准教授のエスラ・オズバシュル医師は、ケリー・プリケーション（Kelly Plication）を専門とし、婦人科および性器形成術において_doctor_8319_年の経験を有しています。施術費用は約3,550ドルから5,910ドルです。オズバシュル医師は産婦人科および性器形成術の認定医であり、ロボット手術の訓練を受けており、ECFMG認定を取得しています。国際的な学術誌に多数の論文を発表しており、同分野の他の専門家の指導も行っています。
Assoc. Prof. Dr. Esra Özbaşlı OBGYN & Genital Aestheticsは、トルコのイスタンブールに位置する私立の単一専門医療センターです。チームは腫瘍学、泌尿器科学、および外科学に専念しています。Assoc. Prof. Dr. Esra Özbaşlı OBGYN & Genital Aestheticsは成人のみを対象としています。毎年2,500名の患者様がAssoc. Prof. Dr. Esra Özbaşlı OBGYN & Genital Aestheticsを選び、医療サービスをお受けになっています。ヨーロッパ・英連邦諸国、アラブ連盟加盟国、およびCIS諸国からの患者様が最も多くご来院されています。
","images":[{"base_url":"clinic/66be1dcba2197","title":"Reception and consultation rooms at Assoc. Prof. Dr. Esra Özbaşlı OBGYN Clinic, Istanbul"},{"base_url":"clinic/66be2136747d8","title":"Clinic exterior of Assoc. Prof. Dr. Esra Özbaşlı OBGYN & Genital Aesthetics, Istanbul"},{"base_url":"clinic/66be214203414","title":"Patient lounge at Assoc. Prof. Dr. Esra Özbaşlı OBGYN Clinic with city view"},{"base_url":"clinic/66be214a03c56","title":"Modern waiting room at Assoc. Prof. Dr. Esra Özbaşlı Clinic with sofas and art decor"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"トルコ","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"イスタンブール","id":107,"alias":"istanbul"},"address":"Harbiye, Mim Kemal Öke Cd. 23 K D:2 D.5, 34367 Şişli/İstanbul, Turkey"},"rating":{"rating":5,"google":4.9,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":1,"year_foundation":2023},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/651ed4ba8ac14.jpeg","name":"Turkish Medical Association (Türk Tabipleri Birliği)","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d48fc833289.jpeg","name":"トルコ医師会","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e2ea948b5d5.jpeg","name":"国際医療観光認可証明書","country_code":"TR"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"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。
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":250,"price_to":250,"currency":"USD","id":59966},"diagnostic":{"id":48,"name":"泌尿器科診察","alias":"urologist-consultation"}},{"prices":{"price_from":340,"price_to":390,"currency":"USD","id":65028},"diagnostic":{"id":276,"name":"泌尿器検査","alias":"urological-examination"}}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"ルベル・インターナショナル病院","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"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。
","images":[{"base_url":"clinic/6756f35ff10ac","title":"Hospital Ruber Internacional exterior view at night in Madrid, Spain"},{"base_url":"clinic/6756f34586526","title":"Medical team at Hospital Ruber Internacional in surgical scrubs, group photo in clinic"},{"base_url":"clinic/6756f34626a12","title":"Patient room at Hospital Ruber Internacional with modern bed and garden view"},{"base_url":"clinic/6756f34b1f0c3","title":"Hospital Ruber Internacional exterior view in Madrid, modern medical facility"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"国際標準化機構","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":2},"doctors":{"doctors":[{"doctor":{"id":11911,"alias":"artur-antoniewicz","name":"Artur Antoniewicz","clinic_id":4286,"photo":"doctor/69f9bd97bb437","first_year_working":1999,"created_at":"2026-05-05T09:51:18.902+00:00","short_description":"Artur A. Antoniewicz博士（MD, PhD）は、20年以上の経験を持つ泌尿器科医です。ワルシャワのミェンズィレスキ専門病院の泌尿器科部長を7年間務め、同病院には20年以上勤務しています。2018年からは、前立腺がん治療センターにてロボット支援手術を行っています。
\nワルシャワ医科大学医学部を卒業。泌尿器科および一般外科の専門医（1992年取得）。ワルシャワ第1国立臨床病院、ワルシャワ医科大学泌尿器科、ワルシャワ鉄道病院での勤務経験があります。ドイツ、フランス、スロベニア、イタリアでフェローシップおよび研修を修了しました。
\n1999年にFEBU（欧州泌尿器科専門医）認定を取得。2000年よりポーランド泌尿器科学会の科学委員会委員を務めています。ポーランド泌尿器科学会、欧州泌尿器科委員会（EBU）、欧州泌尿器科学会（EAU）、および国際泌尿器科学会（Société Internationale d’Urologie）の正会員です。
","specialities":[{"id":"onc.006","name":"Oncologist/mammologist","illness_kind_id":10},{"id":"sur.005","name":"Urological surgeon","illness_kind_id":33},{"id":"sur.007","name":"Surgical oncologist","illness_kind_id":33},{"id":"url.001","name":"Urologist","illness_kind_id":16}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":4286,"alias":"lux-med-hospital","name":"LUX MED Szpital św. Elżbiety","short_description":"LUX MED Szpital św. Elżbietyは、ポーランドのワルシャワにある私立の多専門病院です。腫瘍学、泌尿器科、婦人科、心臓病学、一般外科のサービスを提供しています。また、小児治療やロボット手術センターも運営しています。2013年に設立され、13の診療科を有し、診断から手術、リハビリテーションまでの一貫したケアを提供しています。
200名以上の専門医が在籍し、毎月約4,000人の患者を治療し、200件以上の手術を行っています。ISOQARおよびZnany Lekarzの品質認証を取得しています。MRI、CT、デジタルマンモグラフィ、ドップラー超音波検査などの診断ツールを備えています。海外からの患者向けに遠隔診療も提供しており、スタッフはポーランド語と英語に対応しています。
","images":[{"base_url":"clinic/6a7212c9f1aad","title":"LUX MED Szpital św. Elżbiety clinic exterior in Warsaw, historic medical building"},{"base_url":"clinic/6a7212cbd70b8","title":"LUX MED Szpital św. Elżbiety clinic exterior in Warsaw, illuminated at night"},{"base_url":"clinic/6a7212cded7c2","title":"LUX MED Szpital św. Elżbiety clinic exterior in Warsaw, Poland"},{"base_url":"clinic/6a7212cfa6b61","title":"Reception staff at LUX MED Szpital św. Elżbiety clinic in Poland"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"ポーランド","id":17,"alias":"poland","iso_code":"PL"},"city":{"name":"ワルシャワ","id":18,"alias":"warsaw"},"address":"Seweryna Goszczyńskiego 1, 02-616 Warszawa, Poland"},"rating":{"rating":0,"google":4.2,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":16,"year_foundation":2013},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa21bee31e9.jpeg","name":"ロボット支援前立腺手術における患者の選択権","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1bc0599c8.jpeg","name":"健康診断の患者選択","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa189e60bac.jpeg","name":"小児腫瘍学および血液腫瘍学における患者の選択権","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1384d3fa1.jpeg","name":"基本健康診断の患者選択","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc2b909d3bff.jpeg","name":"肥満外科センター・オブ・エクセレンス","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc0068d86f97.jpeg","name":"ロボット手術センター・オブ・エクセレンス","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc00432c38f9.jpeg","name":"大腸肛門外科センター・オブ・エクセレンス","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9ab0b55935.jpeg","name":"欧州泌尿器学会（European Board of Urology）","country_code":"NL"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb722b61423.jpeg","name":"ロボット支援前立腺手術の最安価格","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7224df9a8.jpeg","name":"最高の前立腺がん専門医","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb719cb58a4.jpeg","name":"大腸癌治療の最適なソリューション","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb718dd79b8.jpeg","name":"放射線治療のための最良のクリニック","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb71816ad36.jpeg","name":"最高の腫瘍血液学部門","country_code":"UA"}]}},{"doctor":{"id":18028,"alias":"kadir-onem","name":"Kadir Onem","clinic_id":7111,"photo":"doctor/6aa2b09c5d0ce","first_year_working":2002,"created_at":"2026-09-09T07:54:23.058+00:00","short_description":"カディル・オネム教授（Prof. Dr. Kadir Önem）は、サムスンのメディカルパーク病院における泌尿器科教授です。イスタンブール大学で医学博士号を取得し、同大学で泌尿器科の専門研修を修了しました。その後、ベイラー医科大学にて神経泌尿器科、再建泌尿器科、および泌尿器腫瘍学の博士研究員課程を修了しました。成人および小児の複雑な神経泌尿器疾患や再建手術の症例を専門とし、独自の外科的手技を開発しています。
\n神経因性膀胱および膀胱がんに関する複数の国際的な第III相～第IV相臨床試験において治験責任医師（PI）を務めています。70編以上の論文および著書を執筆しており、複数の医学雑誌の査読委員も務めています。
\n役職および所属：トルコ泌尿器科学会 西黒海支部支部長（2025年）。国際脊髄損傷学会（ISCoS）予防委員会（2025年）。欧州泌尿器科学会（EAU）神経泌尿器科グループ（2023年～2025年）。国際禁制学会（ICS）神経泌尿器科委員会（2023年～2025年）。国際神経泌尿器科学会（INUS）理事（2023年）。受賞歴：トルコ泌尿器科学会（TUA）（2016年、2017年、2020年、2022年）、国際禁制学会（ICS）（2020年）。
","specialities":[{"id":"sur.005","name":"Urological surgeon","illness_kind_id":33},{"id":"url.001","name":"Urologist","illness_kind_id":16}],"statistics":{}},"clinic":{"id":7111,"alias":"istinye-university-liv-hospital-topkapi","name":"İstinye University Liv Hospital Topkapı","short_description":"İstinye University Liv Hospital Topkapıは、トルコ・イスタンブールにある私立の総合医療センターです。İstinye Universityの学術的な強みと、Liv Hospitalの患者中心のアプローチを融合しています。美容外科、美容医療・美容施術、減量手術、健康診断を専門とし、延床面積50,000 m²、300床、11室の手術室を備えています。
成人と小児の両方を受け入れており、ヨーロッパおよび英連邦、アフリカ、米国、カナダ、オーストラリアからの患者が多く訪れています。
","images":[{"base_url":"clinic/68d2b44c0cf8a","title":"Modern glass facade of Istinye University Liv Hospital Topkapı in Istanbul"},{"base_url":"clinic/68d2b460132b4","title":"Reception area at İstinye University Liv Hospital Topkapı with modern design in Istanbul"},{"base_url":"clinic/68d2b520b67d0","title":"Modern indoor garden at İstinye University Liv Hospital Topkapı with decorative lighting"},{"base_url":"clinic/68d2b895ca882","title":"Modern waiting area at Istinye University Liv Hospital Topkapi with unique tree design"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"トルコ","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"イスタンブール","id":107,"alias":"istanbul"},"address":"Sultanahmet, Cankurtaran, 34122 Fatih/İstanbul, Türkiye"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":1,"doctors_number":0,"year_foundation":2025},"accreditations":[]}},{"doctor":{"id":10602,"alias":"boiko-sergiy","name":"Boiko Sergiy","clinic_id":6989,"photo":"doctor/68bfd650a7419","first_year_working":1996,"created_at":"2025-09-09T07:25:03.434+00:00","description":"セルヒー・オレクサンドロヴィチ・ボイコ — 泌尿器科医、腫瘍外科医、ウジホロド国立大学教授。臨床経験26年。ウジホロド国立大学を卒業（1996年）し、ダニーロ・ハリツキー記念リヴィウ国立医科大学で泌尿器科医の資格を取得（1998年）。ウクライナ医学アカデミー泌尿器科研究所にて泌尿器科の博士候補学位を取得（2000年）、准教授資格の認定を受ける（2004年）。「超音波診断」（2010年）および「外科」（2015年）の専門資格を有し、泌尿器科（2019年）、外科（2020年）、超音波診断（2021年）で最高カテゴリーの資格を取得。2020年に「外科」分野の医学博士号を取得し、2022年にはP.L.シュピク記念ウクライナ国立医療・公衆衛生大学で腫瘍外科の専門資格を取得。2021年よりウジホロド国立大学外科疾患講座教授。
専門分野：内視鏡・開放・再建泌尿器科および腫瘍泌尿器科（前立腺・膀胱の経尿道的切除術、生検、腎摘除術・腎部分切除術、膀胱全摘除術・膀胱前立腺全摘除術、根治的前立腺摘除術、副腎摘除術、リンパ節郭清、ブリッカー法・シュトゥーダー法による手術、腎盂尿管移行部形成術、救急泌尿器科）。泌尿生殖器系の炎症性疾患、尿路結石症、良性前立腺肥大症、腎臓・尿路・男性生殖器の腫瘍性疾患について診察・治療を行い、男性を対象とした再建手術および美容外科的手術も行う。
所属学会：ESMO、ESOU、ウクライナ泌尿器科学会、ウクライナ腫瘍泌尿器科学会、地域泌尿器科医・外科医協会。継続的に研修を受け、国内外の学術集会に参加している。
","specialities":[{"id":"sur.005","name":"Urological surgeon","illness_kind_id":33},{"id":"url.001","name":"Urologist","illness_kind_id":16}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":6989,"alias":"expert-clinic","name":"Expert Clinic ","short_description":"Expert Clinicは、ウクライナのウジホロドにある民間の多専門医療センターです。30の診療科で年間15,000人の患者を受け入れています。主な専門分野は、消化器内科、泌尿器科、婦人科、腫瘍科です。
Dr. Esra Ozbasliは、イスタンブールで認定を受けた産婦人科医兼性器美容外科医です。ロボット手術と女性の美容処置を専門としています。Dr. Ozbasliは、Acıbadem大学で12年間教鞭をとりました。また、米国での医療行為に必要なECFMG認定も取得しています。
Assoc. Prof. Dr. Esra Özbaşlı OBGYN & Genital Aestheticsは、トルコのイスタンブールに位置する私立の単一専門医療センターです。チームは腫瘍学、泌尿器科学、および外科学に専念しています。Assoc. Prof. Dr. Esra Özbaşlı OBGYN & Genital Aestheticsは成人のみを対象としています。毎年2,500名の患者様がAssoc. Prof. Dr. Esra Özbaşlı OBGYN & Genital Aestheticsを選び、医療サービスをお受けになっています。ヨーロッパ・英連邦諸国、アラブ連盟加盟国、およびCIS諸国からの患者様が最も多くご来院されています。
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I came ready for a laser enucleation operation for my medium-sized prostate, but I ended up undergoing a steam ablation procedure instead after my consultation. My surgeon was very good. He clearly explained the urination improvement timeline, which was quite reassuring as I begin my recovery. Although there has been little contact from the clinic since I left, the care I received on-site was excellent. 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That supportive feeling was consistent throughout. I had a great experience from start to finish; the staff were polite, professional, and very helpful. A special mention has to go to Ibrohim, who was incredibly helpful throughout my stay, translating everything and regularly checking in after the procedure. The cryoablation addressed multiple nerve branches, and I'm healing with a clean, minimal scar. If like me you have tried all other options, then give it a go, as it’s the safer option than the dorsal neurectomy. I felt genuinely well looked after."},"order":{"operation":{"id":1548,"name":{"jp":"選択的背根冷凍アブレーション術","en":"Selective Dorsal Cryoablation"}},"illness":{"id":3528,"name":{"jp":"早漏","en":"Premature Ejaculation"}}},"clinic_info":{"id":3060,"name":"Men's Health Clinics","alias":"aquahealth","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-08-26T11:30:45.863+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":false}],"client_response":{"what_like_text":{"jp":"I had a great experience from start to finish. The staff were polite, professional and very helpful. The professor did his best with the English he knew to reassure me, and his jokes helped me feel relaxed before the procedure.\nA special mention has to go to Ibrohim, who was incredibly helpful throughout my stay. He translated everything, recommended places to visit, rearranged my airport transport when I stayed an extra day, and regularly checked in after the procedure to make sure I was okay and didn't need anything.\nI felt genuinely well looked after throughout the whole experience and would definitely recommend the clinic."}},"summary":{"positive":{"jp":"I had a great experience from start to finish; the staff were polite, professional, and very helpful."}}},{"id":14350,"user":{"id":546159,"name":"Ivanka ","country_code":"NO","country_name":{"jp":"ノルウェー","en":"Norway"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"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":"これまで訪れた病院の中で最高の病院の一つです！高品質の医療サービスと完璧な組織、コミュニケーション、翻訳サービスが組み合わされています。バスリ・チャキログル医師は_doctor_2969_years_の小児泌尿器科の経験を持ち、900件以上の修正包茎手術を行ってきました。手術費用は約1,880ドルで、通常、手術、術前検査、術後ケア、コンサルテーション、日帰り退院、VIP送迎、通訳サポートが含まれます。ヒサール病院はJCI認定を受けており、患者評価は4.4/5で、PYXIS投薬管理などの高度な安全システムを運用しています。
Hisar Hospital Intercontinentalは、イスタンブール（トルコ）に位置する多診療科医療センターであり、治療の質と安全性の高い基準を満たすとして国際医療機能評価機構（JCI）の認定を受けています。
\n\n同院は、腫瘍科、血液科、心臓血管外科、整形外科、ならびに胃スリーブ切除術・バイパス術・バルーン療法を含む肥満外科手術を専門としており、総合的な健康診断も提供しています。
\n\n毎年50万人を超える患者がHisar Hospital Intercontinentalで医療を受けています。ヨーロッパ、アメリカ、アフリカ、独立国家共同体（CIS）、およびバルカン諸国からの患者が、専門的かつ高水準の治療を求めて同院を選択しています。
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healing and continence outcome settle over this period."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After catheter removal, normal voiding and early wound check; surgeon decides."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Check vaginal healing and voiding; may be done locally."},"requirement":"conditional"},{"purpose":"assessment","after":{"min":42,"max":60,"unit":"days","qualifier":"Continence and pelvic exam; may be done locally."},"requirement":"routine"}],"indications":["Mild stress urinary incontinence","Cystocele (anterior vaginal wall prolapse) with bladder neck hypermobility"],"main_risks":["Recurrence of incontinence or prolapse","Urinary tract infection","Temporary urinary retention","Bleeding or vaginal hematoma","Painful intercourse","Bladder or urethral injury","New urgency symptoms"],"pain":"Mild to moderate vaginal and pelvic discomfort for 3-7 days, controlled with oral analgesics.","preparation":["Urinalysis to exclude infection","Urodynamic or cough stress test to confirm stress incontinence","Pause blood thinners as advised by the surgeon","Fasting 6-8 hours before anesthesia","Stop smoking several weeks before","Pre-anesthetic blood tests"],"recovery_timeline":[{"phase":"Days 0-2","description":"Hospital stay with urinary catheter; catheter removed once voiding is normal.","restrictions":["No lifting","Rest"]},{"phase":"Days 3-14","description":"Light walking, mild discharge and spotting; pain settles.","restrictions":["No heavy lifting","Nothing in the vagina","Avoid straining"]},{"phase":"Weeks 2-6","description":"Return to normal daily activity and work.","restrictions":["No heavy lifting","No intercourse until cleared"]},{"phase":"Weeks 6-12","description":"Gradual return to exercise and intercourse after clearance.","restrictions":["Avoid high-impact exercise until cleared"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Return to normal daily activity; pelvic floor exercises advised."},"result_longevity":"Variable; continence benefit may fade over years, and recurrence is more likely than with sling surgery.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat continence surgery for recurrent incontinence within about 5 years; rises with longer follow-up."},"scars":"No external scar; incision is inside the vagina along the anterior wall and heals out of sight.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Anterior vaginal wall suture plication","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Single-stage surgery."},"success":{"metric":"Subjective continence (cure or improvement of stress incontinence)","value":60,"unit":"percent of patients","horizon":"1-2 years","population":"Adult women with mild stress incontinence and bladder neck hypermobility","evidence_status":"limited"},"techniques":[{"name":"Classic Kelly plication (bladder neck suture plication)","suits_whom":"Mild stress incontinence with bladder neck hypermobility","recovery":"Overnight stay; normal activity in 2-6 weeks."},{"name":"Kelly-Kennedy plication with anterior colporrhaphy","suits_whom":"Women with stress incontinence and cystocele","recovery":"Overnight stay; avoid lifting for 6 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operating time for isolated plication."},"initial_assessment_documents":["Gynecologic or urology consultation report","Urodynamic test report (if available)","Prior pelvic surgery and obstetric records","Recent urinalysis result","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; fit to fly after about 7-10 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check physician licensing and outcome data and facility accreditation and outcome data","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Access to physician licensing and outcome data, as well as facility accreditation and outcome data, should be arranged for patients seeking medical care outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Identify quality healthcare professionals and facilities at the destination before treatment","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Identify quality healthcare professionals and facilities at destination, prior to traveling.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Confirm the facility and clinician can communicate with you in a language you understand","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer does not identify a quality healthcare professional or facility before booking","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Identify quality healthcare professionals and facilities at destination, prior to traveling.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"The clinic cannot provide records for later healthcare professionals","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Remind medical tourists to request copies of their overseas medical records in English and to provide this information to any healthcare professionals they see subsequently for follow-up.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Trouble emptying your bladder completely","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23324-colporrhaphy","host":"my.clevelandclinic.org","quote":"Trouble emptying your bladder completely (urinary retention) for a few days following surgery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Excessive bleeding","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23324-colporrhaphy","host":"my.clevelandclinic.org","quote":"Urinary tract infections (UTIs) — most common\n- Constipation\n- Excessive bleeding\n- Painful intercourse\n- Reaction to the anesthesia\n- Infection at the wound site\n- Injury to your pelvic organs\n- Urinary and/or fecal incontinence","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Infection at the wound site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23324-colporrhaphy","host":"my.clevelandclinic.org","quote":"Urinary tract infections (UTIs) — most common\n- Constipation\n- Excessive bleeding\n- Painful intercourse\n- Reaction to the anesthesia\n- Infection at the wound site\n- Injury to your pelvic organs\n- Urinary and/or fecal incontinence","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Urinary tract infection","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23324-colporrhaphy","host":"my.clevelandclinic.org","quote":"Urinary tract infections (UTIs) — most common\n- Constipation\n- Excessive bleeding\n- Painful intercourse\n- Reaction to the anesthesia\n- Infection at the wound site\n- Injury to your pelvic organs\n- Urinary and/or fecal incontinence","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":"Home clinicians need medicines received during treatment","document":"medication list","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Remind travelers to request documentation of any medical care received during travel, including a list of medications received.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for 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 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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical way to support prolapsed pelvic organs","name":"Vaginal pessary","source":{"url":"https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/diagnosis-treatment/drc-20562951","host":"mayoclinic.org","quote":"Using a pessary is a nonsurgical way to support prolapsed pelvic organs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null},{"id":"A2","text":"You choose surgery that narrows and shortens the vagina","name":"Colpocleisis","source":{"url":"https://health.nih.gov/health-topics-a-z/pelvic-floor-disorders","host":"health.nih.gov","quote":"Some women choose colpocleisis, a surgery that treats prolapse by narrowing and shortening the vagina.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"classic-kelly-plication","name":"Classic Kelly plication (bladder neck suture plication)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"kelly-kennedy-plication","name":"Kelly-Kennedy plication with anterior 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