{"key":"op_1382_ES","page":{"url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=hypospadias-repair/","procedure":{"id":1382,"slug":"hypospadias-repair","name":"Hypospadias repair","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"urology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Spain"},"currency":"USD","data_date":"2025-03-07"},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=hypospadias-repair/","cost_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=hypospadias-repair/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":5900,"to":7200,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":9000,"to":20000},"uk":{"from":7800,"to":12500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Barcelona","from":5900},{"city":"Alicante","from":3800},{"city":"Madrid","from":4800}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":1300,"to":2600},{"country_iso":"FR","from":3500,"to":6500},{"country_iso":"GB","from":7800,"to":12500},{"country_iso":"US","from":9000,"to":20000},{"country_iso":"IL","from":6500,"to":9800},{"country_iso":"TR","from":12500,"to":15000},{"country_iso":"MX","from":3000,"to":4800},{"country_iso":"DE","from":5200,"to":8500},{"country_iso":"CA","from":5800,"to":10200},{"country_iso":"AE","from":4500,"to":7800},{"country_iso":"TH","from":3200,"to":5800},{"country_iso":"PL","from":2300,"to":4300},{"country_iso":"KR","from":3800,"to":6800},{"country_iso":"CZ","from":2600,"to":4300},{"country_iso":"AT","from":5200,"to":8500},{"country_iso":"IT","from":4500,"to":7800},{"country_iso":"CN","from":3200,"to":6500},{"country_iso":"AU","from":6500,"to":11000},{"country_iso":"IN","from":2200,"to":3600},{"country_iso":"MY","from":2800,"to":4500},{"country_iso":"VN","from":2200,"to":4200},{"country_iso":"BR","from":3800,"to":5200}],"base_country":"US","base_is_fallback":false},"savings":{"pct":34,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":2,"items":[{"id":78,"name":"Centro Médico Teknon","city":"Barcelona","rating":4.7,"reviews_count":497,"accreditations":["Joint Commission International","European Foundation for Quality Management","THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","Patient choice in Neurology","Patient choice in Neurosurgery","Patient choice for Epilepsy treatment","World's Best Hospitals 2021 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"JCI-accredited clinic with a specialist in reconstructive urology performing 900+ procedures. Offers personalized surgical plans using advanced techniques for optimal functional and aesthetic results.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":6225,"name":"Hospital Ruber Internacional","city":"Madrid","rating":5,"reviews_count":3,"accreditations":["Joint Commission International","International Organization for Standardization"],"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":3,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":98,"slug":"barcelona","name":"Barcelona","clinics_count":1,"price_from":5900,"profile":{"city_type":"Mediterranean coastal city in Spain","access":["Barcelona Airport (BCN), 15 km southwest of city center"],"sources":["https://en.wikipedia.org/wiki/Barcelona","https://en.wikipedia.org/wiki/Barcelona–El_Prat_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":441,"slug":"alicante","name":"Alicante","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":3800,"profile":{"city_type":"Mediterranean port city in Spain","access":["Alicante Airport (ALC), 9 km from the city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":346,"slug":"madrid","name":"Madrid","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":4800,"profile":{"city_type":"Capital and largest city of Spain","access":["Madrid Barajas Airport (MAD), 13 km from Puerta del Sol"],"sources":["https://en.wikipedia.org/wiki/Madrid","https://en.wikipedia.org/wiki/Madrid–Barajas_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Congenital hypospadias with urethral meatus on the penis underside","Associated ventral penile curvature","Functional concerns such as abnormal urinary stream direction","Sexual difficulty caused by penile curvature","Untreated or recurrent hypospadias in adulthood"],"contraindications":["Active local or systemic infection","Unfitness for general anesthesia","Bleeding disorder not yet optimized","Active urinary tract infection until treated"],"operation_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for a primary single-stage distal or mid-shaft repair in an adult; longer for complex repairs."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Distal or mid-shaft repair is usually one operation; severe proximal forms may need two stages."},"stages":[{"code":"single_stage_repair","label":"Single-stage hypospadias repair (curvature correction, urethroplasty, glansplasty)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial operation."}}],"qualifier":"Describes primary distal or mid-shaft single-stage repair in an adult; follow-up visits are not counted."},"hospital_nights":{"value":{"min":0,"max":1,"unit":"nights","qualifier":"Usually a day case for distal or mid-shaft repair; complex repairs may need one night."},"source":"parsed_details"},"treatment_conditions":["day_case"],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery to normal daily routine for an adult; no formal rehabilitation program."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"After catheter removal and a satisfactory wound check; 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Appearance varies with technique.","pain":"Mild to moderate pain for the first several days, usually controlled with regular simple analgesics; a penile block often reduces early postoperative pain. Bladder spasms may occur with a catheter.","preparation":["Pre-anesthetic assessment and standard fasting instructions","Surgical planning and consent discussion with the patient","Avoid circumcision before repair","Stop blood thinners or aspirin as directed before surgery","Screening for associated conditions where indicated"],"recovery_timeline":[{"phase":"Day of surgery to day 3","description":"Dressing in place, catheter or stent often present; discomfort and swelling controlled with analgesia.","restrictions":["Keep dressing dry and in place","Limit activity"]},{"phase":"Days 4-21","description":"Dressing usually removed early; catheter typically stays 2–3 weeks; swelling and bruising decreasing.","restrictions":["No swimming or bath immersion until cleared","No sexual activity until cleared"]},{"phase":"Weeks 3-8","description":"Catheter removed and urine stream assessed; gradual return to normal activities.","restrictions":["Avoid vigorous activity until surgeon 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occur","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Confirm arrangements for aftercare and check what will happen if there are complications, or if you are unhappy with the results of your procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask for a written contract from the clinic before agreeing to treatment","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","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":"Pressure to make a quick decision is a warning sign before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgery is marketed to you as a holiday package","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"You are asked to agree to surgery before meeting the operating surgeon","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure and visiting the hospital where the procedure will take place [2].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"Medical advice comes from a sales representative or travel agent rather than a clinician","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain not improved by medication","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/hypospadias-repair/","host":"leedsth.nhs.uk","quote":"Should your child have severe pain, not improved by medication, oozing from the wound, the dressing falls off, the amount of urine draining reduces or stops or the tube falls out please contact the number below.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Wound oozing","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/hypospadias-repair/","host":"leedsth.nhs.uk","quote":"Should your child have severe pain, not improved by medication, oozing from the wound, the dressing falls off, the amount of urine draining reduces or stops or the tube falls out please contact the number below.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Urine draining reduces or stops","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/hypospadias-repair/","host":"leedsth.nhs.uk","quote":"Should your child have severe pain, not improved by medication, oozing from the wound, the dressing falls off, the amount of urine draining reduces or stops or the tube falls out please contact the number below.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Urine passing through two holes","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/hypospadias-repair/","host":"leedsth.nhs.uk","quote":"In 1 in 15 boys the original hole can open again, this is called wound dehiscence OR a “fistula” and it could appear that your child is peeing through two holes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Narrow urine stream with increased pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/hypospadias-parent-information/","host":"cuh.nhs.uk","quote":"Meatal stenosis is a narrowing along the inside of the penis which results in urine being passed with a narrow stream and therefore under increased pressure.","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 prescribed medicines list to continue treatment","document":"prescriptions","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs the imaging copies to follow up the treatment","document":"scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctor needs discharge documents to continue care after returning","document":"discharge documents","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/apply-for-a-free-uk-global-health-insurance-card-ghic/","host":"nhs.uk","quote":"receipts or invoices relating to treatment; confirmation that the treatment was state-provided; confirmation of payments made to healthcare institutions; documents relating to insurance cover if your insurer paid for treatment; discharge documents.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"It gives the home doctor details of the repair performed and supports continued care","document":"operation report","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T5","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}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":28,"unit":"days","qualifier":"Desk work at 1–2 weeks; manual or physical work 3–4 weeks."},"complication_rate_pct":{"min":5,"max":25,"unit":"percent","qualifier":"Any complication (fistula, stenosis, dehiscence, infection); lower in distal repairs, higher in mid-shaft or proximal."},"contraindications":["Active local or systemic infection","Unfitness for general anesthesia","Bleeding disorder not yet optimized","Active urinary tract infection until treated"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually a day case for distal or mid-shaft repair; complex repairs may need one 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Bladder spasms may occur with a catheter.","preparation":["Pre-anesthetic assessment and standard fasting instructions","Surgical planning and consent discussion with the patient","Avoid circumcision before repair","Stop blood thinners or aspirin as directed before surgery","Screening for associated conditions where indicated"],"recovery_timeline":[{"phase":"Day of surgery to day 3","description":"Dressing in place, catheter or stent often present; discomfort and swelling controlled with analgesia.","restrictions":["Keep dressing dry and in place","Limit activity"]},{"phase":"Days 4-21","description":"Dressing usually removed early; catheter typically stays 2–3 weeks; swelling and bruising decreasing.","restrictions":["No swimming or bath immersion until cleared","No sexual activity until cleared"]},{"phase":"Weeks 3-8","description":"Catheter removed and urine stream assessed; gradual return to normal activities.","restrictions":["Avoid vigorous activity until surgeon clears"]},{"phase":"Months 3-12","description":"Final cosmetic appearance and urinary function settle.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery to normal daily routine for an adult; no formal rehabilitation program."},"result_longevity":"Intended to be permanent; fistula or stricture can appear months to years later, so long-term follow-up is sometimes advised.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation for fistula, stricture, meatal stenosis or dehiscence after primary single-stage repair."},"scars":"Circumferential or ventral penile scars that are usually inconspicuous and fade over months; hidden partly by the foreskin or its reconstruction. Appearance varies with technique.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Distal or mid-shaft repair is usually one operation; severe proximal forms may need two stages."},"stages":[{"code":"single_stage_repair","label":"Single-stage hypospadias repair (curvature correction, urethroplasty, glansplasty)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial operation."}}],"qualifier":"Describes primary distal or mid-shaft single-stage repair in an adult; follow-up visits are not counted."},"success":{"metric":"Functional and cosmetic success without reoperation","value":85,"unit":"percent","horizon":"1-2 years after surgery","population":"Adults with primary distal or mid-shaft hypospadias, single-stage repair","evidence_status":"limited"},"techniques":[{"name":"Tubularized incised plate urethroplasty (TIP/Snodgrass)","suits_whom":"Most distal and many mid-shaft hypospadias with a usable urethral plate.","recovery":"Often day case or one night; catheter about 2–3 weeks; routine activity in 1–2 weeks."},{"name":"Onlay island flap urethroplasty","suits_whom":"Mid to proximal hypospadias where the urethral plate is preserved but needs augmentation.","recovery":"Similar to TIP; catheter often 2–3 weeks."},{"name":"Two-stage repair (graft or flap, e.g., Bracka or Byars)","suits_whom":"Severe proximal hypospadias or marked curvature, or failed prior repair.","recovery":"Longer overall course with a second operation several months after the first."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for a primary single-stage distal or mid-shaft repair in an adult; longer for complex repairs."},"initial_assessment_documents":["Front, side and underside photos of the penis","Urologist examination report","Meatus position and curvature description","Previous hypospadias surgery reports (if available)","Urinary tract ultrasound report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Stay about 2–3 weeks until catheter removal; later checks can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's qualifications and references independently","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Meet the health professional who will carry out the surgery face to face before the procedure","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"A face-to-face consultation with the health professional who will carry out any planned surgery or treatment must take place before any procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check whether the clinic is internationally accredited","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Individuals planning overseas treatment are advised to use internationally accredited clinics or hospitals, although using an accredited clinic or hospital does not guarantee a satisfactory outcome [4].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you can communicate with the clinic staff in a shared language","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Make sure you are able to communicate; check if you speak the same language as clinic or hospital staff.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Confirm the aftercare arrangements and what happens if complications occur","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Confirm arrangements for aftercare and check what will happen if there are complications, or if you are unhappy with the results of your procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask for a written contract from the clinic before agreeing to treatment","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","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":"Pressure to make a quick decision is a warning sign before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgery is marketed to you as a holiday package","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"You are asked to agree to surgery before meeting the operating surgeon","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure and visiting the hospital where the procedure will take place [2].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"Medical advice comes from a sales representative or travel agent rather than a clinician","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or 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the amount of urine draining reduces or stops or the tube falls out please contact the number below.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Urine draining reduces or stops","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/hypospadias-repair/","host":"leedsth.nhs.uk","quote":"Should your child have severe pain, not improved by medication, oozing from the wound, the dressing falls off, the amount of urine draining reduces or stops or the tube falls out please contact the number below.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Urine passing through two holes","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/hypospadias-repair/","host":"leedsth.nhs.uk","quote":"In 1 in 15 boys the original hole can open again, this is called wound dehiscence OR a “fistula” and it could appear that your child is peeing through two holes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Narrow urine stream with increased pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/hypospadias-parent-information/","host":"cuh.nhs.uk","quote":"Meatal stenosis is a narrowing along the inside of the penis which results in urine being passed with a narrow stream and therefore under increased pressure.","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 prescribed medicines list to continue treatment","document":"prescriptions","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs the imaging copies to follow up the treatment","document":"scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctor needs discharge documents to continue care after returning","document":"discharge documents","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/apply-for-a-free-uk-global-health-insurance-card-ghic/","host":"nhs.uk","quote":"receipts or invoices relating to treatment; confirmation that the treatment was state-provided; confirmation of payments made to healthcare institutions; documents relating to insurance cover if your insurer paid for treatment; discharge documents.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"It gives the home doctor details of the repair performed and supports continued care","document":"operation report","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T5","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":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"tubularized-incised-plate","name":"Tubularized incised plate urethroplasty (TIP/Snodgrass)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"onlay-island-flap","name":"Onlay island flap urethroplasty","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"two-stage-repair","name":"Two-stage repair (graft or flap, e.g., Bracka or Byars)","how_it_works":{"text":"A graft of tissue is placed on the penis first","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/hypospadias-repair/","host":"leedsth.nhs.uk","quote":"During this operation a graft of tissue, taken from the foreskin or inside of the mouth would be placed on the penis.","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}}},"techniques":[{"id":"tubularized-incised-plate","name":"Tubularized incised plate urethroplasty (TIP/Snodgrass)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most distal and many mid-shaft hypospadias with a usable urethral plate.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Often day case or one night; catheter about 2–3 weeks; routine activity in 1–2 weeks."},{"id":"onlay-island-flap","name":"Onlay island flap urethroplasty","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Mid to proximal hypospadias where the urethral plate is preserved but needs augmentation.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to TIP; catheter often 2–3 weeks."},{"id":"two-stage-repair","name":"Two-stage repair (graft or flap, e.g., Bracka or Byars)","how_it_works":{"id":"H1","text":"A graft of tissue is placed on the penis first","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/hypospadias-repair/","host":"leedsth.nhs.uk","quote":"During this operation a graft of tissue, taken from the foreskin or inside of the mouth would be placed on the penis.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Severe proximal hypospadias or marked curvature, or failed prior repair.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer overall course with a second operation several months after the first."}],"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["germany","greece","israel","thailand","turkey","ukraine"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":500,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"

Hypospadias repair in Spain typically costs from _op_1382_price_from_ to _op_1382_price_to_. The total investment depends on surgical complexity, the chosen clinic tier, and the city. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients in Spain save approximately _price_percent_discount_%. Standard costs usually cover the surgical procedure, anesthesia, and initial post-operative consultations.

\n\n\n\n

Bookimed Expert Insight: Choosing a facility like Centro Médico Teknon in Barcelona offers exceptional value. This hospital is JCI-accredited and ranked among the World's Best Hospitals by Newsweek. While premium packages there can reach approximately $16,300, you gain access to elite specialists. Dr. Josep Torremade Barreda, for instance, holds European Board of Urology certification. Highly experienced surgeons in Spain often have training from prestigious US institutions like Memorial Sloan Kettering.

","faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"How Much Does Hypospadias repair Cost in Spain?","kind":"content"},{"text":"Your Benefits and Guarantees with Bookimed","kind":"content"},{"text":"Your personal Bookimed medical coordinator","kind":"content"},{"text":"Discover the Best Hypospadias repair Clinics in Spain: 2 Verified Options and Prices","kind":"content"},{"text":"Hypospadias repair Overview in Spain","kind":"content"},{"text":"Our Doctors","kind":"content"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Reviews about Bookimed: Discover Patients' Insights","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}