MEDISPA.PRO
1.1.5 1.1 · Physicians' consulting and examination rooms (Physicians' rooms)

Room 1.1.5 · Urologist's consulting room with procedure room

Industry analytical passport of room type Medical consulting room. Full profile of architectural TEP, medical equipment specification (CapEx), MEP engineering loads (HVAC, electrical, water supply and drainage), resort price benchmarks and unit economics financial model.

Net usable area NUA
45.0 m²
GBA: ~58.5 m²
Treatment stations
1 station
Type: T1
Equipment CapEx
8 262 112 ₽
17 items
CapEx Finishes / MEP
6 300 000 ₽
Class V
Total investment
14 562 112 ₽
Turnkey incl. VAT
Payback period
20.7 mo
Base scenario

🏛 1. Architectural and planning parameters and zoning

Total area: 45.0 m²

Building requirements and finishing materials (SanPiN)

Cleanliness class:Class V
Wet point:Required (cold + hot water + drain)
Ceiling height:≥ 3.0 m (clear height)
Door opening width:≥ 1.0–1.2 m (medical standard)
Floor covering:Homogeneous antistatic linoleum
Wall finish:Moisture-resistant paint / disinfectant resistance

Functional zone schedule (3 zones)

Functional zone Area Purpose and technological equipment
Specialist's consultation and work area 13.5 m² Physician/nursing workstation, documentation and MIS
Procedure and treatment zone 24.8 m² Procedure and device treatment zone for 1 station
Preparation and disinfection area 6.8 m² Storage of sterile consumables and disinfectants

⚡ 2. Engineering and technology profile (MEP)

Electrical 16.65 kW · HVAC +3.0/-3.0

Electrical (power supply)

Installed power:
16.65 kW
Design power (Kd=0.72):
11.99 kW
Cable lines:
2 beams
Distribution board:
230V / 50Hz (dedicated medical distribution board)
Residual current protection (RCD):
Individual medical type 'A' RCDs 10 mA / 30 mA
Medical UPS:
Not required

HVAC (ventilation & SanPiN)

SanPiN cleanliness class:
Class V
Supply air exchange:
+3.0 ACH
Exhaust air exchange:
-3.0 ACH
Temperature:
20-22°C
Humidity:
45-55%
Gas destruction:
General ventilation filtration

Water supply & drainage and safety

Cold/hot water points:
1 stations (elbow-operated)
Floor drains:
1 pcs (dry trap)
Water treatment:
Standard cold water filtration
Clinical and technological rationale for synergy
Automatic fire alarm, type 2-3 warning and evacuation system, powder/gas fire extinguishers
Nurse call system:
Installed at stations

🔬 3. Medical and spa equipment specification (CapEx)

8 262 112 ₽
№ Equipment name Brand / Manufacturer Country Ministry of Health registration certificate Qty Unit price Amount (CapEx)
1 Physician's workstation

Ergonomic furniture set for a specialist physician (desk, chair with lumbar support, patient chair, document cabinet) for consultations.

— — Registration certificate not stated 1 80 000 ₽ 80 000 ₽
2 BTL-6000 FSWT shockwave therapy unit

Focused shock wave therapy device for treating enthesopathies, myofascial pain and chronic musculoskeletal disorders.

★ HERO HIGH-TECH
BTL United Kingdom Registration certificate not stated 1 856 000 ₽ 856 000 ₽
3 Personal computer with printer / MFP

Workstation connected to the MIS, the secure EGISZ network and peripherals for maintaining electronic records and generating reports and prescriptions.

— — not a medical device 1 150 000 ₽ 150 000 ₽
4 Device for washing, disinfecting and sterilising rigid and flexible endoscopic equipment and medical optics

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSR 2010/07997 dated 21.03.2022 1 90 000 ₽ 90 000 ₽
5 Electrically powered gynaecological chair

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSR 2008/03499 dated 31.07.2015 1 289 300 ₽ 289 300 ₽
6 X-ray film viewer

High-brightness LED negatoscope with uniform light distribution for expert visual review of X-rays, MRI and CT scans.

— — FSZ 2012/11999 dated 09.07.2020 1 6 500 ₽ 6 500 ₽
7 OBR-30 recirculating irradiator

Closed-type ozone-free bactericidal ultraviolet recirculator for continuous air disinfection in the presence of people in accordance with SanPiN 2.1.3678-20.

— — FSR 2012/13558 dated 28.06.2012 2 7 000 ₽ 14 000 ₽
8 Elbow-operated medical dispenser

Wall-mounted elbow-operated contactless dispenser for hygienic and surgical antiseptic hand treatment of medical staff with liquid disinfectant.

— — FSR2011/12142 dated 30.04.2019 2 3 200 ₽ 6 400 ₽
9 Medical examination couch

Medical examination couch with adjustable headrest and seamless washable upholstery for positioning the patient during initial examination and physical procedures.

— — FSR 2010/09508 dated 30.04.2023 1 8 000 ₽ 8 000 ₽
10 Uroflowmeter with printer

Diagnostic device for non-invasive assessment of urine flow rate, volume and pattern in urological disorders.

— Russia RZN 2015/3404 dated 27.06.2022 1 328 900 ₽ 328 900 ₽
11 Rigid cystoscopy instrument set

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSR 2011/12876 dated 30.12.2011 1 400 000 ₽ 400 000 ₽
12 Endoscopic illuminator

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSR 2009/04861 dated 15.05.2009 1 44 800 ₽ 44 800 ₽
13 Flexible cystoscopy instrument set

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSZ 2008/01978 dated 29.09.2016 1 240 000 ₽ 240 000 ₽
14 Light source with light guide for endoscopic equipment

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSR 2012/13447 dated 25.05.2012 1 50 000 ₽ 50 000 ₽
15 Automatic prostate biopsy device

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSZ 2012/12124 dated 23.07.2012 1 3 800 ₽ 3 800 ₽
16 Ultrasound diagnostic system with a rectal probe

An expert ultrasound system for obstetrics, gynaecology and urology with high-quality imaging of soft tissues and vessels.

★ HERO HIGH-TECH
GE Healthcare USA FSZ 2011/10840 dated 11.04.2019 1 5 609 412 ₽ 5 609 412 ₽
17 Biopsy (puncture) attachment for an ultrasound transducer

Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations.

— — FSZ 2012/12963 dated 23.03.17 1 85 000 ₽ 85 000 ₽
Equipment specification total: 8 262 112 ₽

Key flagship systems of the treatment room (Hero High-Tech)

Medical Class IIa / Russian Ministry of Health registration certificate 856 000 ₽

BTL-6000 FSWT shockwave therapy unit

BTL (United Kingdom) · 1.5 kW

Focused shock wave therapy device for treating enthesopathies, myofascial pain and chronic musculoskeletal disorders.

Medical Class IIa / Russian Ministry of Health registration certificate 5 609 412 ₽

Ultrasound diagnostic system with a rectal probe

GE Healthcare (USA) · 1.5 kW

An expert ultrasound system for obstetrics, gynaecology and urology with high-quality imaging of soft tissues and vessels.

📋 4. Medical services nomenclature and clinical protocols

13 services
Code Unified directory service Market median Facilities Procedure passport
A22.30.015 Shockwave therapy (SWT) 5 250 ₽ 6 Passport →
A04.21.001 Prostate ultrasound 3 700 ₽ 7 —
B01.053.001 Urologist consultation, initial 4 000 ₽ 6 —
B01.053.002 Urologist consultation, follow-up 4 000 ₽ 5 —
A21.21.001 Prostate massage 1 200 ₽ 5 —
A04.28.003 Scrotal ultrasound 3 700 ₽ 5 —
A11.28.008 Bladder and urethral instillation 1 950 ₽ 4 —
A04.28.002.003 Bladder ultrasound 1 500 ₽ 3 —
A11.16.002 Biopsy during endoscopy 2 050 ₽ 2 —
A12.28.006 Uroflowmetry 5 000 ₽ 2 —
A03.28.001 Cystoscopy / urethrocystoscopy 7 350 ₽ 2 —
A11.02.002 Administration of testosterone preparations 12 350 ₽ 1 —
A11.28.007 Urinary bladder catheterisation 2 900 ₽ 1 —

📊 5. Comparative price benchmarking of leading resorts in Russia

Price analytics in the Knowledge Base

Summary price statistics by service category (10 resorts in Russia)

Category Min P25 Median P50 P75 Max Segment leader MEDISPA rec.
Peloid therapy 750 ₽ 1 000 ₽ 1 200 ₽ 1 300 ₽ 1 900 ₽ Medical Spa / Premium segment 1 150 ₽

💰 6. Unit economics financial model and payback scenario analysis

Payback 20.7 mo
Model scenario OCC occupancy Visits/year Revenue per year Gross profit (60%) CapEx payback
Conservative 35% 1 938 8 191 926 ₽ 4 915 156 ₽ 35.6 mo
Base (MEDISPA.PRO plan) 60% 3 322 14 042 094 ₽ 8 425 256 ₽ 20.7 mo
Optimistic 75% 4 153 17 554 731 ₽ 10 532 839 ₽ 16.6 mo

Calculated from the room's procedures: average ticket 4 227 ₽ is the mean of the market medians of 13 of 13 profile procedures; average slot 39 min including service time (norm 30 / 60 min, special procedures by duration); capacity 1 station × 10 h × 360 days (300 h per month = 100 % utilisation) = 5 538 sessions per year. Session duration and margin are planning assumptions.

📚 7. International evidence base (PubMed Evidence Base)

2 studies
Gastric volvulus in children--a diagnostic problem: two case reports. Trecroci I, Morabito G, Romano C et al. · J Med Case Rep (2016)
Level Level 2a (CEBM)

🔄 8. End-to-end patient pathway and interdisciplinary synergy

4 stages
Pathway stage Linked treatment room Fire safety:
Admission diagnostics 1.2.1 Ultrasound and functional diagnostics room Screening of baseline morphofunctional status, exclusion of contraindications and mapping of treatment areas.
Medical case conference 1.1.1 Integrative preventive medicine physician's office Development of a personalised rehabilitation programme and prescription of treatment courses.
Metabolic synergy 1.3.1 Treatment room for infusion and ozone therapy (IV-Therapy) Support of the cellular antioxidant pool and mitochondrial energy metabolism to enhance response to the treatment.
Effectiveness monitoring 3.1.1 Comprehensive check-up monitoring and bioimpedance room Assessment of changes in phase angle, extracellular water balance and autonomic tone after completing the course.

📜 9. Regulatory and licensing status and medical staff requirements

2 staff roles

Russian Ministry of Health regulatory framework

Russian Ministry of Health licensing: primary specialised pre-medical and medical primary healthcare in the following specialities: General Medicine, Neurology, Orthopaedics, Outpatient Care.

SanPiN: SanPiN 2.1.3678-20 "Sanitary and epidemiological requirements for the operation of premises, buildings and structures in the course of medical activity", Section IV.

5P medicine & integrative concept profile:

  • M8: Integrated men's health management & endocrinology (PADAM) — Correction of age-related androgen deficiency, erectile fun...
  • M5: Cardiometabolic continuum & vascular health — Prevention of atherosclerosis, insulin resistance, metabolic...

Staffing and qualification requirements

Medical specialist / Preventive medicine physician (Therapy) 1.0 FTE · 2-on/2-off shift pattern

Higher medical education, a valid specialist certificate and certification in integrative preventive 5P medicine

Treatment room nurse 1.0 FTE · 2-on/2-off shift pattern

Secondary vocational medical education, 'Nursing' certificate, authorisation to perform specialised procedures

💡 10. Frequently Asked Questions & Engineering Specifications

2 verified answers

Q1 What are the space programme and MEP requirements for room Urologist consulting room with treatment room?

The planned net usable area for room 1.1.5 (Urologist consulting room with treatment room) is 45.0 sqm (Class V). HVAC ventilation requires 3.0 air exchanges per hour inflow and 3.0 outflow, with an electrical connected load of 16.65 kW.

Q2 What is the CapEx budget and estimated payback for room Urologist consulting room with treatment room?

Equipment CapEx is estimated at 8 262 112 ₽, fitout at 6 300 000 ₽, with an estimated payback of 20.7 mo across 1 treatment station(s).