Prof. Dr. Peter Heering brings 38 years of nephrology expertise (since 1987), currently serving as Chief Nephrologist and president of German and Austrian Society of Intensive Care Medicine. The clinic – an academic teaching hospital of University of Cologne – provides complete pre-op diagnostics including ultrasound, blood tests, and radiological consult. As a Focus magazine recognized specialist, Prof. Heering oversees all treatment at this German Trauma Center certified facility.
","text_type":"mt_wow_description","best_texts":{"techniques":"Laparoscopic nephrectomy, radical cystectomy with continent urinary diversion, surgery of tumors of the kidney","good_fit_for":"Kidney tumor removal","why_its_ranked":"Prof. Dr. Markus Heuser specializes in urological oncology with over 40 scientific publications. The clinic is certified by the German Cancer Society for cancer treatment."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":33000,"price_to":37000,"currency":"USD","id":28091},"operation":{"id":11,"name":"Laparoscopic nephrectomy","alias":"laparoscopic-nephrectomy"}},{"prices":{"price_from":800,"price_to":1000,"currency":"USD","id":28143},"diagnostic":{"id":190,"name":"Whole-body MRI","alias":"whole-body-mri"}},{"prices":{"price_from":60,"price_to":200,"currency":"USD","id":28112},"diagnostic":{"id":507,"name":"Thyroid function tests (including T3, T4, TSH)","alias":"thyroid-function-tests-including-t3-t4-tsh"}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"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.
Prof. Andreas Sesterhenn specializes in sparing treatment of tumors, performing robotic interventions through tiny incisions.
Dr. Andreas Sesterhenn is the Chief Physician of Otolaryngology and Plastic Surgery at Solingen Clinic. He specializes in tumor removal for the head, neck, and upper airways. Dr. Sesterhenn uses robotic systems for interventions through incisions as small as 1 cm. Developed expertise in surgical medicine through training in the USA and Germany.
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.
Prof. Dr. Markus Heuser specializes in uro-oncological surgeries and has authored more than 40 scientific publications.
Dr. Markus Heuser is a surgical oncologist and urologist at the Medical Center in Solingen. He specializes in treating prostate, bladder, and kidney cancers. Dr. Heuser has published over 40 scientific papers on uro-oncological research. He is a member of the European Association of Urology and the German Society of Urology.
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.
Chief Physician at a certified cancer center – Phd Viola Fox specializes in advanced treatments for haemato-oncological diseases.
Dr. Viola Fox is the Chief Physician at the Clinic for Oncology in Solingen. She is a leading expert in drug therapy for tumors in Germany and Europe. Dr. Fox holds a qualification in specialist genetics and conducts molecular biology research. She treats complex cases at a certified interdisciplinary cancer center.
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.
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 qualifications of the medical team that 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":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you can ask the 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":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that you are satisfied with the facilities and standards of the clinic or 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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 success","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":"2026-11-13","http_status":200}},{"id":"F4","text":"Adverts or advice that omit complications and aftercare requirements","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Make sure that any adverts or advice you receive when making your decision gives you all the necessary information, including any potential complications and aftercare requirements.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The clinic or surgeon cannot explain the practitioner’s experience with the planned surgery","scope":"procedure","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Redness or swelling of the wound site","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":"Any redness or swelling of the wound site after the operation may need further treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Major bleeding after kidney 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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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