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Munoz","clinic_id":475,"photo":"doctor/66b9ed3775f78","first_year_working":2007,"created_at":"2024-08-12T11:08:38.899+00:00","short_description":"<p>アントニオ・リベラ・ムニョス医師は、キロンサルド・マルベーリャ病院の形成・再建外科ユニットを統括しています。乳房外科、ボディコントゥアリング、顔面の手術を専門としています。リベラ・ムニョス医師はグラナダ大学で組織工学の修士号を取得しています。乳がんユニットにて、乳房切除術後の複雑な再建手術を行っています。</p><ul><li>マルベーリャとカンポ・デ・ジブラルタの両方の外科ユニットで共同ディレクターを務めています。</li><li>重度の火傷治療および顎顔面外科の訓練を受けています。</li><li>女性化乳房や男性の乳房縮小術など、男性特有の症状を治療します。</li><li>JCI認定を受けたキロンサルド・マルベーリャ病院を拠点に外科診療を行っています。</li></ul>","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.002","name":"Facial plastic surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":475,"alias":"quironsalud-marbella-hospital","name":"Quirónsalud Marbella","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/475-6ab46294d37f7.png","short_description":"<p>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。</p>\n\n<p>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。</p>\n\n<p>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。</p>","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"}]}},{"doctor":{"id":291,"alias":"antonio-alcaraz","name":" Antonio Alcaraz","clinic_id":279,"photo":"doctor/5acf603c1de1a","first_year_working":1988,"created_at":"2016-08-01T09:08:54.000+00:00","short_description":"<p>アントニオ・アルカラス医師は、ロボット支援手術および腹腔鏡下手術のパイオニアです。世界で初めてNOTES経腟腎摘出術を成功させました。アルカラス医師は、バルセロナのテクノン医療センターで泌尿器科部長を務めています。泌尿器腫瘍学と腎移植を専門としています。泌尿生殖器疾患の500件以上の手術を成功に導いてきました。</p> <ul> <li>ダヴィンチ・ロボットシステムを用いた前立腺がん治療の専門家。</li> <li>低侵襲の腹腔鏡下腎摘出術および腎臓摘出手術を実施。</li> <li>停留精巣など、小児の先天性泌尿器疾患を治療。</li> <li>米国泌尿器科学連合および欧州泌尿器科学会の会員。</li> </ul>","specialities":[{"id":"sur.004","name":"Transplant surgeon","illness_kind_id":40},{"id":"sur.005","name":"Urological surgeon","illness_kind_id":33},{"id":"sur.007","name":"Surgical oncologist","illness_kind_id":33}],"statistics":{"review_count":2,"review_score":5,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":279,"alias":"hospital-quiron-barcelona","name":"Hospital Quiron Barcelona","short_description":"<p>キロン・バルセロナ病院はスペインを代表する高水準の医療施設であり、米国の主要医療機関と連携するバセルガ腫瘍学研究所を通じて、先進的な腫瘍科医療を提供していることで知られています。23室の手術室を備え、PET-CT・MRIをはじめとする最先端技術を駆使することで、ロボット支援手術や生殖補助医療を含む精密かつ効果的な治療を実施しています。</p>\n\n<p>当院は165室の病棟・スイートルーム・ロイヤルアパートメントを擁し、海外からの患者様に対して個別対応の医療サービスを提供しています。オーダーメイドの治療計画の策定、Wi-Fi環境の整備、空港送迎、近隣ホテルの手配など、きめ細やかなサービスを通じて、高品質な医療を求める方々にとって信頼できる選択肢となっています。</p>","images":[{"base_url":"clinic/5b040bd627256","title":"Hospital Quiron Barcelona modern clinic building exterior in Spain"},{"base_url":"clinic/5b040cf40de89","title":"Operating room with advanced imaging equipment at Hospital Quiron Barcelona"},{"base_url":"clinic/5b040cf51721a","title":"Spacious waiting area at Hospital Quiron Barcelona with modern seating and natural light"},{"base_url":"clinic/5b040cf5d0e1c","title":"Modern hospital corridor with elevators at Hospital Quiron Barcelona"}],"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":"バルセロナ","id":98,"alias":"barcelona"},"address":"Plaça d'Alfonso Comín, 5-7, 08023 Barcelona, Spain"},"rating":{"rating":4.4,"google":3.5,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":6,"doctors_number":300,"year_foundation":1997},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}]}}],"meta":{"total_count":3,"total_pages":1}},"reviews":{"reviews":[{"id":7680,"user":{"id":257172,"name":"Mark ","country_code":"GB","country_name":{"jp":"イギリス","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":4},{"name":"relative_price","value":2}],"text":{"jp":"信頼できて安心感を与えてくれる素晴らしい医師であり人間です。ありがとうございました - 再び人生を楽しむことができるようになるのが楽しみです！\n\nはい - 全体的なサポートは素晴らしかったです。BookimedのFouadはとても忍耐強く、非常に助けてくれました。また、Teresaはいつ眠っているのかわからないほどでした。お二人に感謝します！しかし、タイミングの関係で最初の24時間は通常よりも良くなると思いますが、これは休暇シーズンだからかもしれません - その点での期待設定を改善し、出発時に手順を案内し質問に答えてくれる人がいると良かったと思います - とはいえ、その短い時間での対応が通常とは異なる体験になるとは思いませんが、それでもサポートは驚くべきもので、Dr Gが休日にも関わらず時間を割いてくださったことを感謝し、大変ありがたく思っています - プロセスの重要な時期なので、Mercedesのような人が近くにいることをお勧めします！手術後の自分を見るのは怖いことで、約48時間近く非常に無知でいる気がしました！\n病院の皆様が素晴らしく、プロフェッショナルであったことを強調したいです。手術直後に面倒を見てくれた2人の看護師はとても優しく、手術や治療全体に関わった皆様にも感謝していますが、特にMercedesに特別な感謝を - 本当に特別な人材であり、組織と病院の非常に貴重なメンバーであり代表です！ありがとうございました。","en":"Trustworthy, reassuring and all round lovely Dr and person \r\nThank you - excited be able to enjoy life again!\r\n\r\nYes - overall support was brilliant. Fouad from Bookimed was so patient with me and so helpful, and not sure Teresa ever sleeps. Thank you both! However  due to timing I think the initial 24 hours I assume would be better usually, but it is holiday season - I think better expectation setting there and having someone on hand at departure who could inform me of the steps and answer my questions - but despite this I am sure the follow up for me in that short window would not being the usual experience as otherwise the support was amazing and I was given time during holidays by Dr G which I value and appreciate - it is an important time of the process though so I would recommend having someone like Mercedes on hand! It’s scary seeing yourself after surgery and I was left feeling very unaware for nearly 48 hours! \r\nI do want to highlight that everyone in the hospital was great and professional the two nurses who looked after me directly after the surgery were so lovely and obviously all involved in the surgery and end to end treatment - but extra special thanks to you Mercedes - a really special human and very valuable member and representative of the organisation and hospital! Thank you"},"order":{"operation":{"id":22,"name":{"jp":"鼻形成術","en":"Rhinoplasty (nose job)"}}},"doctor_info":{"id":1894,"name":"Agustin Granado Tiagonce","alias":"agustin-granado-tisgonce"},"clinic_info":{"id":479,"name":"Clinica Granado Tiagonce","alias":"clinica-granado-tiagonce","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2021-08-14T10:53:37.000+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、全体的なサポートは素晴らしかったです。ファウドは私にとても忍耐強く接してくれ、非常に助かりましたし、テレサもいつ寝ているのかわかりません。本当にありがとう！ただし、タイミングの問題で、通常の24時間がもっと良いと思いましたが、祝祭シーズンなので仕方ないですね。そこでの期待値の設定をもう少し良くし、出発時には、手続きを教えて質問に答えてくれる誰かがいると良いと思いました。しかしそれを除けば、サポートは驚くほど素晴らしく、休暇中でもドクターGが時間をさいてくれたことに感謝しています。これはプロセスの重要な時期なので、メルセデスのような人が手元にいて欲しいと思いました！手術後に自分を見るのは怖く、48時間近く非常に不安でした。\r\n\r\n病院の皆さんが素晴らしく、プロフェッショナルだったことを強調したいです。手術後に直接世話をしてくださった2人の看護師は本当に親切で、手術や一連の治療に関与した全員に感謝しています。しかし、特にあなたメルセデスには特別な感謝を！本当に特別な人間であり、組織と病院の非常に貴重なメンバーであり代表者です！ありがとうございます。","en":"Yes - overall support was brilliant. Fouad was so patient with me and so helpful, and not sure Teresa ever sleeps. Thank you both! However  due to timing I think the initial 24 hours I assume would be better usually, but it is holiday season - I think better expectation setting there and having someone on hand at departure who could inform me of the steps and answer my questions - but despite this I am sure the follow up for me in that short window would not being the usual experience as otherwise the support was amazing and I was given time during holidays by Dr G which I value and appreciate - it is an important time of the process though so I would recommend having someone like Mercedes on hand! It’s scary seeing yourself after surgery and I was left feeling very unaware for nearly 48 hours! \r\nI do want to highlight that everyone in the hospital was great and professional the two nurses who looked after me directly after the surgery were so lovely and obviously all involved in the surgery and end to end treatment - but extra special thanks to you Mercedes - a really special human and very valuable member and representative of the organisation and hospital! Thank you"},"summary":{"positive":{"jp":"信頼できて安心感を与える、全体的に素晴らしい医師であり人柄です。 医師について: 信頼できて安心感を与える、全体的に素晴らしい医師であり人柄です。 クリニックについて: はい - 全体的なサポートは素晴らしかったです。ブキメドのファウードは私にとても忍耐強く親切にしてくれて、テレサはいつも忙しく働いているのでしょうか。お二人とも本当にありがとう！ 結果について: 手術後に自分を見るのは怖いことで、私はほぼ48時間にわたりとても無知な状態でした。 経験について: 病院の皆さんは素晴らしくプロフェッショナルで、手術直後に世話をしてくれた2人の看護師さんはとても素敵で、手術や治療の全過程に関わった方々も皆さん素晴らしかったです - とりわけ、メルセデスさん、あなたに特別な感謝を。あなたは本当に特別な人であり、この組織と病院の非常に貴重なメンバーであり、代表者です！ありがとう。 最もポジティブな文","en":"Trustworthy, reassuring and all round lovely Dr and person  About the Doctor: Trustworthy, reassuring and all round lovely Dr and person  About the Clinic: Yes - overall support was brilliant. Fouad from Bookimed was so patient with me and so helpful, and not sure Teresa ever sleeps. Thank you both!  About the Results: It’s scary seeing yourself after surgery and I was left feeling very unaware fo"}}},{"id":10226,"user":{"id":418381,"name":" Mohammed Aldeeb","country_code":"ES","country_name":{"jp":"スペイン","en":"Spain"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":1}],"text":{"jp":"パロマ医師の隆鼻術の素晴らしい施術に非常に感謝しています。初回の相談から術後のケアまで、彼はプロフェッショナルで、思いやりがあり、徹底していました。私は自分の鼻にいつもコンプレックスを抱いていましたが、パロマ医師のおかげで自分自身に自信と快適さを感じられるようになりました。手術の結果はまさに私が望んでいたもので、この結果にこれ以上ないほど満足しています。パロマ医師、優れた技術と患者への献身に感謝いたします。隆鼻術を検討している方には、ぜひ彼をお勧めします。","en":"I am so grateful to Dr. Paloma for his fantastic work on my rhinoplasty procedure. He was professional, compassionate, and thorough from the initial consultation to the post-operative care. I had always been self-conscious about my nose, and Dr. Paloma helped me feel more confident and comfortable in my own skin. The results of the surgery were precisely what I wanted, and I couldn't be happier with the outcome. Thank you, Dr. Paloma, for your excellent skills and dedication to your patients. I highly recommend him to anyone considering a rhinoplasty procedure."},"order":{"operation":{"id":22,"name":{"jp":"鼻形成術","en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-12-26T16:07:55.000+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":"Bookimedチームの優れたカスタマーサポートに大変感謝しています。最初から、彼らは親切でプロフェッショナルであり、私のすべての質問や懸念に迅速かつ丁寧に答えてくれました。","en":"\"I am extremely grateful to the Bookimed team for their excellent customer support. From the very beginning, they were helpful and professional, answering all of my questions and concerns promptly and thoroughly."},"summary":{"positive":{"jp":"鼻形成手術を考えている方には、ぜひ彼をお勧めいたします。","en":"\"I highly recommend him to anyone considering a rhinoplasty procedure.\""}}},{"id":6218,"user":{"id":161133,"name":"Judy ","country_code":"FR","country_name":{"jp":"フランス","en":"France"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"クリニック テクノンのスタッフに非常に感銘を受けました。彼らはとても親切で親身になって接してくれました。ドクター ヴィンセント パロマとの非常にギリギリの時間に相談を受けることができ、彼と話すとすぐに安心しました。彼はすべてを詳細に説明してくれ、相談を終えた時には完全に満足し、安心できました。\n今後2ヶ月以内に手術を受ける予定で、最高の美容外科医の一人の手にあると感じています。ラッキーです!!","en":"I was very impressed by the staff at Clinic Teknon. They were very helpful and accommodating. I managed to get a very last minute consultation with Dr Vincent’s Paloma who I immediately felt at ease with. He explained everything in depth and I left the consultation feeling completely satisfied and in good hands!!\nI will undergo surgery within the next 2 months and feel that I am with one of the best plastic surgeons available. Lucky me!!"},"order":{"diagnostic":{"id":340,"name":{"jp":"形成外科相談","en":"Plastic Surgery Consultation"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-12-23T11:07:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"私は今後2ヶ月以内に手術を受ける予定であり、利用可能な最高の形成外科医の一人のもとにいることを感じています。私は幸運です!!","en":"\"I will undergo surgery within the next 2 months and feel that I am with one of the best plastic surgeons available. Lucky me!!\""}}},{"id":21772,"user":{"id":848293,"name":"Lyubov ","country_code":"UA","country_name":{"jp":"ウクライナ","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"すべてがうまくいきました！Bookimedを信頼して本当に良かったと思います。なぜなら、手術は完全に成功し、担当のIrina Bulgakovaさんは最初から最後までずっと連絡をくれ、どんな質問にも丁寧に相談にのってくれました。私はサービスの質に非常に満足しており、親戚や私自身にもぜひまた申し込むことを勧めたいと思います！","en":"Everything went just fine! I am very happy that I trusted Bookimed, because the operation was completely successful and the supervisor Irina Bulgakova was in touch with me throughout the whole time from start to finish and consulted me on any questions, was polite and courteous, which is very pleasant for me as a client. I am very satisfied with the quality of service I will definitely recommend to my relatives and myself to apply again!"},"order":{"operation":{"id":445,"name":{"jp":"脂肪注入術","en":"Lipofilling (Fat Grafting)"}}},"clinic_info":{"id":479,"name":"Clinica Granado Tiagonce","alias":"clinica-granado-tiagonce","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2025-09-28T10:12:55.956+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":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"jp":"すべてがうまくいきました！Bookimedを信頼して本当に良かったと思います。なぜなら、手術は完全に成功し、担当のIrina Bulgakovaさんは最初から最後までずっと連絡をくれ、どんな質問にも丁寧に相談にのってくれました。私はサービスの質に非常に満足しており、親戚や私自身にもぜひまた申し込むことを勧めたいと思います！","en":"Everything went just fine! I am very happy that I trusted Bookimed, because the operation was completely successful and the supervisor Irina Bulgakova was in touch with me throughout the whole time from start to finish and consulted me on any questions, was polite and courteous, which is very pleasant for me as a client. I am very satisfied with the quality of service I will definitely recommend to my relatives and myself to apply again!"},"what_like_text":{"jp":"仕事の質","en":"Quality of work"},"what_not_like_text":{"jp":"すべてが素晴らしかった！","en":"Everything was great!"}},"comment_about_bookimed":{"jp":"本当に楽しかったです！責任感のある有資格のスーパーバイザーが本当に熱心にサポートしてくれるので、医師探しやそれに付随するすべてのことが簡単になります。","en":"Really enjoyed it all! Responsible qualified supervisors who are really keen to help and make it easy to find a doctor and everything that goes with it."},"summary":{"positive":{"jp":"サービスの質に非常に満足しています。親族にも薦め、自分自身も再度利用したいと思います。","en":"I am very satisfied with the quality of service I will definitely recommend to my relatives and myself to apply again!"}}},{"id":4023,"user":{"id":33849,"name":"Бальзира ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"オンライン相談を受けました。相談後、これから進めていく治療計画が作成され、さらに相談が続く予定です。オンライン相談は非常に便利ですが、特に請求書が少し不明瞭で印が1つだけだったため、いくつかの不安がありました。より公式な書類を作成することをお勧めいたします。そうすることで、相談料金を支払う際の不安が軽減されるでしょう。","en":"Passed online consultation. After the consultation, a treatment plan was created, which we will undergo, further consultations will continue.\nOnline consultation is very convenient and of course there were some doubts, especially when the invoice was billed, because it was a bit confusing, there was only one seal, so I advise you to make the documents more official, so that you would not be so scared to pay for the consultation."},"order":{"operation":{"id":22,"name":{"jp":"鼻形成術","en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-06-11T16:34:58.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"印鑑が一つしか押印されていませんでしたので、相談料の支払いに不安がないように、書類をより公式なものにすることをお勧めします。","en":"There was only one seal, so I advise you to make the documents more official, so that you would not be so scared to pay for the consultation."}}},{"id":9015,"user":{"id":353359,"name":"Ирина ","country_code":"UA","country_name":{"jp":"ウクライナ","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"美しくて現代的なクリニック、親切なスタッフたちです)) お忙しい中、私とのやり取りと意思決定にご協力いただいたオルガとオスタップに心から感謝申し上げます)) すべてが計画通りに運ぶことを願っています))","en":"Beautiful and modern Clinic, friendly staff)) Thank you very much to Olga and Ostap who helped me in communication and decision-making)) I hope that everything will be as planned))"},"order":{"operation":{"id":26,"name":{"jp":"眼瞼形成術","en":"Blepharoplasty (Eyelid correction)"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-05-27T15:07:51.000+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、もちろんです。","en":"Yes, sure))"},"summary":{"positive":{"jp":"オルガさんとオスタップさん、コミュニケーションと意思決定の手助けをしていただき、本当にありがとうございました。","en":"Thank you very much to Olga and Ostap who helped me in communication and decision-making))"}}},{"id":5780,"user":{"id":114336,"name":"Svetlana Rubel","country_code":"RU"},"ratings":[{"name":"main","value":4},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":0}],"text":{"jp":"手術は無事に終わりました。今は回復期間中です。私はすでにウラジオストクにいます。 医師の選択に際してのご支援に心より感謝申し上げます。また、すべての質問に対応してくださり、温かいご支援をいただき、ありがとうございました。","en":"перация прошла хорошо. Сейчас у меня период восстановления. Я уже во Владивостоке. \nБольшое Вам спасибо в выборе доктора, а так же огромное спасибо за Вашу поддержку, что помогали по всем вопросам и спасибо за Ваше тёплые отношения."},"order":{"operation":{"id":808,"name":{"jp":"二次鼻形成術","en":"Revision rhinoplasty"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-11-02T23:03:13.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"知人に貴院のBookimed国際センターをお勧めします。","en":"Буду рекомендовать своим знакомым Ваш Международный центр Bookimed."},"summary":{"positive":{"jp":"オペレーションは順調に進みました。","en":"перация прошла хорошо."}}},{"id":14793,"user":{"id":473736,"name":"Nataliya ","country_code":"TR","country_name":{"jp":"トルコ","en":"Turkey"}},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":3},{"name":"nps","value":4},{"name":"manager","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"jp":"相談に満足しました。医師がすべてを詳しく説明してくれました。","en":"I enjoyed the consultation.  The doctor explained everything in detail"},"order":{"operation":{"id":651,"name":{"jp":"上腕リフト","en":"Arm lift (brachioplasty)"}},"diagnostic":{"id":340,"name":{"jp":"形成外科相談","en":"Plastic Surgery Consultation"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-03-31T09:20:15.629+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":false},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"jp":"相談は気に入りました。医師はすべてを詳しく説明してくれました。","en":"I liked the consultation. The doctor explained everything in detail"},"what_like_text":{"jp":"医師の専門能力","en":"Doctor&#39;s competence"},"what_not_like_text":{"jp":"クリニックへのフィードバック、メールには返事がありません","en":"Feedback from the clinic, they don’t respond to emails"}},"comment_about_bookimed":{"jp":"素晴らしいプラットフォームです。丁寧な対応で、常にフィードバックがあります。あらゆる質問に答えてくれます。","en":"Great platform. Courteous treatment, always have feedback. Will answer any and all questions."},"summary":{"positive":{"jp":"相談が気に入りました","en":"I liked the consultation"}}}],"meta":{"total_count":18,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"<p>スペインにおけるファロプラスティ（陰茎形成術）の費用は、通常 _op_851_price_from_ から _op_851_price_to_ の範囲です。総費用は、RFF（前腕皮弁）やALT（大腿皮弁）などの術式や、選択する医療機関によって異なります。米国では、この手術の平均費用は _price_compare_US_average_ です。スペインでは、米国と比較して約 _price_percent_discount_% の費用削減が可能です。標準的なパッケージには、通常、外科医の費用、麻酔代、5〜14日間の入院費、および材料費が含まれています。</p>\n\n<ul>\n<li><strong>ALT皮弁法：</strong> 特定の地域では、複雑なRFF法よりも15〜20%ほど安価に開始できる場合があります。</li>\n<li><strong>メトイディオプラスティ（陰核延長術）：</strong> 一般的に、完全なファロプラスティの各段階よりも手頃な外科的代替手段となります。</li>\n<li><strong>地理的要因：</strong> マドリードやバルセロナの価格設定は、バレンシアやセビリアよりも通常10〜15%高くなります。</li>\n<li><strong>追加手術：</strong> 陰嚢形成術やペニスのインプラント手術は、別段階として実施される場合、通常かなりの追加費用がかかります。</li>\n</ul>\n\n<p><strong>Bookimed専門家の見解：</strong> スペインは、世界クラスの認定と競争力のある価格設定のバランスが取れています。「Centro Médico Teknon」や「Hospital Ruber Internacional」は、いずれもJCI認証を取得しています。これらのクリニックは、数千人の海外患者や著名人の治療実績があります。バルセロナやマドリードを選択すれば、ロボット支援技術を利用できます。一方、バレンシアのような小規模な拠点でも、施設利用料を抑えつつ同様の外科的専門知識を提供している場合があります。最もコストパフォーマンスを高めるには、Newsweek誌の「世界最高の病院」ランキングに掲載されているクリニックを探すことをお勧めします。</p>"}},"texts":{"txt_price":{"text":"<p>陰茎形成術の費用は、通常<strong>5,500ドルから15,000ドル</strong>の範囲で、平均は<strong>10,000ドル</strong>前後です。最終的な費用は、術式（脂肪移植または完全再建術）、術者の経験、クリニックの評判、および手術を受ける国によって異なります。</p>\n\n<p>タイでは、陰茎形成術の費用は<strong>5,500ドルから11,500ドル</strong>です。トルコでは、<strong>8,800ドルから15,000ドル</strong>の範囲となっています。メキシコでは、費用は<strong>9,000ドル</strong>前後から始まり、完全再建術では最大<strong>32,000ドル</strong>に達することがあります。これらの国々では、総費用には通常、手術処置、全身麻酔、術前診察、入院費、および術後管理が含まれます。</p>\n\n<p>これに対し、米国での陰茎形成術の自己負担費用は<strong>25,000ドルから100,000ドル</strong>に及ぶ場合があります。タイ、トルコ、またはメキシコでの陰茎形成術を選択することで、渡航費および宿泊費を考慮した場合でも、患者は<strong>50％から70％</strong>の費用を節約できます。</p>\n\n<p><em>この価格調査は、Bookimedパートナークリニックからの最新かつ検証済みの費用情報に基づいています。</em></p>"},"guide_mc":{"text":"<p>第1日目：到着</p>\n<ul>\n<li>病院に到着する。</li>\n<li>必要な書類手続きを完了する。</li>\n<li>医療チームと面談する。</li>\n</ul>\n\n<p>第2〜3日目：術前</p>\n<ul>\n<li>泌尿器科医および形成外科医と診察を行う。</li>\n<li>必要な医学的検査を受ける。</li>\n<li>陰茎形成術の手順について説明を受ける。</li>\n</ul>\n\n<p>第4日目：陰茎形成術</p>\n<ul>\n<li>術前準備を行う。</li>\n<li>全身麻酔を受ける。</li>\n<li>陰茎形成術を受ける（通常6〜8時間）。</li>\n<li>術後管理を受ける。</li>\n</ul>\n\n<p>第5〜10日目：術後</p>\n<ul>\n<li>経過観察のため入院を継続する。</li>\n<li>処方された薬剤により疼痛を管理する。</li>\n<li>指示に従い軽度の身体活動を開始する。</li>\n</ul>\n\n<p>第2〜6週：リハビリテーション</p>\n<ul>\n<li>軽度の運動を継続する。</li>\n<li>外来フォローアップ受診に出席する。</li>\n<li>疼痛および腫脹を管理する。</li>\n</ul>\n\n<p>第7〜12週：リハビリテーション継続</p>\n<ul>\n<li>段階的に職場復帰する。</li>\n<li>負担の少ない活動を再開する。</li>\n<li>フォローアップ受診を継続する。</li>\n</ul>\n\n<p>第13週以降</p>\n<ul>\n<li>通常のすべての活動を再開する。</li>\n<li>陰茎形成術の最終的な結果を確認する。</li>\n</ul>\n\n<p><i>回復経過は個人によって異なり、スケジュールは患者の全身状態および手術の複雑さによって変動する場合があることをご留意ください。</i></p>"}}},"faq":[{"id":"6a0c79503eab59e43e05cad2","question":"スペインの専門家によって最も頻繁に使用される外科的手法は何ですか？","answer":"<p>スペインの専門家は、ファロプラスティ（陰茎形成術）の主要な外科的手法として、前腕皮弁（RFFF）および大腿前外側皮弁（ALT）を採用しています。これらの微小血管外科手術は、確実な血管新生と解剖学的再建を保証するため、マドリードとバルセロナのJCI認定センターで段階的に実施されます。</p> <ul> <li><strong>皮弁の選択:</strong> 外科医は主に、感覚の可能性を重視する場合はRFFFを、傷跡を隠すことを重視する場合はALTを使用します。</li> <li><strong>段階的アプローチ:</strong> 手順には、尿道の多段階再建、性器の輪郭形成、およびその後のプロテーゼ挿入が含まれます。</li> <li><strong>専門家の資格:</strong> アントニオ・リベラ・ムニョス博士のような外科医は、組織工学の分野で学位を取得していることがよくあります。</li> <li><strong>代替手段:</strong> メタジオイディオプラスティは、適切な候補者にとって、より負担の少ない別の選択肢として提案されています。</li> </ul> <p><strong>Bookimedの専門家の意見:</strong> 多くの患者は皮弁の種類に注目しますが、スペインの外科データによると、尿道再建戦略の方がより重要であることが示唆されています。Hospital Quiron Barcelonaのような主要センターでは、長期的な合併症を最小限に抑えるために、段階的な尿道形成術を優先しています。技術よりも経験が重要であるため、42以上の専門部門で多数の症例を経験した外科医を探してください。</p> <p><strong>患者のコンセンサス:</strong> 多くの患者は、腕の傷跡などのドナー部位の回復が、予想以上に精神的な負担をもたらすと感じています。現実的な結果を得るためには、専門家の段階的な修正手術の具体的な実績に基づいて選択することを強くお勧めします。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a0c79bf3eab59e43e05cad4","question":"勃起インプラントや精巣インプラントは初期段階に含まれますか？","answer":"<p>勃起インプラントおよび精巣インプラントは、スペインにおけるファロプラスティ（陰茎形成術）の初期段階には含まれていません。これらの補綴装置は通常、最終的な二次手術の際に挿入されます。この遅延は、異物を新しく形成された組織に導入する前に、ネオファルス（新陰茎）が構造的に強固であり、完全に治癒していることを保証するためです。</p><ul><li><strong>組織の安定化：</strong> 外科医は、組織の成熟と神経の再生のために6〜12ヶ月待ちます。</li><li><strong>感染リスクの低減：</strong> 機器の挿入を遅らせることで、壊死、機器の感染、またはインプラントの露出を防ぎます。</li><li><strong>尿道の完全性：</strong> 狭窄などの尿路の問題は、インプラントを挿入する前に解決しておく必要があります。</li><li><strong>外科的段階分け：</strong> 初期段階は、陰茎の作成、陰嚢形成術、および尿道の延長に重点を置いています。</li></ul><p><strong>Bookimedの専門家の意見：</strong> 多くの海外患者は単一段階の結果に注目しますが、Bookimedのデータによると、Hospital Quiron Barcelonaのようなスペインの主要センターは、段階を分けることで安全性を優先しています。アントニオ・リベラ・ムニョスのような外科医は、生殖器外科を専門とすることが多く、まずは組織の移植を成功させることに集中します。この段階的なアプローチが、スペインのクリニックが複雑な性別適合再建術において高い安全性を維持している理由です。</p><p><strong>患者のコンセンサス：</strong> 患者は、これが忍耐を必要とする複数回の手術のプロセスであることを強調しています。ほとんどの患者は、より良いサイズ、対称性、および長期的なデバイスの機能性を達成するためには、組織の成熟を待つことが不可欠であるという意見で一致しています。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a0c7a36738a2b796e0ae7b2","question":"何段階の外科手術が必要ですか？","answer":"<p>スペインにおけるファロプラスティ（陰茎形成術）は、通常12〜24ヶ月の期間にわたり2〜4段階の外科手術を必要とします。標準的なプロトコルでは安全性と組織の治癒を優先し、陰茎の作成、尿道延長、陰嚢形成術、および勃起インプラントや精巣インプラントの挿入を、全身麻酔下での個別の手術に分けて行います。</p> <ul> <li><strong>第1段階：</strong> 外科医は前腕または大腿部の皮膚フラップを使用して陰茎を作成します。</li> <li><strong>第2段階：</strong> 医師は、立位での排尿を可能にするために尿道延長術と陰嚢形成術を行います。</li> <li><strong>第3段階：</strong> 専門医は、一次的な治癒が完全に完了した後、精巣および勃起インプラントを挿入します。</li> <li><strong>修正段階：</strong> 輪郭の微調整、亀頭形成術、または尿道の再建のために、追加の処置が必要になる場合があります。</li> </ul> <p><strong>Bookimedの専門的見解：</strong> Quironsalud Madridのようなスペインのセンターでは、これらの複雑なプロセスを最適化するために、JCI認定を受けた高度なロボット技術と安全基準を採用しています。データによると、一次的な構造は予測可能ですが、再建手術の経験豊富な外科医を選択することで、合併症による予期せぬ4回目や5回目の手術の可能性を減らすことができます。</p> <p><strong>患者のコンセンサス：</strong> 患者はしばしば、この道のりはスプリントではなくマラソンであると強調します。最適な結果を得るためには微調整が一般的であるため、少なくとも1回の追加修正段階を計画することを多くの人が推奨しています。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a0c7ab242e5af637c04c592","question":"スペインで手術を予約する前にどのような要件を満たす必要がありますか？","answer":"<p>スペインでのファロプラスティ（陰茎形成術）の事前予約には、多段階の臨床的および管理的審査が必要です。患者は仮想外科評価を受け、性別違和に関する文書を提出し、該当する場合はシェンゲン医療ビザを取得する必要があります。最終的な承認は、現地での術前健康診断およびマドリードまたはバルセロナの麻酔科医による許可に依存します。</p> <ul> <li><strong>医療文書：</strong> セラピストからの手紙、性別違和の診断書、および完全な病歴を提出してください。</li> <li><strong>外科的評価：</strong> ビデオ通話を通じて専門家が確認できるよう、診断画像と検査結果を送信してください。</li> <li><strong>術前トリオ：</strong> 手術の2日前に血液検査、心電図（ECG）、胸部X線検査を受けてください。</li> <li><strong>管理的要件：</strong> クリニックからの招待状と、ビザ申請のための十分な資金証明を取得してください。</li> <li><strong>ドナー部位の準備：</strong> 手術予約の数ヶ月前からドナー部位の脱毛を開始してください。</li> </ul> <p><strong>Bookimedの専門家の意見：</strong> 臨床データによると、スペインでのファロプラスティは段階的なプロセスであり、多くの場合、複数の修正が必要です。アントニオ・リベラ・ムニョス博士のような外科医が性器手術を行いますが、尿道や感覚に関して安定した結果を得るためには、主治医が多段階の計画全体を管理することが重要です。</p> <p><strong>患者のコンセンサス：</strong> 患者は、早期に文書を収集し、現地の付き添いを見つけることの重要性を強調しています。外科医は初期評価中に傷の治癒リスクを厳密にチェックするため、手術のかなり前からニコチンを控えることが不可欠です。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}}],"faqInSchema":true,"relations":{"countries":[{"name":"アゼルバイジャン","alias":"azerbaijan","iso_code":"AZ"},{"name":"アメリカ合衆国","alias":"united-states","iso_code":"US"},{"name":"イギリス","alias":"united-kingdom","iso_code":"GB"},{"name":"イタリア","alias":"italy","iso_code":"IT"},{"name":"インド","alias":"india","iso_code":"IN"},{"name":"ウクライナ","alias":"ukraine","iso_code":"UA"},{"name":"コロンビア","alias":"colombia","iso_code":"CO"},{"name":"スイス","alias":"switzerland","iso_code":"CH"},{"name":"スペイン","alias":"spain","iso_code":"ES"},{"name":"タイ","alias":"thailand","iso_code":"TH"},{"name":"チェコ共和国","alias":"czech-republic","iso_code":"CZ"},{"name":"トルコ","alias":"turkey","iso_code":"TR"},{"name":"ドミニカ共和国","alias":"dominican-republic","iso_code":"DO"},{"name":"ブラジル","alias":"brazil","iso_code":"BR"},{"name":"メキシコ","alias":"mexico","iso_code":"MX"},{"name":"リトアニア","alias":"lithuania","iso_code":"LT"},{"name":"大韓民国","alias":"republic-of-korea","iso_code":"KR"}],"cities":[{"name":"マドリード","alias":"madrid"},{"name":"バルセロナ","alias":"barcelona"}],"operations":[{"name":"陰茎増大術","alias":"penis-enlargement"},{"name":"性別適合手術","alias":"sex-reassignment-surgery"},{"name":"陰茎プロテーゼ挿入術","alias":"penile-implant-surgery"},{"name":"膣形成術","alias":"vaginoplasty"},{"name":"陰茎形成術","alias":"phalloplasty"},{"name":"性別適合手術","alias":"male-to-female-mtf-surgery"},{"name":"乳房再建術","alias":"reconstructive-breast-surgery"},{"name":"性別適合手術","alias":"bottom-surgery"},{"name":"口唇口蓋裂形成術","alias":"cleft-lip-or-palate-repair"},{"name":"再建手術","alias":"reconstructive-surgery"},{"name":"鼻中隔矯正術","alias":"septoplasty"},{"name":"鼻形成術","alias":"rhinoplasty-nose-job"},{"name":"耳介形成術","alias":"otoplasty-ear-surgery"},{"name":"耳前皮膚付属物切除術","alias":"preauricular-skin-tag-removal"},{"name":"声帯女性化術","alias":"voice-feminization-surgery"},{"name":"顎インプラント","alias":"jaw-implant"},{"name":"減量後形成術","alias":"post-bariatric-plastic-surgery"},{"name":"唇縮小術","alias":"lip-reduction"},{"name":"リップリフト","alias":"lip-lift"},{"name":"汗腺吸引術","alias":"sweat-gland-suction"},{"name":"異型ほくろ切除術","alias":"atypical-mole-removal"},{"name":"ラジオ波カーフ縮小術","alias":"radiofrequency-calf-reduction"},{"name":"ふくらはぎ縮小術","alias":"calf-reduction"},{"name":"額リフト","alias":"lifting-lba"},{"name":"脂肪彫刻術","alias":"liposculpture"},{"name":"フェイスリフト","alias":"tightening-of-facial-skin-facelift"},{"name":"ダーマブレーション","alias":"dermabrasion"},{"name":"眉毛移植術","alias":"moustache-transplantation"},{"name":"自毛植毛術","alias":"beard-transplantation"},{"name":"植皮術","alias":"skin-grafting"},{"name":"ARTASロボット植毛","alias":"artas-robotic-hair-transplant"},{"name":"自毛植毛術","alias":"hair-transplant"},{"name":"男性乳房縮小術","alias":"gynecomastia-surgery"},{"name":"脂肪吸引術","alias":"liposuction"},{"name":"顔の脂肪吸引術","alias":"face-liposuction"},{"name":"膣縮小術","alias":"vaginal-tightening"},{"name":"鼻瘤除去術","alias":"nasal-hump-removal"},{"name":"陰茎湾曲矯正術","alias":"penile-curvature-correction-surgical-treatment-for-peyronies-disease"},{"name":"ペニフレックス","alias":"peniflex"},{"name":"処女膜再生術","alias":"hymenoplasty-hymen-restoration"},{"name":"自毛植毛術","alias":"fut-hair-transplant"},{"name":"PRP療法とヒアルロン酸","alias":"prp-with-ha-for-peyronie-s-disease"},{"name":"腹部エッチング","alias":"abdominal-etching"},{"name":"腹筋インプラント","alias":"ab-implants"},{"name":"腹部形成術","alias":"abdominoplasty"},{"name":"シックスパック男性腹部引き締め","alias":"six-pack-male-tummy-tuck"},{"name":"腹壁形成術と脂肪吸引術","alias":"tummy-tuck-and-liposuction"},{"name":"フルールデリスタミータック","alias":"fleur-de-lis-tummy-tuck"},{"name":"アジアン鼻形成術","alias":"asian-rhinoplasty"},{"name":"鼻翼縮小術","alias":"alarplasty"},{"name":"アロダーム","alias":"alloderm-acellular-dermal-matrix-adm"},{"name":"FUE自毛植毛術","alias":"fue-hair-transplant"},{"name":"眼瞼形成術","alias":"blepharoplasty-eyelid"},{"name":"ブラジリアンバットリフト","alias":"brazilian-butt-lift"},{"name":"下眼瞼形成術","alias":"lower-eyelid-surgery"},{"name":"ヒップリフト","alias":"male-bbl-brazilian-butt-lift"},{"name":"ベイザー脂肪吸引術","alias":"vaser-liposuction"},{"name":"外陰形成術","alias":"vulvoplasty"},{"name":"ディーププレーンフェイスリフト","alias":"deep-plane-facelift"},{"name":"ヒップインプラント","alias":"buttock-implants"},{"name":"鼻閉鎖式形成術","alias":"closed-rhinoplasty"},{"name":"男性用ふくらはぎインプラント","alias":"calf-implant-for-men"},{"name":"ふくらはぎインプラント","alias":"calf-implants"},{"name":"内反足用ふくらはぎインプラント","alias":"clubfoot-calf-implant"},{"name":"大胸筋インプラント","alias":"pectoral-implants"},{"name":"男性乳房拡大術","alias":"male-breast-augmentation"},{"name":"頬インプラント","alias":"cheek-implants"},{"name":"眼角形成術","alias":"cat-eye-surgery-canthoplasty"},{"name":"被膜切除術","alias":"breast-capsulectomy"},{"name":"豊胸インプラント再修正術","alias":"breast-implant-revision"},{"name":"陰核形成術","alias":"clitoroplasty"},{"name":"結腸膣形成術","alias":"colon-vaginoplasty"},{"name":"前額形成術","alias":"forehead-contouring"},{"name":"輪郭形成術","alias":"face-contouring"},{"name":"陥没乳頭整復術","alias":"inverte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Varies with flap type and complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light activity and walking earlier; strenuous exercise, heavy lifting and donor-site loading usually after surgeon clearance."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Swelling resolution and sensory recovery; later stages (e.g., erectile implant) extend the overall timeline."},"fly_home_after_days":{"min":28,"max":42,"unit":"days","qualifier":"After catheter or stent removal, wound checks and surgeon clearance; plan to stay nearby."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Flap and donor-site check after discharge."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":14,"max":21,"unit":"days","qualifier":"Dressing and suture or graft-site management."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Urinary catheter/stent removal and voiding assessment, timing varies."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Healing, sensation and need for further stages."}}],"indications":["Gender-affirming surgery for transgender men and non-binary adults with dysphoria","Penile reconstruction after trauma, cancer surgery or congenital absence/severe hypoplasia"],"main_risks":["Flap loss or partial necrosis","Wound infection and delayed healing","Bleeding or hematoma","Donor-site complications (graft loss, scarring, reduced function or sensation)","Altered or reduced sensation","Need for further revision surgery","Anesthesia and thromboembolic risks","Urethral problems: stricture, fistula, voiding difficulties (spraying, dribbling)","Implant complications (infection, malfunction, extrusion) if placed"],"pain":"Moderate to significant pain in the first 1-2 weeks at both the genital and donor sites, controlled with prescribed analgesia; gradually settles over several weeks.","preparation":["Mental health and endocrine assessments for gender-affirming care","Pre-operative surgical consultation and imaging of donor site as needed","Stop smoking and nicotine well ahead of surgery","Hair removal at donor site and/or urethral area where planned","General pre-anesthetic assessment and blood tests","Arrange help at home and aftercare","Plan clot prophylaxis; review all medicines with surgeon, no self-changes"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Flap monitoring, bed rest then gradual mobilisation, urinary catheter and suprapubic drainage.","restrictions":["Limited mobility initially","Keep flap protected and warm"]},{"phase":"Weeks 2-4","description":"Wound healing while staying nearby with catheter/stent in place; dressing care and donor-site management.","restrictions":["No heavy lifting or strenuous activity","Avoid pressure on the flap"]},{"phase":"Weeks 4-12","description":"Catheter/stent removal and voiding assessment around weeks 4-8; desk work from about week 6, then gradual activity.","restrictions":["Avoid heavy exercise until cleared","No sexual activity until cleared"]},{"phase":"Months 3-12+","description":"Swelling subsides, sensation develops; further stages such as glansplasty or erectile implant may follow.","restrictions":["Follow surgeon guidance before further stages"]}],"rehabilitation_days":{"min":21,"max":42,"unit":"days","qualifier":"Light daily activities resume about 3–6 weeks after surgery, limited by catheter or stent, wound care, and fatigue."},"result_longevity":"Phalloplasty is intended as permanent reconstruction, though revision procedures may be needed and erectile function requires a separate implant.","revision_rate_pct":{"min":30,"max":50,"unit":"percent","qualifier":"Unplanned revision within 1–2 years, mainly for fistula (26–37%) and stricture (13–16%); planned implant stages excluded."},"scars":"Visible scarring at the donor site (e.g., forearm, which may carry a skin graft) and at the genital/pubic region; scars mature over 12 months or more.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Surgical stages requiring travel; excludes follow-up checks. Varies with revision needs and whether an erectile implant is placed."},"stages":[{"code":"phallus_construction","label":"Free-flap phallus construction with urethral reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"First-stage surgery; may include vaginectomy and scrotal work depending on plan."}},{"code":"glans_scrotal_stage","label":"Glansplasty, scrotoplasty and revision stage","after":{"min":90,"max":240,"unit":"days","qualifier":"Timing depends on swelling resolution, sensation and urethral healing."}},{"code":"erectile_implant","label":"Erectile implant placement","after":{"min":365,"max":540,"unit":"days","qualifier":"Optional; done after sensation returns and tissues have healed."}}],"qualifier":"Staged reconstruction; the number of stages depends on urethral complications, patient goals and implant choice."},"success":{"metric":"Flap survival (viable neophallus without total flap loss)","value":95,"unit":"percent of patients","horizon":"3 months after surgery","population":"Adults undergoing free radial forearm flap phalloplasty for gender affirmation","evidence_status":"limited"},"techniques":[{"name":"Radial forearm free flap phalloplasty","suits_whom":"Most common choice; good sensation and urethral creation.","recovery":"Hospital 5-10 nights; forearm donor-site scar."},{"name":"Anterolateral thigh (ALT) free flap","suits_whom":"Patients preferring a less visible donor site and with adequate thigh tissue.","recovery":"Similar hospital stay; thigh donor scar."},{"name":"Musculocutaneous latissimus dorsi flap","suits_whom":"Selected patients, particularly when other flaps are unsuitable.","recovery":"Similar hospital stay; back donor scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":6,"max":12,"unit":"hours","qualifier":"First-stage free-flap phalloplasty; varies with urethral lengthening and team approach."},"initial_assessment_documents":["Photos of forearm and thigh donor sites","Full-body front and side photos","Gender dysphoria assessment letters","Testosterone therapy duration and dose record","Previous genital or pelvic surgery reports"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Staged surgery: flap phalloplasty with 5-10 night stay, then glans/scrotal stage months later; erectile implant is a further stage."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon is fully trained in the specific procedure you want","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask for examples of the surgeon's experience with this specific surgery","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners’ experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Confirm the surgeon you consult is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm the surgeon speaks a language you understand well enough to discuss the operation","scope":"treatment_abroad","source":{"url":"https://cutover.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"cutover.rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Travelers should ask whether \"follow-up care is scheduled to occur at the same facility as the procedure.\"","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cheap, time-limited offers that push a quick decision are a warning sign","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":"2026-11-12","http_status":200}},{"id":"F2","text":"Websites selling cosmetic surgery bundled as a holiday are a warning sign in an ad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert guaranteeing complete success should raise concerns about the offer","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":"2026-11-12","http_status":200}},{"id":"F4","text":"Advice that comes only from sales representatives or travel agents is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Excessive bleeding or blood-soaked dressings","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21585-phalloplasty","host":"my.clevelandclinic.org","quote":"Excessive bleeding or blood-soaked dressings.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Abnormal swelling in groin or lower leg","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21585-phalloplasty","host":"my.clevelandclinic.org","quote":"Signs of blood clots, like abnormal swelling in your groin or lower leg.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Difficulty or pain while peeing","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21585-phalloplasty","host":"my.clevelandclinic.org","quote":"Difficulty or pain while peeing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Discoloration or skin changes on neophallus","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21585-phalloplasty","host":"my.clevelandclinic.org","quote":"Discoloration or other skin changes in your neophallus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Your home doctor can review the imaging taken during your treatment","document":"scans and x-ray 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":"2026-11-12","http_status":200}},{"id":"T2","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","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":"T4","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have significant clitoral growth from testosterone use","name":"Metoidioplasty","source":{"url":"https://www.healthline.com/health/transgender/metoidioplasty","host":"healthline.com","quote":"It can be performed on anyone with significant clitoral growth from the use of testosterone.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":1581}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"radial-forearm-free-flap-phalloplasty","name":"Radial forearm free flap phalloplasty","how_it_works":{"text":"A skin flap from the forearm builds the penis shaft","source":{"url":"https://www.healthline.com/health/transgender/phalloplasty","host":"healthline.com","quote":"During this procedure, surgeons use a flap of skin from your forearm to build the shaft of the penis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":6,"unit":"weeks","label":"6 weeks","source":{"url":"https://my.clevelandclinic.org/health/procedures/21585-phalloplasty","host":"my.clevelandclinic.org","quote":"Many people don’t resume their usual activities until at least six weeks after surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"anterolateral-thigh-free-flap","name":"Anterolateral thigh (ALT) free flap","how_it_works":{"text":"A skin flap from the thigh builds the penis shaft","source":{"url":"https://my.clevelandclinic.org/health/procedures/21585-phalloplasty","host":"my.clevelandclinic.org","quote":"Then, surgeons take a large flap of skin from your forearm or thigh.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":6,"unit":"weeks","label":"6 weeks","source":{"url":"https://my.clevelandclinic.org/health/procedures/21585-phalloplasty","host":"my.clevelandclinic.org","quote":"Many people don’t resume their usual activities until at least six weeks after surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"musculocutaneous-latissimus-dorsi-flap","name":"Musculocutaneous latissimus dorsi flap","how_it_works":{"text":"Tissue from the back muscles builds the penis","source":{"url":"https://www.healthline.com/health/transgender/phalloplasty","host":"healthline.com","quote":"A musculocutaneous latissimus dorsi (MLD) flap phalloplasty takes donor tissue from the back muscles underneath the arm.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":6,"unit":"weeks","label":"6 weeks","source":{"url":"https://my.clevelandclinic.org/health/procedures/21585-phalloplasty","host":"my.clevelandclinic.org","quote":"Many people don’t resume their usual activities until at least six weeks after surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"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=spain/procedure=plastika-polovogo-clena/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":false,"topCountriesCount":0}