Urology
Urology
Urology
Urology Surgical Services
Fast access to consultant-led urology surgery in Spain under the EU Cross-Border Healthcare Directive
Medinet Ireland provides rapid access to urology surgery for Irish patients through our accredited partner hospitals in Spain.
All procedures are performed abroad under the EU Cross Border Healthcare Directive (CBHD), enabling eligible Irish patients to reclaim costs through the HSE following treatment.
Why Choose Medinet Ireland?
- Rapid Access – Surgery scheduled within weeks at our Spanish partner hospitals.
- Expert Urology Surgeons – Experience across prostate, kidney, bladder, stone and reconstructive surgery.
- Transparent CBHD Pathways – Fixed pricing and complete documentation support for reimbursement.
- End to End Coordination – Referrals, pre op work up, travel assistance, and local follow up.
Our Partner Hospitals (Spain)
VOT Hospital, Madrid
Advanced urology theatres with experience in robotic/laparoscopic prostate and kidney surgery, endo urology and stone services.
Hospital Ochoa, Marbella
High quality private surgical hospital with short stay urology pathways and excellent infection control.
Important: We do not carry out any surgeries in Ireland. All operations are performed at VOT Madrid or Hospital Ochoa Marbella. Pre assessment and follow up are coordinated by Medinet Ireland.
Below is a clear overview of the core urology procedures we offer, why surgery may be recommended, and the options available across our Spanish centres.
Prostate Cancer – Prostatectomy
Why surgery may be needed:
For clinically localised or locally advanced prostate cancer where surgery is recommended after MDT assessment, to remove the prostate and achieve cancer control.
Surgical options:
- Radical Prostatectomy (robot assisted/laparoscopic/open) – Removes the prostate and seminal vesicles; nerve sparing techniques used where appropriate to preserve continence/erectile function.
- Pelvic Lymph Node Dissection – Where indicated for staging and disease control.
- Revision/Salvage Procedures – In select, specialist reviewed settings.
Benign Prostate Enlargement (BPH)
Why surgery may be needed:
Persistent urinary symptoms (poor flow, frequency, nocturia, retention), recurrent infections, bladder stones, or renal impact despite medication.
Surgical options:
- TURP (Transurethral Resection of the Prostate) – Gold standard debulking for many prostates.
- HoLEP (Holmium Laser Enucleation) – Effective for large prostates with fast recovery and low bleeding risk.
- TUIP – For smaller glands with obstruction at the bladder neck.
- Prostate Artery Embolisation – Considered in selected cases after specialist review.
Kidney Cancer / Masses
Why surgery may be needed:
Suspicious renal lesions or confirmed renal cell carcinoma, where removal or partial removal is indicated.
Surgical options:
- Partial Nephrectomy (nephron sparing; robotic/laparoscopic/open) – Removes tumour, preserves kidney function.
- Radical Nephrectomy – Removal of the entire kidney for larger or centrally located tumours.
- Adrenal sparing / Lymphadenectomy – As clinically indicated.
Kidney & Ureteric Stones (Urolithiasis)
Why surgery may be needed:
Persistent pain, obstruction, recurrent infection, impaired kidney function, or stones unlikely to pass spontaneously.
Surgical options:
- Ureteroscopy & Laser Lithotripsy (URS/LL) – Endoscopic fragmentation/removal of stones in ureter or kidney.
- PCNL (Percutaneous Nephrolithotomy) – For larger/complex kidney stones via a small back incision.
- ESWL (Shockwave Lithotripsy) – Non invasive stone fragmentation (patient and stone dependent).
- Stent or Nephrostomy – For urgent decompression in obstruction/infection pathways.
Conditions treated:
Bladder tumours, refractory overactive bladder, bladder stones, structural problems affecting bladder emptying.
Why surgery may be needed:
To diagnose/treat tumours, relieve obstruction, resolve recurrent bleeding/infections, or treat severe symptoms not responding to conservative care.
Surgical options:
- TURBT (Transurethral Resection of Bladder Tumour) – Diagnostic and therapeutic resection for non muscle invasive disease.
- Intra vesical therapies (post TURBT, where indicated) arranged as part of the specialist plan.
- Cystolitholapaxy – Endoscopic fragmentation/removal of bladder stones.
- Botulinum Toxin Injections – For refractory overactive bladder after urodynamic assessment.
- Augmentation/Complex Reconstruction – Case selected after MDT review (availability on request).
Conditions treated:
Ureteric strictures/obstruction, urethral strictures, traumatic or iatrogenic injury causing flow issues, infections, or renal impairment.
Why surgery may be needed:
To restore urinary flow, protect kidney function, and relieve pain/infection risk.
Surgical options:
- Endoscopic Stricture Management – Balloon dilatation, endoureterotomy/endoscopic urethrotomy.
- Ureteral Reimplantation / Reconstruction – For longer strictures (laparoscopic/robotic where appropriate).
- Urethroplasty – Open reconstruction using grafts for complex urethral strictures.
- Stenting – Temporary/bridging decompression in obstructive scenarios.
Conditions treated:
Hydrocele, varicocele, epididymal cysts, testicular lesions, torsion (urgent care pathways), chronic pain syndromes (select).
Why surgery may be needed:
Persistent pain, swelling, infertility implications (varicocele), suspicion of malignancy, or recurrent infections.
Surgical options:
- Hydrocelectomy – Removal/repair of fluid sac around the testicle.
- Varicocele Ligation/Embolisation – To improve pain or fertility metrics in selected patients.
- Epididymal Cyst Excision – For symptomatic cysts.
- Radical Inguinal Orchiectomy – For suspected testicular cancer (urgent oncology pathway).
- Microsurgical Denervation (select cases) – For chronic scrotal pain after full work up.
Conditions treated:
Stress urinary incontinence, recurrent UTIs related to voiding dysfunction, selected prolapse related voiding issues (in collaboration with urogynaecology).
Why surgery may be needed:
Persistent pain, swelling, infertility implications (varicocele), suspicion of malignancy, or recurrent infections.
Surgical options:
- Mid Urethral Sling / Alternative Repairs – In carefully selected patients following full assessment and counselling.
- Urethral Bulking Injections – Minimally invasive option for selected incontinence cases.
- Cystoscopy Guided Interventions – Diagnostic and minor therapeutic procedures.
(Availability dependent on individual case assessment and local regulatory guidance.)
Eligibility & Funding
Delivered under the EU Cross Border Healthcare Directive (CBHD). Irish patients may reclaim eligible costs via the HSE when criteria are met and documentation is complete.
Pre-Assessment
Virtual or in person consultation; PSA/imaging/urodynamics/endoscopy organised as needed.
Surgery in Spain
Procedures performed at VOT Hospital (Madrid) or Hospital Ochoa (Marbella).
Length of Stay
Many endoscopic/laser procedures are1 night; major laparoscopic/robotic resections typically 2–4 nights (patient dependent).
Aftercare
Clear discharge plan, medications, red flag advice, and follow up coordinated locally in Ireland through Medinet Ireland.
Travel Support
We coordinate scheduling, medical records, and documentation to make travel straightforward and compliant with CBHD requirements.
Quality & Safety
Consultant led teams, modern theatres, robust infection control, and adherence to international urology standards.
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Let’s Get You Moving Again
We’re ready to help you or your hospital team access timely Urology surgery in Spain.
Republic of Ireland: 015134299
Northern Ireland: 07539133922
Email us at: contact@iemedinet.com
Who is eligible from ROI?
You can apply if you:
- Are ordinarily resident in Ireland
- Are entitled to public healthcare
- Have a GP or consultant referral
- Require a treatment that is publicly available in Ireland (e.g., hip or knee replacement)
- Have a G-HIC/E-HIC and an in date valid passport.
Who is eligible from NI?
You can apply if you:
- Are an ordinary resident of NI and entitled to the full range of HSC services.
- Have been diagnosed by an HSC Trust consultant.
- Have been on the HSCNI surgery waiting list for ≥1years.
- Your surgery is one commissioned by DoH for their diagnosis and would have received within HSC under the same clinical circumstances.
- Will pay for the surgery themselves THEN reclaim costs from DoH.
- Have NOT sought any other source of reimbursement.
Republic of Ireland
01 5134299
Northern Ireland
07539 133922
