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\n\nHospital de la Familia é especializado em 24 áreas médicas, entre as quais gastroenterologia, cirurgia cardíaca e neurocirurgia.
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days; higher-grade complications are much less common."},"contraindications":["Unfit for general anesthesia or pneumoperitoneum (severe cardiopulmonary disease)","Uncorrected bleeding disorder","Active untreated urinary tract infection","Metastatic disease or limited life expectancy (relative)","Prior extensive pelvic surgery or radiation (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical hospital stay after uncomplicated laparoscopic radical prostatectomy; some centers discharge the next day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Walk lightly early; avoid heavy lifting, straining and vigorous exercise for about 4-8 weeks."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time for urinary continence to largely stabilize; erectile function recovery, if it occurs, may take longer."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Usually after urinary catheter removal and wound check; longer if catheter stays, complications occur, or thrombosis risk is high."},"follow_up_visits":[{"purpose":"other","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Urinary catheter removal, often with wound check; may include a cystogram."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of final pathology (margins, stage) and discussion of further treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"First postoperative PSA check, then periodic PSA surveillance; continence and sexual function assessment."}}],"indications":["Clinically localized prostate cancer","Selected locally advanced prostate cancer within multimodal treatment"],"main_risks":["Urinary incontinence (stress), usually improving over months","Erectile dysfunction","Bleeding, possible transfusion","Infection or urinary tract infection","Anastomotic urine leak or bladder neck stricture","Lymphocele or lymphatic complications if lymph node dissection performed","Inguinal hernia or port-site hernia","Injury to rectum, ureter, bowel or vessels","Venous thromboembolism","Risks of general anesthesia and pneumoperitoneum","Conversion to open surgery","Infertility and dry orgasm (loss of ejaculation)"],"pain":"Mild to moderate pain from port sites and abdominal/shoulder discomfort, typically controlled with oral analgesics within days; catheter discomfort and bladder spasms are common until removal.","preparation":["Preoperative staging (biopsy, MRI) and anesthesia fitness assessment","Blood tests and urine culture","Review of current medicines with the surgical team","Fasting before general anesthesia","Counseling on continence and erectile outcomes; pelvic floor exercise teaching","Bowel preparation only if requested by the surgeon","Stop smoking"],"recovery_timeline":[{"phase":"Hospital stay (day 0-3)","description":"Early mobilization, pain control, drain management if placed, and catheter care teaching.","restrictions":["No driving","Avoid heavy lifting"]},{"phase":"Days 4-14 with urinary catheter","description":"Gradual walking with catheter in place; catheter removed at about 7-14 days, then flight home.","restrictions":["No heavy lifting or straining","Avoid cycling and strenuous activity"]},{"phase":"Weeks 2-6","description":"Return to light activities and desk work; pelvic floor exercises; incontinence gradually improves.","restrictions":["Avoid heavy lifting and vigorous exercise until cleared"]},{"phase":"Months 2-12","description":"Progressive continence recovery and assessment of erectile function; PSA monitoring.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated surgery; continence and sexual function recovery take longer."},"result_longevity":"Cancer control is intended to be long-term and is monitored by PSA, which should become undetectable after surgery. Recurrence risk depends on stage, grade and margins. Continence gains are generally permanent once stabilized.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Secondary procedures such as bladder neck stricture treatment, reoperation or hernia repair; excludes adjuvant radiotherapy."},"scars":"Several small port-site scars (about 5-6 incisions of roughly 0.5-1.2 cm) plus a slightly larger incision (about 3-5 cm) for specimen extraction, usually fading well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are listed separately."},"stages":[{"code":"surgery","label":"Laparoscopic radical prostatectomy (with or without pelvic lymph node dissection)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage procedure."},"success":{"metric":"Pad-free urinary continence","value":85,"unit":"percent of patients","horizon":"12 months after surgery","population":"Adults with localized prostate cancer undergoing laparoscopic radical prostatectomy","evidence_status":"limited"},"techniques":[{"name":"Standard laparoscopic radical prostatectomy (transperitoneal)","suits_whom":"Patients with localized prostate cancer suitable for surgery.","recovery":"Typically 1-3 nights in hospital; catheter about 7-14 days."},{"name":"Extraperitoneal laparoscopic approach","suits_whom":"Selected patients, particularly those with previous abdominal surgery, at surgeon discretion.","recovery":"Similar recovery course."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":4,"unit":"hours","qualifier":"Operating time for laparoscopic radical prostatectomy; longer with extended pelvic lymph node dissection or in complex cases."},"initial_assessment_documents":["Prostate biopsy pathology report","Recent PSA results with dates","Prostate MRI report and images","Bone scan or PSMA PET report (if available)","Recent urologist letter or discharge summaries","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days to cover hospital stay and catheter removal. Later PSA checks are done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat 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 able to ask the team questions about your 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":"C3","text":"Check that you are satisfied with the facilities and standards where you will be treated","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":"C4","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":"C5","text":"Check how your aftercare will be coordinated before you travel","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":"C6","text":"Check with a doctor at home for a second opinion before deciding","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 about 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":"A hard sell when offering 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":"F3","text":"No discussion of possible complications before booking","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":"F4","text":"No mention of aftercare when the offer is made","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding at your incision sites","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17160-laparoscopic-prostatectomy","host":"my.clevelandclinic.org","quote":"Heavy bleeding at your incision sites","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"No pee flow into your catheter bag","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17160-laparoscopic-prostatectomy","host":"my.clevelandclinic.org","quote":"No pee flow into your catheter bag","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Skin separation at your stitches","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17160-laparoscopic-prostatectomy","host":"my.clevelandclinic.org","quote":"Skin separation at your stitches","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Discolored drainage from your incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17160-laparoscopic-prostatectomy","host":"my.clevelandclinic.org","quote":"Discolored drainage from your incisions","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":"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 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