Altoa | Centre de diagnostic tchèque à Prague propose des consultations proctologiques spécialisées pour l'évaluation de l'hémorroïdopexie par agrafage, au tarif d'environ 110 $ pour une séance de 50 minutes. Ce centre de diagnostic multidisciplinaire assure une évaluation colorectale complète avec une assistance en anglais. Les patients accèdent aux installations chirurgicales de l'hôpital d'Hořovice grâce à une coopération établie. La clinique affiche une note de 4,5/5 basée sur 20 avis, avec un taux de recommandation de 91 %.
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Super organisé, réactif, sérieux et méthodique. Pas de temps d'attente . Super service .... Et beau travail sur mes 2 hernies tout a été super simple ! J'ai une assurance et pourtant j'ai choisi la facilité ! Je suis contente de l'avoir fait ! Cela valait la peine d'avoir l'esprit tranquille.","en":"5 stars … what else to say. Super organized, reactive , serious and methodical . No waiting time . Great service …. And beautiful work on my 2 hernias everything was super simple ! I do have an insurance and yet I choose the easy path ! I am glad I did that ! 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Aneta Obtulovičova d'Altoa Cz.\nJe vous remercie et vous prie d'agréer, Madame, Monsieur, l'expression de mes sentiments distingués,\nJe vous prie d'agréer, Madame, Monsieur, l'expression de mes salutations distinguées,\nPetar Martinovic","en":"I was very satisfy with your reaction , asa well as reaction of Miss. 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J'ai fait enlever un lipome, ce qui a été très rapide et sans douleur.\nJe recommanderais sans hésiter la clinique et son personnel.","en":"Excellent experience. \nWell priced and efficient service. \nDr was great and very reassuring. Had a lipoma removed which was very quick and pain free. \nWould definitely recommend the clinic and the staff."},"order":{"operation":{"id":889,"name":{"fr":"Enlèvement des lipomes","en":"Lipoma Removal"}}},"clinic_info":{"id":1514,"name":"Centre Médical Altos","alias":"altos-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-07-18T16:29:50.252+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"fr":"Très positive. La communication est essentielle pour offrir de la valeur et rassurer. Les contacts ont été très amicaux et utiles. Je recommanderais à 100 % le processus et l'équipe Bookimed.","en":"Very positive. Communications are key to offer value and reassurance. The contacts were very friendly and helpful. I would recommend the Bookimed process and team 100%."},"summary":{"positive":{"fr":"Excellente expérience.","en":"Excellent experience."}}},{"id":21225,"user":{"id":323294,"name":"Anura Jayawardena ","country_code":"GB","country_name":{"fr":"Royaume-Uni","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"fr":"Très bon service","en":"Very good service"},"order":{"operation":{"id":889,"name":{"fr":"Enlèvement des lipomes","en":"Lipoma Removal"}}},"clinic_info":{"id":1514,"name":"Centre Médical Altos","alias":"altos-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-08-18T08:36:28.302+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"fr":"Personnel très bien informé. 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Il est certifié par la Société européenne de coloproctologie (FEBS-C) et a réalisé plus de 500 interventions de chirurgie bariatrique.","advisoryText":"Le professeur agrégé Abdulcabbar Kartal est chirurgien colorectal et général, spécialisé en chimiothérapie intrapéritonéale hyperthermique (CHIP) et en chirurgie bariatrique. Il est certifié par la Société européenne de coloproctologie (FEBS-C) et a réalisé plus de 500 interventions de chirurgie bariatrique.","specialities":[{"id":"sur.006","name":"Colorectal surgeon","illness_kind_id":33},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}]},"updatedAt":"2026-11-14T19:40:09.040Z","activeCountries":["CZ","TR","ES","DE","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":7852}},"direction":{"id":33,"name":"Chirurgie","alias":"surgery","name_forms":{"base_form":"Chirurgie","form_1":"chirurgie","form_2":"de chirurgie","form_4":"chirurgien"}},"illness_kind":{"id":33,"name":{"en":"Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Typical for desk or light work after uncomplicated stapled hemorrhoidopexy; heavy labour may need longer."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any early or late complication including urinary retention, bleeding, urgency, pain; serious ones under 2%."},"contraindications":["Acute thrombosed or strangulated external hemorrhoids / predominantly external disease","Active anorectal sepsis or abscess","Anal stenosis or significant rectal stricture","Active inflammatory bowel disease involving the rectum","Anal or rectal cancer","Uncorrected coagulopathy or unfit for anesthesia","Pregnancy (relative)","Fecal incontinence (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasional overnight stay for pain or urinary retention."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity earlier; strenuous exercise and heavy lifting after wound comfort and surgeon approval."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Symptom relief often within weeks; staple line healing and tissue settling over 1-3 months."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After same-day or next-day discharge; depends on pain control, bleeding, bowel function and surgeon clearance for sitting during travel."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"First postoperative review."}},{"purpose":"result_review","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Assessment of symptom resolution and recurrence."}}],"indications":["Symptomatic grade II-III internal hemorrhoids","Circumferential internal hemorrhoidal prolapse","Bleeding or prolapse not controlled by conservative or office treatment"],"main_risks":["Postoperative pain and rectal urgency/tenesmus","Bleeding from staple line","Urinary retention","Recurrence of prolapse","Staple line stricture or narrowing","Pelvic sepsis or perforation (rare)","Fecal urgency or incontinence (uncommon)","Retained staples or hematoma"],"pain":"Usually mild to moderate and generally less than after excisional haemorrhoidectomy; managed with oral analgesics for several days, with possible rectal urgency or discomfort.","preparation":["Preoperative assessment; colonoscopy when indicated to exclude other colorectal disease","Fasting before general anesthesia","Rectal enema or bowel preparation as directed by surgeon","Review medical history and current medicines with surgical team"],"recovery_timeline":[{"phase":"Day 0-3","description":"Discharge usually same day; mild-moderate pain, urgency and small amount of bleeding possible.","restrictions":["Avoid straining","Rest and light activity only"]},{"phase":"Week 1-2","description":"Pain settles; most return to desk work. Stool softeners and fibre maintained.","restrictions":["Avoid heavy lifting","Avoid constipation"]},{"phase":"Week 2-4","description":"Return to normal activity and exercise as comfort allows.","restrictions":["Gradual return to strenuous exercise"]},{"phase":"Month 1-3","description":"Staple line healing completes and final symptom outcome is assessed.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated surgery; no formal rehabilitation program."},"result_longevity":"Symptom relief commonly lasts several years, but prolapse recurrence is higher than after excisional surgery. Lasting results depend on avoiding constipation and straining, and on a high-fibre diet.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat intervention for recurrent prolapse or symptoms within about 5 years."},"scars":"No external incisions; the circular staple line lies inside the lower rectum and is not visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"stapled_hemorrhoidopexy","label":"Circular stapled mucosal resection and hemorrhoid lift","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the single surgical session."}}],"qualifier":"One-stage procedure; follow-up checks are separate."},"success":{"metric":"Resolution of bleeding and prolapse symptoms","value":85,"unit":"percent of patients","horizon":"1 year","population":"Adults with symptomatic grade II-III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Circular stapled hemorrhoidopexy (PPH, procedure for prolapse and hemorrhoids)","suits_whom":"Patients with grade II-III circumferential internal hemorrhoidal prolapse with limited external component.","recovery":"Typically quicker return to routine activities and less pain than excisional surgery; recurrence of prolapse may be higher."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Operating time for a single stapled hemorrhoidopexy; excludes anesthesia and recovery."},"initial_assessment_documents":["Colonoscopy report","Proctology or surgical consultation report","List of blood thinners","Recent colonoscopy or sigmoidoscopy images (if available)","Recent blood test results (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery with same-day or next-day discharge; stay 3-7 days. Follow-up reviews usually done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask the treating team questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Get a clinician’s second opinion about treatment options and necessity","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","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 make a quick decision is a warning sign before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","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":"F3","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Nonstop bleeding","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are bleeding non-stop","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Large amounts of blood","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"there is a lot of blood or you see large blood clots","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"you are in severe pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Very high temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"your temperature is very high, or you feel hot, cold or shivery and generally unwell","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"circular-stapled","name":"Circular stapled hemorrhoidopexy (PPH, procedure for prolapse and hemorrhoids)","how_it_works":{"text":"A special stapler secures tissue in place inside the rectum","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoidopexy","host":"my.clevelandclinic.org","quote":"Then, they use a special stapler to secure it in place.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=czech-republic/city=prague/procedure=steplernaa-gemorroidopeksia/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}