Доктор Хосе Еміліо Батіста Міранда має 39-річний досвід в урології та провів понад 1 100 операцій на уретрі. Клініка пропонує гольмієву лазерну уретротомію (Ho:YAG) — малоінвазивну методику, вартість якої становить близько 12 000 €. Зазвичай ця сума включає консультацію, операцію, анестезію та подальше спостереження. Доктор Батіста став піонером у галузі лазерної вапоризації простати та має ступінь доктора наук у сфері дитячого нетримання сечі. Медичний центр Текнон акредитований JCI та відомий високою точністю надання урологічної допомоги.
Клініка Текнон у Барселоні (Centro Medico Teknon) – приватний медичний центр Іспанії, в якому практикують всесвітньо відомі лікарі.
\n\nСпеціалізація Текнону – онкологія, кардіохірургія, нейрохірургія та лікування епілепсії. За якість та безпеку лікування госпіталь сертифікований американською організацією JCI та європейською EFQM.
\n\nУ Текноні проходять лікування зірки шоу-бізнесу, спортсмени та політики світового масштабу. Тут приймали пологи у співачки Шакіри, оперували футболіста ФК \"Барселона\" Андреса Іньєсту та чемпіона Олімпійських ігор з метання списа Томаса Роллера.
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\n\nСан Жоан де Деу спеціалізується на онкології, гематології, нейрохірургії та неврології. Успішність лікування раку у маленьких пацієнтів становить 85-90% (залежно від типу захворювання) та перевищує середні показники госпіталів Іспанії.
\n\nДля малюків створені комфортні умови лікування – з ними займаються психологи, музичні терапевти, клоуни та волонтери.
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\n\nСан Жоан де Деу спеціалізується на онкології, гематології, нейрохірургії та неврології. Успішність лікування раку у маленьких пацієнтів становить 85-90% (залежно від типу захворювання) та перевищує середні показники госпіталів Іспанії.
\n\nДля малюків створені комфортні умови лікування – з ними займаються психологи, музичні терапевти, клоуни та волонтери.
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\n\nЄ активним членом Міжнародного товариства з проблем нетримання сечі, Європейської та Іспанської асоціацій урологів. Доктор Батіста Міранда бере участь у дослідженнях, клінічних випробуваннях і публікаціях. Має ступінь PhD, присвячений дитячому нетриманню сечі. Його інноваційні методики та відданість пацієнтам встановили нові стандарти в урології.
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\n\nСпеціалізація Текнону – онкологія, кардіохірургія, нейрохірургія та лікування епілепсії. За якість та безпеку лікування госпіталь сертифікований американською організацією JCI та європейською EFQM.
\n\nУ Текноні проходять лікування зірки шоу-бізнесу, спортсмени та політики світового масштабу. Тут приймали пологи у співачки Шакіри, оперували футболіста ФК \"Барселона\" Андреса Іньєсту та чемпіона Олімпійських ігор з метання списа Томаса Роллера.
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Визнаний журналом Forbes одним зі 100 найкращих лікарів Іспанії, лікар поєднує академічні знання, здобуті в Барселонському університеті та клініці Мейо, з акцентом на високоточну онкологічну допомогу та трансплантацію нирки.
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\n\nСпеціалізація Текнону – онкологія, кардіохірургія, нейрохірургія та лікування епілепсії. За якість та безпеку лікування госпіталь сертифікований американською організацією JCI та європейською EFQM.
\n\nУ Текноні проходять лікування зірки шоу-бізнесу, спортсмени та політики світового масштабу. Тут приймали пологи у співачки Шакіри, оперували футболіста ФК \"Барселона\" Андреса Іньєсту та чемпіона Олімпійських ігор з метання списа Томаса Роллера.
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день 2
День 3
З 4 по 7 день
Тиждень 1 до Тижня 2
3 тиждень і далі
Звертаємо увагу, що випадок кожного пацієнта індивідуальний і може вимагати коригування загального графіка.
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city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"53074d0e-9c37-4b1f-86a1-a168d8a910a7","link":"https://player.vimeo.com/video/1004438748?badge=0&autopause=0&player_id=0&app_id=58479","description":"З Bookimed ця медична подорож пройшла легко та просто.","userName":"Jamie","user_name":"Jamie","preview":"https://i.vimeocdn.com/video/1920976253-73e5c27c2f0cb21175de7829a9ba81f50e09c7dac0961f61876317387430849f-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:08:20.298+00:00","clinicName":"Клініка Bangkok Plastic Surgery","clinic":{"name":"Клініка Bangkok Plastic Surgery","alias":"bangkok-plastic-surgery"},"clinicUrl":"/clinic/bangkok-plastic-surgery/","relations":{"operations":[{"name":"Операція зі зміни статі","alias":"sex-reassignment-surgery"},{"name":"Зміна статі чоловіка на 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Oral graft donor sites can be sore for about 1-2 weeks.","preparation":["Urethral imaging (retrograde urethrogram/voiding cystourethrogram), uroflowmetry and often cystoscopy","Urine culture and treatment of any infection beforehand","Pre-anesthesia assessment and standard blood tests","Review of medications and smoking cessation advice","Fasting as instructed by anesthesia team","Suprapubic catheter or diversion arranged if in retention"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Catheter in place, pain control, early mobilisation, perineal or penile dressing.","restrictions":["Limited activity","Avoid straining"]},{"phase":"Catheter period (about 2-3 weeks)","description":"Home recovery with urethral catheter; imaging often performed before removal.","restrictions":["No heavy lifting","No cycling or sitting astride","Avoid sexual activity"]},{"phase":"After catheter removal (weeks 3-6)","description":"Return to normal voiding, gradual resumption of daily activity.","restrictions":["Avoid strenuous exercise","Avoid sexual activity until cleared by surgeon"]},{"phase":"Months 3-6","description":"Flow assessment and full return to activity; ongoing surveillance.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities after uncomplicated single-stage anterior urethroplasty."},"result_longevity":"Many repairs remain durable long term, particularly anastomotic urethroplasty; recurrence can occur years later, so periodic flow surveillance is advised.","revision_rate_pct":{"min":8,"max":20,"unit":"percent","qualifier":"Stricture recurrence needing repeat dilation, urethrotomy or repeat urethroplasty within about 5 years."},"scars":"Perineal, penile or circumcising-type incision depending on the approach, usually healing to a well-concealed scar; oral graft donor site heals inside the mouth without visible scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-stage urethroplasty; staged repairs are used for complex cases only."},"stages":[{"code":"urethroplasty_surgery","label":"Single-stage urethral reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial operation."}}],"qualifier":"Typical single-stage primary anterior urethroplasty in adults."},"success":{"metric":"Stricture-free voiding without further intervention","value":85,"unit":"percent","horizon":"5 years","population":"Adults after primary single-stage anterior urethroplasty for bulbar stricture","evidence_status":"limited"},"techniques":[{"name":"Excision and primary anastomosis","suits_whom":"Short bulbar strictures (generally under 2-2.5 cm).","recovery":"Catheter about 2-3 weeks; return to desk work in 1-2 weeks."},{"name":"Buccal mucosa graft urethroplasty (dorsal, ventral or lateral onlay)","suits_whom":"Longer bulbar or penile strictures not suitable for anastomosis.","recovery":"Catheter about 2-3 weeks; temporary mouth discomfort at donor site."},{"name":"Staged urethroplasty","suits_whom":"Complex or penile strictures with poor local tissue, lichen sclerosus or failed prior repair.","recovery":"Involves two operations several months apart."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for typical single-stage anterior urethroplasty; longer with graft harvest or complex reconstruction."},"initial_assessment_documents":["Retrograde urethrogram images and report","Voiding cystourethrogram images and report","Uroflowmetry report","Cystoscopy or urethroscopy report","Prior urethral surgery or dilation records","Recent urine culture result"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage repair: stay 2-3 weeks until catheter removal, or leave earlier with home removal. Staged repairs need two trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check which repair technique is planned: rejoining the urethra or widening it with a cheek graft","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"The scar is either cut away and the urethra re-joined over a catheter or widened with a piece of cheek lining (buccal mucosa) over a catheter.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are given a discharge summary of your admission when you leave hospital","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"When you leave hospital, you will be given a “draft” discharge summary of your admission.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that a urethrogram X-ray is arranged before the catheter is removed, to confirm healing","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"Before the catheter is removed, an X-ray (urethrogram) will be arranged alongside the catheter in the penis, approximately 3 weeks after your operation, to ensure that the area has healed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that outpatient follow-up is planned after catheter removal, about 12 weeks later","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"After catheter removal, you will be followed up in the outpatient clinic after 12 weeks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the surgeon who performs the repair is a urologist","scope":"treatment_type","source":{"url":"https://my.clevelandclinic.org/health/diseases/urethral-stricture","host":"my.clevelandclinic.org","quote":"A urologist will remove the stricture and reconnect the healthy ends of your urethra.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the provider gives you a recovery timeline for your specific treatment","scope":"treatment_type","source":{"url":"https://my.clevelandclinic.org/health/diseases/urethral-stricture","host":"my.clevelandclinic.org","quote":"A healthcare provider will give you a better idea of your recovery timeline according to their recommended treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Consultation that does not mention the risk of a recurrent stricture needing more surgery","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"You may develop a recurrent stricture requiring further surgery or other treatment – this may affect up to 20% individuals.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Consultation or quote with no follow-up appointments with a provider planned after treatment","scope":"treatment_type","source":{"url":"https://my.clevelandclinic.org/health/diseases/urethral-stricture","host":"my.clevelandclinic.org","quote":"You’ll need follow-up appointments with a healthcare provider to ensure you’re healing properly and that scar tissue isn’t developing again.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Warning sign: the consultation never mentions possible loss or change of erections after surgery","scope":"procedure","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"You may experience loss of or altered erections as a result of surgery to the urethra.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Increasing pain, wound discharge or swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"Any increasing pain, wound discharge or swelling should be reported to your GP immediately.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pain not controlled by prescribed painkillers","urgency":"contact_clinic","general":false,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/2nd-stage-urethroplasty","host":"uclh.nhs.uk","quote":"Pain which is not controlled by the prescribed pain killers","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W3","text":"Fever of 38 C or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/2nd-stage-urethroplasty","host":"uclh.nhs.uk","quote":"A fever of 100 (38 C) or higher","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor gets a record of the admission at discharge","document":"discharge summary","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"When you leave hospital, you will be given a “draft” discharge summary of your admission.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs it to see whether the repaired area has healed","document":"urethrogram x-ray report","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"Before the catheter is removed, an X-ray (urethrogram) will be arranged alongside the catheter in the penis, approximately 3 weeks after your operation, to ensure that the area has healed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctors need the restrictions and follow-up instructions after surgery","document":"aftercare instructions","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/2nd-stage-urethroplasty","host":"uclh.nhs.uk","quote":"To minimise complications you must not do any heavy lifting (nothing heavier than a full kettle of water) for two weeks You must not have sex for six weeks following surgery or until the wound has fully healed","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T4","text":"It tells the home doctor when catheter removal is planned","document":"catheter-removal appointment","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/2nd-stage-urethroplasty","host":"uclh.nhs.uk","quote":"You will receive a date for catheter removal 2-3 weeks after the surgery which will take place in clinic, or sometimes in our radiology (X-ray department) after a peri-catheter urethrogram.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T5","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather not have open repair of the urethra","name":"Optical urethrotomy","source":{"url":"https://www.newcastle-hospitals.nhs.uk/services/urology/urology-reconstruction-and-continence/urethroplasty-buccal-patch-or-anastomotic/","host":"newcastle-hospitals.nhs.uk","quote":"What are the alternatives to the procedure? 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