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timing"]}],"rehabilitation_days":{"min":3,"max":10,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated resection."},"result_longevity":"Resected fibroids do not typically return, but new fibroids may develop over time; durability varies by patient.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat hysteroscopy or further surgery within 5 years for residual fibroid, adhesions or recurrent bleeding."},"scars":"No skin incisions or visible scars; the procedure is performed through the cervix.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single procedure usually; larger fibroids may occasionally need a staged second resection."},"stages":[{"code":"resection","label":"Hysteroscopic resection of fibroid","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Typical single-stage resection of a small to moderate submucosal fibroid."},"success":{"metric":"Improvement in heavy menstrual bleeding symptoms","value":85,"unit":"percent of patients","horizon":"1 year","population":"Premenopausal women with symptomatic submucosal fibroids (FIGO types 0–2) and heavy bleeding","evidence_status":"limited"},"techniques":[{"name":"Monopolar or bipolar resectoscope loop resection","suits_whom":"Patients with submucosal fibroids, including larger or partly intramural ones.","recovery":"Typically same-day discharge with return to usual activity in about 1 week."},{"name":"Hysteroscopic morcellation (mechanical tissue removal)","suits_whom":"Patients with small to moderate type 0–1 fibroids or polyps.","recovery":"Similar short recovery to resectoscopic surgery."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operative time for a single small to moderate submucosal fibroid; excludes anesthesia and recovery time."},"initial_assessment_documents":["Pelvic ultrasound report","Pelvic MRI report","Previous hysteroscopy report","Gynecological history summary","Recent hemoglobin blood test"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage day surgery; stay 2-5 days. Routine review can be remote; imaging can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that consent is obtained by the surgeon well in advance","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/specialist/","host":"nhs.uk","quote":"Before having a planned operation, your consent should be obtained by the surgeon well in advance.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","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":"C3","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}},{"id":"C4","text":"Check that the surgeon who consults with you 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":"2026-11-11","http_status":200}},{"id":"C5","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","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":"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":"F2","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}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","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":"Bleeding that gets worse or does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hysteroscopy/","host":"nhs.uk","quote":"you have bleeding that gets worse or does not stop after a few days","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Worsening tummy pain despite painkillers","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hysteroscopy/","host":"nhs.uk","quote":"you have tummy pain that gets worse and painkillers or your usual period pain tablets have not helped","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Smelly vaginal discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hysteroscopy/","host":"nhs.uk","quote":"you have smelly vaginal discharge","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"High temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/hysteroscopy/","host":"nhs.uk","quote":"you have a high temperature","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":"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":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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fibroid blood supply","name":"Uterine artery embolization","source":{"url":"https://www.mayoclinic.org/tests-procedures/myomectomy/about/pac-20384710","host":"mayoclinic.org","quote":"- **Uterine artery embolization.** Tiny particles are put into the blood vessels feeding the fibroids.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":870},{"id":"A2","text":"You prefer a procedure that destroys fibroids with heat or friction","name":"Radiofrequency ablation","source":{"url":"https://www.mayoclinic.org/tests-procedures/myomectomy/about/pac-20384710","host":"mayoclinic.org","quote":"- **Radiofrequency ablation.** Heat or friction is used to destroy the fibroids.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":116},{"id":"A3","text":"You are sure you do not want pregnancy in the future","name":"Hysterectomy","source":{"url":"https://www.mayoclinic.org/tests-procedures/myomectomy/about/pac-20384710","host":"mayoclinic.org","quote":"- **Hysterectomy.** Surgery to remove the uterus also may be an option if you're sure that you don't want to get pregnant in the future.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"monopolar-or-bipolar-resectoscope-loop","name":"Monopolar or bipolar resectoscope loop resection","how_it_works":{"text":"A resectoscope removes the fibroid bit by bit inside the womb","source":{"url":"https://gloshospitals.nhs.uk/your-visit/patient-information-leaflets/hysteroscopic-removal-fibroid-ghpi0634_08_19","host":"gloshospitals.nhs.uk","quote":"Fluid is circulated inside the womb so that the fibroid can be seen and removed bit by bit using the resectoscope.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"hysteroscopic-morcellation","name":"Hysteroscopic morcellation (mechanical tissue removal)","how_it_works":{"text":"A mechanical device cuts or destroys fibroids","source":{"url":"https://www.nichd.nih.gov/health/topics/uterine/conditioninfo/treatments/other-treatments","host":"nichd.nih.gov","quote":"The doctor then uses electricity or a mechanical device to cut or destroy the fibroids.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"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/city=madrid/procedure=gisteroskopicheskaya-miomektomiya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53920},"manualSeo":[],"updatedAt":"2026-11-11T01:40:52.103Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}