New Jersey Patient’s Experience about Total Cystectomy Surgery Mumbai India

Arthur Bakera New Jersey patient describes about her Total Cystectomy Surgery and her stay in Mumbai India-

“I contacted Indian Health Guru Consultants in India for help after visiting the website on Internet seeing a Total Cystectomy Surgery in India Dr Dheeraj Bojwani of Indian Health Guru Consultants made all the arrangements for me I to go to India – flights, visas, consultations etc. – Indian Health Guru Consultants referred me to see a US Board Certified Surgeon in Mumbai. Right from being met at the airport in the early hours of the morning the unmatchable care demonstrated by all the Nursing Staff, the beds being changed and the suite being cleaned daily by the boys, the friendliness and approachability of the consultants and doctors, makes me unable to praise and thank them all sufficiently. I am prepared to allow anyone to contact me at any time to ask me questions about the events during my 10-day stay with them. In closing the charges made were unmatchable in New Jersey or throughout Australia. I assume this applies generally worldwide. We made friends there My sincere thanks to all concerned –Dr Dheeraj Bojwani at Indian Health Guru Consultants, the Surgeons and nurses at Hospital in Mumbai.”

Arthur Baker

New Jersey 

In the past 30 years, the costs of health care have soared in developed countries, especially in the United States. Due to rapidly escalating health care costs, Americans, Europeans, Canadians and Australians in ever increasing numbers began to search for alternatives that could reduce their personal out of pocket medical expenses. In the last few years, millions of people from developed nations have chosen to become Medical Tourists.  Indian fees for medical and surgical care are very low compared to what is paid in the United States, Europe or Australia. In some cases, the savings from dental work alone can give people extra money for a luxury vacation. Medical Tourism can certainly be a win-win proposition. While taking care of health needs at deep discounts, shopping excursions, river tours, sight-seeing, nature excursions, intellectual pursuits, religious pilgrimages, cruises, ancient site tours, safari’s, hunting or fishing trips and visits to international beaches can all be arranged around a medical appointment schedule.  Medical Tourism is a simple concept: people combine medical treatments with vacations, and use the savings on their medical care to pay for the vacation.

To know more about Hospitals in India and the Total Cystectomy Surgery packages available in Hospitals,   

 http://www.indianhealthguru.com 

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Vesicovaginal Fistula Surgery in India-Go Get it.

What is Vesicovaginal Fistula?

A Vesicovaginal Fistula is an abnormal connection between the urinary tract and the vagina so that the patient presents with urinary incontinence. The term vesico refers to the urinary bladder. It is the most common type of urinary tract fistula.  This is an injury, often secondary to an obstetric manipulation, gynecologic surgery, radiation or invasive cancer of the cervix. Patients will present with constant leakage of urine. 

What are the types of Vesicovaginal Fistula Surgery?

Depending on the location, cause, complexity, or site of obstruction, Vesicovaginal Fistula can be classified as:

·   Simple Vesicovaginal Fistula – In this type of Vesicovaginal Fistula, the length of vagina is normal, fistula is less than 2 cm long and there is no history of radiation or vagina/cervical malignancy. Simple Vesicovaginal Fistula is quite straightforward to repair.

·  Complex Vesicovaginal Fistula – In this type, vaginal length is shortened, there is history of pelvic malignancy which may have resulted in radiation therapy and is the fistula is more than 3 cm long. The repair of Complex Vesicovaginal Fistula is quite complicated and can pose a challenge to the surgeon.

 Procedure for Vesicovaginal Fistula Surgery: 

1. Transvesical approach. 

This approach is usually done when the fistula is located at the level of the ureteral orifices or higher or if the vagina is stenotic. After opening the bladder, ureteral stents are placed to identify the ureters. The fistula is exposed, circumscribed and excised, thus allowing closure of the individual vaginal and bladder layers. Omentum can be useful to interpose between suture lines to improve healing rates.  

2. Vaginal approach. 

This approach is ideal for low-lying fistulae with an adequate vagina. The fistula is excised and surrounding tissues gently mobilized to allow layered closure. Immediately prior to the repair, cystoscopy and ureteral catheterization may be reasonable to allow identification of the ureteral orifices. 

Postoperative care for Vesicovaginal Fistula Surgery. 

A light vaginal pack is used for 24 hours. A Foley catheter is left for about 14 days. The appropriate anti-spasmodics are used to prevent bladder spasms and damage to the repair site. Antibiotics are also administered. Patients are also instructed to avoid intercourse for at least 6 weeks after surgery to allow complete healing of the repair site. 

What is the outcome of surgical repair of Vesicovaginal Fistula?

Surgery to repair Vesicovaginal Fistula is quite successful. The success rate of repairing a Vesicovaginal Fistula is 90 – 95%. For repair of complex Vesicovaginal Fistula, the success rate is less than 90%, but, for experienced surgeons, the outcome remains highly successful.

Travel to India for Vesicovaginal Fistula Surgery:

Several superspeciality hospitals in India offer comprehensive urological services to diagnose and treat stone disease, urological cancer, incontinence, infertility, impotency and other urinary difficulties. Advanced methods such as lithotripsy for treating kidney and ureteric stones without surgery are available with complementary methods of treating stones endoscopically. Advanced machines like the Lithostar obvert the need for anaesthesia in the treatment of kidney and ureteric stones. High tech facilities for the treatment of prostate, bladder cancers, urethral strictures are also available. Investigation and treatment facilities for impotence and male/female infertility exist with specialised facilities for pharmacotherapy, cavernosometry and cavernosography, in addition to Doppler studies for the assessment of blood flow. India is considered the leading country promoting medical tourism-and now it is moving into a new area of “medical outsourcing,” where subcontractors provide services to the overburdened medical care systems in western countries. Western patients usually get a package deal that includes flights; transfers, hotels, treatment and often a post-operative vacation, the reasons patients travel for treatments vary. Many medical tourists from the United States are seeking treatment at a quarter or sometimes even a 10th of the cost at home. From Canada, it is often people who are frustrated by long waiting times. From Great Britain, the patient can’t wait for treatment but also can’t afford to see a physician in private practice. For others, becoming a medical tourist is a chance to combine a tropical vacation with surgery. 

 To know more about Hospitals in India and the Vesicovaginal Fistula Surgery packages available in Hospitals, 

 http://www.indianhealthguru.com 

 International Patient Experiences & Photos 

International Patient Testimonials