Prof. Sebastian Melchior, Medical Director of Urology at Bremen-Mitte Clinic, specializes in robotic surgery with _doctor_668_years_ of experience in tumor surgery. He trained at Harvard and the University of Washington, and was listed among Germany's best urologists by Focus magazine. The clinic is part of Gesundheit Nord network and recognized among Germany's leading medical institutions.
Bremen-Mitte Clinic is part of Gesundheit Nord, the largest medical group in Northern Germany. It focuses on oncology, orthopedics, neurology, and neurosurgery. The clinic treats 40,000 patients each year and ranks among Germany's top hospitals.
Dr. Sebastian Melchior is the chief physician and head of the Urology and Nephrology Clinic at Bremen-Mitte. He specializes in robot-assisted surgery for genitourinary tumors. He holds a professorship in urology and has published over 10 scientific papers. Dr. Melchior was named one of Germany's best urologists by Focus magazine.
Bremen-Mitte Clinic is part of Gesundheit Nord, the largest medical group in Northern Germany. It focuses on oncology, orthopedics, neurology, and neurosurgery. The clinic treats 40,000 patients each year and ranks among Germany's top hospitals.
Medical Center in Solingen is a German Cancer Society-certified academic hospital with specialists performing 4,000+ neurosurgical procedures, 9,000+ endoscopic interventions, and 3,000+ urological surgeries annually.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Day 1 - Arrival
\nDay 2 - Pre-Operation
\nDay 3 - Laparoscopic Nephrectomy
\nDay 4 to Day 7 - Post-Operation
\nWeek 2 to Week 4 - Rehabilitation
\nWeek 5
\nWeek 6
\nPlease note that each patient\"s recovery timeline may vary based on individual circumstances and overall health condition.
"},"overview":{"text":"A minimally invasive procedure for kidney removal using small incisions and a camera-guided tool.
The operation is a minimally invasive technique to remove a kidney, resulting in shorter recovery time and less pain.
"}}},"cityPrices":{"operation_prices":{"11":{"operation":{"id":11,"name":"Laparoscopic nephrectomy","alias":"laparoscopic-nephrectomy"},"city_price":[{"amount":33000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":341,"name":"Solingen","alias":"solingen","profile":{"city_id":341,"city_type":"Bergisches Land city east of Düsseldorf","access":["Düsseldorf Airport (DUS), nearest airport to Solingen"],"sources":["https://en.wikipedia.org/wiki/Solingen"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":15200,"max_amount":23500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":119,"name":"Hamburg","alias":"gamburg","profile":{"city_id":119,"city_type":"Second-largest city in Germany","access":["Hamburg Airport (HAM), 9 km north of city center"],"sources":["https://en.wikipedia.org/wiki/Hamburg","https://en.wikipedia.org/wiki/Hamburg_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":17400,"max_amount":27600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":352,"name":"Bremen","alias":"bremen","profile":{"city_id":352,"city_type":"Hanseatic port city in northern Germany","access":["Bremen Airport (BRE), 4 km south of the city"],"sources":["https://en.wikipedia.org/wiki/Bremen","https://en.wikipedia.org/wiki/Bremen_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":14000,"max_amount":21000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":23,"name":"Berlin","alias":"berlin","profile":{"city_id":23,"city_type":"Capital and largest city of Germany","access":["Berlin Airport (BER), 18 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Berlin","https://en.wikipedia.org/wiki/Berlin_Brandenburg_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"b8c75ace-4f1f-46d8-9887-d9e0b74bfdb6","link":"https://player.vimeo.com/video/1096293607?badge=0&autopause=0&player_id=0&app_id=58479","description":"My companion and I were treated with such kindness — I have nothing but admiration for the entire team.","userName":"Amanda","user_name":"Amanda","preview":"https://i.vimeocdn.com/video/2030326588-92c5121ee6fb5bedb09b0cf12abe66667acab73d0dea713b5168e6353daa6b76-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:47:55.613+00:00","clinicName":"Lokman Hekim Istanbul Hospital","clinic":{"name":"Lokman Hekim Istanbul Hospital","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"Mastectomy","alias":"mastectomy"},{"name":"Sarcoma surgery","alias":"removal-of-ewing-s-sarcoma"}]}},{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"Stay strong, stay informed, and never underestimate the power of cutting-edge treatments and a solid support system.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Confraternitaet & Goldenes Kreuz Private Clinic","clinic":{"name":"Confraternitaet & Goldenes Kreuz Private Clinic","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"Radioembolization for liver cancer ","alias":"radioembolization-for-liver-cancer"},{"name":"Radiofrequency ablation","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","advisoryText":"20 years of experience\nMedical oncologist, ESMO certified","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"updatedAt":"2026-10-25T09:49:20.000Z","activeCountries":["DE","TR","AT","ES","TH"],"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Oncology","alias":"oncology","name_forms":{"base_form":"Oncology","form_4":"oncologist","form_6":"oncologists","form_11":"oncologists"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work after about 2-4 weeks; heavy physical work often 4-6 weeks, depending on procedure and recovery."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 90 days, mostly minor; major (Clavien III-V) complications about 3-7%."},"contraindications":["Uncorrected coagulopathy or bleeding disorder","Severe cardiopulmonary disease making anesthesia and pneumoperitoneum unsafe","Active uncontrolled infection or sepsis","Relative: large tumor, caval thrombus, or extensive prior surgery","Relative: severe obesity or hostile abdomen","Solitary kidney or poor contralateral function"],"days_in_clinic":{"min":2,"max":4,"unit":"nights","qualifier":"Typical uncomplicated adult laparoscopic nephrectomy; longer if complications or for complex cases."},"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":"Light walking early; strenuous exercise and heavy lifting usually resumed around 4-8 weeks."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time to full functional recovery and wound healing; oncologic or renal outcome assessed through follow-up."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After discharge and early review; depends on surgeon clearance, recovery, and flight duration, with walking and hydration advised."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early postoperative review, often with pathology results."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Review of recovery and renal function (creatinine/eGFR) of remaining kidney."}}],"indications":["Renal cancer unsuitable for partial nephrectomy (radical nephrectomy)","Upper tract urothelial carcinoma","Non-functioning kidney due to obstruction, chronic infection, reflux or stones","Symptomatic atrophic kidney with hypertension or recurrent infection"],"main_risks":["Bleeding, possibly requiring transfusion or conversion to open surgery","Injury to adjacent organs (bowel, spleen, liver, pancreas, vessels)","Wound infection, port-site hernia","Postoperative ileus, pneumonia, urinary tract infection","Venous thromboembolism","Reduced renal function or chronic kidney disease progression","Anesthesia-related risks and pneumoperitoneum-related effects"],"pain":"Moderate postoperative pain at port sites and shoulder-tip pain from gas, usually controlled with oral analgesia within several days; less than open surgery.","preparation":["Preoperative imaging (CT/MRI) and assessment of contralateral kidney function","Blood tests, including renal function and coagulation, and anesthesia assessment","Fasting before surgery as instructed by the anesthesia team","Review of current medications with the surgical team","Thromboprophylaxis planning and smoking cessation advice"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Early mobilization, catheter and drain removal as applicable, diet resumption, pain control.","restrictions":["No driving","Avoid lifting"]},{"phase":"Weeks 1-2","description":"Home recovery with walking, port-site healing, gradual reduction of analgesics.","restrictions":["Avoid lifting more than about 4-5 kg","No strenuous activity"]},{"phase":"Weeks 3-6","description":"Return to desk work and light activity; fatigue gradually resolves.","restrictions":["Avoid heavy lifting and intense exercise until cleared"]},{"phase":"Weeks 6-12","description":"Return to full activity as cleared by surgeon; follow-up of renal function and pathology plan.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities; formal physiotherapy not usually needed."},"result_longevity":"Kidney removal is permanent. Outcome depends on indication: for cancer, long-term control is assessed by surveillance imaging; the remaining kidney usually compensates over months.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Unplanned return to theatre or reoperation (bleeding, hernia, wound) within 90 days."},"scars":"Usually three to four small port-site scars (about 0.5-1.5 cm) plus one slightly longer incision (about 4-7 cm) if the kidney is extracted intact; usually fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Laparoscopic removal of the kidney in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage procedure."},"success":{"metric":"Successful completion laparoscopically without conversion to open surgery","value":97,"unit":"percent","horizon":"At surgery","population":"Adults undergoing laparoscopic nephrectomy for benign or malignant kidney disease","evidence_status":"limited"},"techniques":[{"name":"Transperitoneal laparoscopic nephrectomy","suits_whom":"Most patients, including larger tumors; offers wider working space.","recovery":"Typically 2-4 nights in hospital; return to desk work in about 2-4 weeks."},{"name":"Retroperitoneoscopic laparoscopic nephrectomy","suits_whom":"Selected patients, e.g., posterior tumors or prior abdominal surgery, with surgeon experience.","recovery":"Similar to transperitoneal approach."},{"name":"Hand-assisted laparoscopic nephrectomy","suits_whom":"Larger kidneys or bulky specimens needing hand access.","recovery":"Similar, with slightly longer hand-port incision."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for uncomplicated adult laparoscopic nephrectomy; longer for complex cases."},"initial_assessment_documents":["Abdominal CT or MRI report with images","Recent creatinine and eGFR blood results","Biopsy report (if available)","Renal scintigraphy (DMSA) report (if available)","List of blood thinners","Previous abdominal surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including 2-4 hospital nights and early review. Later follow-up is done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the practitioner's experience with the surgery you plan to have, since it shows their skill with it","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners’ experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon you consult is the same person who will carry out the procedure","scope":"treatment_type","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":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the 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offers","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":"2026-11-13","http_status":200}},{"id":"F2","text":"Package deals that combine surgery with holidays","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays – any decision to have surgery should be taken based on medical reasons only.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information guaranteeing complete 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sites","urgency":"contact_clinic","general":false,"source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/laparoscopic-nephrectomy-and-nephroureterectomy/","host":"gloshospitals.nhs.uk","quote":"Infection - any cut to the skin carries a risk of infection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"It gives home doctors important information about the admission and operation","document":"discharge summary","source":{"url":"https://www.cuh.nhs.uk/patient-information/laparoscopic-radical-removal-of-the-kidney/","host":"cuh.nhs.uk","quote":"When you leave hospital, you will be given a discharge summary of your admission.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"It provides results about the removed kidney and supports further treatment 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