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Cost of Endoscopic Third Ventriculostomy in Major Cities of Spain

City	Minimum Cost (USD)	Minimum Cost (ESP)	Maximum Cost (USD)	Maximum Cost (ESP)
Barcelona	USD 10000	1470399	USD 25000	3675997
Madrid	USD 10000	1470399	USD 25000	3675997

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Endoscopic third ventriculostomy (ETV) is a surgical procedure used to treat obstructive hydrocephalus, a condition characterized by the accumulation of cerebrospinal fluid (CSF) in the brain. CSF is produced in the ventricular system of the brain, which consists of four cavities - two lateral ventricles, the third ventricle, and the fourth ventricle - interconnected by channels.

The third ventricle, situated centrally above the base of the skull, plays a crucial role in CSF circulation. In cases of obstructive hydrocephalus, CSF flow is impeded due to blockage, often occurring at the passage between the third and fourth ventricles, known as the cerebral aqueduct.

ETV involves creating a new pathway for CSF to bypass the blockage by making a small hole in the floor of the third ventricle using an endoscope. This allows CSF to flow directly into the subarachnoid space surrounding the brain, relieving pressure and reducing ventricle enlargement.

Classification:

Based on the Underlying Cause of Hydrocephalus

Congenital Obstructive Hydrocephalus
Acquired Obstructive Hydrocephalus

Based on Patient Demographics

Pediatric ETV
Adult ETV
Standard ETV

Based on the Surgical Approach

Flexible Endoscope ETV
Rigid Endoscope ETV

Hydrocephalus is treated via endoscopic third ventriculostomy (ETV), which removes the brain's excess cerebrospinal fluid (CSF) accumulation. The ETV makes a tiny hole in the third ventricle's floor to allow CSF to flow in a new direction, aiding in pressure reduction without using a shunt.

In order to evaluate your general health and comprehend your symptoms, your surgeon will perform a physical examination and prescribe tests prior to a ventriculostomy. The surgery will be planned based on imaging and test findings. Following surgery, you might need to make arrangements for assistance at home, finish more testing, and modify your medication. During your pre-surgery examination, make sure to ask your care team any questions you may have.

Your surgeon will plan a ventriculostomy by performing a physical examination and reviewing imaging studies. You may need to stop taking certain medications, taking antibiotics, and taking additional tests. Making arrangements for assistance at home following surgery is also crucial.

After making a tiny incision, a surgeon inserts an endoscope—a thin, flexible tube with a light and camera on the end—into the bottom of your third ventricle. Because of its central placement, the third ventricle is simple to reach and see. The opening allows your body to drain into the surrounding tissue to reabsorb the CSF.

Depending on the complexity and urgency of the case, a ventriculostomy procedure usually takes 20 to 45 minutes.

The catheter or surgical site can become infected
Bleeding at the catheter insertion site
Brain damage or stroke may occur if the catheter is placed poorly
A blocked or dislodged catheter prevents proper drainage of cerebrospinal fluid
Over-drainage or under-drainage may lead to collapse

Relieves pressure on the brain
Enables CSF drainage

After a ventriculostomy, post-operative recovery usually requires careful observation in an intensive care unit (ICU). Medical professionals examine for infection or complications, evaluate the drainage system, and monitor intracranial pressure. The underlying disease determines the recovery time; however, most patients need to stay in the hospital for several days and may require follow-up imaging or additional treatment.

Endoscopic Third Ventriculostomy (ETV) has a success rate of approximately 74.7% in adults, while some studies have found success rates as high as 87%.

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Explore Hospitals ( 1 )

Jimenez Diaz Foundation University Hospital

Madrid, Spain

With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-

Day hospital
11 central operating rooms
3 operating rooms for CMA
6 Delivery rooms
686 beds
Ambulatory major surgery
Emergencies
Pediatric emergency
ICU
Neonatal ICU
External Consultations

14

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19+

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Process Involved for Endoscopic Third Ventriculostomy in Madrid

Consultation: Meet with a neurosurgeon or neurologist to assess symptoms and the need for ETV.
Pre-surgical Examination: Review medical history and symptoms and perform imaging tests to confirm the diagnosis of hydrocephalus.
Discussion of Treatment: Evaluate if ETV is the appropriate option or if alternative treatments are required.
Surgical Planning: Discuss the procedure, risks, benefits, and expected recovery.
Post-Surgery Follow-up: Monitor recovery, manage potential complications, and assess the procedure's success through follow-up imaging and symptom review.

Obstructive Hydrocephalus
Aqueductal Stenosis
Normal Pressure Hydrocephalus (NPH)
Cerebral Tumors
Communicating Hydrocephalus

Obstructive hydrocephalus (obstruction of the brain ventricles leading to accumulation of fluid)
A common cause of blockage is aqueductal stenosis, or the constriction of the aqueduct of Sylvius.
The condition is termed normal pressure hydrocephalus (NPH) if surgery is more favourable than shunt placement.
The underlying cause of persistent headache, nausea, and vomiting symptoms is increased intracranial pressure.

Relief from Symptoms of Hydrocephalus
Minimally Invasive
Faster Recovery Time compared to traditional shunt placement
Long-Term CSF Flow Improvement
Reduced Dependency on Shunts

Neurosurgeon
Neurologist

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Frequently Asked Questions

Endoscopic Third Ventriculostomy package cost in Madrid has different inclusions and exclusions. The top hospitals for Endoscopic Third Ventriculostomy in Madrid covers all the expenses related to the pre-surgery investigations of the candidate. Typically, the package cost of Endoscopic Third Ventriculostomy in Madrid includes the expenses related to the surgeon's fee, anesthesia, hospital, meals, nursing and ICU stay. There are many things that may increase the cost of Endoscopic Third Ventriculostomy in Madrid, including prolonged hospital stay and complications after the procedure.

There are many hospitals across the country that offer Endoscopic Third Ventriculostomy to international patients. For quick reference, the following are some of the leading hospitals for Endoscopic Third Ventriculostomy in Madrid:

Jimenez Diaz Foundation University Hospital

Upon discharge from the hospital after Endoscopic Third Ventriculostomy in Madrid, the patients are advised to stay for about 11 days for recovery. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.

One of the topmost destinations for Endoscopic Third Ventriculostomy is Madrid. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. However, some of the other popular destinations for Endoscopic Third Ventriculostomy include the following:

Barcelona

Apart from the cost of Endoscopic Third Ventriculostomy, the patient is also required to pay additionally for daily meals and guest house accommodation. These include the cost of accommodation and meals outside hospital. The per day cost in this case may range from 45 USD.

After Endoscopic Third Ventriculostomy surgery, the patient is supposed to stay for about 3 Days in the hospital for recovery and monitoring. The doctors team review the patient's recovery during this time with the help of blood tests and imaging scans. Once they feel that everything is on track, the patient is discharged.

There are about 1 Hospitals Endoscopic Third Ventriculostomy hospitals in Madrid that are best known for their services. These hospitals have proper infrastructure for the treatment of patients who require Endoscopic Third Ventriculostomy. Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.

The Spanish healthcare system is regarded as one of the greatest in the world. There are some hospitals and health centers (Centros de Salud) mixing public and private services. The public healthcare system, which is under the control of the government, offers free, basic healthcare to anybody who pays into the Spanish social security system as well as their close family members. The public healthcare system offers services to people with low incomes, the elderly, children, and people in these groups. Madrid's public healthcare system is generally of high quality, despite the long wait times. Without a prescription from a doctor, pharmacists in Madrid can also offer basic medical advice and medication. On the other hand, the state's standard of care does not apply to the professions of dentistry, audiometry, or optometry. The person is responsible for paying for these services. The purchase of private health insurance is a common decision among many people, especially ex-pats. You can choose the clinic, physician, or specialist you want to see if you opt for private healthcare. You will also experience shorter wait times for consultations and treatments. You have a better chance of receiving care from English-speaking professionals in private healthcare. The city boasts of modern medical infrastructure and top-notch medical facilities.

The hospitals in Madrid deliver quality care and treatment. They are internationally recognized and accredited by healthcare organizations like JCI and ISO. Some of the top hospitals in the city include:

Quirónsalud Madrid University Hospital: The hospital is recognized by JCI. The university hospital is equipped with all the latest treatment modalities and technologies available in healthcare. The Quirónsalud University Hospital in Madrid provides services in a variety of medical specialties, including, among others, Cardiovascular & Thoracic surgery, Cancer treatment, Neurosciences, Plastic & cosmetic surgery, Urology, and Assisted Reproductive Technology.
Hospital de Madrid: It is a private hospital in the city offering specialized care in areas like cardiology, neurosurgery, and urology.
Unidad Medica: It is a popular hospital in the city. 19 medical specialties are covered by English-speaking doctors. These include Cardiology, general surgery, plastic and cosmetic surgery, and internal medicine.

The doctors in Madrid play a vital role in delivering top-level healthcare services focusing on each patient’s needs. Some of the top doctors in the city include:

Dr. Luis Madero: Dr. Madero has an experience of over 30 years in the clinical area. He is a Pediatric Haemato Oncology Specialist and deals with blood disorders and cancers including leukemia, lymphoma, etc. He is one of the best transplant surgeons in Madrid.
Dr. Jose Tabuenca Dumortier: Dr. Dumortier Orthopaedics & Joint Replacement Surgeon in Madrid with over 28 years of clinical experience in dealing with conditions like shoulder pain, knee pain, Anterior cruciate ligament, etc.
Dr. Antonio Gosalvez: Dr. Gosalvez is a fertility specialist with years of training, experience, and successful treatment outcomes in this area. He has dealt with a lot of patients over time and has been able to produce successful treatment outcomes and results.

Madrid is an easily reachable city by train, bus, and flight. The nearest airport to Madrid is Madrid (MAD) Airport from where you can travel to the city by bus or cab. If you are planning to undergo treatment here, MediGence can assist you in planning your medical travel.

Author

Dr. Vihan Gautam

BPT, MS in Healthcare Mgmt

3 Years of Experience

Dr. Vihan Gautam is a distinguished Rehabilitation Specialist and Healthcare Management Professional, holding a Bachelor of Physiotherapy (BPT) from Rajiv Gandhi University of Health Sciences and a Master of Science in Healthcare Management (MSc) from the prestigious University of London, United Kingdom. With specialized clinical experience and his advanced medical knowledge in neuro-rehabilitation, musculoskeletal disorders, and evidence-based physiotherapy practices, enables him to develop patient-centered rehabilitation protocols and AI-driven care models that deliver measurable functional recovery outcomes. His diverse contributions across international rehabilitation programs, multidisciplinary care, and AI-driven healthcare initiatives uniquely position him as an emerging leader in neuro-rehabilitative care globally. . View More

Reviewer

⁠Dr Rakesh Kumar Dua

Spine & Neurosurgeon

25 Years of Experience

Dr. Rakesh Dua has more than 25+ years of clinical experience in spine surgeries. He is currently providing his services as Director, Neuro & Spine Surgery at Fortis Hospital, Shalimar Bagh. Before joining Fortis Hospital, he was associated with Max super-specialist Hospital, Shalimar Bagh as Director Neurosurgery & Head Neuro Spine, and with UCMS & GTB hospital as head of the neurosurgery department. View More

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Endoscopic Third Ventriculostomy Cost in Madrid