Navarro Vílchez医師は、_doctor_8302_年の間に900件以上の尿道再建手術を行っており、この複雑な泌尿器科手術を専門としています。Quirónsalud Marbellaでの尿道形成術の費用は約$14,110〜$18,000で、通常、手術、2〜4日間の入院、フォローアップケア、術後モニタリングが含まれます。JCI認定施設であり、傷跡を軽減するために低侵襲技術を使用しています。Navarro Vílchez医師はスペインで訓練を受け、スペイン最大の民間病院グループの主任再建泌尿器科医を務めています。
Quirónsalud Marbelaは、スペイン最大の民間病院グループであるQuirónsaludに属しています。当院は形成外科および健康診断を専門としています。
\n\n地中海沿岸のリゾート地、コスタ・デル・ソルの中心部に位置しています。
\n\n中央ヨーロッパおよび北ヨーロッパの患者様が、各種処置のためにQuirónsalud Marbelaをご利用されています。
","images":[{"base_url":"clinic/5d5fd2d5e7391","title":"Quirónsalud Marbella clinic exterior, modern medical facility in Spain"},{"base_url":"clinic/5d5fd2d5f1ff2","title":"Modern exterior of Quirónsalud Marbella clinic with architectural facade in Spain"},{"base_url":"clinic/6411b74cd56f6","title":"Quirónsalud Marbella hospital exterior in Marbella, Spain"},{"base_url":"clinic/5d5fd2d592db8","title":"Patient room at Quirónsalud Marbella with sea view and modern furnishings"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マルベーリャ","id":401,"alias":"marbella"},"address":"Av. Severo Ochoa, 22 29603 Marbella Málag"},"rating":{"rating":3.9,"google":3.1,"percent_of_satisfied_clients":83},"statistics":{"number_of_reviews":6,"doctors_number":60,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":77},"doctors":{"doctors":[{"card_text":"メモリアル・スローン・ケタリングがんセンターで高度なトレーニングを受けた尿道形成術の専門医。キロンサルード・マルベーリャの泌尿器科ユニットを統括。
ナバロ・ビルチェス医師は、キロンサルード・マルベーリャ病院の泌尿器科ユニットを率いています。男性の生殖器の健康と下部尿路手術を専門としています。ビルチェス医師は、ニューヨークのメモリアル・スローン・ケタリングがんセンターで研究滞在を修了しました。マラガ泌尿器外科研究所の共同設立者でもあります。
Quirónsalud Marbelaは、スペイン最大の民間病院グループであるQuirónsaludに属しています。当院は形成外科および健康診断を専門としています。
\n\n地中海沿岸のリゾート地、コスタ・デル・ソルの中心部に位置しています。
\n\n中央ヨーロッパおよび北ヨーロッパの患者様が、各種処置のためにQuirónsalud Marbelaをご利用されています。
","images":[{"base_url":"clinic/5d5fd2d5e7391","title":"Quirónsalud Marbella clinic exterior, modern medical facility in Spain"},{"base_url":"clinic/5d5fd2d5f1ff2","title":"Modern exterior of Quirónsalud Marbella clinic with architectural facade in Spain"},{"base_url":"clinic/6411b74cd56f6","title":"Quirónsalud Marbella hospital exterior in Marbella, Spain"},{"base_url":"clinic/5d5fd2d592db8","title":"Patient room at Quirónsalud Marbella with sea view and modern furnishings"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マルベーリャ","id":401,"alias":"marbella"},"address":"Av. 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work after single-stage anterior urethroplasty, with catheter in or just removed; manual labour usually longer."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any early or late complication after anterior urethroplasty; most minor, serious ones under 5%."},"contraindications":["Unfit for anesthesia due to severe uncontrolled medical illness (relative)","Active urinary tract or urethral infection (postpone until treated)","Active local skin disease or infection at graft/flap donor site"],"days_in_clinic":{"min":14,"max":21,"unit":"nights","qualifier":"Stay until catheter removal; hospital admission usually 1-3 nights."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Strenuous activity, cycling and heavy lifting are usually avoided longer after perineal bulbar repair; surgeon-dependent."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to stable voiding and healing after uncomplicated primary repair; recurrence surveillance continues longer."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"Usually after catheter removal and satisfactory voiding or urethrogram; earlier with catheter in place if surgeon agrees."},"follow_up_visits":[{"purpose":"other","requirement":"routine","after":{"min":14,"max":21,"unit":"days","qualifier":"Catheter removal, usually after pericatheter urethrogram or voiding cystourethrogram in many centres."}},{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Wound check, often at or around catheter removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Uroflowmetry and post-void residual assessment, about 3-4 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Longer-term symptom and flow surveillance for recurrence."}}],"indications":["Symptomatic anterior urethral stricture, especially recurrent after dilation or urethrotomy","Long or dense urethral strictures unsuitable for endoscopic treatment","Posterior urethral stenosis or distraction defect after pelvic fracture trauma","Failed hypospadias repair or other urethral defects needing reconstruction"],"main_risks":["Stricture recurrence","Bleeding or hematoma","Wound infection or urinary tract infection","Urethral fistula or diverticulum","Erectile dysfunction (usually temporary)","Post-micturition dribbling, ejaculatory changes or numbness at perineum/donor site","Oral graft donor-site pain or numbness (if buccal mucosa used)","Anesthesia-related and positioning-related complications"],"pain":"Moderate postoperative pain for the first several days, controlled with oral analgesics; catheter discomfort and bladder spasms are common. 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=marbela/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}