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uncommon.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Reoperation for stricture, bladder neck contracture or residual adenoma regrowth within about 5 years."},"scars":"No external incisions or scars; the procedure is performed transurethrally.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session for standard HoLEP."},"stages":[{"code":"enucleation_morcellation","label":"Laser enucleation of adenoma, then morcellation and catheter placement in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed during the same operative session."}}],"qualifier":"One-stage transurethral procedure."},"success":{"metric":"Postoperative average maximum urinary flow rate (Qmax)","value":20,"unit":"mL/s","horizon":"12 months","population":"Adult men with symptomatic BPH and bladder outlet obstruction","evidence_status":"limited"},"techniques":[{"name":"Standard three-lobe HoLEP with morcellation","suits_whom":"Men with symptomatic BPH of any prostate size, including large glands.","recovery":"Catheter 1-2 days; return to light activity in about 1-2 weeks."},{"name":"En bloc HoLEP (EBEP)","suits_whom":"Men with BPH where the surgeon prefers removing the adenoma as a single piece.","recovery":"Broadly similar to standard HoLEP; some series report faster early continence recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Operative time for a typical prostate; varies with gland size and surgeon experience."},"initial_assessment_documents":["Prostate ultrasound report with volume","Recent PSA test result","Uroflowmetry and post-void residual results","Urinalysis and urine culture report","List of blood thinners and other medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 4-7 days including 1-2 nights in hospital, catheter removal and pre-flight check."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating 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":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the facilities and standards at the clinic or hospital where you will be 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":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects 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abroad","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications before booking treatment abroad","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","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":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lab report on removed prostate tissue, checked for cancer","document":"pathology report","source":{"url":"https://www.uhsussex.nhs.uk/resources/holmium-laser-enucleation-of-the-prostate-holep/","host":"uhsussex.nhs.uk","quote":"The removed tissue will be sent to the laboratory for analysis to check for any signs of prostate cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Gives the planned catheter removal timing for home follow-up","document":"catheter removal plan","source":{"url":"https://www.uhsussex.nhs.uk/resources/holmium-laser-enucleation-of-the-prostate-holep/","host":"uhsussex.nhs.uk","quote":"This is typically on day 3 after surgery, based on the best chance of successful removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","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":"T4","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}},{"id":"T5","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":"T6","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want an outpatient procedure for enlarged-prostate urinary symptoms","name":"Prostatic urethral lift","source":{"url":"https://my.clevelandclinic.org/health/procedures/prostatic-urethral-lift","host":"my.clevelandclinic.org","quote":"A prostatic urethral lift is an outpatient medical procedure that relieves the symptoms of an enlarged prostate, including issues with peeing.","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":"standard-three-lobe-holep","name":"Standard three-lobe HoLEP with morcellation","how_it_works":{"text":"The prostate tissue is removed in three lobes","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/23294874/","host":"pubmed.ncbi.nlm.nih.gov","quote":"The prostate tissue is removed in three lobes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"en-bloc-holep","name":"En bloc HoLEP (EBEP)","how_it_works":{"text":"En bloc enucleation removes the prostate adenoma as a single piece","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/23294874/","host":"pubmed.ncbi.nlm.nih.gov","quote":"En bloc enucleation removes the prostate adenoma as a single piece.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/procedure=golmievaa-lazernaa-enukleacia-predstatelnoj-zelezy-holep/"}],"questionsAndAnswers":[{"id":"5ed8fa0331e78b0abb286636","question":"ما الذي تحتاج لمعرفته حول المكسيك قبل رحلتك؟","answer":"<figure class=\"table\"><table style=\";text-align:right;direction:rtl\"><tbody><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\">عملة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> البيزو المكسيكي (الدفع مقابل الخدمات ممكن أيضًا بالدولار)</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> أفضل فترة للسفر</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> ديسمبر - أبريل</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> لغة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> الإسبانية (معظم الطاقم الطبي يتحدث الإنجليزية بطلاقة)</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> تأشيرة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> مطلوب <a href=\"https://embamex.sre.gob.mx/australia/index.php/visitorvisa\"><u>لبعض البلدان</u></a></p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> فارق التوقيت مع أوروبا</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> الساعه 7</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> فارق التوقيت من الولايات المتحدة الأمريكية</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> 1 ساعة</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> عاصمة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> مدينة المكسيك</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> مركز السياحة العلاجية</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> مدينة المكسيك</p></td></tr><tr><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> منتجعات رائجة</p></td><td><p style=\"margin-left:0px;;text-align:right;direction:rtl\"> وسط وجنوب المكسيك</p></td></tr></tbody></table></figure>","is_active":true,"created_at":"2020-06-04T13:41:23.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]},{"id":"5ed8fa7c6f5798138223b285","question":"ما هي الخدمات الفندقية المقدمة هنا؟","answer":"<p style=\";text-align:right;direction:rtl\">في المكسيك ، توجد <a href=\"https://www.tripadvisor.co.uk/TravelersChoice-Hotels-cTop-g150768\">فنادق ذات نطاقات أسعار ومستويات خدمة مختلفة</a> . يختار معظم السياح فنادق 4 و 5 نجوم مع وجبات شاملة كليًا. تحتوي هذه الفنادق على كل شيء لإقامة مريحة: طعام متنوع ، منطقة كبيرة جيدة الإعداد ، رسوم متحركة للأطفال والكبار. تحتوي بعض الفنادق على حديقة مائية خاصة بها ، والتي يمكن للضيوف استخدامها مجانًا. يمكن للمسافرين ذوي الميزانية المحدودة حجز فندق اقتصادي من فئة 3 نجوم مع إقامة مع وجبتي طعام أو بدون وجبات على الإطلاق.</p>","is_active":true,"created_at":"2020-06-04T13:43:24.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]},{"id":"5ed8fab531e02c46c85d4676","question":"ما هي المستندات المطلوبة للتقدم للحصول على تأشيرة إلى المكسيك للعلاج؟","answer":"<p style=\";text-align:right;direction:rtl\">تتطلب تأشيرات السفر إلى المكسيك <a href=\"https://www.mexicocity.com/v/visa-requirements/\">عددًا من المستندات</a> . قائمة الوثائق تشمل:</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> بطاقة الهوية</li><li style=\";text-align:right;direction:rtl\"> تأكيد التسجيل عبر الإنترنت وملء الاستبيان</li><li style=\";text-align:right;direction:rtl\"> شهادة الدخل وتوافر الأموال</li><li style=\";text-align:right;direction:rtl\"> بوليصة تأمين طوال مدة إقامتك في المكسيك (أصلية ونسخة)</li><li style=\";text-align:right;direction:rtl\"> صورتان (5x6)</li><li style=\";text-align:right;direction:rtl\"> الحصول على تأشيرة</li><li style=\";text-align:right;direction:rtl\"> حجز الطيران والفنادق</li><li style=\";text-align:right;direction:rtl\"> رأي الطبيب في الحاجة للعلاج.</li></ul>","is_active":true,"created_at":"2020-06-04T13:44:21.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]}],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":135,"name":"أذربيجان","alias":"azerbaijan","iso_code":"AZ"},{"id":46,"name":"تركيا","alias":"turkey","iso_code":"TR"},{"id":34,"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"id":17,"name":"بولندا","alias":"poland","iso_code":"PL"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":2},"manualSeo":[],"updatedAt":"2026-11-11T13:11:57.000Z","activeCountries":["MX","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}