Dr. Alessandro Calarco, a skilled urologist with expertise in minimally invasive procedures, specializes in percutaneous lithotripsy and ureterorenoscopy. He holds an international patent for improving percutaneous kidney surgery for large stones and is a member of the European Board of Urology. The clinic, part of GVM Care & Research, treats around 15,000 patients annually with a team of 450 professionals.
Ospedale San Carlo di Nancy is a Rome hospital founded in 1932 and part of GVM Care & Research. It treats around 15,000 patients each year. The hospital is accredited by the Italian National Health Service.
Dr. Calarco holds an international patent for improving percutaneous kidney surgery – a testament to his innovative approach in urology. He practices at Ospedale San Carlo di Nancy.
Dr. Alessandro Calarco is a urologist at Ospedale San Carlo di Nancy in Rome. He holds an international patent for a flow reducer used in kidney stone surgery. Dr. Calarco specializes in minimally invasive and endourological procedures for complex conditions. He treats prostate cancer, kidney stones, and varicocele using surgical and reconstructive techniques.
Ospedale San Carlo di Nancy is a Rome hospital founded in 1932 and part of GVM Care & Research. It treats around 15,000 patients each year. The hospital is accredited by the Italian National Health Service.
This therapy breaks down urinary tract stones using a scope, offering a less invasive and quick recovery option.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":2,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":10917}},"direction":{"id":16,"name":"Urology","alias":"urology"},"illness_kind":{"id":16,"name":{"en":"Urology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Desk work earlier; longer if stent remains in place or symptoms persist."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication within 30 days, mostly minor (stent symptoms, fever, haematuria); serious ones under 2%."},"contraindications":["Untreated urinary tract infection","Uncorrected bleeding disorder or unmanaged anticoagulation","Pregnancy","Unfit for anesthesia","Uncorrected urethral stricture preventing scope passage","Sepsis or obstructive pyelonephritis until drained"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually discharged same day; overnight stay if complications or infection concerns."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Strenuous exercise after stent removal and haematuria settling."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Stone-free status confirmed by imaging after stent removal and fragment passage."},"fly_home_after_days":{"min":3,"max":5,"unit":"days","qualifier":"After stone clearance confirmed and stent removed or removal planned; depends on surgeon clearance."},"follow_up_visits":[{"purpose":"assessment","after":{"min":3,"max":5,"unit":"days","qualifier":"Imaging to confirm stone clearance before travel home."},"requirement":"routine"},{"purpose":"other","after":{"min":3,"max":14,"unit":"days","qualifier":"Ureteral stent removal if a stent was placed."},"requirement":"conditional"},{"purpose":"result_review","after":{"min":14,"max":42,"unit":"days","qualifier":"Remote or local review of imaging and urine tests."},"requirement":"routine"}],"indications":["Ureteral stones","Bladder stones","Urethral stones","Stones causing obstruction or pain","Stones not passing spontaneously","Recurrent infection due to stones"],"main_risks":["Ureteral injury or perforation","Urinary tract infection or sepsis","Bleeding and blood in urine","Residual fragments needing retreatment","Ureteral stricture","Stent discomfort","Anesthesia risks"],"pain":"Mild to moderate burning and flank discomfort for 2-3 days. Stent symptoms such as urgency and flank pain with voiding occur if placed; simple analgesics usually suffice.","preparation":["Urine culture and treat infection first","Stop blood thinners as instructed","Fast 6-8 hours before surgery","Pre-operative blood tests and imaging","Anesthesia assessment"],"recovery_timeline":[{"phase":"Day 0-1","description":"Recovery from anesthesia, catheter or stent possible, pink urine and burning.","restrictions":["Rest"]},{"phase":"Days 2-7","description":"Haematuria and urgency settle; fragments pass; stent removed if placed.","restrictions":["No heavy lifting","Avoid strenuous activity"]},{"phase":"Weeks 2-4","description":"Full activity resumes; clearance confirmed by imaging.","restrictions":[]}],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Return to ordinary activity; longer with stent in place."},"result_longevity":"Stone removal is immediate and permanent for that stone. New stones recur in about 30-50% within 5 years without metabolic prevention.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat endoscopic procedure for residual fragments, stricture or stent problems within 3 months."},"scars":"No incisions; the scope passes through the urethra, so no visible scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single endoscopic session; retreatment only if residual fragments remain."},"stages":[{"code":"lithotripsy","label":"Scope-guided stone fragmentation and removal","after":{"min":0,"max":0,"unit":"days","qualifier":"Same session."}},{"code":"stent_removal","label":"Stent removal if placed","after":{"min":3,"max":14,"unit":"days","qualifier":"Only when a stent is left."}}],"qualifier":"One procedure, with optional stent removal afterwards."},"success":{"metric":"Stone-free rate after single ureteroscopic lithotripsy","value":85,"unit":"percent","horizon":"4-6 weeks, confirmed by imaging","population":"Adults with ureteral or bladder stones","evidence_status":"limited"},"techniques":[{"name":"Holmium laser lithotripsy","suits_whom":"Most ureteral and bladder stones of any composition.","recovery":"Return to normal activity in 2-7 days."},{"name":"Pneumatic lithotripsy","suits_whom":"Mid and lower ureteral stones; simple cases.","recovery":"Similar recovery; higher fragment migration risk."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Depends on stone size, hardness and location."},"initial_assessment_documents":["Non-contrast CT of kidneys, ureters and bladder","Ultrasound report of urinary tract","Urinalysis and urine culture report","Recent creatinine and kidney function blood tests","Previous stone treatment or discharge reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single endoscopic session, usually day surgery; stay 3-5 days to confirm stone clearance and, if placed, ureteral stent removal."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","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":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"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 stone may be one that passes on its own","name":"Waiting for stone to pass","source":{"url":"https://www.uhsussex.nhs.uk/resources/lithotripsy-3/","host":"uhsussex.nhs.uk","quote":"Some stones may pass on their own, often with the help of medication to relax the urinary tubes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"holmium-laser-lithotripsy","name":"Holmium laser lithotripsy","how_it_works":{"text":"A small telescope reaches the stone, which a laser destroys and removes","source":{"url":"https://www.uhsussex.nhs.uk/resources/lithotripsy-3/","host":"uhsussex.nhs.uk","quote":"A small telescope is passed through the natural urinary tubes to the stone, which is then destroyed and removed using a laser.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":7,"max":7,"unit":"days","label":"7 days","source":{"url":"https://my.clevelandclinic.org/health/treatments/16285-holmium-laser-lithotripsy","host":"my.clevelandclinic.org","quote":"Most people are able to return to their usual activities around a week after laser lithotripsy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"pneumatic-lithotripsy","name":"Pneumatic lithotripsy","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"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=italiya/city=rim/procedure=uretroskopiceskaa-litotripsia/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":4},"manualSeo":[],"updatedAt":"2026-11-09T13:20:07.674Z","activeCountries":["IT","TR","AT","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}