incision in the scalp.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=rumuniya/city=buharest/procedure=udalenie-opuholi-gipofiza/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":87,"alias":"hypophyseal-adenoma","name":"下垂体腺腫"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}