Hospital Ruber Internacionalは、スペインのマドリードにある民間の単科専門医療センターであり、脳神経外科、整形外科、および循環器科を専門としています。同病院は成人および小児の両方を対象とし、年間約25,000人の患者に医療を提供しています。患者の大多数はCIS諸国、欧州および英連邦、ならびに米国、カナダ、オーストラリアから来院しています。
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Oral graft donor sites can be sore for about 1-2 weeks.","preparation":["Urethral imaging (retrograde urethrogram/voiding cystourethrogram), uroflowmetry and often cystoscopy","Urine culture and treatment of any infection beforehand","Pre-anesthesia assessment and standard blood tests","Review of medications and smoking cessation advice","Fasting as instructed by anesthesia team","Suprapubic catheter or diversion arranged if in retention"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Catheter in place, pain control, early mobilisation, perineal or penile dressing.","restrictions":["Limited activity","Avoid straining"]},{"phase":"Catheter period (about 2-3 weeks)","description":"Home recovery with urethral catheter; imaging often performed before removal.","restrictions":["No heavy lifting","No cycling or sitting astride","Avoid sexual activity"]},{"phase":"After catheter removal (weeks 3-6)","description":"Return to normal voiding, gradual resumption of daily activity.","restrictions":["Avoid strenuous exercise","Avoid sexual activity until cleared by surgeon"]},{"phase":"Months 3-6","description":"Flow assessment and full return to activity; ongoing surveillance.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities after uncomplicated single-stage anterior urethroplasty."},"result_longevity":"Many repairs remain durable long term, particularly anastomotic urethroplasty; recurrence can occur years later, so periodic flow surveillance is advised.","revision_rate_pct":{"min":8,"max":20,"unit":"percent","qualifier":"Stricture recurrence needing repeat dilation, urethrotomy or repeat urethroplasty within about 5 years."},"scars":"Perineal, penile or circumcising-type incision depending on the approach, usually healing to a well-concealed scar; oral graft donor site heals inside the mouth without visible scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-stage urethroplasty; staged repairs are used for complex cases only."},"stages":[{"code":"urethroplasty_surgery","label":"Single-stage urethral reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial operation."}}],"qualifier":"Typical single-stage primary anterior urethroplasty in adults."},"success":{"metric":"Stricture-free voiding without further intervention","value":85,"unit":"percent","horizon":"5 years","population":"Adults after primary single-stage anterior urethroplasty for bulbar stricture","evidence_status":"limited"},"techniques":[{"name":"Excision and primary anastomosis","suits_whom":"Short bulbar strictures (generally under 2-2.5 cm).","recovery":"Catheter about 2-3 weeks; return to desk work in 1-2 weeks."},{"name":"Buccal mucosa graft urethroplasty (dorsal, ventral or lateral onlay)","suits_whom":"Longer bulbar or penile strictures not suitable for anastomosis.","recovery":"Catheter about 2-3 weeks; temporary mouth discomfort at donor site."},{"name":"Staged urethroplasty","suits_whom":"Complex or penile strictures with poor local tissue, lichen sclerosus or failed prior repair.","recovery":"Involves two operations several months apart."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for typical single-stage anterior urethroplasty; longer with graft harvest or complex reconstruction."},"initial_assessment_documents":["Retrograde urethrogram images and report","Voiding cystourethrogram images and report","Uroflowmetry report","Cystoscopy or urethroscopy report","Prior urethral surgery or dilation records","Recent urine culture result"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage repair: stay 2-3 weeks until catheter removal, or leave earlier with home removal. Staged repairs need two trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check which repair technique is planned: rejoining the urethra or widening it with a cheek graft","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"The scar is either cut away and the urethra re-joined over a catheter or widened with a piece of cheek lining (buccal mucosa) over a catheter.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are given a discharge summary of your admission when you leave hospital","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"When you leave hospital, you will be given a “draft” discharge summary of your admission.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that a urethrogram X-ray is arranged before the catheter is removed, to confirm healing","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"Before the catheter is removed, an X-ray (urethrogram) will be arranged alongside the catheter in the penis, approximately 3 weeks after your operation, to ensure that the area has healed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that outpatient follow-up is planned after catheter removal, about 12 weeks later","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"After catheter removal, you will be followed up in the outpatient clinic after 12 weeks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the surgeon who performs the repair is a urologist","scope":"treatment_type","source":{"url":"https://my.clevelandclinic.org/health/diseases/urethral-stricture","host":"my.clevelandclinic.org","quote":"A urologist will remove the stricture and reconnect the healthy ends of your urethra.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the provider gives you a recovery timeline for your specific treatment","scope":"treatment_type","source":{"url":"https://my.clevelandclinic.org/health/diseases/urethral-stricture","host":"my.clevelandclinic.org","quote":"A healthcare provider will give you a better idea of your recovery timeline according to their recommended treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Consultation that does not mention the risk of a recurrent stricture needing more surgery","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"You may develop a recurrent stricture requiring further surgery or other treatment – this may affect up to 20% individuals.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Consultation or quote with no follow-up appointments with a provider planned after treatment","scope":"treatment_type","source":{"url":"https://my.clevelandclinic.org/health/diseases/urethral-stricture","host":"my.clevelandclinic.org","quote":"You’ll need follow-up appointments with a healthcare provider to ensure you’re healing properly and that scar tissue isn’t developing again.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Warning sign: the consultation never mentions possible loss or change of erections after surgery","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"You may experience loss of or altered erections as a result of surgery to the urethra.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Increasing pain, wound discharge or swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"Any increasing pain, wound discharge or swelling should be reported to your GP immediately.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pain not controlled by prescribed painkillers","urgency":"contact_clinic","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/2nd-stage-urethroplasty","host":"uclh.nhs.uk","quote":"Pain which is not controlled by the prescribed pain killers","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W3","text":"Fever of 38 C or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/2nd-stage-urethroplasty","host":"uclh.nhs.uk","quote":"A fever of 100 (38 C) or higher","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor gets a record of the admission at discharge","document":"discharge summary","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"When you leave hospital, you will be given a “draft” discharge summary of your admission.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs it to see whether the repaired area has healed","document":"urethrogram x-ray report","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"Before the catheter is removed, an X-ray (urethrogram) will be arranged alongside the catheter in the penis, approximately 3 weeks after your operation, to ensure that the area has healed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctors need the restrictions and follow-up instructions after surgery","document":"aftercare instructions","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/2nd-stage-urethroplasty","host":"uclh.nhs.uk","quote":"To minimise complications you must not do any heavy lifting (nothing heavier than a full kettle of water) for two weeks You must not have sex for six weeks following surgery or until the wound has fully healed","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T4","text":"It tells the home doctor when catheter removal is planned","document":"catheter-removal appointment","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/2nd-stage-urethroplasty","host":"uclh.nhs.uk","quote":"You will receive a date for catheter removal 2-3 weeks after the surgery which will take place in clinic, or sometimes in our radiology (X-ray department) after a peri-catheter urethrogram.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T5","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":"T6","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather not have open repair of the urethra","name":"Optical urethrotomy","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"What are the alternatives to the procedure? Observation, optical urethrotomy, repeated stretching using metal/plastic dilators","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer repeated stretching over open repair","name":"Repeated urethral stretching","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"What are the alternatives to the procedure? Observation, optical urethrotomy, repeated stretching using metal/plastic dilators","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Your condition may be managed without immediate reconstructive surgery","name":"Observation","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"Observation, optical urethrotomy, repeated stretching using metal/plastic dilators","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"excision","name":"Excision and primary anastomosis","how_it_works":{"text":"The scarred part is cut away and the urethra is rejoined","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"The scar is either cut away and the urethra re-joined over a catheter or widened with a piece of cheek lining (buccal mucosa) over a catheter.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"buccal-mucosa-graft","name":"Buccal mucosa graft urethroplasty (dorsal, ventral or lateral onlay)","how_it_works":{"text":"A piece of cheek lining is used to widen the urethra","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"The scar is either cut away and the urethra re-joined over a catheter or widened with a piece of cheek lining (buccal mucosa) over a catheter.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"staged-urethroplasty","name":"Staged urethroplasty","how_it_works":{"text":"Repair is completed in stages when a single operation is unsuitable","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6458800/","host":"pmc.ncbi.nlm.nih.gov","quote":"A one-stage urethroplasty is preferable to avoid a protracted treatment course with multiple interventions after dilation and direct vision internal urethrotomy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=plastika-uretry/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":98,"name":"バルセロナ","alias":"barcelona","country_iso_code":"ES"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":21},"manualSeo":[],"updatedAt":"2026-11-12T18:00:11.900Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}