Helios Gesundheit atiende a más de 5 millones de pacientes al año en su extensa red alemana. El Dr. med. Rosen Dimitrov aporta más de 25 años de experiencia al departamento de urología y está especializado en diagnóstico mínimamente invasivo. Anteriormente fue profesor adjunto de urología y cuenta con una certificación en optimización del uso de antibióticos. La clínica ofrece ureterorrenoscopia flexible para extraer cálculos del riñón, la vejiga y el uréter a través de las vías urinarias naturales. Este método no requiere incisiones en la piel y ayuda a los pacientes a recuperarse más rápido en un entorno asistencial de nivel JCI.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1673.4028959174889,"price_to":2231.2038612233187,"currency":"USD","id":56475},"diagnostic":{"id":417,"name":"Chequeo masculino","alias":"check-up-for-men"}}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"Helios Universitätsklinikum Wuppertal es un centro médico privado multiespecialidad ubicado en Düsseldorf, Alemania, especializado en ortopedia, urología, cirugía cardíaca y cirugía general. El hospital atiende tanto a adultos como a niños, y es elegido por alrededor de 150.000 pacientes cada año. Es visitado con mayor frecuencia por pacientes de los países de la CEI, los Balcanes y los Estados de la Liga Árabe.
\n","images":[{"base_url":"clinic/6ac8a229ace62","title":"Entrada principal de Helios Klinik Rottweil, moderna clínica de ladrillo en Alemania"},{"base_url":"clinic/6ac8a22b7b107","title":"Fachada de vidrio moderna del hospital Helios Klinikum Krefeld en Alemania"},{"base_url":"clinic/6ac8a22d81c1d","title":"Vista exterior de Helios Klinik Wesermarsch en Alemania con edificio moderno y banderas"},{"base_url":"clinic/6ac8a22f88955","title":"Edificio moderno de la clínica Helios Klinik Wesermarsch en Alemania"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Alemania","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"Sistema Internacional de Acreditación para Servicios de Oncología Intervencionista (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Sociedad Alemana del Cáncer","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Sistemas de gestión de la calidad"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Miembro, American College of Surgeons","country_code":"US"}],"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":32},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Azerbaiyán","alias":"azerbaijan","iso_code":"AZ"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"Grecia","alias":"greece","iso_code":"GR"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italia","alias":"italy","iso_code":"IT"},{"name":"Polonia","alias":"poland","iso_code":"PL"},{"name":"Rumania","alias":"romania","iso_code":"RO"},{"name":"Tailandia","alias":"thailand","iso_code":"TH"},{"name":"Turquía","alias":"turkey","iso_code":"TR"},{"name":"Ucrania","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Wuppertal","alias":"wuppertal"}],"operations":[{"name":"Circuncisión","alias":"circumcision"},{"name":"Vasectomía","alias":"vasectomy"},{"name":"Nefrectomía","alias":"nephrectomy"},{"name":"Corrección de la curvatura del pene (tratamiento quirúrgico de la enfermedad de Peyronie)","alias":"penile-curvature-correction-surgical-treatment-for-peyronies-disease"},{"name":"Embolización de varicocele","alias":"embolization-of-varicocele"},{"name":"Prostatectomía robótica da Vinci","alias":"radical-prostatectomy-via-da-vinci-robotic-surgery"},{"name":"Prostatectomía","alias":"prostatectomy"},{"name":"Varicocelectomía","alias":"varicocelectomy"},{"name":"Enucleación de próstata con láser de holmio","alias":"holmium-laser-enucleation-of-the-prostate"},{"name":"Reparación de hipospadias","alias":"hypospadias-repair"},{"name":"Uretroplastia","alias":"urethroplasty"},{"name":"Intervención microquirúrgica para varicocele","alias":"microsurgical-intervention-for-varicocele"},{"name":"Litotricia uretroscópica","alias":"urethroscopic-lithotripsy"},{"name":"Estimulación del nervio sacro (ENS) (Neuromodulación sacra)","alias":"sacral-nerve-stimulation-sns-sacral-neuromodulation-snm"},{"name":"Implantación de esfínter urinario artificial","alias":"artificial-urinary-sphincter-implantation"},{"name":"Extirpación de la vejiga","alias":"rezekcia-mocevogo-puzyra"},{"name":"Uretroplastia","alias":"uretheroplasty"},{"name":"Procedimiento de cabestrillo","alias":"sling-procedure"},{"name":"Cirugía conservadora de riñón","alias":"kidney-sparing-surgery"},{"name":"Tratamiento con medicamentos para la incontinencia urinaria","alias":"medication-therapy-for-urinary-incontinence"},{"name":"Extirpación de vejiga con reconstrucción","alias":"bladder-removal-with-reconstruction"},{"name":"Hidrocelectomía","alias":"hydroselectomy"},{"name":"Nefrolitotomía percutánea (PCNL)","alias":"percutaneous-nephrolithotomy"},{"name":"Ureterorrenoscopia flexible (URS)","alias":"flexible-ureterorenoscopy-urs"}],"diagnostics":[{"name":"Chequeo masculino","alias":"check-up-for-men"},{"name":"Biopsia testicular","alias":"testicular-biopsy"},{"name":"US Doppler color del escroto","alias":"color-doppler-us-of-the-scrotum"},{"name":"Ultrasonido pelvico","alias":"pelvic-ultrasound"},{"name":"Ultrasonido transrectal (TRUS)","alias":"transrectal-ultrasound-trus"},{"name":"Consulta Online con Urólogo","alias":"online-consultation-with-urologist"},{"name":"Chequeo basico","alias":"basic-check-up"},{"name":"Chequeo Premium","alias":"premium-check-up"},{"name":"Chequeo Pediátrico","alias":"check-up-for-children"}],"illnesses":[{"name":"Hiperplasia prostática benigna (HPB)","alias":"bph"},{"name":"Hiperplasia prostática","alias":"prostatic-hyperplasia"},{"name":"Varicocele","alias":"varicocele"},{"name":"Enfermedad de Peyronie","alias":"peyronie-s-disease"},{"name":"Urolitiasis","alias":"urolithiasis"},{"name":"Hidrocele","alias":"hydrocle"},{"name":"Quiste renal","alias":"kidney-cyst"},{"name":"Incontinencia urinaria","alias":"urinary-incontinence"},{"name":"Fimosis","alias":"phimosis"},{"name":"Poliquistosis renal","alias":"multicystic-kidneys"},{"name":"Prostatitis","alias":"prostatitis"},{"name":"Cistitis","alias":"cystitis"}],"illnessKinds":[{"name":"Urología","alias":"urology"}],"illness_kinds":[{"name":"Urología","alias":"urology"}]},"popularSearches":[{"name":"Circuncisión","alias":"circumcision","type":"operation","id":824},{"name":"Vasectomía","alias":"vasectomy","type":"operation","id":891},{"name":"Peniflex","alias":"peniflex","type":"operation","id":1363},{"name":"Nefrectomía","alias":"nephrectomy","type":"operation","id":121},{"name":"Terapia de reemplazo de hormonas bioidénticas (BHRT)","alias":"bioidentical-hormone-replacement-therapy-bhrt","type":"operation","id":1008},{"name":"Consulta con un urólogo","alias":"urologist-consultation","type":"diagnostic","id":48},{"name":"Chequeo basico","alias":"basic-check-up","type":"diagnostic","id":420},{"name":"Chequeo masculino","alias":"check-up-for-men","type":"diagnostic","id":417},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Chequeo Premium","alias":"premium-check-up","type":"diagnostic","id":421}],"operationPrices":{"operation_prices":{"1050":{"operation":{"name":"Ureterorrenoscopia flexible (URS)","alias":"flexible-ureterorenoscopy-urs","use_for_listing":true},"country_price":{"TR":{"amount":3800,"max_amount":4100,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":4800,"max_amount":7200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3200,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":4300,"max_amount":6300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":false},"description":"La operación utiliza un tubo delgado y flexible para diagnosticar y tratar afecciones renales y ureterales de manera eficiente y segura.
"},"1384":{"operation":{"name":"Ureteroscopia flexible","alias":"flexible-ureteroscopy","use_for_listing":true},"country_price":{"TR":{"amount":2300,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":4800,"max_amount":7800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2800,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":4300,"max_amount":6200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":false,"DE":false,"TH":false,"ES":false}},"1756":{"operation":{"name":"Ureteroscopia","alias":"ureteroscopy","use_for_listing":true},"country_price":{"TR":{"amount":1900,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":4300,"max_amount":6800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2300,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":3600,"max_amount":5400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":false,"DE":false,"TH":false,"ES":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":10917}},"direction":{"id":16,"name":"Urología","alias":"urology"},"illness_kind":{"id":16,"name":{"en":"Urology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Desk-based work after uncomplicated stone treatment; longer if a stent causes symptoms or work is physically heavy."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Model estimate of overall perioperative complications, mostly minor (Clavien I-II), in adults with uncomplicated stone treatment; serious complications are under 2-3%."},"contraindications":["Untreated urinary tract infection or urosepsis; defer until treated, and drain an infected obstructed kidney first","Uncorrected coagulopathy or anticoagulation that cannot be safely managed","Unfit for anesthesia","Pregnancy (relative; individualized decision)","Anatomy preventing ureteral access (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one overnight stay if needed after uncomplicated adult stone treatment."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":4,"unit":"weeks","qualifier":"Model planning range from ureteroscopy for strenuous exercise after symptoms settle; if a stent is present, often after its removal at about 1-3 weeks. Earlier walking is encouraged."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Stone-free status is typically confirmed by imaging 1-3 months after the procedure."},"fly_home_after_days":{"min":2,"max":7,"unit":"days","qualifier":"Uncomplicated case after same-day or overnight discharge, counted from the procedure; needs surgeon clearance. Later if a stent, fever, pain or bleeding is present."},"follow_up_visits":[{"purpose":"other","requirement":"conditional","after":{"min":7,"max":21,"unit":"days","qualifier":"Stent removal or review if a stent was placed."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Imaging to confirm stone clearance."}}],"indications":["Kidney stones, especially lower-pole or multiple, or unsuitable for other approaches","Proximal ureteral stones","Stones after failed shock wave lithotripsy","Upper urinary tract urothelial lesions needing inspection or biopsy","Ureteral or pelvicalyceal strictures","Unexplained hematuria needing upper tract evaluation"],"main_risks":["Urinary tract infection, fever or sepsis","Bleeding or hematuria, rarely needing transfusion","Ureteral injury, perforation or stricture","Stent-related discomfort and urgency","Residual stone fragments, renal colic and possible repeat procedure","Anesthesia-related risks"],"pain":"Mild to moderate flank pain, urgency and burning, especially with a stent; usually controlled with oral analgesics.","preparation":["Urine test and treatment of any infection","Stone imaging, typically non-contrast CT","Blood tests and anesthesia assessment","Fasting before anesthesia as instructed","Discussion of possible stent and staged approach","Arrange a ride home"],"recovery_timeline":[{"phase":"Day of procedure","description":"Recovery from anesthesia and walking the same day; urinary catheter, if placed, is usually removed within a day.","restrictions":["No driving after anesthesia"]},{"phase":"First week","description":"Blood-tinged urine, stent symptoms and flank discomfort are common; hydration is encouraged.","restrictions":["Avoid heavy lifting"]},{"phase":"Weeks 1 to 3","description":"Stent removal if placed; return to normal activity.","restrictions":["Avoid strenuous exercise until symptoms settle"]},{"phase":"At any time","description":"Seek urgent assessment for fever or chills, severe flank pain, heavy bleeding with clots, or inability to urinate.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated procedure; stent symptoms may last longer."},"result_longevity":"Stone removal is immediate, but recurrence is common and depends on metabolic factors and prevention; no fixed duration.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Model estimate of repeat or staged ureteroscopy for residual stones, mainly with large intrarenal stone burden; lower for small stones."},"scars":"No incisions; performed through the natural urinary tract, so no visible scars.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one procedure; a second is sometimes needed for large stone burden or pre-stenting."},"stages":[{"code":"ureteroscopy","label":"Flexible ureteroscopy with laser lithotripsy or inspection","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial procedure"}}],"qualifier":"Stent removal and imaging are follow-up care, not treatment stages."},"success":{"metric":"Stone-free rate after a single flexible ureteroscopy with holmium laser lithotripsy","value":75,"unit":"percent","horizon":"1-3 months, on imaging","population":"Adults with kidney stones up to about 2 cm; lower for larger burdens (model estimate)","evidence_status":"limited"},"techniques":[{"name":"Flexible ureteroscopy with holmium laser lithotripsy (fragmentation or dusting, basket extraction)","suits_whom":"Adults with kidney or ureteral stones, particularly lower-pole or moderate-size stones","recovery":"Same-day or next-day discharge; stent symptoms if a stent is left."},{"name":"Diagnostic flexible ureteroscopy with biopsy","suits_whom":"Suspected upper tract lesions or unexplained hematuria; outside the numeric stone-treatment ranges","recovery":"Usually brief hematuria and mild discomfort."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":2,"unit":"hours","qualifier":"Operative time for one uncomplicated stone procedure; depends on stone burden."},"initial_assessment_documents":["Non-contrast CT KUB report and images","Urine culture result","Recent blood tests including creatinine","Ultrasound report of kidneys (if available)","List of blood thinners","Previous stone or urological surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single procedure; stay about 3-7 days until surgeon clearance. Stent removal and imaging can be done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=vuppertal/procedure=gibkaya-ureterorenoskopiya-urs/"}],"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":54065},"manualSeo":[],"updatedAt":"2026-10-22T04:00:15.795Z","activeCountries":["DE","ES","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}