Ortho One Orthopaedic Specialty Centre is a JCI-accredited multispecialty hospital in Coimbatore, India. Its strongest areas are pediatric neurosurgery, spinal surgery, and obstetrics and gynecology. Prices are 3–4 times lower than comparable care in the US.
Ortho One Orthopaedic Specialty Centre is a JCI-accredited multispecialty hospital in Coimbatore, India. Its strongest areas are pediatric neurosurgery, spinal surgery, and obstetrics and gynecology. Prices are 3–4 times lower than comparable care in the US.
Columbia Asia Referral Hospital Yeshwanthpur is an NABH-accredited hospital in Bengaluru, India. It specializes in pediatric neurosurgery, neurology, and weight loss surgery. Patients come from the United States, Canada, and the UK.
Columbia Asia Referral Hospital Yeshwanthpur is an NABH-accredited hospital in Bengaluru, India. It specializes in pediatric neurosurgery, neurology, and weight loss surgery. Patients come from the United States, Canada, and the UK.
Columbia Asia Hospital Whitefield in Bengaluru offers pediatric neurosurgery, neurology, and weight loss surgery. Patients from the US, Canada, and the UK choose it for care at prices 3–4 times lower than US clinics.
Columbia Asia Hospital Whitefield in Bengaluru offers pediatric neurosurgery, neurology, and weight loss surgery. Patients from the US, Canada, and the UK choose it for care at prices 3–4 times lower than US clinics.
CARE Hospitals, Banjara Hills is a Hyderabad hospital with prices 3–4 times lower than US clinics. Its strongest specialties are pediatric neurosurgery, spinal surgery, and obstetrics and gynecology. Patients come from the United States, Canada, and the UK.
CARE Hospitals, Banjara Hills is a Hyderabad hospital with prices 3–4 times lower than US clinics. Its strongest specialties are pediatric neurosurgery, spinal surgery, and obstetrics and gynecology. Patients come from the United States, Canada, and the UK.
Narayana Health: Health City Bangalore is a JCI-accredited multi-specialty hospital in Bengaluru, India. It is best known for pediatric neurosurgery, neurology, and weight loss surgery. Patients from the US, Canada, and the UK choose this clinic for affordable, high-quality care.
Narayana Health: Health City Bangalore is a JCI-accredited multi-specialty hospital in Bengaluru, India. It is best known for pediatric neurosurgery, neurology, and weight loss surgery. Patients from the US, Canada, and the UK choose this clinic for affordable, high-quality care.
Continental Hospitals is a JCI and NABH-accredited hospital in Hyderabad, India. Its core specialties include pediatric neurosurgery, neurology, and weight loss surgery. Prices are 3–4 times lower than in US clinics.
Continental Hospitals is a JCI and NABH-accredited hospital in Hyderabad, India. Its core specialties include pediatric neurosurgery, neurology, and weight loss surgery. Prices are 3–4 times lower than in US clinics.
Avicenna Med Medical Center reports a 99% success rate for surgical interventions, including bladder removal procedures. The minimally invasive 3D laparoscopic approach allows for shorter recovery times. The procedure typically costs between $9,600 and $14,400. The clinic provides 24/7 patient support and comfortable accommodations during treatment.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":8500,"price_to":14000,"currency":"USD","id":30095},"operation":{"id":387,"name":"Bladder removal","alias":"rezekcia-mocevogo-puzyra"}},{"prices":{"price_from":40,"price_to":70,"currency":"USD","id":30130},"diagnostic":{"id":102,"name":"Consultation with an oncologist","alias":"consultation-of-oncologist"}}],"reviews":[],"clinic":{"id":956,"alias":"avicenna-med-medical-center","name":"Avicenna Med Medical Center","short_description":"Avicenna Med Medical Center in Kyiv handles over 5,000 patients and 1,000 surgeries each year. It focuses on bariatric surgery, gynecology, urology, and plastic surgery. The clinic uses 3D laparoscopic techniques for faster recovery.
SYSTEM HOSPITAL is a private multi-specialty medical center in Kayseri, Turkey. It treats 50,000 patients each year, both adults and children. Its strongest areas are neurosurgery, orthopedics, weight loss surgery, and reproductology.
SYSTEM HOSPITAL is a private multi-specialty medical center in Kayseri, Turkey. It treats 50,000 patients each year, both adults and children. Its strongest areas are neurosurgery, orthopedics, weight loss surgery, and reproductology.
Egemed Hospitals treats 100,000 patients each year at 12 polyclinics in İzmir. It focuses on bariatric surgery, obesity treatment, and plastic surgery. International patients get 24/7 support.
Egemed Hospitals treats 100,000 patients each year at 12 polyclinics in İzmir. It focuses on bariatric surgery, obesity treatment, and plastic surgery. International patients get 24/7 support.
Helios Gesundheit treats over 5,000,000 patients annually through its certified German oncology centers. The network features the Da Vinci Xi robotic system for precise urologic reconstructions. This technology provides 3D visualization to protect nerves and vessels during surgery. Dr. Rosen Dimitrov leads the urology team with over 25 years of experience in robotic-assisted procedures. The network holds certifications from the German Cancer Society, supporting complex surgical care. International patients can access video consultations and multi-language support before traveling to Germany.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Da Vinci Xi robotic system enables 3D visualization for precise nerve and vessel protection. DKG-certified oncology center. Surgeons have over 25 years of robotic-assisted experience."},"additional_data":{"advertising_id":"7769:illness_kind:33"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1109.4729445991904,"price_to":1109.4729445991904,"currency":"USD","id":56471},"diagnostic":{"id":455,"name":"Brain MRI","alias":"brain-mri"}},{"prices":{"price_from":887.5783556793524,"price_to":1331.3675335190287,"currency":"USD","id":56469},"diagnostic":{"id":6,"name":"MRI of one area","alias":"mri-one-department"}}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"Helios Gesundheit is a multispecialty hospital network across Germany. Key departments include cardiology, gastroenterology, oncology, and orthopedics. The group also offers specialized pediatric care and maternity services. The network treats around 5.5 million people each year. About 78,000 employees support these clinical operations. Several locations are teaching hospitals for the University of Witten-Herdecke.
The network holds many certifications from the German Society of Cardiology. These include recognitions for Chest Pain Units and Heart Failure Units. Specialized centers are also certified for hernia surgery and trauma care. Oncology departments include DKG-certified centers for breast and skin cancer. Clinics use advanced technology like the Da Vinci robotic system. Specialized teams also perform custom-made shoulder joint replacements for complex cases.
","images":[{"base_url":"clinic/6ac8a229ace62","title":"Helios Klinik Rottweil main entrance, modern brick medical facility in Germany"},{"base_url":"clinic/6ac8a22b7b107","title":"Modern glass facade of Helios Klinikum Krefeld hospital in Germany"},{"base_url":"clinic/6ac8a22d81c1d","title":"Helios Klinik Wesermarsch exterior view in Germany with modern building and flags"},{"base_url":"clinic/6ac8a22f88955","title":"Helios Klinik Wesermarsch modern clinic building in Germany"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Germany","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"International Accreditation System for Interventional Oncology Services (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"German Cancer Society","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Quality management systems"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}},{"card":{"text":"Assoc. Prof. Dr. Basri Çakıroğlu has _doctor_2969_years_' experience performing 900+ complex urological reconstructions, pioneering endoscopic techniques in Turkey. The all-inclusive bladder removal package may cost around $22,500 – covering radical cystectomy, orthotopic neobladder reconstruction, 6 nights hospital stay with companion, ICU care, and airport transfers. Hisar Hospital is JCI-accredited, ensuring international safety standards. Dr. Çakıroğlu holds memberships with the Turkish Medical Association and publishes in international journals.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
This surgery removes bladder tumors using a special tool through the urethra.
"},"387":{"operation":{"name":"Bladder removal","alias":"rezekcia-mocevogo-puzyra","use_for_listing":true},"country_price":{"US":{"amount":55000,"max_amount":90000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":8500,"max_amount":12000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":6000,"max_amount":24000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":28000,"max_amount":28500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":false,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"RO":true},"description":"The procedure involves surgically removing a diseased bladder, usually due to cancer, improving patient health.
"},"756":{"operation":{"name":"Bladder removal with reconstruction","alias":"bladder-removal-with-reconstruction","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":145000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":15000,"max_amount":38800,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":15000,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":32000,"max_amount":44000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":false},"description":"This surgery involves taking out the bladder and forming a new one to restore urinary function.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncology","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk work often after 6-12 weeks; later for physical work or if adjuvant therapy is needed."},"complication_rate_pct":{"min":50,"max":65,"unit":"percent","qualifier":"Any complication within 90 days; major (Clavien 3-5) about 15-25%, mostly infections, ileus and wound problems."},"contraindications":["Unfit for major surgery or anesthesia due to severe comorbidity","Uncorrected severe bleeding disorder","Active uncontrolled systemic infection","Widely metastatic disease, except selected palliative cases"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Typical uncomplicated radical cystectomy with urinary diversion; enhanced-recovery pathways at the shorter end, longer if 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 early; strenuous exercise and heavy lifting avoided about 6-12 weeks."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Time to stabilise functional adaptation to urinary diversion, bowel function and energy levels; oncological outcome assessed through long-term surveillance."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Counted from surgery, once discharged and cleared by surgeon; depends on bowel recovery, stent or catheter plan, and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Early post-discharge review, often with stent or catheter plan"}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of final pathology and need for further oncological treatment"}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Surveillance with labs and imaging, then at scheduled intervals"}}],"indications":["Muscle-invasive bladder cancer","High-risk non-muscle-invasive cancer, e.g. BCG-unresponsive or recurrent high-grade","Selected intractable bleeding, severe radiation cystitis, or painful non-functioning bladder","Neurogenic bladder with refractory complications in selected cases"],"main_risks":["Bleeding and need for transfusion","Infection, including wound and urinary tract infection and sepsis","Bowel obstruction or ileus, anastomotic or urinary leak","Venous thromboembolism","Ureteral stricture or kidney function deterioration","Stoma-related problems such as hernia or stenosis","Sexual dysfunction, incontinence or voiding difficulty depending on diversion","Vitamin B12 deficiency and metabolic disturbances with bowel segments","Perioperative cardiopulmonary complications"],"pain":"Moderate to severe pain in the first days, managed with multimodal analgesia (often epidural or regional adjuncts); gradually settles over several weeks.","preparation":["Preoperative staging and fitness assessment (imaging, labs, cardiopulmonary evaluation)","Anaesthetic review","Stoma site marking and counselling by a stoma nurse","Counselling on urinary diversion options","Nutritional optimisation and smoking cessation","Bowel preparation and fasting per hospital protocol","Medication adjustments as directed by the surgical team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Early mobilisation, pain control, gradual resumption of diet, drains, catheters and stents managed, stoma teaching.","restrictions":["No driving","Limited mobility initially"]},{"phase":"Early home recovery (weeks 2-6)","description":"Gradual increase in walking, fatigue common, catheter or stent removal as planned.","restrictions":["No heavy lifting","Avoid straining"]},{"phase":"Late recovery (weeks 6-12)","description":"Return to desk work and increasing activity as tolerated; review of pathology and surveillance plan.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after radical cystectomy with diversion; energy and diversion adaptation may take longer."},"result_longevity":"Bladder removal is permanent, and the urinary diversion is intended to last a lifetime. Long-term outcome depends on cancer stage and surveillance; stoma, kidney and vitamin B12 monitoring continue for life.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Unplanned reoperation or readmission-related reintervention within 90 days, plus later stomal or ureteral stricture repair."},"scars":"Open surgery leaves a midline lower abdominal scar; robotic-assisted approaches leave several small port scars plus an extraction incision. A stoma is present with ileal conduit or other cutaneous diversions.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation episode (radical cystectomy with urinary diversion)."},"stages":[{"code":"cystectomy_diversion","label":"Cystectomy with lymph node dissection and urinary diversion in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}}],"qualifier":"Single-stage standard protocol; perioperative systemic therapy, if any, is separate."},"success":{"metric":"5-year overall survival after radical cystectomy for muscle-invasive bladder cancer","value":55,"unit":"percent","horizon":"5 years","population":"Adults with muscle-invasive, non-metastatic bladder cancer undergoing radical cystectomy with lymphadenectomy","evidence_status":"limited"},"techniques":[{"name":"Open radical cystectomy with urinary diversion","suits_whom":"Standard approach for most patients, including those with extensive disease or prior surgery.","recovery":"Hospital stay about 7-10 nights; return to desk work in about 8-12 weeks."},{"name":"Robot-assisted radical cystectomy","suits_whom":"Selected patients at experienced centres with suitable disease extent and fitness.","recovery":"Hospital stay about 5-8 nights; recovery similar or slightly faster early on."},{"name":"Ileal conduit diversion","suits_whom":"Most common diversion; suits older or less fit patients or those preferring simplicity.","recovery":"External stoma with collection bag; simpler recovery."},{"name":"Orthotopic neobladder","suits_whom":"Selected fit patients with preserved kidney function and no urethral involvement.","recovery":"Longer adaptation to voiding and continence training over months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Radical cystectomy with lymphadenectomy and urinary diversion in an uncomplicated adult case; neobladder tends toward the longer end."},"initial_assessment_documents":["Cystoscopy and TURBT report","Bladder biopsy pathology report","Pelvic and abdominal CT urogram","Pelvic MRI (if available)","Recent creatinine and eGFR results","Chest CT or chest X-ray report"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 2-3 weeks including hospital stay and stent or catheter plan. Second trip only for follow-up abroad."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":null,"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":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You do not want surgery to remove the bladder","name":"Trimodality therapy","source":{"url":"https://www.mayoclinic.org/diseases-conditions/bladder-cancer/diagnosis-treatment/drc-20356109","host":"mayoclinic.org","quote":"Known as trimodality therapy, this approach combines TURBT, chemotherapy and radiation therapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"open-radical-cystectomy","name":"Open radical cystectomy with urinary diversion","how_it_works":{"text":"The bladder is removed and urine is rerouted for drainage","source":{"url":"https://www.mayoclinic.org/medical-professionals/urology/news/lymph-node-dissection-during-radical-cystectomy-for-patients-with-nonmuscle-invasive-bladder-cancer/mac-20541241","host":"mayoclinic.org","quote":"removal of the bladder, urinary diversion to reroute the urinary tract to allow for urinary drainage, and removal of lymph nodes in the pelvis and sometimes lower abdomen, known as lymph node dissection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.healthline.com/health/bladder-removal-surgery","host":"healthline.com","quote":"You should be able to resume normal activities in four to six weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"robot-assisted-radical-cystectomy","name":"Robot-assisted radical cystectomy","how_it_works":{"text":"The surgeon controls a robot holding camera and tools through small cuts","source":{"url":"https://my.clevelandclinic.org/health/treatments/21049-cystectomy","host":"my.clevelandclinic.org","quote":"For a minimally invasive surgery, they make small cuts and use a camera and tools attached to a surgical robot that the surgeon 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