The DR. IRERI ASTEINZA Clinic offers personalized care for trachelectomy procedures, with a focus on adhering to the highest global quality standards. Dr. Ireri Asteinza, a board-certified gynecologist and obstetrician with _doctor_8530_years_ of experience, specializes in gynecological surgeries. She trained at the National Autonomous University of Mexico (UNAM) with honors and holds certifications from the Mexican Council of Gynecology and Obstetrics and the Mexican Council of Laparoscopic Surgery.
Dr. Ireri Asteinza Clinic is a women’s health practice led by a gynecologist with over 20 years of experience. It specializes in gynecology, aesthetic medicine, and longevity care. The clinic practices at Ángeles del Pedregal Hospital in Mexico City.
Dr. Ireri Asteinza Clinic is a women’s health practice led by a gynecologist with over 20 years of experience. It specializes in gynecology, aesthetic medicine, and longevity care. The clinic practices at Ángeles del Pedregal Hospital in Mexico City.
The operation involves removing the cervix to treat early-stage cervical cancer, preserving fertility.
"},"320":{"operation":{"name":"Cervical conization (cone biopsy)","alias":"cervical-conization-cone-biopsy","use_for_listing":true},"country_price":{"US":{"amount":5500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":500,"max_amount":2500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":1500,"max_amount":2500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1800,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":false,"AT":false},"description":"The surgery removes a cone-shaped part of the cervix to diagnose or treat cervical cancer precursors.
"},"370":{"operation":{"name":"The Wertheim-Meigs operation","alias":"the-wertheim-meigs-operation","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":58000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5600,"max_amount":24100,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"mixed","scope":"country"},"MX":{"amount":8000,"max_amount":12000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":7500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":21000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":false,"AT":false},"description":"The procedure is a radical hysterectomy to treat advanced cervical cancer, involving removal of the uterus, surrounding tissues, and lymph nodes.
"},"873":{"operation":{"name":"Anterior Cervical Discectomy and Fusion","alias":"anterior-cervical-discectomy-and-fusion","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5000,"max_amount":20100,"currency":"USD","clinic_count":15,"price_kind":"from_range","price_source":"mixed","scope":"country"},"MX":{"amount":8000,"max_amount":14500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":6900,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"offer","scope":"country"},"AT":{"amount":13500,"max_amount":19500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":true,"AT":false},"description":"The operation relieves neck and arm pain by removing a damaged disc in the neck, followed by spinal fusion.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncology","alias":"oncology"},"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":"Shorter for minimally invasive or vaginal approach with desk work; longer for open surgery or physical work."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any intra- or postoperative complication after radical trachelectomy with lymphadenectomy; serious ones such as organ injury are under 5%."},"contraindications":["Tumor size, invasion or histology beyond fertility-sparing criteria (≥2 cm)","Lymph node metastasis or spread beyond the cervix","Involvement of upper endocervical canal or lower uterine segment","No wish to preserve fertility","Medical conditions making major pelvic surgery and general anesthesia unsafe"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Radical trachelectomy with lymphadenectomy; shorter for minimally invasive or vaginal approach, longer for open surgery or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":8,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting after surgeon clearance; light walking encouraged earlier."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Surgical healing and final pathology confirming clear margins; pregnancy attempts usually advised after about 6-12 months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After catheter removal and early check; longer for open surgery, complications, or thrombosis risk. Short flights with mobility."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"From surgery; may include catheter or wound review."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"From surgery; final pathology review and decision on further treatment."}}],"indications":["Early-stage cervical cancer (FIGO IA2-IB1, under 2 cm)","Positive margins or high-risk features after conization"],"main_risks":["Bleeding and infection","Injury to bladder, ureter or bowel","Bladder dysfunction, lymphocele or lymphedema from lymph node dissection","Cervical stenosis, suture problems, dysmenorrhea, discharge, dyspareunia","Miscarriage, preterm birth and cesarean delivery in later pregnancies","Reduced fertility or infertility, sometimes needing assisted reproduction","Cancer recurrence, especially with positive margins or nodes","Anesthesia and thromboembolic risks"],"pain":"Moderate postoperative pelvic pain, managed with analgesics; usually improves over 1-2 weeks.","preparation":["Pelvic MRI (PET if needed), oncologic and fertility counseling","Preoperative blood tests and anesthetic assessment","Fasting before general anesthesia per hospital protocol","Bowel preparation if directed by the surgical team"],"recovery_timeline":[{"phase":"Hospital stay","description":"Pain control, mobilization, bladder catheter management and monitoring for bleeding.","restrictions":["No heavy lifting"]},{"phase":"Early recovery (weeks 1-4)","description":"Gradual return to daily activity; vaginal discharge or spotting may occur.","restrictions":["No intercourse, tampons or douching until cleared","Avoid heavy lifting"]},{"phase":"Later recovery (weeks 4-8)","description":"Return to full activity after review; pathology guides need for further treatment.","restrictions":["Resume strenuous exercise only after surgeon clearance"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after radical trachelectomy; no formal rehabilitation program is routine."},"result_longevity":"Oncologic result is long-term; most recurrences appear within 2-5 years, so surveillance continues at least 5 years. Fertility is preserved, but the shortened cervix and cerclage remain.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Conversion to hysterectomy or reoperation, mainly for positive margins or cervical stenosis; excludes later pregnancy-related procedures."},"scars":"Vaginal approach leaves no external cervical scar; laparoscopic lymph node work leaves small port scars. Open surgery leaves a lower abdominal scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"trachelectomy","label":"Radical trachelectomy with lymph node evaluation (sentinel node biopsy or pelvic lymphadenectomy) and cerclage placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Single-stage operation; follow-up checks and any adjuvant therapy based on final pathology are not counted as treatment sessions."},"success":{"metric":"5-year overall survival after radical trachelectomy for early-stage cervical cancer","value":97,"unit":"percent","horizon":"5 years","population":"Selected women with early-stage cervical cancer undergoing fertility-sparing radical trachelectomy","evidence_status":"limited"},"techniques":[{"name":"Vaginal radical trachelectomy with laparoscopic lymphadenectomy","suits_whom":"Small early-stage tumors in women wishing to preserve fertility","recovery":"Often shorter stay, about 2-3 nights."},{"name":"Minimally invasive (laparoscopic or robotic) radical trachelectomy","suits_whom":"Selected small tumors in experienced centers","recovery":"Usually 1-3 nights stay."},{"name":"Abdominal (open) radical trachelectomy","suits_whom":"Selected patients with slightly larger tumors or when minimally invasive access is unsuitable","recovery":"Longer stay and recovery, about 3-5 nights."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Radical trachelectomy with pelvic lymphadenectomy; shorter for vaginal approach, longer for open surgery."},"initial_assessment_documents":["Cervical biopsy or conization histology report","Pelvic MRI report and images","Pathology slides or review report","PET-CT or CT staging report (if available)","Recent Pap smear and HPV test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days, including 2-5 hospital nights. Pathology review and adjuvant therapy can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that an assessment confirms you are suitable for surgery, including imaging and an examination under anesthetic","scope":"procedure","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/radical-trachelectomy-ghpi0670/","host":"gloshospitals.nhs.uk","quote":"MRI, CT, or PET scan Examination under general anaesthetic Review of the biopsies performed at your local hospital","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check the surgeon discusses all aspects of the operation and its effect on future pregnancies before surgery","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/surgery-for-cervical-cancer/","host":"leedsth.nhs.uk","quote":"A careful assessment will be carried out, after which the surgeon will discuss with you all aspects of the operation and the 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form.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","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}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Operation offered without checking that the cancer is small, confined to the cervix, and that you want to keep fertility","scope":"procedure","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/radical-trachelectomy-ghpi0670/","host":"gloshospitals.nhs.uk","quote":"To be considered for this operation the cancer must be small and confined to the cervix and you must have a strong desire to preserve your fertility.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Consent requested before the surgeon has explained the risks of the operation","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/surgery-for-cervical-cancer/","host":"leedsth.nhs.uk","quote":"All surgery carries some risks and your surgeon will explain the risks to you before you sign your consent form.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Treatment offered without explaining options, possible side effects and expected length","scope":"treatment_type","source":{"url":"https://www.cancer.gov/types/cervical/patient/cervical-treatment-pdq","host":"cancer.gov","quote":"Your treatment plan will include information about your cancer, the goals of treatment, the treatment options and possible side effects, and the expected length of treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty emptying your bladder after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/radical-trachelectomy/","host":"gatesheadhealth.nhs.uk","quote":"Bladder problems – a small number of women will have difficulty emptying their bladder after this surgery and may need to go home with a catheter in their bladder for several weeks.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Swelling of the legs or genital area","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/radical-vaginal-trachelectomy-and-laparoscopic-bilateral-pelvic-lymph-node-dissection/","host":"cuh.nhs.uk","quote":"Lymphoedema and lymphocytes – swelling of the legs and genital area.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Heavy bleeding after the operation","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/radical-vaginal-trachelectomy-and-laparoscopic-bilateral-pelvic-lymph-node-dissection/","host":"cuh.nhs.uk","quote":"You will have a blood-stained discharge following the operation, this should not be a heavy bleed and will settle in a week or two.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the pain medicines supplied at discharge to continue dosing","document":"pain relief medication list","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/radical-trachelectomy-ghpi0670/","host":"gloshospitals.nhs.uk","quote":"You may still have some discomfort when you leave hospital but you will be given a supply of pain relief medication which you should take regularly for the best effect.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T2","text":"Home doctor needs the lab results that decide whether more treatment is required","document":"pathology results report","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/radical-trachelectomy-ghpi0670/","host":"gloshospitals.nhs.uk","quote":"If cancer cells are found in either the margins or the lymph glands then the need for further surgery to remove the womb or chemoradiotherapy is very likely.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T3","text":"Home doctor needs the follow-up test schedule to monitor for recurrence","document":"follow-up schedule","source":{"url":"https://www.cancer.gov/types/cervical/patient/cervical-treatment-pdq","host":"cancer.gov","quote":"For cervical cancer, follow-up tests are usually done every 3 to 4 months for the first 2 years, followed by checkups every 6 months.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T4","text":"The home doctor needs catheter-care information when the catheter remains after discharge","document":"catheter-care instructions","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/radical-trachelectomy-ghpi0670/","host":"gloshospitals.nhs.uk","quote":"The nurses on the ward will teach you how to care for your catheter before you go home.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T5","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":"T6","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 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(laparoscopic or robotic) radical trachelectomy","how_it_works":{"text":"Keyhole surgery is carried out using several small incisions","source":{"url":"https://gloshospitals.nhs.uk/your-visit/patient-information-leaflets/radical-trachelectomy-ghpi0670","host":"gloshospitals.nhs.uk","quote":"A laparoscopic operation, also known as keyhole surgery, is carried out using several small incisions (keyholes).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"abdominal-radical","name":"Abdominal (open) radical trachelectomy","how_it_works":{"text":"The cervix and nearby tissue are removed through an abdominal incision","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/radical-trachelectomy/","host":"gatesheadhealth.nhs.uk","quote":"This surgery may be performed vaginally with keyhole surgery or through a cut in your 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