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حلّ الدكتور كيليتش في المرتبة الأولى في تركيا في امتحان المجلس الأوروبي للمسالك البولية. وأسهم في تأليف ستة كتب طبية وكتاب واحد في طب المسالك البولية. تستخدم العيادة نظامًا للجراحة الروبوتية لاستئصال الكلية الجزئي واستئصال البروستاتا الجذري. وتشمل الأدوات الأخرى ليزر الهولميوم وتنظير الحالب المرن لعلاج حصى الكلى. وتشمل الفحوصات خزعة البروستاتا الموجّهة بالتصوير بالرنين المغناطيسي والتقييم الديناميكي البولي. كما يشارك الدكتور كيليتش في أبحاث دولية حول تصوير السرطان بمساعدة الذكاء الاصطناعي.
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\n\nيختار المرضى من دول أوروبا والشرق الأوسط وآسيا مستشفى حصار.
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"},"756":{"operation":{"name":"إزالة المثانة مع إعادة الإعمار","alias":"bladder-removal-with-reconstruction","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":145000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":15000,"max_amount":38800,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":32000,"max_amount":52000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":15000,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":true,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":true,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"RO":true},"description":"تتضمن هذه الجراحة إخراج المثانة وتشكيل واحدة جديدة لاستعادة وظيفة المسالك البولية.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 عامًا من الخبرة في طب الأورام، حاصل على شهادة ESMO","linkedin":"","specialities":[{"id":"onc.001","name":"أخصائي الأورام السريرية","illness_kind_id":10}]},"direction":{"id":10,"name":"طب الأورام","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general","regional"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Typical return to non-strenuous work; varies with age, diversion type, adjuvant therapy and job demands."},"complication_rate_pct":{"min":40,"max":65,"unit":"percent","qualifier":"Any complication within 90 days; major (Clavien 3-5) about 10-20%"},"contraindications":["Unfit for major surgery or general anesthesia","Widely metastatic disease without surgical benefit (selected palliative exceptions)","Uncontrolled infection or sepsis","Severe renal or hepatic impairment (relative; limits continent diversion)","Extensive pelvic radiation or inflammatory bowel disease (relative)"],"days_in_clinic":{"min":7,"max":14,"unit":"nights","qualifier":"Typical inpatient stay for radical cystectomy with urinary diversion/reconstruction in an uncomplicated course; enhanced-recovery pathways may be shorter."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; avoid heavy lifting and strenuous exercise until surgeon clearance, typically 6-12 weeks."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Functional adaptation to the new urinary diversion (e.g. neobladder continence and capacity) often continues over several months."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Days after surgery, once discharged and catheter or stent plan settled; varies by diversion type."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Early postoperative review, often with catheter or stent management as per diversion type."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of final pathology and adjuvant treatment planning."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Oncologic surveillance with labs/imaging and functional assessment of diversion; continues periodically thereafter."}}],"indications":["Muscle-invasive bladder cancer","High-risk non-muscle-invasive bladder cancer (BCG-refractory, recurrent)","Extensive carcinoma in situ or multifocal disease uncontrolled endoscopically","Intractable benign disease (radiation cystitis, contracted painful bladder, refractory hemorrhage)"],"main_risks":["Bleeding and transfusion","Infection, including urinary tract infection and surgical site infection","Postoperative ileus or bowel obstruction","Bowel anastomotic leak","Urine leak or ureteroenteric stricture","Metabolic disturbances (acidosis, vitamin B12 deficiency)","Venous thromboembolism","Urinary incontinence or retention with neobladder","Sexual dysfunction","Hernia or stomal complications","Cardiopulmonary complications"],"pain":"Moderate to significant postoperative pain in the first days, managed with multimodal analgesia (often epidural or regional-type adjuncts and oral medication); gradually decreasing over 2-4 weeks.","preparation":["Staging with imaging and endoscopic resection pathology","Preoperative medical fitness assessment (cardiac, pulmonary, renal, nutritional)","Counseling on diversion options and stoma site marking","Smoking cessation and nutritional optimization","Fasting before anesthesia; 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Neobladder or conduit usually functions lifelong, with periodic surveillance for strictures, metabolic changes and vitamin B12 deficiency. Cancer control depends on stage and adjuvant therapy.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Reoperation or reintervention for stricture, leak, hernia or stoma problems within about 2 years"},"scars":"Midline lower abdominal incision in open surgery, or several small port scars in robotic/laparoscopic approach with a small extraction incision; a stoma scar if an ileal conduit is created.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation including cystectomy and reconstruction in the same surgery."},"stages":[{"code":"cystectomy_reconstruction","label":"Radical cystectomy with pelvic lymph node dissection and urinary diversion/reconstruction in one session","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial surgery."}}],"qualifier":"Typical single-stage operation."},"success":{"metric":"Daytime urinary continence with neobladder","value":85,"unit":"percent of patients","horizon":"12 months after surgery","population":"Adults with bladder cancer receiving orthotopic ileal neobladder after radical cystectomy","evidence_status":"limited"},"techniques":[{"name":"Ileal conduit (incontinent diversion)","suits_whom":"Most common option, including older or frailer patients or those unsuitable for continent diversion.","recovery":"Hospital stay about 7-10 days; lifelong stoma appliance use."},{"name":"Orthotopic ileal neobladder","suits_whom":"Selected motivated patients with good renal function and negative urethral margin who want voiding through the urethra.","recovery":"Catheter for about 2-3 weeks; continence training over months."},{"name":"Continent cutaneous pouch","suits_whom":"Selected patients able to self-catheterize who cannot have neobladder.","recovery":"Catheterization schedule introduced after healing; stay similar to other diversions."},{"name":"Robot-assisted approach","suits_whom":"Selected patients; open approach used for bulky tumours or extensive 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them","scope":"treatment_type","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital/","host":"nhs.uk","quote":"who will be responsible for providing support and how to contact them","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check when and how often post-discharge support will be provided","scope":"treatment_type","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital/","host":"nhs.uk","quote":"when and how often support will be provided","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check who to contact in an emergency or if care does not work as intended","scope":"treatment_type","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital/","host":"nhs.uk","quote":"who to contact if there's an emergency or things do not work as they should","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check which reconstruction option the surgeon recommends for your medical history and goals","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/21049-cystectomy","host":"my.clevelandclinic.org","quote":"Your surgeon will discuss which option makes the most sense for you based on your medical history and goals.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that the clinic explains the reconstruction’s possible risks, including leakage and bowel complications","scope":"procedure","source":{"url":"https://www.mdanderson.org/cancerwise/cystectomy--what-it-is--why-it-is-done-and-what-to-expect.h00-159860079.html","host":"mdanderson.org","quote":"Infection of the urinary tract or surgical incision, Leakage from the urinary reconstruction or bowel connections, Bowel complications, such as an ileus or obstruction, Blood clots, including a deep vein thrombosis or embolism.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check that follow-up will assess urinary-tract drainage and electrolyte balance","scope":"procedure","source":{"url":"https://www.mayoclinic.org/tests-procedures/cystectomy/about/pac-20385108","host":"mayoclinic.org","quote":"At these appointments, your healthcare team will check to make sure that your upper urinary tract drains well and that the water and sodium, called electrolytes, in your body are balanced.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The consultation does not discuss which reconstruction suits your medical history and goals","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/21049-cystectomy","host":"my.clevelandclinic.org","quote":"Your surgeon will discuss which option makes the most sense for you based on your medical history and goals.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The offer does not mention risks of leakage from urinary reconstruction or bowel connections","scope":"procedure","source":{"url":"https://www.mdanderson.org/cancerwise/cystectomy--what-it-is--why-it-is-done-and-what-to-expect.h00-159860079.html","host":"mdanderson.org","quote":"Infection of the urinary tract or surgical incision, Leakage from the urinary reconstruction or bowel connections, Bowel complications, such as an ileus or obstruction, Blood clots, including a deep vein thrombosis or embolism.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The clinic cannot identify who provides post-discharge support or how to contact them","scope":"treatment_type","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital/","host":"nhs.uk","quote":"who will be responsible for providing support and how to contact them","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Large decrease in urine flow","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/tests-procedures/urostomy/about/pac-20607029","host":"mayoclinic.org","quote":"A large decrease in urine flow or no urine flow.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Stoma changes to a dark color","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/tests-procedures/urostomy/about/pac-20607029","host":"mayoclinic.org","quote":"A stoma that changes to a dark color, pulls inward or suddenly sticks out much farther than usual.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Heavy bleeding from the stoma","urgency":"emergency","general":false,"source":{"url":"https://www.mayoclinic.org/tests-procedures/urostomy/about/pac-20607029","host":"mayoclinic.org","quote":"Heavy bleeding from the stoma.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W4","text":"Repeated pouch leaks or skin irritation","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/tests-procedures/urostomy/about/pac-20607029","host":"mayoclinic.org","quote":"Repeated pouch leaks or skin irritation that is not getting better.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs the treatment and future-care 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