La clinique Bremen-Ost est reconnue comme l'un des meilleurs établissements médicaux d'Allemagne avec des taux de réussite de traitement élevés. Le professeur Rainer Porschen, gastro-entérologue classé parmi les 100 meilleurs en Allemagne, est spécialisé dans les traitements gastro-intestinaux et possède _doctor_564_years_ d'expérience. La clinique traite 19 000 patients par an et est certifiée pour divers traitements spécialisés.
Klinikum Bremen-Ost est un hôpital multidisciplinaire situé à Brême. L'hôpital fait partie du réseau d'hôpitaux Gesundheit Nord-Klinikverbund Bremen. L'hôpital de Brême-Ost est spécialisé dans la chirurgie pulmonaire, la neurologie, la psychothérapie et la psychiatrie.\n
Bremen-Ost fait partie des meilleurs établissements médicaux allemands en 2015-2016 selon le classement du magazine Focus. Le classement comprend des hôpitaux avec des retours positifs des patients et des taux élevés de réussite des traitements.
\nChaque année, Bremen-Ost reçoit 19 000 patients pour un traitement.
","images":[{"base_url":"clinic/5b87fd97014bb","title":"Façade de la clinique Bremen-Ost avec parking à Brême, Allemagne"},{"base_url":"clinic/5b87fdbc5cea8","title":"Vue aérienne du bâtiment principal de la clinique Bremen-Ost entouré de verdure à Brême, Allemagne"},{"base_url":"clinic/5b87fd9797ae2","title":"Entrée principale de la clinique Bremen-Ost à Brême, Allemagne"},{"base_url":"clinic/5b87fd9843863","title":"Extérieur de la clinique Bremen-Ost avec bâtiments modernes et traditionnels à Brême, Allemagne"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Allemagne","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Brême","id":352,"alias":"bremen"},"address":"Züricher Straße 40 28325 Bremen"},"rating":{"rating":0,"google":2.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1904},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72b016d77.jpeg","name":"Coopération pour la transparence et la qualité dans le service de santé","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"Meilleur hôpital allemand selon le classement Focus 2019","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":156},"doctors":{"doctors":[{"doctor":{"id":564,"alias":"rainer-porschen","name":"Rainer Porschen","clinic_id":404,"photo":"doctor/5acf608180487","first_year_working":0,"created_at":"2016-11-28T13:35:08.000+00:00","short_description":"Le médecin est un gastro-entérologue très bien noté en Europe, reconnu parmi les 100 meilleurs médecins en Allemagne pour le traitement des lésions gastro-intestinales. Le médecin contribue au développement des directives allemandes pour le traitement du cancer de l'œsophage et se spécialise dans les tumeurs du tractus gastro-intestinal.<\\/p>
Depuis 2000, le médecin est directeur de la Clinique de médecine interne à la Clinique de Brême-Ost en Allemagne. Les rôles précédents incluent des postes de chercheur à l'Institut du cancer MD Anderson et à l'Université Heinrich Heine. Le médecin détient un Prix clinique pour la gastro-entérologie et un Prix du mérite du Symposium sur les cancers gastro-intestinaux.<\\/p>
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":404,"alias":"bremen-ost-clinic","name":"Bremen-Ost Clinic","short_description":"Klinikum Bremen-Ost est un hôpital multidisciplinaire situé à Brême. L'hôpital fait partie du réseau d'hôpitaux Gesundheit Nord-Klinikverbund Bremen. L'hôpital de Brême-Ost est spécialisé dans la chirurgie pulmonaire, la neurologie, la psychothérapie et la psychiatrie.\n
Bremen-Ost fait partie des meilleurs établissements médicaux allemands en 2015-2016 selon le classement du magazine Focus. Le classement comprend des hôpitaux avec des retours positifs des patients et des taux élevés de réussite des traitements.
\nChaque année, Bremen-Ost reçoit 19 000 patients pour un traitement.
","images":[{"base_url":"clinic/5b87fd97014bb","title":"Façade de la clinique Bremen-Ost avec parking à Brême, Allemagne"},{"base_url":"clinic/5b87fdbc5cea8","title":"Vue aérienne du bâtiment principal de la clinique Bremen-Ost entouré de verdure à Brême, Allemagne"},{"base_url":"clinic/5b87fd9797ae2","title":"Entrée principale de la clinique Bremen-Ost à Brême, Allemagne"},{"base_url":"clinic/5b87fd9843863","title":"Extérieur de la clinique Bremen-Ost avec bâtiments modernes et traditionnels à Brême, Allemagne"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Allemagne","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Brême","id":352,"alias":"bremen"},"address":"Züricher Straße 40 28325 Bremen"},"rating":{"rating":0,"google":2.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1904},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72b016d77.jpeg","name":"Coopération pour la transparence et la qualité dans le service de santé","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"Meilleur hôpital allemand selon le classement Focus 2019","country_code":"DE"}]}}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Autriche","alias":"austria","iso_code":"AT"},{"name":"Azerbaïdjan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Chine","alias":"china","iso_code":"CN"},{"name":"Colombie","alias":"colombia","iso_code":"CO"},{"name":"Egypte","alias":"egypt","iso_code":"EG"},{"name":"Emirats Arabes Unis","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Espagne","alias":"spain","iso_code":"ES"},{"name":"Grèce","alias":"greece","iso_code":"GR"},{"name":"Hongrie","alias":"hungary","iso_code":"HU"},{"name":"Inde","alias":"india","iso_code":"IN"},{"name":"Israël","alias":"israel","iso_code":"IL"},{"name":"Italie","alias":"italy","iso_code":"IT"},{"name":"Lituanie","alias":"lithuania","iso_code":"LT"},{"name":"Mexique","alias":"mexico","iso_code":"MX"},{"name":"Pologne","alias":"poland","iso_code":"PL"},{"name":"Roumanie","alias":"romania","iso_code":"RO"},{"name":"République de Corée","alias":"republic-of-korea","iso_code":"KR"},{"name":"République dominicaine","alias":"dominican-republic","iso_code":"DO"},{"name":"République tchèque","alias":"czech-republic","iso_code":"CZ"},{"name":"Suisse","alias":"switzerland","iso_code":"CH"},{"name":"Thaïlande","alias":"thailand","iso_code":"TH"},{"name":"Turquie","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Wuppertal","alias":"wuppertal"},{"name":"Berlin","alias":"berlin"},{"name":"Brême","alias":"bremen"},{"name":"Düsseldorf","alias":"dusseldorf"},{"name":"Solingen","alias":"solingen"},{"name":"Francfort-sur-le-Main","alias":"frankfurt-am-main"}],"operations":[{"name":"Hémorroïdectomie","alias":"hemorrhoidectomy"},{"name":"Résection rectale","alias":"rectal-resection"},{"name":"Thérapie des hémorroïdes","alias":"hemorrhoid-therapy"}],"diagnostics":[{"name":"Consultation avec un proctologue","alias":"consultation-of-a-procologist"},{"name":"Examen rectal du doigt","alias":"finger-rectal-examination"}],"illnessKinds":[{"name":"Proctologie","alias":"proctology"}],"illness_kinds":[{"name":"Proctologie","alias":"proctology"}]},"popularSearches":[{"name":"Hémorroïdectomie","alias":"hemorrhoidectomy","type":"operation","id":310},{"name":"Thérapie des hémorroïdes","alias":"hemorrhoid-therapy","type":"operation","id":1549},{"name":"Ligature élastique des hémorroïdes","alias":"rubber-band-ligation-of-hemorrhoids","type":"operation","id":755},{"name":"Chirurgie au laser de la fistule","alias":"fistula-laser-surgery","type":"operation","id":1544},{"name":"Résection rectale","alias":"rectal-resection","type":"operation","id":454},{"name":"Consultation avec élaboration du plan de traitement","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Consultation avec un proctologue","alias":"consultation-of-a-procologist","type":"diagnostic","id":67},{"name":"Révision des résultats IRM","alias":"revision-of-mri-results","type":"diagnostic","id":453},{"name":"Examen rectal du doigt","alias":"finger-rectal-examination","type":"diagnostic","id":374}],"operationPrices":{"operation_prices":{"310":{"operation":{"name":"Hémorroïdectomie","alias":"hemorrhoidectomy","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1300,"max_amount":3300,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":4000,"max_amount":5400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1500,"max_amount":2900,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":6100,"max_amount":11700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":true,"ES":true}},"748":{"operation":{"name":"Hémorroïdectomie agrafée","alias":"stapled-haemorrhoidectomy","use_for_listing":true},"country_price":{"US":{"amount":7500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":3600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":3300,"max_amount":5300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3000,"max_amount":3400,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":7500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":true,"ES":true}},"755":{"operation":{"name":"Ligature élastique des hémorroïdes","alias":"rubber-band-ligation-of-hemorrhoids","use_for_listing":true},"country_price":{"US":{"amount":1100,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"DE":{"amount":450,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":650,"max_amount":1100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5000,"max_amount":5500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":true}},"1543":{"operation":{"name":"Thérapie de la fissure anale","alias":"fissure-therapy","use_for_listing":false},"country_price":{"US":{"amount":3500,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2800,"max_amount":4500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":1500,"max_amount":3300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1100,"max_amount":1900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"ES":true}},"1549":{"operation":{"name":"Thérapie des hémorroïdes","alias":"hemorrhoid-therapy","use_for_listing":true},"country_price":{"US":{"amount":3500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"mixed","scope":"country"},"DE":{"amount":1600,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6100,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":true,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}},"1717":{"operation":{"name":"Ablation de marisque périanale","alias":"perianal-skin-tag-removal","use_for_listing":true},"country_price":{"US":{"amount":900,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":350,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":450,"max_amount":1200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":450,"max_amount":750,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":3300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":false,"DE":false,"TH":false,"ES":true}}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":494}},"direction":{"id":34,"name":"Proctologie","alias":"proctology"},"illness_kind":{"id":34,"name":{"en":"Proctology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most return next day; longer if pain or desk-sitting discomfort persists."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication after banding, mainly pain and minor bleeding; serious ones such as sepsis under 1%."},"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."},"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 next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; depends on number of hemorrhoids and sessions needed."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding can occur around day 5-10."},"follow_up_visits":[{"purpose":"assessment","after":{"min":28,"max":42,"unit":"days","qualifier":"Review symptom response and decide on a further banding session."},"requirement":"routine"},{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Only for significant pain, bleeding or urinary difficulty after banding."},"requirement":"conditional"}],"indications":["Symptomatic hemorrhoids: bleeding, prolapse, pain, itching or discomfort","Persistent grade I–III internal hemorrhoids despite conservative care","High-grade, prolapsing, thrombosed or treatment-resistant hemorrhoids"],"main_risks":["Pain or anal discomfort after procedural treatment","Bleeding","Urinary retention (more with surgery)","Thrombosis or recurrence of hemorrhoids","Infection or abscess (uncommon)","Anal stenosis or continence disturbance (uncommon, mainly after surgery)"],"pain":"Mild to moderate pressure or aching for 1-3 days, usually managed with paracetamol and warm baths. Severe pain is uncommon and needs prompt review.","preparation":["Colonoscopy or sigmoidoscopy beforehand if indicated","Review blood thinners with the specialist","Fiber and fluids to avoid constipation","Enema or empty bowel as advised","Eat normally; no fasting usually required","Avoid NSAIDs and aspirin unless advised"],"recovery_timeline":[{"phase":"Day 0-3","description":"Rectal fullness or mild aching; small amount of spotting possible.","restrictions":["Avoid straining","Avoid NSAIDs and aspirin","Avoid heavy lifting"]},{"phase":"Day 4-10","description":"Bands and treated tissue slough off; light bleeding can occur around day 5-10.","restrictions":["Keep stools soft","Avoid long-distance travel if bleeding concerns"]},{"phase":"Weeks 2-6","description":"Ulcer heals and symptoms improve; reassess for further banding.","restrictions":["Continue fiber and hydration","Avoid prolonged toilet sitting"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. Diet, stool regulation and avoiding straining help maintain results.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or surgery for recurrent symptoms within about 2-5 years; surgery needed in under 10%."},"scars":"No external incisions or visible scars. The banded internal tissue forms a small healing ulcer that resolves within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Usually one to three banding sessions, often one to two hemorrhoids each."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial treatment."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":28,"max":42,"unit":"days","qualifier":"Interval of about 4-6 weeks between sessions."}}],"qualifier":"Sessions depend on hemorrhoid grade, number of columns and symptom response."},"success":{"metric":"Symptom improvement after rubber band ligation","value":80,"unit":"percent of patients","horizon":"1-3 months after last session","population":"Adults with symptomatic grade I-III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Rubber band ligation","suits_whom":"Persistent grade I–III internal hemorrhoids","recovery":"Office procedure; most patients resume usual activities quickly, with mild discomfort possible."},{"name":"Sclerotherapy","suits_whom":"Lower-grade bleeding internal hemorrhoids","recovery":"Office procedure with short recovery."},{"name":"Conventional hemorrhoidectomy","suits_whom":"High-grade, prolapsing, thrombosed or refractory hemorrhoids","recovery":"Longer recovery with more postoperative pain than office methods."},{"name":"Stapled hemorrhoidectomy","suits_whom":"Circumferential prolapsing internal hemorrhoids, grade III–IV","recovery":"Less postoperative pain than conventional excision; usually back to activity within two weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.1,"max":0.5,"unit":"hours","qualifier":"Procedure takes about 5-15 minutes plus assessment and brief observation."},"initial_assessment_documents":["Colonoscopy or sigmoidoscopy report","Previous proctology or colorectal surgeon report","Photos of external prolapse or swelling (if available)","Recent complete blood count","List of blood thinners"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One trip if one session suffices; repeat banding needs return trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the clinic’s facilities and standards satisfy 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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","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":"C3","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":"C4","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":"C5","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}}],"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":{"status":"ok","items":[{"id":"W1","text":"Non-stop bleeding from the piles","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/","host":"nhs.uk","quote":"you are bleeding non-stop","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"A lot of blood or large clots","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/","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":"Pus leaking from your piles","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/treatment/","host":"nhs.uk","quote":"pus is leaking from your piles","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":"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":"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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want symptom relief from creams, ointments, or suppositories","name":"Hemorrhoid creams","source":{"url":"https://www.hweclinicalguidance.nhs.uk/clinical-policies/haemorrhoid-surgery/","host":"hweclinicalguidance.nhs.uk","quote":"There are also other treatments that will help alleviate the symptoms of haemorrhoids, such as creams, ointments and suppositories.","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":"rubber-band-ligation","name":"Rubber band ligation","how_it_works":{"text":"A band cuts off the hemorrhoid's blood supply","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"A rubber band is then placed at the base of the haemorrhoid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/procedures/hemorrhoid-banding","host":"my.clevelandclinic.org","quote":"You can usually go back to your usual activities right after hemorrhoid banding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"sclerotherapy","name":"Sclerotherapy","how_it_works":{"text":"Phenol oil is injected at the hemorrhoids' base","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Phenol oil is injected into the tissues at the base of the haemorrhoids.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.ucsfhealth.org/education/hemorrhoids/","host":"ucsfhealth.org","quote":"You may return to daily activities right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"conventional-hemorrhoidectomy","name":"Conventional hemorrhoidectomy","how_it_works":{"text":"The operation cuts away the hemorrhoids","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/General-surgery-Haemorrhoids","host":"ncic.nhs.uk","quote":"Haemorrhoidectomy (the traditional operation) - An operation to cut away the haemorrhoid(s) is an option to treat grade 4 haemorrhoids, and for grade 2 and 3 haemorrhoids not successfully treated by banding or other methods.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.healthline.com/health/hemorrhoidectomy","host":"healthline.com","quote":"Recovery is different for everyone, but you should be able to return to normal activities within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"stapled-hemorrhoidectomy","name":"Stapled hemorrhoidectomy","how_it_works":{"text":"The prolapsed hemorrhoids are stapled back inside the anus","source":{"url":"https://www.nhs.uk/conditions/piles-haemorrhoids/","host":"nhs.uk","quote":"your piles are stapled back inside your anus","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=bremen/procedure=terapiya-gemorroya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":28},"manualSeo":[],"updatedAt":"2026-11-11T22:13:52.000Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}