{"key":"op_702_ES","page":{"url":"https://ru.bookimed.com/clinics/country=spain/procedure=kiber-noz-pri-rake-prostaty/","procedure":{"id":702,"slug":"kiber-noz-pri-rake-prostaty","name":"Кибер-нож при раке простаты","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"oncology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Испания"},"currency":"USD","data_date":"2026-03-19"},"pages":{"clinics_url":"https://ru.bookimed.com/clinics/country=spain/procedure=kiber-noz-pri-rake-prostaty/","cost_url":"https://ru.bookimed.com/clinics/country=spain/procedure=kiber-noz-pri-rake-prostaty/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":20000,"to":27700,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":40000,"to":70000},"uk":{"from":9500,"to":13500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Барселона","from":20000},{"city":"Мадрид","from":12400},{"city":"Аликанте","from":7500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":6500,"to":10500},{"country_iso":"FR","from":7500,"to":12500},{"country_iso":"GB","from":9500,"to":13500},{"country_iso":"US","from":40000,"to":70000},{"country_iso":"IL","from":17000,"to":25000},{"country_iso":"TR","from":6000,"to":11000},{"country_iso":"MX","from":9500,"to":15500},{"country_iso":"DE","from":9500,"to":14000},{"country_iso":"CA","from":19500,"to":28500},{"country_iso":"AE","from":18000,"to":26000},{"country_iso":"TH","from":9500,"to":14500},{"country_iso":"PL","from":7500,"to":12000},{"country_iso":"KR","from":14000,"to":20000},{"country_iso":"CZ","from":6500,"to":9500},{"country_iso":"AT","from":8500,"to":13500},{"country_iso":"IT","from":9000,"to":14000},{"country_iso":"CN","from":14000,"to":22000},{"country_iso":"AU","from":14500,"to":21000},{"country_iso":"IN","from":6500,"to":9500},{"country_iso":"MY","from":9500,"to":14500},{"country_iso":"VN","from":5500,"to":10500},{"country_iso":"BR","from":9500,"to":14500}],"base_country":"US","base_is_fallback":false},"savings":{"pct":50,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":3,"items":[{"id":278,"name":"Quironsalud Madrid","city":"Madrid","rating":3.8,"reviews_count":6,"accreditations":["World's Best Hospitals 2021 by Newsweek"],"rank":1,"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"}},{"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"}},{"id":953,"name":"GenesisCare Clinics","city":"Madrid","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"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":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":98,"slug":"barselona","name":"Барселона","clinics_count":1,"price_from":20000,"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":346,"slug":"madrid","name":"Мадрид","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":12400,"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":441,"slug":"alicante","name":"Аликанте","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":7500,"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":["Localized low- or favorable intermediate-risk prostate cancer as definitive radiotherapy","Selected high- or unfavorable intermediate-risk disease, sometimes with hormone therapy"],"contraindications":["Metastatic disease or unsuitability for curative radiotherapy","Inability to lie still for the session duration","Prior pelvic radiotherapy limiting further dose (relative)","Active inflammatory bowel disease or significant rectal/bladder disease (relative)","Severe urinary obstruction or very large prostate (relative)","Bleeding disorder or active infection preventing fiducial placement (relative)"],"operation_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Per fraction, including positioning and image-guided tracking; actual beam delivery time varies."},"anesthesia":["local","none"],"sessions_or_stages":{"sessions":{"min":5,"max":5,"unit":"visits","qualifier":"Standard SBRT course is 5 fractions. Excludes fiducial placement, planning and follow-up visits."},"stages":[{"code":"first_fraction","label":"First radiotherapy fraction","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of first treatment."}},{"code":"remaining_fractions","label":"Remaining fractions, consecutive or alternate days","after":{"min":1,"max":11,"unit":"days","qualifier":"Fractions 2-5, counted from the first fraction; timing depends on the center."}}],"qualifier":"Five-fraction CyberKnife SBRT for localized prostate cancer."},"hospital_nights":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient delivery of each fraction; no overnight stay."},"source":"parsed_details"},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":7,"max":30,"unit":"days","qualifier":"Ordinary functional recovery, with acute urinary and bowel symptoms settling after the last fraction; no formal rehabilitation is usually needed."},"fly_home_after_days":{"min":0,"max":2,"unit":"days","qualifier":"After the final fraction, if no significant symptoms; individual clearance by the treating team."},"back_to_work_days":{"min":0,"max":3,"unit":"days","qualifier":"Most patients keep working between and after fractions; fatigue or urinary symptoms may need a few days off."},"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity is usually continued; strenuous exercise as tolerated once acute symptoms allow."},"final_result_months":{"min":12,"max":36,"unit":"months","qualifier":"PSA falls gradually after radiotherapy, with the nadir often reached 1-3 years later; a transient PSA bounce may occur."},"result_longevity":"Cancer control is intended to be long-term; most low- and intermediate-risk patients stay free of PSA recurrence for 5 years or more. Durability depends on risk group, hormone therapy use, and ongoing PSA monitoring.","main_risks":["Temporary urinary frequency, urgency, or burning","Temporary bowel symptoms such as rectal irritation or looser stools","Fatigue","Erectile dysfunction, which may develop over months to years","Late rectal bleeding or proctitis (uncommon)","Late urethral stricture or urinary symptoms (uncommon)","Fiducial marker placement risks: bleeding, infection, discomfort"],"complication_rate_pct":{"min":5,"max":25,"unit":"percent","qualifier":"Grade 2 or higher late urinary or rectal toxicity; grade 3 or higher under 3%"},"revision_rate_pct":{"min":4,"max":10,"unit":"percent","qualifier":"Salvage or repeat treatment for recurrence within 5 years; higher in intermediate-risk disease"},"success":{"metric":"Biochemical recurrence-free survival (PSA control)","value":93,"horizon":"5 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"No incision or scar. Fiducial marker placement leaves no visible scar.","pain":"Radiation delivery is painless. Fiducial marker placement may cause brief discomfort. Mild urinary or rectal discomfort may occur during and after the course.","preparation":["Prostate cancer confirmation and staging with MRI and PSA","Fiducial marker placement, usually days to weeks before planning","Planning CT and often MRI to define treatment volumes","Bowel and bladder preparation: full bladder, empty rectum","Review of urinary symptoms and implanted devices"],"recovery_timeline":[{"phase":"During treatment (about 1-2 weeks)","description":"Outpatient fractions with usual daily activities. Mild fatigue and urinary or bowel symptoms may begin.","restrictions":{"status":"missing","reason":"not_collected"}},{"phase":"First weeks after treatment","description":"Acute urinary and bowel symptoms may peak and then gradually settle.","restrictions":["Follow clinic advice on hydration and symptom management"]},{"phase":"Months after treatment","description":"PSA monitoring continues, and late effects such as sexual function changes are assessed.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Early review of urinary and bowel symptoms, counted from the first fraction."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"PSA check and symptom review; repeated periodically thereafter, counted from the first fraction."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask your doctor or nurse what to expect from the treatment you will have","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/radiation-therapy","host":"cancer.gov","quote":"Ask your doctor or nurse what you may expect from the treatment you will have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","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":"C3","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}},{"id":"C4","text":"Decide before you travel where check-ups after the operation will take place, because follow-up abroad may be missing or weaker","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty peeing or peeing more frequently","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/radiation-cystitis","host":"my.clevelandclinic.org","quote":"If you have symptoms like difficulty peeing or peeing more frequently, let your provider know so they can recommend ways to help.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Rectal bleeding is a symptom of radiation proctitis","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/radiation-proctitis","host":"my.clevelandclinic.org","quote":"Symptoms generally affect your bathroom habits, including diarrhea, sudden urges to poop and rectal bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Acute urinary retention is an emergency","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/urinary-retention","host":"my.clevelandclinic.org","quote":"The acute form of urinary retention is an emergency.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The patient receives a summary of the doctor’s recommendations for continued care at home","document":"treatment summary","source":{"url":"https://www.mayoclinic.org/international/appointment-process","host":"mayoclinic.org","quote":"You'll also receive a summary of your doctor's recommendations and any prescriptions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"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":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["local","none"],"back_to_work_days":{"min":0,"max":3,"unit":"days","qualifier":"Most patients keep working between and after fractions; fatigue or urinary symptoms may need a few days off."},"complication_rate_pct":{"min":5,"max":25,"unit":"percent","qualifier":"Grade 2 or higher late urinary or rectal toxicity; grade 3 or higher under 3%"},"contraindications":["Metastatic disease or unsuitability for curative radiotherapy","Inability to lie still for the session duration","Prior pelvic radiotherapy limiting further dose (relative)","Active inflammatory bowel disease or significant rectal/bladder disease (relative)","Severe urinary obstruction or very large prostate (relative)","Bleeding disorder or active infection preventing fiducial placement (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient delivery of each fraction; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity is usually continued; strenuous exercise as tolerated once acute symptoms allow."},"final_result_months":{"min":12,"max":36,"unit":"months","qualifier":"PSA falls gradually after radiotherapy, with the nadir often reached 1-3 years later; a transient PSA bounce may occur."},"fly_home_after_days":{"min":0,"max":2,"unit":"days","qualifier":"After the final fraction, if no significant symptoms; individual clearance by the treating team."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Early review of urinary and bowel symptoms, counted from the first fraction."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"PSA check and symptom review; repeated periodically thereafter, counted from the first fraction."}}],"indications":["Localized low- or favorable intermediate-risk prostate cancer as definitive radiotherapy","Selected high- or unfavorable intermediate-risk disease, sometimes with hormone therapy"],"main_risks":["Temporary urinary frequency, urgency, or burning","Temporary bowel symptoms such as rectal irritation or looser stools","Fatigue","Erectile dysfunction, which may develop over months to years","Late rectal bleeding or proctitis (uncommon)","Late urethral stricture or urinary symptoms (uncommon)","Fiducial marker placement risks: bleeding, infection, discomfort"],"pain":"Radiation delivery is painless. Fiducial marker placement may cause brief discomfort. Mild urinary or rectal discomfort may occur during and after the course.","preparation":["Prostate cancer confirmation and staging with MRI and PSA","Fiducial marker placement, usually days to weeks before planning","Planning CT and often MRI to define treatment volumes","Bowel and bladder preparation: full bladder, empty rectum","Review of urinary symptoms and implanted devices"],"recovery_timeline":[{"phase":"During treatment (about 1-2 weeks)","description":"Outpatient fractions with usual daily activities. Mild fatigue and urinary or bowel symptoms may begin.","restrictions":[]},{"phase":"First weeks after treatment","description":"Acute urinary and bowel symptoms may peak and then gradually settle.","restrictions":["Follow clinic advice on hydration and symptom management"]},{"phase":"Months after treatment","description":"PSA monitoring continues, and late effects such as sexual function changes are assessed.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":30,"unit":"days","qualifier":"Ordinary functional recovery, with acute urinary and bowel symptoms settling after the last fraction; no formal rehabilitation is usually needed."},"result_longevity":"Cancer control is intended to be long-term; most low- and intermediate-risk patients stay free of PSA recurrence for 5 years or more. Durability depends on risk group, hormone therapy use, and ongoing PSA monitoring.","revision_rate_pct":{"min":4,"max":10,"unit":"percent","qualifier":"Salvage or repeat treatment for recurrence within 5 years; higher in intermediate-risk disease"},"scars":"No incision or scar. Fiducial marker placement leaves no visible scar.","sessions_or_stages":{"sessions":{"min":5,"max":5,"unit":"visits","qualifier":"Standard SBRT course is 5 fractions. Excludes fiducial placement, planning and follow-up visits."},"stages":[{"code":"first_fraction","label":"First radiotherapy fraction","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of first treatment."}},{"code":"remaining_fractions","label":"Remaining fractions, consecutive or alternate days","after":{"min":1,"max":11,"unit":"days","qualifier":"Fractions 2-5, counted from the first fraction; timing depends on the center."}}],"qualifier":"Five-fraction CyberKnife SBRT for localized prostate cancer."},"success":{"metric":"Biochemical recurrence-free survival (PSA control)","value":93,"unit":"percent","horizon":"5 years","population":"Low- or intermediate-risk localized prostate cancer treated with 5-fraction SBRT","evidence_status":"limited"},"techniques":[{"name":"CyberKnife stereotactic body radiotherapy (5 fractions)","suits_whom":"Adults with localized prostate cancer, typically low to intermediate risk, suitable for hypofractionated radiotherapy.","recovery":"Outpatient, with return to usual activities mostly immediate and acute symptoms settling over weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Per fraction, including positioning and image-guided tracking; actual beam delivery time varies."},"initial_assessment_documents":["Prostate biopsy pathology report with Gleason score","Recent PSA results with dates","Prostate MRI report and images","Staging bone scan or PSMA PET report","Current medication list including blood thinners and ADT","Prior prostate surgery or pelvic radiotherapy reports"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Fiducial placement, planning and 5 fractions fit one 2-3 week stay; some centers split into two trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask your doctor or nurse what to expect from the treatment you will have","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/radiation-therapy","host":"cancer.gov","quote":"Ask your doctor or nurse what you may expect from the treatment you will have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","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":"C3","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}},{"id":"C4","text":"Decide before you travel where check-ups after the operation will take place, because follow-up abroad may be missing or weaker","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty peeing or peeing more frequently","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/radiation-cystitis","host":"my.clevelandclinic.org","quote":"If you have symptoms like difficulty peeing or peeing more frequently, let your provider know so they can recommend ways to help.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Rectal bleeding is a symptom of radiation proctitis","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/radiation-proctitis","host":"my.clevelandclinic.org","quote":"Symptoms generally affect your bathroom habits, including diarrhea, sudden urges to poop and rectal bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Acute urinary retention is an emergency","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/urinary-retention","host":"my.clevelandclinic.org","quote":"The acute form of urinary retention is an emergency.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The patient receives a summary of the doctor’s recommendations for continued care at home","document":"treatment summary","source":{"url":"https://www.mayoclinic.org/international/appointment-process","host":"mayoclinic.org","quote":"You'll also receive a summary of your doctor's recommendations and any prescriptions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer is early-stage and suitable for regular monitoring","name":"Active surveillance","source":{"url":"https://my.clevelandclinic.org/health/treatments/active-surveillance","host":"my.clevelandclinic.org","quote":"Active surveillance for prostate cancer is a treatment option for early-stage cancer in your prostate.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer surgery that removes the diseased prostate","name":"Radical prostatectomy","source":{"url":"https://my.clevelandclinic.org/health/diseases/8634-prostate-cancer","host":"my.clevelandclinic.org","quote":"A radical prostatectomy removes a diseased prostate gland.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You prefer internal radiation treatment","name":"Brachytherapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/8634-prostate-cancer","host":"my.clevelandclinic.org","quote":"This involves placing radioactive seeds inside your prostate.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":106}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"cyberknife-stereotactic-body","name":"CyberKnife stereotactic body radiotherapy (5 fractions)","how_it_works":{"text":"A machine aims strong X-rays at the tumor","source":{"url":"https://my.clevelandclinic.org/health/diseases/8634-prostate-cancer","host":"my.clevelandclinic.org","quote":"External beam radiation therapy (EBRT) . A machine delivers strong X-rays at the tumor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.healthline.com/health/prostate-cancer/cyberknife-for-prostate-cancer","host":"healthline.com","quote":"Once it’s over, you should be able to get up and resume your normal activities right away.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"cyberknife-stereotactic-body","name":"CyberKnife stereotactic body radiotherapy (5 fractions)","how_it_works":{"id":"H1","text":"A machine aims strong X-rays at the tumor","source":{"url":"https://my.clevelandclinic.org/health/diseases/8634-prostate-cancer","host":"my.clevelandclinic.org","quote":"External beam radiation therapy (EBRT) . A machine delivers strong X-rays at the tumor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.healthline.com/health/prostate-cancer/cyberknife-for-prostate-cancer","host":"healthline.com","quote":"Once it’s over, you should be able to get up and resume your normal activities right away.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"suits_whom":"Adults with localized prostate cancer, typically low to intermediate risk, suitable for hypofractionated radiotherapy.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Outpatient, with return to usual activities mostly immediate and acute symptoms settling over weeks."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer is early-stage and suitable for regular monitoring","name":"Active surveillance","source":{"url":"https://my.clevelandclinic.org/health/treatments/active-surveillance","host":"my.clevelandclinic.org","quote":"Active surveillance for prostate cancer is a treatment option for early-stage cancer in your prostate.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer surgery that removes the diseased prostate","name":"Radical prostatectomy","source":{"url":"https://my.clevelandclinic.org/health/diseases/8634-prostate-cancer","host":"my.clevelandclinic.org","quote":"A radical prostatectomy removes a diseased prostate gland.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You prefer internal radiation treatment","name":"Brachytherapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/8634-prostate-cancer","host":"my.clevelandclinic.org","quote":"This involves placing radioactive seeds inside your prostate.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":106}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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":["china","germany","india","israel","republic-of-korea","turkey","ukraine"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.2,"count":9,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>CyberKnife for prostate cancer in Spain typically costs from _op_702_price_from_ to _op_702_price_to_. The total price depends on the city, clinic tier, and number of treatment fractions. In the US, similar procedures cost around _price_compare_US_average_ on average. Spain offers savings of around _price_percent_discount_%. Typical packages include consultations, mapping, and all radiation sessions.</p>\n\n<ul>\n<li><strong>Madrid facilities:</strong> Prices in the capital may range from 15% to 20% lower than Barcelona.</li>\n<li><strong>Barcelona clinics:</strong> High-end private centers in this hub often command a premium for specialized care.</li>\n<li><strong>Coastal regions:</strong> Centers in Marbella or Torrevieja offer competitive rates for international patient protocols.</li>\n<li><strong>Treatment complexity:</strong> Standard protocols usually involve 1 to 5 fractions of high-precision robotic radiotherapy.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a high-volume center in Spain can offer significant value. Centro Médico Teknon in Barcelona serves 10,000 patients yearly and holds JCI accreditation. Quironsalud Madrid is the largest center in its network and offers clinical trials. Many Spanish clinics, like GenesisCare, provide 5-star rated service with the latest-generation machines. Their packages typically start around $8,250, offering a balanced price-to-quality ratio.</p>","faq":[{"q":"What is CyberKnife and how does it work for prostate cancer?","a":"<p>CyberKnife is a robotic, non-invasive radiation system treating prostate cancer without incisions or anesthesia. It uses Stereotactic Body Radiation Therapy (SBRT) to deliver high-dose beams with sub-millimeter precision. Specialized robotic arms track prostate movement in real time to spare the bladder and rectum.</p> <ul> <li><strong>Robotic tracking:</strong> The system corrects for prostate motion during breathing or digestion.</li> <li><strong>Treatment duration:</strong> Patients typically complete therapy in 5 sessions over 2 weeks.</li> <li><strong>Precise targeting:</strong> It concentrates radiation on tumors, protecting surrounding healthy tissues.</li> <li><strong>Non-surgical approach:</strong> The procedure requires no hospital stay and avoids urinary catheters.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks among the top 4 global destinations for advanced oncology. While specialized centers like Hospital Ruber Internacional offer CyberKnife, GenesisCare treats 15,000 radiation patients annually. The country's infrastructure allows for sub-specialized care at significantly lower costs than in the US.</p> <p><strong>Patient Consensus:</strong> Many patients emphasize the importance of having a PSMA PET scan first. This ensures the cancer is localized before starting the short, 2-week treatment course.</p>"},{"q":"How do I prepare for CyberKnife treatment?","a":"<p>Preparation for CyberKnife treatment requires medical imaging, tumor marking, and strict physiological protocols. Patients undergo gold fiducial marker placement and CT or MRI scans for precision mapping. In Spain, centers like Hospital Ruber Internacional use these steps to treat prostate tumors in 5 outpatient sessions.</p> <ul> <li><strong>Fiducial markers:</strong> Tiny gold pellets implanted 14 days prior to guide robotic tracking.</li> <li><strong>Bladder and bowel:</strong> Treatment requires a full bladder and empty bowel for precise targeting.</li> <li><strong>Dietary prep:</strong> Use clinic-specific enemas and light meals to prevent rectal gas interference.</li> <li><strong>Anxiety management:</strong> Sedation like Valium is available if you experience clinical or procedural anxiety.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While sessions at clinics like GenesisCare last only 10 to 12 minutes, the logistical prep is the real challenge. Successful patients coordinate hormone therapy (ADT) with their home oncologist before traveling to Spain. This proactive timing ensures the tumor is optimally responsive by the time your first appointment in Madrid begins.</p> <p><strong>Patient Consensus:</strong> Expect temporary urinary or bowel discomfort for 3 to 4 weeks after finishing your 5 sessions. Patients also report that finding blood in urine or semen is common and usually resolves within a few days.</p>"},{"q":"How many sessions are required for prostate cancer?","a":"<p>Prostate cancer treatment with CyberKnife typically requires 5 sessions delivered over 10 days. This ultra-hypofractionated approach delivers high radiation doses with sub-millimeter precision. Traditional radiotherapy often requires 28 to 45 sessions, making CyberKnife a significantly faster non-surgical alternative for patients.</p> <ul> <li><strong>Treatment frequency:</strong> CyberKnife sessions usually occur every other day over 1.5 weeks.</li> <li><strong>Session duration:</strong> Each outpatient treatment lasts approximately 15 to 45 minutes total.</li> <li><strong>Alternative protocols:</strong> High Dose Rate brachytherapy requires only 2 overnight sessions in Spain.</li> <li><strong>Standard radiotherapy:</strong> Conventional external beam radiation therapy involves 40 to 45 daily sessions.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain hosts elite facilities like Hospital Ruber Internacional, ranked top 6 by Forbes. This clinic uniquely offers both CyberKnife and Gamma Knife ICON technology. Having both options ensures doctors select the most precise radiation tool for your specific tumor. This level of specialized equipment is rare even in major European medical hubs.</p> <p><strong>Patient Consensus:</strong> Patients value how CyberKnife sessions fit into a 10-day travel schedule. Many report high cure rates comparable to surgery without the invasive recovery time.</p>"},{"q":"Is CyberKnife treatment in Spain painful?","a":"<p>CyberKnife treatment in Spain is completely painless and non-invasive. Since it uses robotic stereotactic body radiation therapy (SBRT), there are no incisions or anesthesia needed. Patients remain awake and comfortable throughout the 35–40 minute sessions, typically returning to daily routines immediately after the outpatient procedure.</p> <ul> <li><strong>Physical sensation:</strong> You will not feel the radiation beams during the treatment sessions.</li> <li><strong>Treatment comfort:</strong> No painful body restraints or invasive head frames are used during sessions.</li> <li><strong>Recovery experience:</strong> Most patients report zero downtime and no immediate post-procedural pain or discomfort.</li> <li><strong>Post-treatment effects:</strong> Some may notice temporary burning during urination or fatigue after one week.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While the radiation itself is painless, our data shows the 40-minute stationary requirement is the real challenge. At centers like Hospital Ruber Internacional, which ranks among the top 6 in Spain, specialists provide ergonomic support. This is crucial for prostate patients with pre-existing back issues.</p> <p><strong>Patient Consensus:</strong> Many feel so relaxed they nearly nap during the procedure. The most common feedback involves managing mild urinary irritation or fatigue later in the month rather than pain during the actual sessions.</p>"},{"q":"What are the advantages of choosing CyberKnife in Spain?","a":"<p>CyberKnife in Spain offers advanced robotic precision for prostate cancer treatment at JCI-accredited facilities. This non-invasive therapy provides pinpoint accuracy during 5 sessions over 2 weeks. Typical costs range from _op_702_price_from_ to _op_702_price_to_, saving patients approximately _price_percent_discount_% compared to US averages.</p> <ul> <li><strong>Robotic precision:</strong> Targets tumors with sub-millimeter accuracy while sparing surrounding healthy tissue.</li> <li><strong>Real-time tracking:</strong> System adjusts radiation beams automatically to match patient breathing and movement.</li> <li><strong>Rapid protocol:</strong> Treatment typically concludes in 5 sessions instead of 40 standard sessions.</li> <li><strong>Outpatient recovery:</strong> Patients avoid hospitalization and immediately return to normal daily activities.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks 4th globally for patient requests at Bookimed due to top-tier technology access. Clinics like Hospital Ruber Internacional integrate CyberKnife with 3-Tesla MRI for superior tumor localization. This combination is often available at a lower cost than in other Western European centers.</p> <p><strong>Patient Consensus:</strong> Patients value how this non-invasive option preserves urinary and sexual function compared to traditional surgery. Many report that short-term fatigue is manageable and appreciate completing treatment in just 2 weeks.</p>"},{"q":"Where can I receive CyberKnife treatment in Spain?","a":"<p>CyberKnife treatment in Spain is available at premier oncology centers in Madrid and Barcelona, including Hospital Ruber Internacional, Hospital Quironsalud Madrid, and GenesisCare clinics. These facilities utilize robotic radiosurgery for high-precision treatment of prostate cancer, brain tumors, and lung lesions within JCI-accredited environments.</p> <ul> <li><strong>Available technologies:</strong> Specialized centers offer CyberKnife M6, Gamma Knife ICON, and MRI-LINAC systems.</li> <li><strong>Hospital credentials:</strong> Top facilities hold Joint Commission International (JCI) and ISO 9001 quality certifications.</li> <li><strong>Patient capacity:</strong> Hospital Ruber Internacional performed over 6,000 surgeries and 93,000 consultations in 2022.</li> <li><strong>Treatment volume:</strong> GenesisCare clinics serve 15,000 patients annually using advanced radiotherapy and tomotherapy.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While CyberKnife is highly effective, leading Spanish centers like Hospital Ruber Internacional offer both CyberKnife and Gamma Knife ICON. This allows doctors to choose the most precise robotic tool based on your specific tumor location. Always confirm if the center uses the latest M6 model for shorter sessions.</p> <p><strong>Patient Consensus:</strong> Patients recommend requesting a SpaceOAR hydrogel spacer before starting SBRT sessions. This simple step helps protect the rectum and significantly reduces common radiotherapy side effects during recovery.</p>"}],"h2":[{"text":"Как это работает","kind":"content"},{"text":"Какая цена кибер-ножа при раке простаты в Испании?","kind":"content"},{"text":"Лучшие клиники по Кибер-ножу при раке простаты в Испании — 3 проверенных варианта с ценами","kind":"content"},{"text":"Обзор процедуры Кибер-нож при раке простаты в Испании","kind":"content"},{"text":"Получите медицинскую консультацию по Кибер-ножу при раке простаты в Испании: Выбирайте среди лучших специалистов в этой области","kind":"content"},{"text":"Видеоистории пациентов Bookimed","kind":"content"},{"text":"Отзывы о Bookimed: узнайте о реальном опыте пациентов","kind":"content"},{"text":"Поделитесь этим материалом","kind":"content"},{"text":"Ключевые факты о Кибер-ноже при раке простаты","kind":"content"},{"text":"FAQ по Кибер-ножу при раке простаты в Испании","kind":"content"},{"text":"Получить бесплатную консультацию","kind":"content"}]},"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":[]}