{"meta":{"humanUrl":"https://us-uk.bookimed.com/clinics/country=germany/procedure=hysteroscopic-myomectomy/","canonicalUrl":"https://us-uk.bookimed.com/clinics/country=germany/procedure=hysteroscopic-myomectomy/","jsonUrl":"https://us-uk.bookimed.com/clinics/country=germany/procedure=hysteroscopic-myomectomy/data.json","title":"Hysteroscopic myomectomy in Germany 2026: Cost, Clinics & Reviews","description":"Hysteroscopic myomectomy in Germany costs from $3,300. Compare 1 , verified reviews. Get your free quote!","heading":"Hysteroscopic Myomectomy in Germany — Get 3 Top Clinic Matches with Costs","locale":"en","schemaVersion":"ClinicListingPageDataV1","snapshotId":"fa94d25c-b19d8d7f","contentVersion":"fa94d25c","generatedAt":"2026-11-13T15:59:22.789Z"},"filters":{"country":"germany","procedure":"hysteroscopic-myomectomy","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Germany","url":"/clinics/country=germany/"},{"name":"Hysteroscopic myomectomy","url":"/clinics/country=germany/procedure=hysteroscopic-myomectomy/"}],"entities":[{"name":"Germany","alias":"germany","type":"country","id":22},{"name":"Hysteroscopic myomectomy","alias":"hysteroscopic-myomectomy","type":"procedure","id":1373}],"clinics":{"clinics":[{"text":"<p>Helios Barmen operates within a network of specialized centers across Germany holding certifications from DGK, ESO, and DGU. The clinic performs minimally invasive hysteroscopic myomectomy to reduce scarring and speed up recovery. International patients receive support in English, Arabic, and French to help with the medical process. Before surgery, the gynecology department provides detailed ultrasound diagnostics and exams. This German network provides access to several certified gynecology departments for focused fibroid treatment.</p>","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Offers minimally invasive hysteroscopic myomectomy that reduces scarring and speeds recovery. Pre-surgery ultrasound diagnostics ensure accurate fibroid mapping. Part of Germany's largest private healthcare network, Helios."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":221.01006531023356,"price_to":442.0201306204671,"currency":"USD","id":56468},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"<p>Helios Gesundheit is a multispecialty hospital network across Germany. Key departments include cardiology, gastroenterology, oncology, and orthopedics. The group also offers specialized pediatric care and maternity services. The network treats around 5.5 million people each year. About 78,000 employees support these clinical operations. Several locations are teaching hospitals for the University of Witten-Herdecke.</p><p>The network holds many certifications from the German Society of Cardiology. These include recognitions for Chest Pain Units and Heart Failure Units. Specialized centers are also certified for hernia surgery and trauma care. Oncology departments include DKG-certified centers for breast and skin cancer. Clinics use advanced technology like the Da Vinci robotic system. Specialized teams also perform custom-made shoulder joint replacements for complex cases.</p>","images":[{"base_url":"clinic/6ac8a229ace62","title":"Helios Klinik Rottweil main entrance, modern brick medical facility in Germany"},{"base_url":"clinic/6ac8a22b7b107","title":"Modern glass facade of Helios Klinikum Krefeld hospital in Germany"},{"base_url":"clinic/6ac8a22d81c1d","title":"Helios Klinik Wesermarsch exterior view in Germany with modern building and flags"},{"base_url":"clinic/6ac8a22f88955","title":"Helios Klinik Wesermarsch modern clinic building in Germany"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Germany","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"International Accreditation System for Interventional Oncology Services (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"German Cancer Society","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Quality management systems"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":28},"doctors":{"doctors":[{"card_text":"<p>Dr. Séverine Iborra leads the Gynecology and Obstetrics Department at Städtisches Klinikum Solingen, specializing in minimally invasive procedures like hysteroscopic myomectomy.</p><ul><li>Board-certified in gynecology and obstetrics with over _doctor_9049_years_ of experience</li><li>Certified in gynecological oncology and special obstetrics</li><li>Uses advanced techniques including laparoscopy and the Da Vinci robotic system</li><li>Active member of leading German medical societies</li></ul>","doctor":{"id":9049,"alias":"severine-iborra","name":"Séverine Iborra","clinic_id":268,"photo":"doctor/67580da351e62","first_year_working":2007,"created_at":"2024-12-10T09:45:06.584+00:00","short_description":"<p>Dr. Séverine Iborra is the Chief Physician of Gynecology and Obstetrics at the Medical Center in Solingen. She specializes in gynecological oncology and high-risk perinatal medicine. Dr. Iborra uses the Da Vinci robotic system for minimally invasive cancer surgeries. She is a certified specialist in cervical pathology and urogynecology.</p><ul><li>Performs robotic hysterectomies and myomectomies with high precision.</li><li>Treats complex cancers of the breast, ovaries, and cervix.</li><li>Certified by the Gynecological Oncology Working Group in diagnostics and therapy.</li><li>Leads a department at a clinic ranked among the top in Germany by Focus magazine.</li></ul>","specialities":[{"id":"frt.002","name":"Fertility specialist","illness_kind_id":68},{"id":"frt.003","name":"Embryologist","illness_kind_id":68},{"id":"oag.001","name":"Obstetrician-gynecologist","illness_kind_id":35},{"id":"oag.002","name":"Gynecologist","illness_kind_id":35}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"<p>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.</p> <ul> <li>Certified by the German Cancer Society (DKG), German Trauma Center, and WHO/UNICEF.</li> <li>Neurosurgery performs over 1,000 surgeries each year. It cooperates with specialists from Boston and Cleveland hospitals.</li> <li>Breast Center has a 90% treatment success rate. Offers immediate breast reconstruction after surgery.</li> <li>Treatment costs are 10–20% lower than other German hospitals. 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Prof. Dr. Michael Friedrich leads the gynecological team, focusing on minimally invasive techniques for cyst removal. The network holds multiple certifications, including oncology centers accredited by the DKG. These specialized departments across Germany offer laparoscopic approaches to help reduce recovery time and post-operative pain. Patients benefit from the high safety standards of a group managing dozens of certified medical centers.</p>","text_type":"mt_wow_description","additional_data":{"advertising_id":"7769:illness_kind:33"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":221.8945889198381,"price_to":443.7891778396762,"currency":"USD","id":56468},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"<p>Helios Gesundheit is a multispecialty hospital network across Germany. Key departments include cardiology, gastroenterology, oncology, and orthopedics. The group also offers specialized pediatric care and maternity services. The network treats around 5.5 million people each year. About 78,000 employees support these clinical operations. Several locations are teaching hospitals for the University of Witten-Herdecke.</p><p>The network holds many certifications from the German Society of Cardiology. These include recognitions for Chest Pain Units and Heart Failure Units. Specialized centers are also certified for hernia surgery and trauma care. Oncology departments include DKG-certified centers for breast and skin cancer. Clinics use advanced technology like the Da Vinci robotic system. 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The transparent cost may be around €9,999 – often 10–20% lower than other German centers for international patients. The clinic is an Academic Hospital of the University of Cologne, certified by the German Cancer Society and WHO, and treats over 60,000 patients annually.</p>","text_type":"mt_wow_description","best_texts":{"techniques":"Laparoscopic cystectomy, minimally invasive gynecological surgery","good_fit_for":"Endometriosis-related ovarian cysts","why_its_ranked":"Offers laparoscopic removal of ovarian cysts with chief physician treatment. 92% of clients recommend the clinic. Academic hospital of the University of Cologne with German Cancer Society certification."},"additional_data":{"advertising_id":"268:illness_kind:33"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":200,"price_to":400,"currency":"USD","id":15735},"diagnostic":{"id":121,"name":"Colposcopy","alias":"colposcopy"}},{"prices":{"price_from":170,"price_to":170,"currency":"USD","id":13490},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"<p>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.</p> <ul> <li>Certified by the German Cancer Society (DKG), German Trauma Center, and WHO/UNICEF.</li> <li>Neurosurgery performs over 1,000 surgeries each year. It cooperates with specialists from Boston and Cleveland hospitals.</li> <li>Breast Center has a 90% treatment success rate. Offers immediate breast reconstruction after surgery.</li> <li>Treatment costs are 10–20% lower than other German hospitals. Same pricing for foreign and local patients.</li> <li>Interpreter services available at €35 per hour.</li> </ul>","images":[{"base_url":"clinic/5c87c67033d52","title":"Modern exterior of Medical Center in Solingen, Germany clinic building"},{"base_url":"clinic/5ab24b5fb69f7","title":"Medical staff reviewing surgery schedule on screen at Medical Center in Solingen"},{"base_url":"clinic/5ab24b6047e9a","title":"CT scan room at Medical Center in Solingen with patient and doctor"},{"base_url":"clinic/5ab24b60a6459","title":" room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Germany","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Solingen","id":341,"alias":"solingen"},"address":"Gotenstraße 1, 42653 Solingen, Germany"},"rating":{"rating":4.7,"google":3.3,"percent_of_satisfied_clients":92},"statistics":{"number_of_reviews":69,"doctors_number":400,"year_foundation":1863},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7161d3319.jpeg","name":"Best doctor for herniated disc treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"German Cancer Society","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"listingTexts":{"entity_texts":{"txt_price":{"text":"<p>The cost of hysteroscopic myomectomy in Germany typically ranges <strong>from _price_from_ to _price_to_</strong>. Prices vary depending on the clinic, the surgeon’s experience, the number and size of fibroids removed, and whether advanced imaging or anesthesia is required. In the United States, the average cost is <strong>_price_compare_us_average_</strong> (per ACOG). This means hysteroscopic myomectomy in Germany can be about _price_percent_discount_% less than in the U.S.</p><p>German clinics usually include pre-op assessment, the hysteroscopic procedure, anesthesia, a short hospital stay, and initial follow-up. In the U.S., the listed price often covers only the surgeon and facility fee, with anesthesia, pathology, and follow-ups billed separately. Always confirm exactly what’s included with each clinic.</p>"}},"texts":{}},"faq":[{"id":"6a2b76f6ae5143d15004a1e3","question":"What is a hysteroscopic myomectomy and who is it suitable for?","answer":"<p>Hysteroscopic myomectomy is a incisionless surgical procedure that removes submucous fibroids through the vaginal canal and cervix. It is ideal for patients with fibroids bulging into the uterine cavity who experience heavy menstrual bleeding, anemia, or infertility while seeking to preserve their uterus and fertility.</p> <ul> <li><strong>Surgical approach:</strong> Doctors use a thin hysteroscope and resectoscope without making any abdominal incisions.</li> <li><strong>Suitable candidates:</strong> Best for submucosal fibroids categorized as FIGO type 0, 1, or 2.</li> <li><strong>Recovery time:</strong> Patients typically return home the same day with 2–3 days total recovery.</li> <li><strong>Fertility focus:</strong> This method effectively removes growths that distort the cavity to improve pregnancy outcomes.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> German clinics like Helios University Hospital Wuppertal treat 150,000 patients annually using advanced diagnostics. Specialists like Dr. Séverine Iborra at Medical Center in Solingen emphasize MRI or sonohysterography first. This precision ensures the fibroid is accessible via hysteroscopy rather than needing more invasive laparoscopic surgery.</p> <p><strong>Patient Consensus:</strong> Many reports highlight the relief of returning to work quickly without visible scarring. Expect mild cramping and watery discharge for a few days following the fibroid removal.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a2b775380ab5e7a000973c3","question":"Can I become pregnant after a hysteroscopic myomectomy?","answer":"<p>You can become pregnant after a hysteroscopic myomectomy. This procedure preserves the uterus and improves fertility by removing submucosal fibroids that block implantation. Success rates range from 60% to 90% in Germany, where surgeons emphasize minimally invasive techniques to protect the uterine lining.</p> <ul> <li><strong>Fertility outlook:</strong> Removing fibroids protruding into the cavity significantly increases natural conception rates.</li> <li><strong>Typical healing:</strong> Most patients require 3 months for the uterine wall to heal completely.</li> <li><strong>Surgical approach:</strong> German specialists like Dr. Séverine Iborra use advanced hysteroscopy to avoid scarring.</li> <li><strong>Post-op check:</strong> Surgeons often perform follow-up scans to confirm the cavity is clear.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many focus on the surgery, the healing phase is the real differentiator. In Germany, university hospitals like Helios Wuppertal leverage interventional oncology standards for benign cases. This ensures precision that minimizes intrauterine adhesions. This level of technical accuracy is why German clinics remain a top global choice for fertility preservation.</p> <p><strong>Patient Consensus:</strong> Many women report conceiving naturally within a few cycles once cleared by their doctor. Most find the faster recovery and lack of abdominal scars a major emotional relief.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a2b77c01e0b288b4d0ad303","question":"Are there specific types or sizes of fibroids that can be treated?","answer":"<p>German gynecologists treat submucosal, intramural, and subserosal fibroids ranging from 1 to over 10 centimeters. Hysteroscopic myomectomy specifically targets submucosal fibroids within the uterine cavity. Treatment decisions prioritize location and symptoms like heavy bleeding or fertility issues over size alone to ensure optimal outcomes.</p> <ul> <li><strong>Submucosal fibroids:</strong> These grow inside the uterine cavity and are ideal for hysteroscopic removal.</li> <li><strong>Fibroid sizing:</strong> Surgeons treat small 1-5 cm growths and large symptomatic fibroids exceeding 10 cm.</li> <li><strong>FIGO classification:</strong> Doctors use FIGO staging to determine how deep fibroids embed into muscle.</li> <li><strong>Staged procedures:</strong> Surgeons may remove large or deeply embedded fibroids over 2 separate sessions.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> German centers like Helios University Hospital Wuppertal manage high volumes with 150,000 annual patients. We see that top specialists like Dr. Séverine Iborra at Medical Center Solingen hold dual certifications in oncology and obstetrics. This advanced expertise allows them to treat complex fibroids that other clinics might label as inoperable.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that a saline sonogram or MRI is vital for mapping before surgery. Many reported that smaller fibroids with deep muscle attachment were more challenging than larger ones in the cavity.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a2b781717a7d19da0004742","question":"How long is recovery, and will I have visible scars?","answer":"<p>Hysteroscopic myomectomy in Germany involves no external incisions, leaving zero visible scars. Most patients recover within 1 to 3 days. This endoscopic approach through the vagina allows surgeons like Dr. Séverine Iborra to remove fibroids while fully preserving the uterus.</p> <ul> <li><strong>No visible scarring:</strong> Procedures use natural orifices, ensuring no abdominal or external skin incisions.</li> <li><strong>Rapid recovery:</strong> Patients typically return to light daily activities within 24 to 72 hours.</li> <li><strong>Short hospital stay:</strong> German clinics often provide same-day discharge or 1-night observation for monitoring.</li> <li><strong>Symptom management:</strong> Mild cramping, spotting, and bloating are common but subside within a few days.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While recovery is fast, the fibroid size dictates your immediate comfort. Data shows that larger resections often lead to more intense temporary cramping. Specialized centers like Medical Center in Solingen focus on conservative, uterus-preserving techniques to minimize these post-operative effects.</p> <p><strong>Patient Consensus:</strong> Patients often feel back to normal within 3 days. Many are surprised by the lack of downtime, though some warn that post-procedure cramping can feel stronger than expected.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a2b7872ab117e80ca0c2d02","question":"What advanced techniques do German surgeons use?","answer":"<p>German surgeons utilize advanced minimally invasive techniques like robotic-assisted Da Vinci myomectomy and high-definition hysteroscopy to remove fibroids. These methods leverage precision saline distension and electronic resection tools, ensuring shorter recovery times and maximum preservation of healthy uterine tissue for patients.</p> <ul> <li><strong>Minimally invasive focus:</strong> Facilities like Medical Center in Solingen perform nearly all gynecological procedures laparoscopically.</li> <li><strong>Robotic-assisted systems:</strong> Surgeons use Da Vinci platforms for high-precision resection of complex or deep-seated fibroids.</li> <li><strong>High-definition imaging:</strong> Advanced hysteroscopes provide superior visualization for mechanical or electrosurgical fibroid removal.</li> <li><strong>Certified oncology standards:</strong> Helios University Hospital Wuppertal maintains German Cancer Society and IASIOS interventional certificates.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> German clinics often outperform others by combining molecular oncology research with surgical practice. Chief physicians like Dr. Séverine Iborra at Solingen hold doctorates in molecular research. This helps them identify which submucosal fibroids are best suited for single-stage hysteroscopic resection versus staged procedures.</p> <p><strong>Patient Consensus:</strong> Patients value the protocol-driven approach and thorough pre-operative imaging used to determine fibroid types. Experience with fluid absorption monitoring is frequently cited as a key indicator of a skilled surgical team.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a2b78c967976f4cc1026784","question":"What makes Germany a preferred destination for hysteroscopic myomectomy?","answer":"<p>Germany remains a global leader for hysteroscopic myomectomy due to specialized gynecological centers achieving 90-95% efficacy rates. German specialists focus on fertility preservation using minimally invasive techniques that remove fibroids through the natural canal, eliminating abdominal incisions and typically allowing recovery within 2 weeks.</p> <ul> <li><strong>Technological precision:</strong> Surgeons use high-definition imaging and advanced electrosurgery instruments for complex fibroid mapping.</li> <li><strong>Specialized expertise:</strong> Leading specialists like Dr. Séverine Iborra at Medical Center Solingen utilize robotic-assisted systems.</li> <li><strong>Quality accreditation:</strong> Facilities maintain strict safety standards verified by German Cancer Society and KTQ certifications.</li> <li><strong>Efficient coordination:</strong> Patients benefit from streamlined diagnostics including saline sonography and MRI reviews before surgery.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Germany ranks 2nd globally for medical travel on Bookimed, largely due to clinical predictability. While other regions focus on cost, German university hospitals like Helios Wuppertal leverage 150,000 annual patient cases to refine uterus-sparing protocols. This high volume directly correlates with the standardized, matter-of-fact care that international patients prioritize over lower prices.</p> <p><strong>Patient Consensus:</strong> Patients value the conservative, uterus-sparing approach and much shorter wait times compared to other national healthcare systems. Many appreciate receiving clear operative plans and second opinions that prioritize long-term reproductive health over faster, more invasive options.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2f81e9b9a6b0b83053092","question":"Which hospitals in Germany are top-rated for neurosurgery?","answer":"<p>Germany features some of the worlds most prestigious neurosurgery departments, led by Charité – Universitätsmedizin Berlin and University Hospital Heidelberg. These centers excel in treating complex brain tumors and cerebrovascular disorders. They utilize advanced technologies like intraoperative MRI and computer-assisted neuronavigation to maximize procedural success.</p> <ul> <li><strong>Charité Berlin:</strong> Performs 5,000+ surgeries annually. Led by renowned neurosurgeon Dr. Peter Vajkoczy.</li> <li><strong>Medical Center Solingen:</strong> Dr. Ralf Buhl has performed 4,000+ procedures, including minimally invasive spine surgery.</li> <li><strong>Asklepios Nord Clinic:</strong> Features Germany's only two-sided intraoperative MRI for real-time surgical precision during tumor removals.</li> <li><strong>Nordwest Clinic:</strong> Recognized by Newsweek as a leading hospital for innovations in 3D ultrasound technology.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows that choosing high-volume centers often leads to more conservative treatment recommendations. At Medical Center Solingen, which treats 60,000+ patients yearly, surgeons frequently suggest physiotherapy over immediate surgery if risks appear high. This volume-based expertise ensures patients only undergo operations when statistically necessary for recovery.</p> <p><strong>Patient Consensus:</strong> Patients note that German specialists are very cautious and will explain all risks before proceeding. Many emphasize the comfort of modern facilities, though some mention that having a translator is helpful for navigating administrative paperwork.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2f9049b9a6b0b83053094","question":"What are the reported success rates for high-complexity neurosurgery in Germany?","answer":"<p>High-complexity neurosurgery in Germany demonstrates exceptional safety. Spinal fusions reach a 99% success rate. Primary brain tumor resections maintain a 97% survival rate. Functional independence is high. Over 82% of patients discharge directly home after treatment. German centers prioritize preserving neurological function using advanced mapping.</p> <ul> <li><strong>Tumor resection:</strong> Surgeons achieve gross total resection in 87.2% of brain metastasis cases.</li> <li><strong>Vascular success:</strong> Unruptured aneurysm treatments show a 98.7% survival rate in German hospitals.</li> <li><strong>Neurological improvement:</strong> Nearly 43% of patients see functional score gains after complex resections.</li> <li><strong>Surgical safety:</strong> Spinal procedures maintain a 98–99% survival rate across major surgical centers.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> High-volume surgeons like Dr. Uwe Kehler at Asklepios Altona Clinic perform 2,000+ operations annually. Data shows these experts maintain success rates up to 90% for the most complex cerebral tumors. Choosing a specialist with 4,000+ personal surgeries, such as Dr. Ralf Buhl, ensures technical precision gathered over decades of practice.</p> <p><strong>Patient Consensus:</strong> Patients note that German surgeons often prioritize physical function over aggressive tumor removal. It is important to write down all questions in advance to make the most of short consultations with busy professors.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2f9e2c62eefccdb059702","question":"What advanced technologies are routinely available in German neurosurgical clinics?","answer":"<p>German neurosurgical clinics routinely integrate high-precision digital tools and real-time imaging into surgical practice. Core technologies include computer-assisted neuronavigation for brain and spinal procedures. Facilities like Asklepios Nord Clinic use intraoperative MRI to verify tumor removal in real time. These systems provide a 3D GPS for surgeons.</p> <ul> <li><strong>Neuronavigation:</strong> Provides 3D visualization and real-time instrument tracking for sub-millimeter surgical precision.</li> <li><strong>Intraoperative imaging:</strong> Systems like iMRI and O-arm CT allow immediate verification of successful resection.</li> <li><strong>Neuromonitoring:</strong> Tracks motor and sensory functions during surgery to protect the nervous system.</li> <li><strong>Fluorescence diagnostics:</strong> Uses 5-ALA dye to illuminate tumor borders for more complete removal.</li> <li><strong>Robotic assistance:</strong> Systems like Da Vinci enhance dexterity for complex minimally invasive procedures.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> High-volume centers like Charité – Universitätsmedizin Berlin perform 4,000+ neurosurgeries annually, creating a data-rich environment for refining robotic protocols. Medical Center in Solingen offers specialized packages for herniated disc surgery including preoperative diagnostics. This volume allows German clinics to negotiate better rates for consumables, keeping advanced tech accessible.</p> <p><strong>Patient Consensus:</strong> Patients note that modern German clinics significantly reduce recovery times compared to older surgical methods. Many describe the experience as less painful due to smaller incisions and highly competent staff who explain every technical risk clearly.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fa588cf5d8b9280859e2","question":"What specialist training do practicing neurosurgeons in Germany complete?","answer":"<p>Neurosurgeons in Germany must complete 6 years of specialized residency training after medical school. This structured program includes intensive care, clinical practice, and a mandatory surgical log. Candidates then pass a state board exam to earn the title Facharzt für Neurochirurgie.</p> <ul> <li><strong>Clinical residency:</strong> Requires 48 to 72 months of dedicated neurosurgical practice.</li> <li><strong>Intensive care:</strong> Includes mandatory 6-month rotation in a neurosurgical intensive care unit.</li> <li><strong>Surgical log:</strong> Surgeons document hundreds of procedures, including craniotomies and spinal surgeries.</li> <li><strong>Board examination:</strong> Candidates must pass a state-administered oral and practical medical assessment.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> German neurosurgery training emphasizes high-volume surgical experience. For example, Dr. Ralf Buhl at Medical Center in Solingen has performed 4,000+ surgeries. Dr. Jürgen Kiwit at Meoclinic Hospital brings 25+ years of expertise. This rigorous system ensures that specialists at major centers manage complex cases with proven precision.</p> <p><strong>Patient Consensus:</strong> Patients feel confident knowing their doctors underwent years of strict, state-monitored training. Many note that the detailed documentation of a surgeon's past procedures provides significant peace of mind before surgery.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fb078e7964918b0b74e2","question":"What language and licensure requirements apply to international surgeons aiming to train or observe neurosurgery cases in Germany?","answer":"<p>International neurosurgeons must meet strict language and licensure standards to train or observe in Germany. Training requires a full medical license or temporary permit. Observers need hospital-specific approval. Both paths demand high-level German proficiency to participate in clinical discussions and follow complex surgical protocols safely.</p> <ul> <li><strong>Language proficiency:</strong> General German B2 and medical C1 (Fachsprachprüfung) are mandatory for clinical training.</li> <li><strong>Clinical licensure:</strong> Surgeons need Approbation for permanent practice or Berufserlaubnis for temporary supervised training.</li> <li><strong>Observation status:</strong> A Hospitation allows observing surgeries without medical responsibility or a formal license.</li> <li><strong>Credential evaluation:</strong> Non-EU graduates often face a 3–6 month process to verify their medical degrees.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> German clinics with high patient volumes, like Nordwest Clinic or Asklepios Nord, often prioritize candidates who have already secured their preliminary document evaluation. Our data shows that professors like Dr. Uwe Kehler and Dr. Paul Kremer manage thousands of cases annually. Demonstrating German B2 level early can bypass many bureaucratic delays in these busy departments.</p> <p><strong>Patient Consensus:</strong> Patients note that the language barrier is significant. They emphasize that while some international staff help, having a translator or a German-speaking doctor is vital for clear communication.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"69b2fb98dd9843dadb048d82","question":"Does Germany have enough neurosurgeons to handle both domestic and international patient volumes?","answer":"<p>Germany maintains the highest density of neurosurgeons in Europe with 2.94 specialists per 100,000 residents. This robust workforce easily manages international volumes through 184 dedicated departments. Key facilities like Charite Berlin perform 4,000+ surgeries annually. High specialist availability ensures additional capacity for complex global cases.</p> <ul> <li><strong>Specialist density:</strong> Germany has 2.94 neurosurgeons per 100,000 people, doubling the European average.</li> <li><strong>Clinical infrastructure:</strong> Over 182 dedicated neurosurgical departments provide widespread geographic access across Germany.</li> <li><strong>Surgical expertise:</strong> Prof. Dr. Peter Vajkoczy at Charite Berlin leads over 4,000 annual procedures.</li> <li><strong>Advanced technology:</strong> Facilities like Asklepios Nord Clinic utilize intraoperative MRI and computerized neuronavigation.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While Germany has high specialist numbers, top-tier professors like Dr. Ralf Buhl or Dr. Uwe Kehler are often concentrated in major hubs like Hamburg or Solingen. Our data shows these high-volume centers actually offer faster access for international patients than smaller clinics. Large academic hospitals maintain dedicated tracks for complex cases, effectively bypassing local capacity bottlenecks found in rural areas.</p> <p><strong>Patient Consensus:</strong> Patients often note that while surgeons are highly professional, clear communication about reports can sometimes take time. One patient mentioned that recovery periods in German clinics are now much shorter and less painful than in previous decades.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}}],"faqInSchema":false,"relations":{"countries":[{"name":"China","alias":"china","iso_code":"CN"},{"name":"Cyprus","alias":"cyprus","iso_code":"CY"},{"name":"Egypt","alias":"egypt","iso_code":"EG"},{"name":"Germany","alias":"germany","iso_code":"DE"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Mexico","alias":"mexico","iso_code":"MX"},{"name":"Poland","alias":"poland","iso_code":"PL"},{"name":"Republic of Korea","alias":"republic-of-korea","iso_code":"KR"},{"name":"Romania","alias":"romania","iso_code":"RO"},{"name":"Spain","alias":"spain","iso_code":"ES"},{"name":"Turkey","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"},{"name":"United Arab 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He is certified by the European Society of Coloproctology (FEBS-C) and has performed over 500 bariatric surgeries.","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}]},"updatedAt":"2026-11-11T01:40:52.103Z","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":7852}},"direction":{"id":33,"name":"Surgery","alias":"surgery","name_forms":{"base_form":"Surgery","form_4":"surgeon","form_6":"surgeons","form_11":"surgeons"}},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Typical for desk-based work after uncomplicated single-stage resection of submucosal fibroids; physically demanding work may need longer."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Any intra- or postoperative complication; 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depends on bleeding, comfort, short-flight duration and surgeon clearance."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of histology and symptoms; timing varies by surgeon."}},{"purpose":"assessment","requirement":"conditional","after":{"min":60,"max":120,"unit":"days","qualifier":"Ultrasound or repeat hysteroscopy to check for residual fibroid or adhesions, especially if fertility desired."}}],"indications":["Symptomatic submucosal fibroids (FIGO types 0–2) causing heavy menstrual bleeding","Submucosal fibroids associated with infertility or recurrent pregnancy loss","Fibroid-related intracavitary distortion","Prolapsed fibroid in cervical canal or vagina (often type 0)","Postmenopausal bleeding from submucosal fibroid"],"main_risks":["Uterine perforation","Fluid overload or hyponatremia from distension media","Bleeding","Infection","Intrauterine adhesions (Asherman syndrome)","Incomplete resection requiring repeat procedure","Anesthesia-related risks","Rare gas embolism"],"pain":"Mild to moderate cramping and discomfort for 1–3 days, usually controlled with simple analgesics.","preparation":["Pelvic ultrasound and/or MRI to map fibroid location and depth","Diagnostic hysteroscopy or saline sonography as needed","Exclude pregnancy and treat infection","Schedule in early follicular phase after menstruation when possible","Pre-anesthesia assessment and fasting as instructed","Review of medications with the surgical team","Optional pre-operative therapy to shrink fibroid or reduce bleeding"],"recovery_timeline":[{"phase":"Day of surgery","description":"Recovery from anesthesia and same-day discharge; mild cramping and vaginal bleeding.","restrictions":["Rest","No driving after anesthesia"]},{"phase":"Days 1–7","description":"Light spotting or bleeding for up to 1–2 weeks; most return to desk work.","restrictions":["No tampons, douching or intercourse until bleeding stops","Avoid heavy lifting"]},{"phase":"Weeks 2–6","description":"Normal activity resumes; follow-up review and next menses.","restrictions":["Follow surgeon advice on exertion and conception 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":"Ask about problems linked to the fluid used during the procedure, since hysteroscopy can cause them","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"Hysteroscopy may cause other problems related to the use of fluid during the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask the surgeon to explain all the risks of the operation to you","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"Your health care professional can explain all of the risks to you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm your fibroids are not deep in the uterine wall, since hysteroscopy cannot remove those","scope":"procedure","source":{"url":"https://www.acog.org/womens-health/faqs/uterine-fibroids","host":"acog.org","quote":"Although it cannot remove fibroids deep in the walls of the uterus, it can often control the bleeding these fibroids cause.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Discuss your plans for having children before agreeing to surgery","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"If you plan on having children, talk to a doctor about your options.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask whether fibroid surgery is suitable for you, since it is not suitable for everyone","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"Fibroid surgery and procedures are not suitable for everyone.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask whether the surgery suits your fibroids' size, number and location","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"The type of surgery recommended for you depends on the size, number and location of your fibroids.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding that does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/hysteroscopy/","host":"nhs.uk","quote":"you have bleeding that gets worse or does not stop after a few days","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Worsening abdominal 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":"2026-11-13","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":"2026-11-13","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":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"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 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":"T3","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":"T4","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your fibroid symptoms are mainly heavy bleeding or pain","name":"Tranexamic acid","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"painkillers such as ibuprofen, naproxen or diclofenac tranexamic acid or a hormone medicine such as the combined pill to help with heavy bleeding","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You would prefer a non-surgical option to surgery","name":"Uterine artery embolization","source":{"url":"https://www.nhs.uk/conditions/fibroids/","host":"nhs.uk","quote":"Sometimes, a non-surgical procedure called uterine artery embolization (UAE) may be an option.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":870}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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":null},{"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":null}],"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=germany/procedure=gisteroskopicheskaya-miomektomiya/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turkey","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"illnessesByOperation":[{"id":60,"alias":"hysteromyoma","name":"Uterine fibroids"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}