{"key":"op_1546_ES","page":{"url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=rectal-prolapse-surgery/","procedure":{"id":1546,"slug":"rectal-prolapse-surgery","name":"Rectal Prolapse Surgery","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":"proctology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Spain"},"currency":"USD","data_date":"2026-10-15"},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=rectal-prolapse-surgery/","cost_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=rectal-prolapse-surgery/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":8800,"to":9500,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":22000,"to":38000},"uk":{"from":8500,"to":13500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Madrid","from":8800},{"city":"Barcelona","from":5200},{"city":"Alicante","from":5200}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":1200,"to":3000},{"country_iso":"FR","from":6200,"to":10800},{"country_iso":"GB","from":8500,"to":13500},{"country_iso":"US","from":22000,"to":38000},{"country_iso":"IL","from":9500,"to":15500},{"country_iso":"TR","from":4800,"to":5300},{"country_iso":"MX","from":5500,"to":8500},{"country_iso":"DE","from":7800,"to":12500},{"country_iso":"CA","from":14000,"to":24000},{"country_iso":"AE","from":7500,"to":11000},{"country_iso":"TH","from":3800,"to":6500},{"country_iso":"PL","from":3000,"to":5000},{"country_iso":"KR","from":2200,"to":8500},{"country_iso":"CZ","from":3200,"to":4800},{"country_iso":"AT","from":8200,"to":13200},{"country_iso":"IT","from":12000,"to":20000},{"country_iso":"CN","from":8200,"to":14800},{"country_iso":"AU","from":14500,"to":23000},{"country_iso":"IN","from":3200,"to":4800},{"country_iso":"MY","from":3500,"to":5200},{"country_iso":"VN","from":3000,"to":5500},{"country_iso":"BR","from":4200,"to":7200}],"base_country":"US","base_is_fallback":false},"savings":{"pct":60,"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":7532,"name":"Digestive Surgery and Gastroenterology Specialist Centro PAD","city":"Madrid","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["ISO 45001 (Occupational Health and Safety Management)","World's Best Smart Hospitals 2023 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"Da Vinci robotic surgery offers millimetric precision. Surgeons are Da Vinci-certified and members of the European Society of Coloproctology. Procedures at a World's Best Smart Hospital 2023.","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":2,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":346,"slug":"madrid","name":"Madrid","clinics_count":1,"price_from":8800,"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"}},{"id":98,"slug":"barcelona","name":"Barcelona","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":5200,"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":5200,"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"}}],"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":["Symptomatic full-thickness rectal prolapse (rectal procidentia) in adults","Associated fecal incontinence, obstructed defecation, bleeding or mucus discharge","Failure of conservative measures (fiber, stool regulation) in symptomatic patients","Prolapse that is difficult to reduce"],"contraindications":["Unfit for anesthesia (relative)","Active pelvic or perineal sepsis","Uncontrolled coagulopathy or bleeding disorder","Severe uncorrected comorbidity making elective surgery unsafe","Unresolved diagnosis (e.g., rectal mass or untreated colitis) until evaluated"],"operation_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Typical operating time for a single primary rectal prolapse repair; varies by technique."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Rectal prolapse repair operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Single-stage elective repair; follow-up checks are separate."},"hospital_nights":{"value":{"min":1,"max":4,"unit":"nights","qualifier":"Typical uncomplicated elective repair; shorter for perineal or minimally invasive approaches, longer after open resection."},"source":"parsed_details"},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated repair, not formal physiotherapy."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After surgeon's first review confirms bowel function and wound healing; open or resection surgery and thrombosis risk extend it."},"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work after uncomplicated elective repair; minimally invasive rectopexy is often quicker, perineal varies; heavy labor later."},"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Walking early; heavy lifting and straining avoided for about 6-8 weeks."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for bowel function and continence to stabilize; varies by technique and baseline function."},"result_longevity":"Prolapse correction is usually durable for many years, and abdominal rectopexy has lower recurrence than perineal procedures. Recurrence can still occur years later, and continence and constipation outcomes vary by technique.","main_risks":["Recurrence of prolapse","Bleeding or infection","Anesthesia-related complications","New or worsened constipation","Fecal incontinence or urgency","Anastomotic leak (if resection performed)","Mesh-related complications (if mesh used)","Urinary retention","Injury to adjacent pelvic structures","Need for reoperation"],"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any postoperative complication within 30 days, mostly minor; serious ones under 5%"},"revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Recurrent prolapse or complications needing repeat surgery within 5 years; higher after perineal procedures"},"success":{"metric":"Freedom from prolapse recurrence","value":85,"horizon":"5 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Perineal and transanal approaches leave no abdominal scars; laparoscopic or robotic rectopexy leaves several small port scars; open surgery leaves a lower abdominal incision scar.","pain":"Moderate postoperative pain, usually controlled with oral analgesics; perineal approaches often cause more anal discomfort, abdominal approaches cause port or incision pain.","preparation":["Preoperative evaluation including colonoscopy to exclude other pathology","Bowel and continence assessment; pelvic floor testing if needed","Anesthetic fitness assessment","Bowel preparation as instructed by the surgical team","Fasting before general anesthesia per anesthesia team","Review of current medications with the surgeon"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Pain control, return of bowel function and diet, mobilization.","restrictions":["No straining"]},{"phase":"Early recovery (weeks 1-2)","description":"Light daily activity, stool softeners, gradual increase in walking.","restrictions":["Avoid heavy lifting","Avoid straining at stool"]},{"phase":"Weeks 3-8","description":"Return to normal activity and work, bowel habit stabilizes.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]},{"phase":"Months 3-6","description":"Function and continence settle; review for recurrence.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative review before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Assess bowel function, continence and early recurrence."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will perform the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check the credentials of the facility where the procedure will be done","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check whether the facility is accredited against published standards","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be accredited.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that the facility provides written post-discharge instructions, follow-up arrangements, prescriptions, and contact information","scope":"treatment_type","source":{"url":"https://www.law.cornell.edu/cfr/text/42/416.52","host":"law.cornell.edu","quote":"When appropriate, make a followup appointment with the physician, and ensure that all patients are informed, either in advance of their surgical procedure or prior to leaving the ASC, of their prescriptions, post-operative instructions and physician contact information for followup care.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Determine ahead of time how you will communicate with your clinician and care team","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer does not state the qualifications of the clinician who will perform the surgery","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The clinic presents accreditation as a guarantee of a positive outcome","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Please note that all surgeries carry the risk of complications and accreditation does not guarantee a positive outcome.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The clinic gives no plan for how you will communicate with its staff","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"The offer does not include written prescriptions, postoperative instructions, or physician follow-up contact information","scope":"treatment_type","source":{"url":"https://www.law.cornell.edu/cfr/text/42/416.52","host":"law.cornell.edu","quote":"When appropriate, make a followup appointment with the physician, and ensure that all patients are informed, either in advance of their surgical procedure or prior to leaving the ASC, of their prescriptions, post-operative instructions and physician contact information for followup care.","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":"Excessive rectal bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"You should call your healthcare provider if you experience: Excessive rectal bleeding","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Severe or recurrent constipation","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"Severe or recurrent constipation.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Fever or redness at the surgical site","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"Signs of infection, such as fever or redness at the surgical site.","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":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work after uncomplicated elective repair; minimally invasive rectopexy is often quicker, perineal varies; heavy labor later."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any postoperative complication within 30 days, mostly minor; serious ones under 5%"},"contraindications":["Unfit for anesthesia (relative)","Active pelvic or perineal sepsis","Uncontrolled coagulopathy or bleeding disorder","Severe uncorrected comorbidity making elective surgery unsafe","Unresolved diagnosis (e.g., rectal mass or untreated colitis) until evaluated"],"days_in_clinic":{"min":1,"max":4,"unit":"nights","qualifier":"Typical uncomplicated elective repair; shorter for perineal or minimally invasive approaches, longer after open resection."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Walking early; heavy lifting and straining avoided for about 6-8 weeks."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for bowel function and continence to stabilize; varies by technique and baseline function."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After surgeon's first review confirms bowel function and wound healing; open or resection surgery and thrombosis risk extend it."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative review before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Assess bowel function, continence and early recurrence."}}],"indications":["Symptomatic full-thickness rectal prolapse (rectal procidentia) in adults","Associated fecal incontinence, obstructed defecation, bleeding or mucus discharge","Failure of conservative measures (fiber, stool regulation) in symptomatic patients","Prolapse that is difficult to reduce"],"main_risks":["Recurrence of prolapse","Bleeding or infection","Anesthesia-related complications","New or worsened constipation","Fecal incontinence or urgency","Anastomotic leak (if resection performed)","Mesh-related complications (if mesh used)","Urinary retention","Injury to adjacent pelvic structures","Need for reoperation"],"pain":"Moderate postoperative pain, usually controlled with oral analgesics; perineal approaches often cause more anal discomfort, abdominal approaches cause port or incision pain.","preparation":["Preoperative evaluation including colonoscopy to exclude other pathology","Bowel and continence assessment; pelvic floor testing if needed","Anesthetic fitness assessment","Bowel preparation as instructed by the surgical team","Fasting before general anesthesia per anesthesia team","Review of current medications with the surgeon"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Pain control, return of bowel function and diet, mobilization.","restrictions":["No straining"]},{"phase":"Early recovery (weeks 1-2)","description":"Light daily activity, stool softeners, gradual increase in walking.","restrictions":["Avoid heavy lifting","Avoid straining at stool"]},{"phase":"Weeks 3-8","description":"Return to normal activity and work, bowel habit stabilizes.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]},{"phase":"Months 3-6","description":"Function and continence settle; review for recurrence.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated repair, not formal physiotherapy."},"result_longevity":"Prolapse correction is usually durable for many years, and abdominal rectopexy has lower recurrence than perineal procedures. Recurrence can still occur years later, and continence and constipation outcomes vary by technique.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Recurrent prolapse or complications needing repeat surgery within 5 years; higher after perineal procedures"},"scars":"Perineal and transanal approaches leave no abdominal scars; laparoscopic or robotic rectopexy leaves several small port scars; open surgery leaves a lower abdominal incision scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Rectal prolapse repair operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Single-stage elective repair; follow-up checks are separate."},"success":{"metric":"Freedom from prolapse recurrence","value":85,"unit":"percent","horizon":"5 years","population":"Adults with full-thickness rectal prolapse after abdominal rectopexy","evidence_status":"limited"},"techniques":[{"name":"Abdominal rectopexy (laparoscopic or robotic, with or without mesh or sigmoid resection)","suits_whom":"Generally fitter adults, where lower recurrence is prioritized.","recovery":"Minimally invasive access usually gives lower morbidity and shorter stay than open surgery."},{"name":"Perineal rectosigmoidectomy (Altemeier procedure)","suits_whom":"Older or frail adults or those unfit for abdominal surgery.","recovery":"Perineal wound and anal discomfort; recurrence higher than abdominal approaches."},{"name":"Delorme procedure","suits_whom":"Elderly or comorbid patients, especially with shorter-segment prolapse, because of low perioperative morbidity.","recovery":"Shorter operation and stay than Altemeier; recurrence higher than abdominal approaches."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Typical operating time for a single primary rectal prolapse repair; varies by technique."},"initial_assessment_documents":["Colonoscopy report","Defecography or pelvic MRI report","Anorectal manometry report (if available)","Colorectal surgeon's clinic letter","List of blood thinners","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days including 1-4 hospital nights and early review. Later checks usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will perform the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check the credentials of the facility where the procedure will be done","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check whether the facility is accredited against published standards","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be accredited.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that the facility provides written post-discharge instructions, follow-up arrangements, prescriptions, and contact information","scope":"treatment_type","source":{"url":"https://www.law.cornell.edu/cfr/text/42/416.52","host":"law.cornell.edu","quote":"When appropriate, make a followup appointment with the physician, and ensure that all patients are informed, either in advance of their surgical procedure or prior to leaving the ASC, of their prescriptions, post-operative instructions and physician contact information for followup care.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Determine ahead of time how you will communicate with your clinician and care team","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer does not state the qualifications of the clinician who will perform the surgery","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The clinic presents accreditation as a guarantee of a positive outcome","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Please note that all surgeries carry the risk of complications and accreditation does not guarantee a positive outcome.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The clinic gives no plan for how you will communicate with its staff","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"The offer does not include written prescriptions, postoperative instructions, or physician follow-up contact information","scope":"treatment_type","source":{"url":"https://www.law.cornell.edu/cfr/text/42/416.52","host":"law.cornell.edu","quote":"When appropriate, make a followup appointment with the physician, and ensure that all patients are informed, either in advance of their surgical procedure or prior to leaving the ASC, of their prescriptions, post-operative instructions and physician contact information for followup care.","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":"Excessive rectal bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"You should call your healthcare provider if you experience: Excessive rectal bleeding","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Severe or recurrent constipation","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"Severe or recurrent constipation.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Fever or redness at the surgical site","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"Signs of infection, such as fever or redness at the surgical site.","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":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your prolapse is internal rather than external","name":"Conservative treatment","source":{"url":"https://my.clevelandclinic.org/podcasts/butts-and-guts/the-bottom-line-on-rectal-prolapse","host":"my.clevelandclinic.org","quote":"How symptomatic are patients with internal prolapse, because that would guide us whether we need to start with conservative treatment versus go straight to surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":846},{"id":"A2","text":"Your child's prolapse has an underlying cause you can treat","name":"Treating the underlying cause","source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"With time and the proper treatments for the underlying cause, the muscles that support your child’s rectum heal and get strong enough to hold their rectum in place.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"abdominal-rectopexy","name":"Abdominal rectopexy (laparoscopic or robotic, with or without mesh or sigmoid resection)","how_it_works":{"text":"The rectum is pulled up and secured to the pelvic wall","source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"They pull your rectum into the back wall of your pelvis (sacrum) and secure it with permanent stitches and, sometimes, a mesh sling.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.mayoclinic.org/tests-procedures/rectal-prolapse-surgery/about/pac-20384704","host":"mayoclinic.org","quote":"Most people can return to their normal activities within 4 to 6 weeks after surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}},{"id":"perineal-rectosigmoidectomy","name":"Perineal rectosigmoidectomy (Altemeier procedure)","how_it_works":{"text":"Prolapsed rectum and sigmoid colon are pulled out through the anus","source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"Your provider pulls your prolapsed rectum and a portion of your sigmoid colon (the last part of your large intestine that connects to your rectum) through your anus.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-surgical-techniques-used-to-treat-rectal-prolapse/","host":"newsnetwork.mayoclinic.org","quote":"Most patients are able to return to their usual activities within four to six weeks after rectal prolapse surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}},{"id":"delorme-procedure","name":"Delorme procedure","how_it_works":{"text":"The rectal lining is removed to treat small prolapses","source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"For rectal mucosa prolapses or small rectal prolapses, your provider removes the lining of your rectum.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-surgical-techniques-used-to-treat-rectal-prolapse/","host":"newsnetwork.mayoclinic.org","quote":"Most patients are able to return to their usual activities within four to six weeks after rectal prolapse surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"techniques":[{"id":"abdominal-rectopexy","name":"Abdominal rectopexy (laparoscopic or robotic, with or without mesh or sigmoid resection)","how_it_works":{"id":"H1","text":"The rectum is pulled up and secured to the pelvic wall","source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"They pull your rectum into the back wall of your pelvis (sacrum) and secure it with permanent stitches and, sometimes, a mesh sling.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.mayoclinic.org/tests-procedures/rectal-prolapse-surgery/about/pac-20384704","host":"mayoclinic.org","quote":"Most people can return to their normal activities within 4 to 6 weeks after surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"suits_whom":"Generally fitter adults, where lower recurrence is prioritized.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Minimally invasive access usually gives lower morbidity and shorter stay than open surgery."},{"id":"perineal-rectosigmoidectomy","name":"Perineal rectosigmoidectomy (Altemeier procedure)","how_it_works":{"id":"H1","text":"Prolapsed rectum and sigmoid colon are pulled out through the anus","source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"Your provider pulls your prolapsed rectum and a portion of your sigmoid colon (the last part of your large intestine that connects to your rectum) through your anus.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-surgical-techniques-used-to-treat-rectal-prolapse/","host":"newsnetwork.mayoclinic.org","quote":"Most patients are able to return to their usual activities within four to six weeks after rectal prolapse surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"suits_whom":"Older or frail adults or those unfit for abdominal surgery.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Perineal wound and anal discomfort; recurrence higher than abdominal approaches."},{"id":"delorme-procedure","name":"Delorme procedure","how_it_works":{"id":"H1","text":"The rectal lining is removed to treat small prolapses","source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"For rectal mucosa prolapses or small rectal prolapses, your provider removes the lining of your rectum.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-surgical-techniques-used-to-treat-rectal-prolapse/","host":"newsnetwork.mayoclinic.org","quote":"Most patients are able to return to their usual activities within four to six weeks after rectal prolapse surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"suits_whom":"Elderly or comorbid patients, especially with shorter-segment prolapse, because of low perioperative morbidity.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Shorter operation and stay than Altemeier; recurrence higher than abdominal approaches."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your prolapse is internal rather than external","name":"Conservative treatment","source":{"url":"https://my.clevelandclinic.org/podcasts/butts-and-guts/the-bottom-line-on-rectal-prolapse","host":"my.clevelandclinic.org","quote":"How symptomatic are patients with internal prolapse, because that would guide us whether we need to start with conservative treatment versus go straight to surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":846},{"id":"A2","text":"Your child's prolapse has an underlying cause you can treat","name":"Treating the underlying cause","source":{"url":"https://my.clevelandclinic.org/health/treatments/4550-rectal-prolapse-surgery-rectopexy","host":"my.clevelandclinic.org","quote":"With time and the proper treatments for the underlying cause, the muscles that support your child’s rectum heal and get strong enough to hold their rectum in place.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"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","republic-of-korea","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":5,"count":3,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>The cost of rectal prolapse surgery in Spain typically ranges <strong>from _price_from_ to _price_to_</strong>. The price varies depending on the surgical approach (open, laparoscopic, or robotic), the hospital, and the surgeon’s experience. In the United States, the average cost is <strong>_price_compare_us_average_</strong> (per ASCRS). This means rectal prolapse surgery in Spain can cost about _price_percent_discount_% less than in the U.S.</p><p>Spanish hospitals usually include pre-op assessment, anesthesia, the surgical procedure, hospital stay, medications, and follow-up visits in the price. In the U.S., anesthesia, hospital fees, and post-op care are often billed separately from the surgeon’s fee. Always confirm what’s included with your chosen clinic.</p>","faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"How Much Does Rectal Prolapse Surgery 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 Rectal Prolapse Surgery Clinics in Spain: 2 Verified Options and Prices","kind":"content"},{"text":"Rectal Prolapse Surgery Overview in Spain","kind":"content"},{"text":"Our Doctors","kind":"content"},{"text":"Share this content","kind":"ui"},{"text":"Video Stories from Bookimed Patients","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":[]}