Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
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 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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":{"text":"Air pressure drives a metal bar at certain frequencies","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/9930580","host":"pmc.ncbi.nlm.nih.gov","quote":"The working principle of PL is based on the conduction of air pressure on the metal bar at certain frequencies.","tier":"tier1_medical","fetched_at":"2026-11-12","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=madrid/procedure=uretroskopiceskaa-litotripsia/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":98,"name":"Barcelona","alias":"barcelona","country_iso_code":"ES"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":17},"manualSeo":[],"updatedAt":"2026-11-09T13:20:07.674Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}