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Хочу выразить большую благодарность – Джурану Богдану Васильевичу, врачу от Бога и очень хорошему человеку. Также хочу сказать всему персоналу – большое спасибо!) Все были очень приветливы и дружелюбны. Скажу честно, аж уезжать не очень хотелось из больницы 😂","en":"My recommendations! I would like to express my deep gratitude to Juran Bogdan Vasilyevich, a doctor from God and a very good person. I also want to say to all the staff - thank you very much!) Everyone was very welcoming and friendly. 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На приеме возникла необходимость сделать УЗИ и мне его сразу сделали, никуда не ездил, не договаривался, сразу на месте. Обнаружили то, что врач в государственной больнице не обнаружил. Все чисто, все приветливые, все хорошего качества.","en":"I paid for the appointment in advance. At the appointment, I needed to have an ultrasound scan and they did it right away, I didn't have to go anywhere, make any appointments, they did it right on the spot. They found something that a doctor in a public hospital could not find. 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semen analysis if infertility","Blood tests as indicated, including kidney function and coagulation","Fasting for several hours as instructed","Review of allergies, especially to contrast material","Clinician review of current medications","Arrange an escort home"],"recovery_timeline":[{"phase":"First 24 hours","description":"Observation after the procedure, then discharge with mild groin or flank discomfort and possible bruising at the puncture site.","restrictions":["No driving the same day if sedated","Avoid strenuous activity"]},{"phase":"Days 2-7","description":"Gradual return to normal daily activity and desk work; discomfort settles.","restrictions":["Avoid heavy lifting and intense exercise"]},{"phase":"Weeks 1-2","description":"Return to full activity including sport as comfort allows.","restrictions":["Avoid strenuous exertion until cleared if pain persists"]},{"phase":"Months 3-6","description":"Follow-up to assess symptoms and semen parameters.","restrictions":[]}],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activity; no formal rehabilitation needed."},"result_longevity":"Successful embolization usually gives lasting varicocele closure. Symptom relief is common, but semen improvement is not guaranteed. Recurrence or persistence occurs in roughly 5-15% of cases.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Persistent or recurrent varicocele needing repeat embolization or surgery within 1-2 years"},"scars":"No surgical scar; only a tiny needle puncture site in the neck or groin vein that heals without a visible scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single embolization procedure treats the varicocele."},"stages":[{"code":"embolization","label":"Percutaneous venous catheterization and embolization of the testicular vein","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Follow-up checks are not counted as treatment sessions."},"success":{"metric":"Technical success of testicular vein occlusion","value":93,"unit":"percent","horizon":"At procedure and early follow-up","population":"Adult men with symptomatic or infertility-related varicocele, standard coil embolization","evidence_status":"limited"},"techniques":[{"name":"Coil embolization via transfemoral or jugular venous access","suits_whom":"Most adults and adolescents with a left-sided or bilateral varicocele and suitable anatomy.","recovery":"Same-day discharge, return to light activity in 1-3 days."},{"name":"Sclerotherapy or combined sclerosant and coil embolization","suits_whom":"Cases where operators prefer liquid or foam sclerosant, or with tortuous veins and collaterals.","recovery":"Similar to coil embolization; mild transient discomfort may be slightly longer."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per unilateral or bilateral percutaneous embolization procedure, excluding preparation and observation."},"initial_assessment_documents":["Scrotal Doppler ultrasound report","Recent semen analysis report","Testicular hormone panel results (if available)","Previous varicocele treatment records (if available)","List of blood thinners","Contrast allergy or kidney function results (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single same-day procedure; stay 2-4 days including pre-procedure checks and puncture site review. Follow-up can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask for examples of the practitioner's experience with the planned surgery","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners’ experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Confirm the surgeon you consult is the person who will perform 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":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm a face-to-face consultation with the operating clinician happens before the procedure","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"A face-to-face consultation with the health professional who will carry out any planned surgery or treatment must take place before any procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the operating clinician's qualifications and references independently","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check 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":"C6","text":"Ask about aftercare and follow-up, and disclose full medical history and all medicines taken","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Ask them about aftercare and follow up and inform them of your full medical history, including all the medication you take.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly or through time-limited offers","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":"2026-11-13","http_status":200}},{"id":"F2","text":"The offer bundles surgery with holiday packages","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays – any decision to have surgery should be taken based on medical reasons only.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Advice comes from a travel agent, sales staff or administrators rather than the treating doctor","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":"An advert promises complete success","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":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Blood clot symptoms, which include redness or swelling in your groin. Difficulty breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Excessive bleeding","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Blood clot symptoms, which include redness or swelling in your groin. Difficulty breathing. Excessive bleeding","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Redness or swelling in your groin","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Blood clot symptoms, which include redness or swelling in your groin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Painful or fast-growing lump near the puncture site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Painful or fast-growing lump near the puncture site.","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":"The home doctor needs the medicines list to continue care","document":"prescriptions","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Imaging copies let the home doctor follow up the treatment","document":"scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"It gives the home doctor details needed for continuing care","document":"full medical report","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"After your treatment, you should receive a full medical report in English to bring back to your UK doctor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","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":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your varicoceles are causing problems","name":"Varicocelectomy","source":{"url":"https://my.clevelandclinic.org/health/treatments/24234-varicocelectomy","host":"my.clevelandclinic.org","quote":"But your healthcare provider may recommend a varicocelectomy (pronounced “var-i-koh-si-LEK-tuh-mee”) if varicoceles cause problems.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":1052}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"coil-embolization","name":"Coil embolization via transfemoral or jugular venous access","how_it_works":{"text":"Tiny metal coils are placed in a precise location to block flow","source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Tiny devices made of stainless steel and platinum that can be placed in a precise location.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Most people resume daily activities within a week.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"sclerotherapy","name":"Sclerotherapy or combined sclerosant and coil embolization","how_it_works":{"text":"A liquid agent that destroys tissue on contact is used","source":{"url":"https://my.clevelandclinic.org/health/treatments/23512-embolization-procedure","host":"my.clevelandclinic.org","quote":"Substances, including alcohol, that destroy tissue on 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