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ESMO","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"updatedAt":"2026-11-13T01:20:08.610Z","activeCountries":["MX","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Onkologi","alias":"oncology","name_forms":{"base_form":"Onkologi","form_4":"Ahli onkologi","form_6":"Ahli onkologi","form_11":"Ahli onkologi"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"Desk work resumes about 2-4 weeks after surgery; physical work needs about 6-8 weeks."},"complication_rate_pct":{"min":3,"max":5,"unit":"percent","qualifier":"Major (grade III+) complications within 30-90 days, e.g. bleeding, organ injury, hernia. Minor events excluded."},"contraindications":["Uncontrolled bleeding disorder or inability to stop anticoagulation safely","Unfit for general anesthesia or steep head-down positioning","Metastatic or locally advanced disease where surgery is not appropriate","Limited life expectancy","Active uncontrolled infection","Relative: prior pelvic surgery/radiotherapy, severe obesity, large prostate, adhesions"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Typical hospital stay after uncomplicated robotic radical prostatectomy; catheter remains after discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Walking encouraged early; avoid heavy lifting and strenuous exercise for about 4-6 weeks or until surgeon clearance."},"final_result_months":{"min":6,"max":24,"unit":"months","qualifier":"Time for urinary continence and erectile function to reach their eventual level; cancer outcome assessed with serial PSA."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"Catheter out at 1-2 weeks; short flights then fine. Long-haul often delayed to 3-4 weeks (thrombosis risk)."},"follow_up_visits":[{"purpose":"other","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Catheter removal, often with wound check, timing varies by surgeon."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of final pathology and discussion of further treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":120,"unit":"days","qualifier":"First PSA check, usually about 6-12 weeks after surgery, with continence and erectile function review."}}],"indications":["Clinically localized prostate cancer","Selected high-risk or locally advanced cancer within multimodal treatment","Intermediate-risk or higher-risk disease where active surveillance is not appropriate"],"main_risks":["Urinary incontinence (stress), usually improving over months","Erectile dysfunction","Bleeding and need for transfusion (uncommon)","Infection or urinary tract infection","Anastomotic urine leak or bladder neck/urethral stricture","Lymphocele or lymph node dissection-related complications","Deep vein thrombosis or pulmonary embolism","Inguinal hernia or port-site hernia","Rectal or ureteric injury (rare)","Reduced penile length, climacturia, infertility","Conversion to open surgery (uncommon)"],"pain":"Mild to moderate pain in the first days, usually controlled with oral analgesia; shoulder or abdominal discomfort from gas and catheter discomfort are common.","preparation":["Biopsy-confirmed diagnosis with staging (MRI, PSMA PET or bone imaging)","Preoperative medical assessment and bloodwork","Medication review with the surgical and anesthesia team","Fasting before anesthesia as instructed","Pelvic floor muscle training before surgery","Discussion of continence, sexual function and nerve-sparing expectations","Smoking cessation and arrangements for help at home","Urine culture and treatment of urinary infection before surgery","Informed consent, including possible open conversion and adjuvant treatment","Venous thromboembolism prophylaxis and perioperative antibiotic prophylaxis"],"recovery_timeline":[{"phase":"Hospital stay (day 0-2)","description":"Early mobilization, pain control, drain management if used, discharge with urinary catheter.","restrictions":["No driving","Avoid straining"]},{"phase":"Weeks 1-2","description":"Rest at home with catheter, short walks, catheter typically removed around day 7-14.","restrictions":["No heavy lifting","Avoid strenuous activity"]},{"phase":"Weeks 2-6","description":"Gradual return to desk work and daily activity; start pelvic floor exercises; early urinary leakage common.","restrictions":["Avoid lifting over about 5-10 kg","No vigorous exercise or cycling until cleared"]},{"phase":"Months 2-12","description":"Progressive continence and erectile function recovery, PSA monitoring.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Light daily activities resume in 2-4 weeks; catheter stays 1-2 weeks; heavy lifting restricted for 4-6 weeks."},"result_longevity":"Aims at long-term cancer control; durability depends on stage, grade and margins, and is monitored with regular PSA testing.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Unplanned repeat procedure within 90 days to 1-2 years, e.g. bleeding, hernia, or stricture. Planned procedures excluded."},"scars":"Several small keyhole incisions (about 1-2 cm) on the abdomen plus one slightly larger port or specimen extraction incision near the navel; usually fade well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Robotic radical prostatectomy, with or without pelvic lymph node dissection","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"One surgical session; follow-up visits are not counted as treatment."},"success":{"metric":"Cancer-specific survival (localized prostate cancer treated with radical prostatectomy)","value":99,"unit":"percent","horizon":"5 years","evidence_status":"proven","population":"Men with clinically localized prostate cancer treated with primary radical prostatectomy"},"techniques":[{"name":"Nerve-sparing robotic radical prostatectomy","suits_whom":"Men with localized disease and good baseline erectile function where cancer control allows preservation of neurovascular bundles.","recovery":"Similar overall recovery; erectile function may recover over 12-24 months."},{"name":"Non-nerve-sparing robotic radical prostatectomy","suits_whom":"Men with higher-risk or locally extensive tumors near the neurovascular bundles.","recovery":"Similar surgical recovery; lower chance of erectile function recovery."},{"name":"With pelvic lymph node dissection","suits_whom":"Intermediate- or high-risk disease with meaningful risk of nodal spread.","recovery":"Slightly higher risk of lymphocele and swelling; recovery otherwise similar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for one robotic radical prostatectomy; longer with extended lymph node dissection."},"initial_assessment_documents":["Prostate biopsy pathology report with Gleason score","Recent and previous PSA results","Prostate MRI report and images","PSMA PET or bone scan report (if available)","List of blood thinners","Prior pelvic or prostate surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; hospital stay 1-2 nights, then stay nearby until catheter removal at 7-14 days. Total stay about 2-4 weeks."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team who will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check how your aftercare will be coordinated before you 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treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A cost that does not show which services it includes needs clarifying before booking","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should ensure that they understand which services are included as part of the cost for their procedures.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","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}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Painful blood in your urine after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/discharge-information-following-a-robotic-assisted-laparoscopic-prostatectomy/","host":"gloshospitals.nhs.uk","quote":"Blood in your urine should not be painful, and should improve within 2 to 3 days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bright red urine that does not clear","urgency":"contact_clinic","general":false,"source":{"url":"https://www.christie.nhs.uk/your-treatment-and-care/services/urology/post-operative-care-after-a-robotic-assisted-laparoscopic-prostatectomy-ralp","host":"christie.nhs.uk","quote":"Should your urine look bright red and does not clear, you should call The Christie Hotline.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Large clots passing down the 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