Dr. Xavier Centeno Fornies brings _doctor_8374_years_ of colorectal surgery expertise with 900+ hemorrhoid procedures performed. The initial consultation costs around $710, covering diagnostic evaluation, anoscopy if needed, and personalized treatment recommendations. Dr. Centeno specializes in minimally invasive techniques for anorectal disorders. The JCI-accredited Centro Médico Teknon follows international standards for patient care.
Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Hospital Quiron Barcelona specializes in hemorrhoid therapy with advanced surgical techniques and personalized care. Dr. Antonio Alcaraz, a leading uro-oncologist with _doctor_291_years_ of experience, brings expertise in minimally invasive procedures. The hospital offers tailored treatment plans and international patient services.
Quiron Barcelona Hospital is a top clinic in Spain, known for its advanced oncology care through the Baselga Institute of Oncology, which collaborates with leading American centers. With 23 operating rooms and cutting-edge technology like PET-CT and MRI, it offers precise and effective treatments, including robotized surgeries and assisted reproduction.
\n\nThe hospital provides personalized care for international patients, with 165 wards, suites, and royal apartments. Services include tailored treatment plans, WiFi, airport transfers, and nearby hotel accommodations, making it a preferred choice for high-quality medical care.
\n","images":[{"base_url":"clinic/5b040bd627256","title":"Hospital Quiron Barcelona modern clinic building exterior in Spain"},{"base_url":"clinic/5b040cf40de89","title":"Operating room with advanced imaging equipment at Hospital Quiron Barcelona"},{"base_url":"clinic/5b040cf51721a","title":"Spacious waiting area at Hospital Quiron Barcelona with modern seating and natural light"},{"base_url":"clinic/5b040cf5d0e1c","title":"Modern hospital corridor with elevators at Hospital Quiron Barcelona"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Plaça d'Alfonso Comín, 5-7, 08023 Barcelona, Spain"},"rating":{"rating":4.4,"google":3.5,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":6,"doctors_number":300,"year_foundation":1997},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Hospital HM Nou Delfos, part of Spain's largest hospital network, offers specialized Hemorrhoid Therapy with access to advanced diagnostics including CT and MRI. The clinic collaborates with Institut Guttmann, a JCI-accredited neurorehabilitation center. Dr. Carlos Torrecilla Ortiz, Head of Urology Service, specializes in comprehensive treatments for related conditions like lithiasis, bringing extensive urological expertise to hemorrhoid care. The center operates under HM Hospitals' standards for surgical and medical procedures.
Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.
Dr. Carlos Garcia Vasquez is a General and Digestive System Surgeon with extensive expertise in minimally invasive colorectal and proctologic surgery, including hemorrhoid therapy. He holds a PhD in Surgery and is certified in robotic surgery (Da Vinci X/Xi/5). As Associate Head at Infanta Elena University Hospital and Associate Surgeon at Fundación Jiménez Díaz, he combines clinical practice with research, having authored multiple publications and patents in abdominal wall surgery.
Centro PAD is a private digestive surgery and gastroenterology center in Madrid, Spain, founded and directed by Dr. Carlos Garcia Vasquez. Surgeries are performed at HLA Moncloa University Hospital, recognized among the World's Best Smart Hospitals 2023 by Newsweek and certified to ISO 45001. The surgical team has 18 years of experience and more than 7,000 procedures, using Da Vinci robotic (X, Xi, 5) and laparoscopic techniques for colorectal cancer, proctology, hernias and obesity.
The center treats 600 patients a year, including international patients from Europe, the Americas and Australia, with online consultations available in Spanish or English before traveling.
","images":[{"base_url":"clinic/69a21effd0f39","title":"Surgeon at Centro PAD with robotic surgery system in operating room"},{"base_url":"clinic/69a21f494fc5d","title":"Surgeon with Da Vinci robotic surgery system at Centro PAD clinic"},{"base_url":"clinic/69a21f12c28c8","title":"Modern facade of HLA Hospital Universitario Moncloa in Madrid, Spain"},{"base_url":"clinic/69a21e2e5d64d","title":"Centro PAD clinic logo with stylized intestine graphic"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Occupational Health and Safety Management)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}}],"clinicsMeta":{"total_count":3,"total_pages":1},"clinicsCount":3,"clinicsCountByEntity":{"clinic_count":156},"doctors":{"doctors":[{"doctor":{"id":8374,"alias":"xavier-centeno-fornies","name":"Xavier Centeno Fornies","clinic_id":78,"photo":"doctor/66cdc99d28a9a","first_year_working":1994,"created_at":"2024-08-27T12:42:04.277+00:00","short_description":"Dr. Xavier Centeno Fornies is a colorectal and gastrointestinal surgeon at Teknon Medical Center. He completed specialized training at the Mayo Clinic in Rochester, USA. Dr. Centeno focuses on treating hemorrhoids, hernias, and gastrointestinal tumors. His practice at Teknon is supported by the clinic's JCI and EFQM quality accreditations.
Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":884.0402612409342,"price_to":2762.6258163779194,"currency":"USD","id":55232},"operation":{"id":1549,"name":"Hemorrhoid Therapy","alias":"hemorrhoid-therapy"}}]},{"doctor":{"id":291,"alias":"antonio-alcaraz","name":" Antonio Alcaraz","clinic_id":279,"photo":"doctor/5acf603c1de1a","first_year_working":1988,"created_at":"2016-08-01T09:08:54.000+00:00","short_description":"Dr. Antonio Alcaraz is a pioneer in robotic and laparoscopic surgery. He was the first in the world to perform a NOTES transvaginal nephrectomy. Dr. Alcaraz heads the Urology Department at Teknon Medical Center in Barcelona. He specializes in uro-oncology and kidney transplantation. He has overseen more than 500 successful operations for urogenital conditions.
Quiron Barcelona Hospital is a top clinic in Spain, known for its advanced oncology care through the Baselga Institute of Oncology, which collaborates with leading American centers. With 23 operating rooms and cutting-edge technology like PET-CT and MRI, it offers precise and effective treatments, including robotized surgeries and assisted reproduction.
\n\nThe hospital provides personalized care for international patients, with 165 wards, suites, and royal apartments. Services include tailored treatment plans, WiFi, airport transfers, and nearby hotel accommodations, making it a preferred choice for high-quality medical care.
\n","images":[{"base_url":"clinic/5b040bd627256","title":"Hospital Quiron Barcelona modern clinic building exterior in Spain"},{"base_url":"clinic/5b040cf40de89","title":"Operating room with advanced imaging equipment at Hospital Quiron Barcelona"},{"base_url":"clinic/5b040cf51721a","title":"Spacious waiting area at Hospital Quiron Barcelona with modern seating and natural light"},{"base_url":"clinic/5b040cf5d0e1c","title":"Modern hospital corridor with elevators at Hospital Quiron Barcelona"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Plaça d'Alfonso Comín, 5-7, 08023 Barcelona, Spain"},"rating":{"rating":4.4,"google":3.5,"percent_of_satisfied_clients":66},"statistics":{"number_of_reviews":6,"doctors_number":300,"year_foundation":1997},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}},{"doctor":{"id":5388,"alias":"carlos-torrecilla-ortiz","name":"Carlos Torrecilla Ortiz","clinic_id":422,"photo":"doctor/63ee0c5b5dd43","first_year_working":1983,"created_at":"1970-01-20T09:42:25.114+00:00","short_description":"Dr. Carlos Torrecilla Ortiz is the Head of Urology at Hospital HM Nou Delfos in Barcelona. He introduced shock wave lithotripsy to Catalonia. He currently serves as the National Lithiasis Coordinator for the Spanish Association of Urology. Dr. Torrecilla Ortiz specializes in treating urolithiasis and complex kidney conditions.
Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.
This operation removes hemorrhoids, providing relief from pain and bleeding by surgically excising them.
"},"748":{"operation":{"name":"Stapled Haemorrhoidectomy","alias":"stapled-haemorrhoidectomy","use_for_listing":true},"country_price":{"US":{"amount":7500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":3600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3000,"max_amount":3400,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":4300,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"AT":false,"ES":true},"description":"This operation treats haemorrhoids by removing them painlessly with less bleeding and quicker recovery.
"},"755":{"operation":{"name":"Rubber band ligation of hemorrhoids","alias":"rubber-band-ligation-of-hemorrhoids","use_for_listing":true},"country_price":{"US":{"amount":1100,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":650,"max_amount":1300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5000,"max_amount":5500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The procedure involves tying off hemorrhoids with rubber bands to reduce discomfort and promote healing.
"},"1543":{"operation":{"name":"Fissure Therapy","alias":"fissure-therapy","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2200,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true}},"1549":{"operation":{"name":"Hemorrhoid Therapy","alias":"hemorrhoid-therapy","use_for_listing":true},"country_price":{"US":{"amount":3500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"mixed","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1800,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6100,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":true,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}},"1717":{"operation":{"name":"Perianal Skin Tag Removal","alias":"perianal-skin-tag-removal","use_for_listing":true},"country_price":{"US":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":350,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":550,"max_amount":1400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":3300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":true}}}},"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":494}},"direction":{"id":34,"name":"Proctology","alias":"proctology"},"illness_kind":{"id":34,"name":{"en":"Proctology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most return next day; longer if pain or desk-sitting discomfort persists."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication after banding, mainly pain and minor bleeding; serious ones such as sepsis under 1%."},"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; depends on number of hemorrhoids and sessions needed."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding can occur around day 5-10."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Review symptom response and decide on a further banding session."},"requirement":"routine"},{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Only for significant pain, bleeding or urinary difficulty after banding."},"requirement":"conditional"}],"indications":["Symptomatic hemorrhoids: bleeding, prolapse, pain, itching or discomfort","Persistent grade I–III internal hemorrhoids despite conservative care","High-grade, prolapsing, thrombosed or treatment-resistant hemorrhoids"],"main_risks":["Pain or anal discomfort after procedural treatment","Bleeding","Urinary retention (more with surgery)","Thrombosis or recurrence of hemorrhoids","Infection or abscess (uncommon)","Anal stenosis or continence disturbance (uncommon, mainly after surgery)"],"pain":"Mild to moderate pressure or aching for 1-3 days, usually managed with paracetamol and warm baths. Severe pain is uncommon and needs prompt review.","preparation":["Colonoscopy or sigmoidoscopy beforehand if indicated","Review blood thinners with the specialist","Fiber and fluids to avoid constipation","Enema or empty bowel as advised","Eat normally; no fasting usually required","Avoid NSAIDs and aspirin unless advised"],"recovery_timeline":[{"phase":"Day 0-3","description":"Rectal fullness or mild aching; small amount of spotting possible.","restrictions":["Avoid straining","Avoid NSAIDs and aspirin","Avoid heavy lifting"]},{"phase":"Day 4-10","description":"Bands and treated tissue slough off; light bleeding can occur around day 5-10.","restrictions":["Keep stools soft","Avoid long-distance travel if bleeding concerns"]},{"phase":"Weeks 2-6","description":"Ulcer heals and symptoms improve; reassess for further banding.","restrictions":["Continue fiber and hydration","Avoid prolonged toilet sitting"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. Diet, stool regulation and avoiding straining help maintain results.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or surgery for recurrent symptoms within about 2-5 years; surgery needed in under 10%."},"scars":"No external incisions or visible scars. The banded internal tissue forms a small healing ulcer that resolves within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Usually one to three banding sessions, often one to two hemorrhoids each."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial treatment."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":28,"max":42,"unit":"days","qualifier":"Interval of about 4-6 weeks between sessions."}}],"qualifier":"Sessions depend on hemorrhoid grade, number of columns and symptom response."},"success":{"metric":"Symptom improvement after rubber band ligation","value":80,"unit":"percent of patients","horizon":"1-3 months after last session","population":"Adults with symptomatic grade I-III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Rubber band ligation","suits_whom":"Persistent grade I–III internal hemorrhoids","recovery":"Office procedure; most patients resume usual activities quickly, with mild discomfort possible."},{"name":"Sclerotherapy","suits_whom":"Lower-grade bleeding internal hemorrhoids","recovery":"Office procedure with short recovery."},{"name":"Conventional hemorrhoidectomy","suits_whom":"High-grade, prolapsing, thrombosed or refractory hemorrhoids","recovery":"Longer recovery with more postoperative pain than office methods."},{"name":"Stapled hemorrhoidectomy","suits_whom":"Circumferential prolapsing internal hemorrhoids, grade III–IV","recovery":"Less postoperative pain than conventional excision; usually back to activity within two weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.5,"unit":"hours","qualifier":"Procedure takes about 5-15 minutes plus assessment and brief observation."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Previous proctology or colorectal surgeon report","Photos of external prolapse or swelling (if available)","Recent complete blood count","List of blood thinners"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One trip if one session suffices; repeat banding needs return trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask your doctor which treatment is best for your case before deciding","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"Talk to your doctor about the best treatment for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","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":"C3","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":"C4","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":"C5","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}}],"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 non-stop","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"A lot of blood or large blood clots","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop there is a lot of blood or you see large blood clots you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pus or drainage from the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling at the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Prolonged or severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site 5. Prolonged or severe pain","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":"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":"T2","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":"T3","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":"You want relief from itch and discomfort without a procedure","name":"Hemorrhoid creams and ointments","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Ointments, creams, and suppositories - various preparations and brands are commonly used.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a treatment that is not usually painful","name":"Hemorrhoidal artery ligation","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"This procedure is not usually painful and is gaining in popularity as a treatment option","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":"rubber-band-ligation","name":"Rubber band ligation","how_it_works":{"text":"A band is placed around hemorrhoids to make them drop off","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a band is placed around your piles to make them drop off","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"You can usually go back to your usual activities right after hemorrhoid banding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"sclerotherapy","name":"Sclerotherapy","how_it_works":{"text":"A liquid is injected into hemorrhoids to make them shrink","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"a liquid is injected into your piles to make them shrink","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.ucsfhealth.org/education/hemorrhoids/","host":"ucsfhealth.org","quote":"You may return to daily activities right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"conventional","name":"Conventional hemorrhoidectomy","how_it_works":{"text":"An operation cuts away the hemorrhoids during surgery","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Haemorrhoidectomy (the traditional operation) - An operation to cut away the haemorrhoid(s) is an option to treat grade 4 haemorrhoids, and for grade 2 and 3 haemorrhoids not successfully treated by banding or other methods.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.healthline.com/health/hemorrhoidectomy","host":"healthline.com","quote":"Recovery is different for everyone, but you should be able to return to normal activities within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"stapled-hemorrhoidectomy","name":"Stapled hemorrhoidectomy","how_it_works":{"text":"A stapler pulls hemorrhoids back up by removing tissue above them","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"What happens in this procedure is a circular stapling 'gun' is used to cut out a circular section of the lining of the anal canal above the haemorrhoids.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"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=spain/city=barselona/procedure=terapiya-gemorroya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":346,"name":"Madrid","alias":"madrid","country_iso_code":"ES"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":39},"manualSeo":[],"updatedAt":"2026-11-11T22:13:52.000Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}