Memorial Şişli Hospital was the first JCI-accredited facility in Turkey since 2002, with a 53,000 m² multidisciplinary complex. The colon vaginoplasty package includes airport transfers, pre-op tests, surgery with standard medications, and initial follow-up. The hospital serves international patients with multilingual documentation and interpreter services, treating patients from 167 countries.
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"International patients wanting JCI-accredited hospital care with English/Russian support","why_its_ranked":"First JCI-accredited hospital in Turkey. Performs colon vaginoplasty using Da Vinci robotic surgery for minimally invasive complex pelvic reconstruction with a multi-specialty team."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":250,"price_to":250,"currency":"USD","id":62984},"diagnostic":{"id":340,"name":"Plastic Surgery Consultation","alias":"plastic-surgery-consultation"}},{"prices":{"price_from":470,"price_to":600,"currency":"USD","id":17256},"diagnostic":{"id":20,"name":"Mammography","alias":"mammography"}}],"reviews":[],"clinic":{"id":96,"alias":"memorial-healthcare-group","name":"Memorial Şişli Hospital","short_description":"Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":436,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Memorial Göztepe Hospital is the 13th hospital of the Memorial Health Group, with over 25 years of experience. Its main specialties are cancer care, cardiovascular care, orthopedics, and neurology. The hospital spans 81,000 m² with 127 outpatient clinics and 19 operating rooms.
Memorial Göztepe Hospital is the 13th hospital of the Memorial Health Group, with over 25 years of experience. Its main specialties are cancer care, cardiovascular care, orthopedics, and neurology. The hospital spans 81,000 m² with 127 outpatient clinics and 19 operating rooms.
Grand Clinic holds a 91% recommendation rate from over 15 reviews in Istanbul. Colon vaginoplasty typically costs around $14,200, which covers the surgery and a structured 7-day program. This package generally includes one night in the hospital, airport transfers, and follow-up controls from day 3 to day 7. The surgical team uses all internal, self-absorbing sutures to help with aesthetic results. Dr. Mehmet leads the procedure, requiring blood tests and a consultation the day before the operation.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Colon vaginoplasty uses internal self-absorbing stitches, meaning no stitch removal. Clinic rates 4.5/5 from 20 reviews, with 91% of clients recommending Grand Clinic."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":88,"price_to":131,"currency":"USD","id":47855},"diagnostic":{"id":20,"name":"Mammography","alias":"mammography"}},{"prices":{"price_from":160,"price_to":160,"currency":"USD","id":50308},"diagnostic":{"id":431,"name":"Consultation with a maxillofacial surgeon","alias":"consultation-of-a-maxillofacial-surgeon"}}],"reviews":[],"clinic":{"id":3315,"alias":"grand-clinic","name":"Grand Clinic ","short_description":"Grand Clinic is a private multi-specialty medical center located in Istanbul, Turkey. The strongest specialties are hair transplantation, aesthetic and plastic surgery, medical aesthetics, dental aesthetics and bariatric surgery.
\n\nGrand Clinic is a clinic that draws on the academic knowledge and experience of Turkey and provides diagnostic and treatment services in the departments of general hospitals with the help of its experienced medical staff.
\n\nGrand Clinic doctors believe that looking great and feeling great are one and the same, so they take a holistic approach to everything they do.
\n\nThe clinic employs experienced specialists and medical and administrative staff who accompany patients throughout the medical journey, as well as help with travel planning, hotel reservations and transfers.
\n\nGrand Clinic knows that guaranteeing patients the safety of procedures, ensuring the quality of procedures and satisfaction with the work of doctors is very important, therefore the clinic staff strives for true honesty, transparency and decency.
\n\nGrand Clinic serves only adults. 450 patients choose Grand Clinic to get medical care every year. Patients from Europe, Latin America and the USA visit the clinic most often.
\n","images":[{"base_url":"clinic/6ace507e424fc","title":"Grand Clinic awards for best medical clinic in Turkey 2025 and 2026"},{"base_url":"clinic/64db4ea511555","title":"Grand Clinic logo on teal background, modern medical branding"},{"base_url":"clinic/64db4ed05fecf","title":"Grand Clinic exterior view with emergency entrance in Turkey"},{"base_url":"clinic/637e0d37e9a09","title":"Doctor's consultation room at Grand Clinic with modern furniture and medical supplies"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Beşyol, Akasya Sk. No:29, 34295 Küçükçekmece/İstanbul, Turkey"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":25,"year_foundation":2021},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d48fc833289.jpeg","name":"Turkish Medical Association","country_code":"TR"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Nuri Ceydeli has performed 900 gynecological procedures over _doctor_355_years_ of practice. Colon vaginoplasty at Anadolu Medical Center may cost around $18,000 – typically covering the surgery, 3 nights hospital stay, consultations, and transfers. The clinic partners with Johns Hopkins Hospital and holds a Planetree gold award for patient-centered care. Dr. Ceydeli trained at Istanbul University Medical School and specializes in complex gynecological reconstruction.
Anadolu Medical Center is a multidisciplinary facility providing American treatment standards at affordable prices in Istanbul (Turkey). Anadolu Medical Center's affiliation with the Johns Hopkins Hospital, one of the best medical facilities in the USA.
\n\nOncology, hematology-oncology, urology, neurosurgery, women's health, IVF, and check-up are the leading specialties at Anadolu Hospital.
\n\nThe medical center is among the Top 10 hospitals in the world, according to the Medical Travel Quality Alliance (MTQUA), an international organization that promotes high standards of health care for medical tourists.
\n\nPatients from the United States, the United Kingdom, Romania, Bulgaria, Azerbaijan, Kazakhstan, Uzbekistan, and Nigeria choose Anadolu Medical Center.
\n\nThe Anadolu Medical Center is a highly regarded medical facility located on the coast of the Marble Sea. It is renowned for its professionalism, cleanliness, and attention to detail. The staff is polite, attentive, and responsive to patients' needs. Highly trained and skilled doctors are available for comprehensive examinations and treatments, and the recovery room is bright and comfortable, with a beautiful view. Patients have benefited from the services of an excellent translator, Elmira, and the support of coordinators Zakhida, Bakhtygul, and Amina. The clinic also offers a transfer service from the airport to the hotel and back, as well as booking a hotel conveniently located 10-15 minutes away. Anadolu Medical Center is the perfect choice for a successful treatment and recovery.
\n\nDr. İrem Yengel specializes in genital aesthetics and cosmetic gynecology, with extensive experience in gynecological surgeries and high-risk obstetric cases. She trained at Medipol University Hospital and Memorial Şişli Hospital, focusing on advanced reproductive technologies and infertility treatment. The clinic maintains high patient satisfaction rates for intimate wellness procedures.
Dr. İrem Yengel Clinic is a private gynecology practice with 15,000+ procedures on record. It specializes in obstetrics, gynecology, cosmetic gynecology, and fertility. Accredited by the American College of Obstetricians and Gynecologists (ACOG) and certified for international health tourism.
Mert Secer Aesthetic and Plastic Surgeon is an ASAPS and IPRAS-accredited clinic on Istanbul’s prestigious Bağdat Avenue. It specializes in plastic surgery for adults from Europe, the US, and other regions. The clinic treats 200 patients each year with two experienced doctors.
Mert Secer Aesthetic and Plastic Surgeon is an ASAPS and IPRAS-accredited clinic on Istanbul’s prestigious Bağdat Avenue. It specializes in plastic surgery for adults from Europe, the US, and other regions. The clinic treats 200 patients each year with two experienced doctors.
Op. Dr. Ekrem Keskin is a plastic and aesthetic surgery clinic in Istanbul. It sits in the Kadıköy district. The center focuses on surgical and non-surgical facial and body contouring. Dr. Ekrem Keskin has over 15 years of experience in plastic surgery. He completed specialized training at the Cleveland Clinic in the United States. The medical team includes two doctors across three departments.
The clinic uses VASER technology to liquefy fat during liposuction. For breast augmentation, the team applies the Preserve Technique to keep natural anatomy. Non-surgical options include Endolift laser for skin tightening without incisions. International patients often travel from the USA and Australia for treatment. Facelift and liposuction patients get a structured nine-month follow-up.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":5989,"alias":"keskin-klinik","name":"Op. Dr. Ekrem Keskin","short_description":"Op. Dr. Ekrem Keskin is a plastic and aesthetic surgery clinic in Istanbul. It sits in the Kadıköy district. The center focuses on surgical and non-surgical facial and body contouring. Dr. Ekrem Keskin has over 15 years of experience in plastic surgery. He completed specialized training at the Cleveland Clinic in the United States. The medical team includes two doctors across three departments.
The clinic uses VASER technology to liquefy fat during liposuction. For breast augmentation, the team applies the Preserve Technique to keep natural anatomy. Non-surgical options include Endolift laser for skin tightening without incisions. International patients often travel from the USA and Australia for treatment. Facelift and liposuction patients get a structured nine-month follow-up.
","images":[{"base_url":"clinic/6a7927ed02f45","title":"Doctor's office at Op. Dr. Ekrem Keskin Clinic with modern decor and wood furnishings"},{"base_url":"clinic/6a7927ef5919e","title":"Doctor's office at Op. Dr. Ekrem Keskin Clinic with modern furnishings"},{"base_url":"clinic/6a7927f15b0ad","title":"Waiting lounge at Op. Dr. Ekrem Keskin Clinic with leather sofas and modern decor"},{"base_url":"clinic/6a7927f359f14","title":"Reception area at Dr. Keskin Aesthetic and Plastic Surgery clinic, modern interior"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Ahenk Apartmanı divan pastanesi karşısı, Caddebostan Bağdat Caddesi Abdulkadir Noyan Sk, Bağdat Cad. No:344 Kat: 3D:6, 34728 Kadıköy/İstanbul, Türkiye"},"rating":{"rating":0,"google":4.5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/66ab8761aba0d.jpeg","name":"American Accreditation Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d10bd3ab2720.jpeg","name":"The Baby-friendly Hospital Initiative (BFHI) by WHO and UNICEF"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"Certification according to DIN EN ISO 9001 by TÜV NORD CERT","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"VIPMED Klinik is a medical center in Istanbul specializing in hair restoration and aesthetics. The team performs hair, beard, and eyebrow transplants for men and women. They use DHI and Sapphire FUE techniques to achieve high density. The clinic was founded in 2007 by Dr. Demet Askin, who trained at the University of Vienna.
Dr. Askin has practiced medical aesthetics for nearly 20 years. The clinic also offers advanced skin care, including stem cell therapy and Ultherapy. Reported success rate for hair restoration is 100%. International patients get VIP transfers, hotel stays, and translator support. Staff speak English, German, Russian, Arabic, and Turkish.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":5324,"alias":"vip-med-klinik","name":"VIPMED Klinik","short_description":"VIPMED Klinik is a medical center in Istanbul specializing in hair restoration and aesthetics. The team performs hair, beard, and eyebrow transplants for men and women. They use DHI and Sapphire FUE techniques to achieve high density. The clinic was founded in 2007 by Dr. Demet Askin, who trained at the University of Vienna.
Dr. Askin has practiced medical aesthetics for nearly 20 years. The clinic also offers advanced skin care, including stem cell therapy and Ultherapy. Reported success rate for hair restoration is 100%. International patients get VIP transfers, hotel stays, and translator support. Staff speak English, German, Russian, Arabic, and Turkish.
","images":[{"base_url":"clinic/6a768dee8a628","title":"Main entrance of VIPMED Klinik with modern glass doors"},{"base_url":"clinic/6a768df0d32ae","title":"VIPMED Klinik hallway with modern decor and artwork in Turkey"},{"base_url":"clinic/6a768df2c3323","title":"VIPMED Klinik waiting room with leather sofa and modern decor"},{"base_url":"clinic/6a768df510b42","title":"Patient treatment room at VIPMED Klinik with modern medical chair and equipment"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Akat, Ebulula Mardin Cd. Mermerler Sitesi C blok no:4, D:3, 34330 Beşiktaş/İstanbul, Türkiye"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2007},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":8,"total_pages":1}},"promoSlots":[{"card":{"text":"Dr. Besir Oner specializes in aesthetic and reconstructive surgery at Memorial Şişli Hospital – Turkey's first JCI-accredited facility with a 4.7/5 rating from 4,500+ reviews. The buttock lift package typically costs around $4,900, covering surgery, anesthesia, 1 night hospital stay, pre-op tests, transfers, and interpreter services. The hospital maintains ISO 15189 and LEED Platinum certifications, ensuring international standards.
","text_type":"mt_wow_description","best_texts":{"techniques":"Butt lift","good_fit_for":"Patients seeking body contouring","why_its_ranked":"Offers comprehensive butt lift procedures with package including transfer, translator, and hospital stay. JCI-accredited facility with experienced plastic surgeons."},"additional_data":{"advertising_id":"96:illness_kind:38"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":5200,"price_to":5200,"currency":"USD","id":60653},"operation":{"id":509,"name":"Buttock lift","alias":"buttock-lift"}},{"prices":{"price_from":250,"price_to":250,"currency":"USD","id":62984},"diagnostic":{"id":340,"name":"Plastic Surgery Consultation","alias":"plastic-surgery-consultation"}},{"prices":{"price_from":470,"price_to":600,"currency":"USD","id":17256},"diagnostic":{"id":20,"name":"Mammography","alias":"mammography"}}],"reviews":[],"clinic":{"id":96,"alias":"memorial-healthcare-group","name":"Memorial Şişli Hospital","short_description":"Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":436,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}}],"clinicsMeta":{"total_count":8,"total_pages":1},"clinicsCount":8,"clinicsCountByEntity":{"clinic_count":24},"doctors":{"doctors":[{"doctor":{"id":355,"alias":"nuri-ceydeli","name":"Nuri Ceydeli","clinic_id":87,"photo":"doctor/699ed0910ccf9","first_year_working":2002,"created_at":"2016-08-26T14:14:36.000+00:00","short_description":"Dr. Nuri Ceydeli is a gynecologist and obstetrician at Anadolu Medical Center in Istanbul. He specializes in gynecology, obstetrics, and urogynecology. Dr. Ceydeli treats complex conditions like ovarian and cervical cancers. His clinic is affiliated with Johns Hopkins Hospital, a top-ranked US medical institution.
Anadolu Medical Center is a multidisciplinary facility providing American treatment standards at affordable prices in Istanbul (Turkey). Anadolu Medical Center's affiliation with the Johns Hopkins Hospital, one of the best medical facilities in the USA.
\n\nOncology, hematology-oncology, urology, neurosurgery, women's health, IVF, and check-up are the leading specialties at Anadolu Hospital.
\n\nThe medical center is among the Top 10 hospitals in the world, according to the Medical Travel Quality Alliance (MTQUA), an international organization that promotes high standards of health care for medical tourists.
\n\nPatients from the United States, the United Kingdom, Romania, Bulgaria, Azerbaijan, Kazakhstan, Uzbekistan, and Nigeria choose Anadolu Medical Center.
\n\nThe Anadolu Medical Center is a highly regarded medical facility located on the coast of the Marble Sea. It is renowned for its professionalism, cleanliness, and attention to detail. The staff is polite, attentive, and responsive to patients' needs. Highly trained and skilled doctors are available for comprehensive examinations and treatments, and the recovery room is bright and comfortable, with a beautiful view. Patients have benefited from the services of an excellent translator, Elmira, and the support of coordinators Zakhida, Bakhtygul, and Amina. The clinic also offers a transfer service from the airport to the hotel and back, as well as booking a hotel conveniently located 10-15 minutes away. Anadolu Medical Center is the perfect choice for a successful treatment and recovery.
\n\nDr. Irem Yengel is a gynecologist and fertility specialist. She founded her private clinic in Istanbul. She ranked among the top 10 in Turkey’s national specialization exam for gynecology. Dr. Yengel holds a Ministry of Health certification in assisted reproductive techniques.
Dr. İrem Yengel Clinic is a private gynecology practice with 15,000+ procedures on record. It specializes in obstetrics, gynecology, cosmetic gynecology, and fertility. Accredited by the American College of Obstetricians and Gynecologists (ACOG) and certified for international health tourism.
The procedure creates a vagina using a section of the colon, often for transgender women or vaginal agenesis.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":6},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Dr. Ergin Er is a plastic, reconstructive and aesthetic surgeon who has performed more than 10,000 aesthetic procedures. He is a multiple award winner at Turkish National Congresses of Plastic Surgery and completed advanced training at Baylor College of Medicine in Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":70,"unit":"days","qualifier":"Desk-type work after open abdominal bowel surgery with vaginal mold; varies by technique and surgeon."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any early or late complication, including stenosis, discharge, infection, leak; serious bowel complications under 5%."},"contraindications":["Active IBD or diseased colon (diverticulosis, colitis)","Prior surgery limiting colon length or blood supply","Unfitness for major abdominal surgery under general anesthesia","Active pelvic or abdominal infection","Unrealistic expectations or inability to follow dilation care (relative)","Pregnancy"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Typical inpatient stay for bowel-segment vaginoplasty until bowel function returns and diet is tolerated; varies by approach and complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and heavy lifting after abdominal wall and neovaginal healing."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for healing, mucosal adaptation and establishment of sexual function; varies with dilation adherence."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"After discharge (5-10 nights), return of bowel function, wound check and surgeon clearance; longer if complications or long-haul flight."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Early postoperative wound and recovery check after discharge."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Examination of neovagina, dilation/mold plan and intercourse clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Longer-term review of function, stenosis and neovaginal health."}}],"indications":["Vaginal agenesis (e.g., MRKH) when dilation fails or declined","Vaginal reconstruction after resection, radiation injury, or androgen insensitivity","Gender-affirming vaginal reconstruction or revision, e.g., stenosis after vaginoplasty","Complex disorders of sex development requiring neovagina"],"main_risks":["Anastomotic leak, bowel obstruction or ileus","Infection, peritonitis, bleeding","Neovaginal stenosis or introital stricture","Excess mucus discharge, odor, diversion colitis","Fistula (rectal, bladder)","Venous thromboembolism","Necrosis of the bowel segment from vascular compromise","Prolapse of neovagina","Anesthesia risks"],"pain":"Moderate to significant postoperative abdominal and perineal pain for the first days, managed with multimodal analgesia and gradually decreasing over several weeks.","preparation":["Gynecologic, imaging (MRI/ultrasound) and colon assessment for suitable segment","Mechanical and antibiotic bowel preparation","Preoperative anesthesia assessment and fasting","Counseling on postoperative dilation/mold use and psychological readiness","Stop smoking"],"recovery_timeline":[{"phase":"Hospital stay (about days 0-10)","description":"Gradual return of bowel function and diet; catheter and vaginal mold/pack in place; pain control and mobilization.","restrictions":["No sexual activity","Limited mobility initially"]},{"phase":"Early home recovery (weeks 2-6)","description":"Fatigue and discharge gradually settle; dilation or mold regimen as directed.","restrictions":["No heavy lifting","No intercourse","No tub baths or swimming until cleared"]},{"phase":"Return to normal activity (weeks 6-12)","description":"Return to work and gradual exercise; intercourse once cleared by surgeon.","restrictions":["Avoid strenuous exertion until cleared"]},{"phase":"Long-term (3-6 months)","description":"Neovagina matures; ongoing dilation or regular intercourse maintains patency.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":84,"unit":"days","qualifier":"Ordinary functional recovery after major abdominal surgery with neovaginal care; not a formal physiotherapy program."},"result_longevity":"Intended to be permanent, but long-term patency depends on regular dilation or intercourse; late stenosis or revision may occur.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation for introital stenosis, prolapse, or other complications over several years."},"scars":"Abdominal scars (midline or laparoscopic port sites) plus no visible external vaginal scar beyond the introitus; scar appearance varies by approach.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative admission for the standalone primary procedure."},"stages":[{"code":"colovaginoplasty_surgery","label":"Colon segment harvest, anastomosis and neovagina creation in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Usually one-stage operation; staged revision only if complications occur."},"success":{"metric":"Anatomically and functionally adequate neovagina allowing intercourse","value":90,"unit":"percent of patients","horizon":"1-2 years after surgery","population":"Adults with vaginal agenesis undergoing primary sigmoid colovaginoplasty","evidence_status":"limited"},"techniques":[{"name":"Sigmoid colon vaginoplasty (open)","suits_whom":"Most common bowel segment; adults with vaginal agenesis or reconstruction needs and healthy sigmoid colon.","recovery":"Inpatient several days, return to desk work around 6-10 weeks."},{"name":"Laparoscopic or robotic-assisted sigmoid colovaginoplasty","suits_whom":"Selected patients with suitable anatomy and surgical expertise.","recovery":"Possibly shorter hospital stay and smaller scars; neovaginal recovery similar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operative time for a single primary sigmoid colovaginoplasty; varies by approach."},"initial_assessment_documents":["Pelvic MRI report","Gynecologic examination report","Karyotype and hormone panel results","Previous vaginal or pelvic surgery reports","Colonoscopy report (if available)","Recent bowel disease history summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 2-3 weeks, including 5-10 inpatient nights. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","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":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards where you will be treated","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that you have a face-to-face consultation with the health professional who will operate before any 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":"C6","text":"Check that the clinic or hospital is registered with local health authorities and fully insured","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check the clinic or hospital carrying out your procedure is registered with local health authorities and is fully insured.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Ask the treating team questions about your 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surgery","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.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Advice coming from agents or sales staff rather than the treating 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}},{"id":"F4","text":"Pressure to make a quick decision 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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Intestinal obstruction","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9366398/","host":"pmc.ncbi.nlm.nih.gov","quote":"However, sigmoid colpoplasty may cause various bowel-related complications, such as intestinal obstruction, anastomotic fistula, vaginal stenosis, artificial vaginal prolapse, colitis, and hereditary polyposis.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Anastomotic 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prolapse","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9366398/","host":"pmc.ncbi.nlm.nih.gov","quote":"Complications associated with this procedure include dyspareunia, stenosis of the vaginal opening ( 3 ), intestinal obstruction, anastomotic fistula, neovaginal prolapse, colitis, hereditary polyposis, and adenocarcinoma ( 4 ).","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 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 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out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical treatment for your vaginal agenesis","name":"Nonsurgical dilation therapy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7392576/","host":"pmc.ncbi.nlm.nih.gov","quote":"These include the nonsurgical Frank technique, which relies on serial dilation of a vaginal pouch.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer your own skin as the graft material","name":"Skin graft vaginoplasty","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9366398/","host":"pmc.ncbi.nlm.nih.gov","quote":"The most common colpoplasty methods include autologous grafts, such as partial-thickness or full-thickness skin grafts; peritoneal, buccal mucosa, or small bowel grafts; allogeneic human amniotic 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