消化器内科・消化器外科クリニック Centro PAD
Bookimedは痔核切除術価格に追加料金を加算しません。料金はクリニックの公式価格表から来ています。到着時にクリニックで痔核切除術代を直接お支払いいただきます。
Bookimedはお客様の安全に取り組んでいます。痔核切除術で高い国際基準を維持し、世界中の国際患者サービスに必要なライセンスを有する医療機関とのみ協力しています。
Bookimedは無料専門サポートを提供します。専属医療コーディネーターが治療前、治療中、治療後にサポートし、あらゆる問題を解決します。痔核切除術の旅路でお一人になることはありません。
General and Digestive System Surgeon. Focus on minimally invasive colorectal, proctologic, and abdominal wall surgery. Associate Head, Infanta Elena University Hospital (2021–). Associate Surgeon, Fundación Jiménez Díaz (2013–).
Accreditations: PhD in Surgery, summa cum laude (UAM). Certified in robotic surgery (Da Vinci X/Xi/5). Advanced training in laparoscopic general surgery (IRCAD, Strasbourg). Specialist in General and Digestive Surgery (Fundación Jiménez Díaz).
Achievements: Researcher (2013–). Author of a patent for an abdominal wall prosthetic implantation system (2021). Co‑author of the Rectal Obturator utility model (2021). Peer reviewer, International Journal of Surgery Case Reports (2024–). Thesis tutor (2023–). Publications in Cirugía Española, Experimental Biology and Medicine, Histology and Histopathology, and The American Journal of Surgery. Member of AEC, AECP, and ICOMEM.
Dr. César Canales has led General and Digestive Surgery and the Laparoscopic and Robotic Surgery Unit at Hospital Ruber Internacional (Madrid) since 2015. He is a General and Digestive Surgeon with over 30 years of experience. He specializes in laparoscopic and Da Vinci robotic surgery for complex abdominal, oncologic, and abdominal wall cases.
He holds a PhD (cum laude, UAM) and an MD (with honors, UCM). He completed his specialist training at Hospital General Universitario Gregorio Marañón. He is also certified by the Military Medical Corps. He has authored over 70 publications and 12 book chapters, including the Manual of Surgery (McGraw-Hill). He has served as faculty in more than 16 courses. Awards include Forbes Top 100 Doctors (2024), Top 5 General and Digestive Surgeons in Spain (2021–2024), La Razón Doctor of the Year (2024), and El Confidencial Best Doctors in Spain (2025).
Dr. César Lévano Linares is a specialist in general and digestive surgery. He works at Rey Juan Carlos University Hospital and Fundación Jiménez Díaz University Hospital. He is recognized for his work in laparoscopic colorectal surgery.
He holds a PhD in Medicine and Surgery from the Autonomous University of Madrid. He completed a master’s in colorectal and pelvic floor surgery at the University of Zaragoza. He also holds a diploma in laparoscopic surgery from Louis Pasteur University in Strasbourg. He has European accreditation in laparoscopic surgery (EACCME).
His research covers bilateral retroperitoneal hibernoma and conversion from primary endoluminal endoscopic surgery to laparoscopic gastric bypass.
Spain is a primary safety destination for hemorrhoid surgery because of its internationally accredited hospitals and board-certified surgeons. Many facilities maintain Joint Commission International accreditation and use surgical protocols that achieve 95% efficacy rates. Surgeons typically undergo 11 years of rigorous training before practicing independently.
Bookimed Expert Insight: While many clinics offer laser and standard surgery, high-volume centers like Hospital Ruber Internacional serve 25,000 patients annually. This volume correlates with higher safety, as their surgical teams manage over 6,000 procedures yearly. For international patients, choosing these larger hubs ensures 24/7 access to multidisciplinary emergency teams if rare complications arise.
Patient Consensus: Recovery involves 15 to 20 days of careful management, including sitz baths and specific dietary prep. Patients emphasize the importance of verifying surgeon transparency regarding post-operative bleeding and pain before booking.
Spanish hospitals perform laser hemorrhoidectomy using a diode laser to shrink or excise diseased tissue under sedation or spinal anesthesia. This minimally invasive technique enables targeted treatment for grade 2 to 3 internal hemorrhoids while preserving the anal sphincter and mucosal integrity.
Bookimed Expert Insight: While many clinics offer standard hemorrhoidectomy, specialized centers like Centro Médico Teknon or Ruber Internacional provide advanced proctology units where surgeons like Dr. Xavier Centeno Fornies apply Mayo Clinic-trained protocols. These elite facilities often prioritize hybrid laser techniques that combine tissue shrinkage with surgical excision, ensuring long-term results for grade 3 cases that single-method lasers might not fully resolve.
Patient Consensus: Recovery varies significantly based on tissue removal, with the first week being the most challenging. Patients emphasize following pain medication schedules strictly and using barrier creams to manage post-operative discharge.
Most patients undergo a hemorrhoidectomy in Spain as an outpatient procedure, resulting in a same-day discharge or a 1-night hospital stay. Spanish clinics utilize minimally invasive techniques like laser or laparoscopic surgery to ensure rapid recovery and minimal post-operative discomfort for international patients.
Bookimed Expert Insight: While many websites quote generic timeframes, Spain’s top colorectal centers like Centro Médico Teknon or Hospital Ruber Internacional utilize specialized proctology units that focus on same-day discharge. Data shows that 2024 protocols in Madrid often favor 0-night stays for laser-assisted techniques. If traveling from abroad, some clinics like Hospital Quiron Barcelona offer nearby hotel integration to bridge the gap between discharge and your first follow-up.
Patient Consensus: Patients emphasize the necessity of having stool softeners ready at home before discharge. Most report needing 2–4 weeks off work and value surgeons who require a successful urination test before allowing them to leave the clinic.
Conventional Milligan-Morgan open hemorrhoidectomy remains the preferred surgical technique for severe Grade III and IV hemorrhoids in Spain. Surgeons often combine this excision method with Ligasure vessel-sealing technology to minimize bleeding. This approach ensures low recurrence rates for internal and external components while managing advanced prolapse.
Bookimed Expert Insight: While public hospitals rely on traditional excision, private centers like Centro PAD in Madrid focus on rapid recovery protocols. Data shows a shift toward combining robotic-assisted platforms with specific energy-sealing tools. This combination allows surgeons to perform the necessary radical excision while preserving more surrounding healthy tissue than standard manual tools.
Patient Consensus: Patients emphasize that while surgery is the definitive step after banding fails, managing the first week is critical. Proper post-op care including sitz baths and stool softeners is essential for a smooth outcome.
Most patients return to light work after 1 week. Significant pain usually subsides within 10 to 15 days. While primary recovery takes 2 to 4 weeks, achieve full internal healing requires approximately 3 months. Surgeons in Spain utilize rapid recovery protocols to minimize early postoperative discomfort.
Bookimed Expert Insight: Rapid recovery isn't just about the surgical technique. Clinics like Centro PAD in Madrid implement specific protocols that emphasize early mobilization and specialized proctology care. While many general hospitals provide these surgeries, choosing a facility dedicated to digestive surgery often results in better postoperative support for managing the 3-month total healing timeline.
Patient Consensus: Expect the first 10 days to be challenging. Relief comes quickly after 2 weeks, and many notice residual swelling or skin tags gradually diminish as healing progresses through the second month.
Spanish hemorrhoidectomy packages typically cover surgical fees, sedation or spinal anesthesia, and use of specialized operating rooms for 2 to 4 hours. Most centers prioritize ambulatory care, allowing patients to be discharged the same day while maintaining a standard medical safety profile.
Bookimed Expert Insight: While many international destinations bundle hotel stays, Spain clinics like Centro Médico Teknon or Hospital Ruber Internacional focus on high-efficiency ambulatory care. This approach often uses sedation rather than general anesthesia, which contributes to the significant 64% savings compared to US average costs of $12,000.
Patient Consensus: Patients value the efficiency of same-day discharge but recommend bringing personal supplies like stool softeners and peri-bottles. Most return to light activities within 7 days, though total healing can take 3 months.
Formal hemorrhoidectomy offers a permanent solution with a low recurrence rate of approximately 5%, significantly outperforming non-surgical treatments. While the specific removed tissue cannot return, long-term success requires managing lifestyle factors in JCI-accredited Spanish clinics using advanced robotic or laparoscopic techniques.
Bookimed Expert Insight: While many seek quick fixes, high-grade hemorrhoids require formal surgery for lasting results. Data from Centro PAD and Teknon Medical Center highlights that specialists like Dr. Xavier Centeno Fornies prioritize excisional methods to minimize repeat procedures. Costs in Spain range from $4,000 to $4,500, providing high-tier surgical precision at significant savings compared to the US average of $12,000.
Patient Consensus: Post-operative swelling or skin tags during the first 11 days are often confused with recurrence. Patients emphasize waiting 3 months for full healing and optimizing fiber intake to maintain success.
Most patients undergo a hemorrhoidectomy as a same-day procedure and return home once the anesthesia wears off. While many leave within a few hours, surgeons may recommend a 1-day hospital stay to monitor for urinary retention or manage initial post-operative pain effectively.
Bookimed Expert Insight: While many websites suggest immediate discharge, top Spanish specialists like Dr. Carlos Garcia Vasquez at Centro PAD often utilize specific protocols to ensure patients can void their bladder before leaving. Choosing a clinic with ERAS-Society accreditation, such as Centro Médico Teknon, can significantly reduce the likelihood of requiring an unplanned overnight stay through better pain management and earlier mobility.
Patient Consensus: Expect to stay 1 day unless everything proceeds perfectly without complications. Patients often emphasize preparing for the first bowel movement with hydration and sitz baths to manage discomfort during the initial 48 hours.
Language is rarely a barrier for hemorrhoidectomy patients in Spain who choose major medical centers in Barcelona or Madrid. Leading facilities like Centro Médico Teknon and Hospital Ruber Internacional specialize in international care, providing medical coordinators and English-speaking surgical teams for non-Spanish speakers.
Bookimed Expert Insight: Spanish private hospitals frequently employ surgeons with international fellowships. Dr. Xavier Centeno Fornies trained at the Mayo Clinic, while Dr. Carlos Garcia Vasquez holds certifications from IRCAD France. This global training ensures they are comfortable communicating complex medical details in English, bridging any potential language gaps during surgical consultations.
Patient Consensus: Patients find that staff in top-tier Spanish hospitals are highly proficient in English. Most recommend prepared translation cards or mobile apps to ease communication during quick interactions with auxiliary staff or at local pharmacies.