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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New Port Patient’s Experience about Hysterectomy Surgery Bangalore India

Abigail Williams a New Port patient describes about her Hysterectomy Surgery and her stay in Bangalore India. 

“I am 53 yrs old and have had 4 children. My uterus has been enlarged but stable for years. At my last doctor’s visit, the doctor said my uterus was even larger and to be prepared for a hysterectomy soon. He said we would monitor it, which we have done with ultrasounds and exams periodically. He told me my estradiol level was at the high end of normal and that could be making my uterus grow. I asked him what I could do to reverse this and he said he did not know of anything that could reverse this problem. I researched for myself and found Indian Health Guru Consultants. After speaking to Dr Dheeraj Bojwani and reading several emails, I was hopeful. The entire cost was actually affordable. Indian Health Guru Consultants was flawless at providing and arranging every detail of my trip to India. The hospital, doctor, accommodations, and everything about India were way beyond my expectations. Every little detail from travel arrangements to communicating with the health professionals in India went off without a hitch. The skill of my surgeon and the level of care and caring from everyone at the hospital were superb. After my release from the hospital, our stay at the Indian hotel was like a dream. If you have to have surgery, I honestly cannot think of a more perfect place to recover than India. I would recommend the experience to anyone without hesitation.”  

Abigail Williams

New Port 

The India hospitals and clinics that cater to the tourist market are among the best in the world, and many are staffed by physicians trained at major medical centers in the United States and Europe. India hospitals perform nearly 15,000 heart operations every year, and the death rate among patients during surgery is only 0.8 percent–less than half that of most major hospitals in the United States. In India hospitals are backed by sophisticated research infrastructures as well. India is among the world’s leading countries for biotechnology research, while both India and South Korea are pushing ahead with stem cell research at a level approached only in Britain. In many foreign clinics, too, the doctors are supported by more registered nurses per patient than in any Western facility, and some clinics provide single-patient rooms that resemble guestrooms in four-star hotels, with a nurse dedicated to each patient 24 hours a day. Add to this the fact that some clinics assign patients a personal assistant for the post-hospital recovery period and throw in a vacation incentive as well, and the deal gets even more attractive. Additionally, many Asian airlines offer frequent-flyer miles to ease the cost of returning for follow-up visits. 

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

  http://www.indianhealthguru.com

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Lithotripsy – Go To India

 

What is Lithotripsy?

Lithotripsy is the use of high-energy shock waves to fragment and disintegrate kidney stones. The shock wave, created by using a high-voltage spark or an electromagnetic impulse outside of the body, is focused on the stone. The shock wave shatters the stone, allowing the fragments to pass through the urinary system. Since the shock wave is generated outside the body, the procedure is termed extracorporeal shock wave lithotripsy (ESWL). The name is derived from the roots of two Greek words, litho, meaning stone, and trip, meaning to break.

Pre-operative care for Lithotripsy:

Prior to the lithotripsy procedure, a complete physical examination is performed, followed by tests to determine the number, location, and size of the stone or stones. A test called an intravenous pyelogram (IVP) is used to locate the stones, which involves injecting a dye into a vein in the arm. This dye, which shows up on X ray, travels through the bloodstream and is excreted by the kidneys. The dye then flows down the ureters and into the bladder. The dye surrounds the stones. In this manner, x rays are used to evaluate the stones and the anatomy of the urinary system. Blood tests are performed to determine if any potential bleeding problems exist. For women of childbearing age, a pregnancy test is done to make sure they are not pregnant. Older persons have an EKG test to make sure that no potential heart problems exist. Some individuals may have a stent placed prior to the lithotripsy procedure. A stent is a plastic tube placed in the ureter that allows the passage of gravel and urine after the ESWL procedure is completed.The process of lithotripsy generally takes about one hour. During that time, up to 8,000 individual shock waves are administered. Depending on a person’s pain tolerance; there may be some discomfort during the treatment. Analgesics may be administered to relieve this pain. 

Procedure of Lithotripsy:

Lithotripsy is a technique used to break up stones that form in the kidney, bladder, ureters, or gallbladder. There are several ways of doing this, although the most common is extracorporeal shock wave lithotripsy. The shock waves are focused on the kidney stone and break the stone into tiny pieces, which are passed out of the body naturally during urination. Throughout the procedure, the doctor can view what is happening to the stones through x-ray or ultrasound monitoring. This procedure prevents patient from having to undergo surgery to have the stones removed, which reduces discomfort, complications, hospital stay, costs, and recovery time.Patient will usually be asked not to drink or eat anything for 6 hours prior to the procedure, or after midnight of the previous night, if the procedure is in the morning. If patient take regular medicines, patient should ask doctor if they are safe to take before the procedure. For instance, patient may be asked to stop taking aspirin and other drugs that interfere with blood clotting several days before.On the day of the procedure, patient should wear comfortable clothes that are easy to remove, as patient will have to change into a surgical gown. The procedure generally takes from 45 minutes to 1 hour. In most cases, patient will be asked to lie on a table on top of a soft cushion, through which the shock waves are directed from the lithotripsy machine, called the lithotripter. Older machines require that patient immerse patient in a specially designed tub filled with water, and although less commonly used, these machines are still available today and are effective. Typically, patient will receive some form of anesthesia, and depending on the level of sedation, patient may feel a tapping sensation when the procedure begins. Since lithotripsy can cause mild discomfort, a mild sedative or painkiller is given beforehand. Patient should tell doctor if patient is pregnant, because lithotripsy must not be performed during pregnancy.While most kidney stones are treated with this type of lithotripsy, not all stones can be treated this way. Sometimes a laser is used to pulverize the stone, but when a laser is used, the doctor must use an endoscope, which is a tube introduced into the body, via the urinary tract, to get close to the stone. The doctor may also access the stone from back into kidney, through a procedure called percutaneous lithotripsy. Laser lithotripsy is usually used when the stone does not respond to extracorporeal shock wave treatment or when it is in a place that is difficult to access. It requires a hospital stay and carries a slightly greater risk of complications than extracorporeal shock wave lithotripsy. 

How successful is lithotripsy?

In those patients who are thought to be good candidates for this treatment, about 70 to 90 percent are found to be free of stones within three months of treatment. The highest success rates seem to be in those patients with mobile stones that are located in the upper portions of the urinary tract (kidney and upper ureter). After treatment, some patients may still have stone fragments that are too large to be passed. These can be treated again if symptoms persist. 

Lithotripsy in India:

Medical tourism can be generally defined as provision of ‘cost effective’ personal health care in association with the tourism industry for your needing surgical healthcare and other forms of dedicated treatment. This process is being facilitated by the corporate sector concerned in health care as well as the tourism industry – both personal and public. Medical or Health treatment package tourism has become a recurrent form of vacationing, and covers a broad range of medical services. It mingles free time, amusing and recreation together with wellness and healthcare packages. The thought of the health holiday is to offer you and chance to get away from your daily habitual and come into a dissimilar calming neighboring. Here you can take pleasure in being close to the beach and the mountains. At the same time you are able to accept a compass reading that will assist you advance your life in terms of your health and general well being. It is like reconstruction and cleans up process on all levels – physical, psychological and expressive. Many people from the urbanized world come to India for the upgrading promised by yoga and Ayurvedic massage, but few consider it a target for hip substitute or brain surgical procedure. However, a nice blend of top-class medical expertise at attractive prices is helping a rising number of Indian corporate hospitals attract foreign your, including from developed nations such as the UK and the US.  

 To know more about Hospitals in India and the Lithotripsy packages available in Hospitals, 

 http://www.indianhealthguru.com  

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Transurethral Resection of the Prostate Surgery – Tourism To India

 

What is Transurethral Resection of the Prostate (TURP)?

Transurethral Resection of the Prostate (TURP) is a surgical removal of part of the prostate gland. The prostate gland is part of a man’s reproductive system. It makes and stores seminal fluid, a milky fluid that nourishes sperm and forms part of semen. The prostate is about the size of a walnut. It is located below the bladder and in front of the rectum.

Who is an ideal candidate for Transurethral Resection of Prostate?

If a person have any of the urinary symptoms i.e. if a person is unable to completely empty his bladder or experiences pain, urgency for urination, has blood in the urine, has extremely slow stream of urine due to cancerous or non-cancerous (Benign Prostatic Hypertrophy) enlargement of the prostate gland, has stones in the urinary bladder; then he is an ideal candidate for Transurethral Resection of Prostate.

Preparations Prior to Procedure of Transurethral Resection of Prostate-Doctor will likely do the following:

• Physical exam
• Review of medications and supplements
• Blood tests including complete blood count, renal function, PSA (prostate-specific antigen)
• Urine tests including urine culture
• Ultrasound of kidney, bladder, prostate
• Urodynamics to assess degree of obstruction
• X-rays of kidneys and chest

How a Transurethral Resection of the Prostate (TURP)is performed:

A TURP is performed by passing a thin tube up the urethra via penis.  The tube is a telescope, so the surgeon can see inside urethra.  The blockage is removed using an instrument attached to the telescope that can cut away the abnormal areas.  This operation usually means about 2 or 3 nights in hospital.TURP is done under a general anaesthetic, but for some men, it is done with a spinal anaesthetic.  This means patient is awake, but cannot feel anything below the level of the anaesthetic injection into spine.Doctor will suggest a spinal anaesthetic if there are reasons why Patient shouldn’t have a general anaesthetic, for example if patient’s lungs are not as healthy as they might be. Postoperative Care for Transurethral Resection of the Prostate (TURP):There will be a catheter in the bladder to drain urine. The urine may be bloody, but do not be alarmed. This is normal. Water may be flushed through the catheter into bladder to wash out blood and clots.

• Always keep the catheter drainage bag below the level of the bladder.
• Do breathing and coughing exercises regularly.
• Rest in bed until the next morning and perhaps longer. The nurse can assist the first time you get out of bed.
• Clean the area where the catheter enters the urethra several times a day with soap, water, and a washcloth.
• Drink lots of fluids, especially during the day, to help flush the bladder.
• Avoid heavy lifting or exertion for three to four weeks.
• Avoid sexual activity for four to six weeks after surgery.
• Avoid consumption of alcohol, caffeine, and spicy foods that may over-stimulate the bladder.

Outcome of Transurethral Resection of the Prostate (TURP):

Recovery from surgery should take about three weeks. Symptoms such as frequent or painful urination will continue for a while but should lessen during the first six weeks. If there is blood in your urine, lie down, relax, and drink a glass or two of fluid. The next time you urinate the bleeding should have stopped. If it doesn’t, call doctor.

Although sexual activity should be avoided for four to six weeks after surgery, the TURP procedure should not affect your sex drive or ability to have sex. The procedure may damage the muscle valve located at the bladder that directs semen into the urethra and out the penis. If this happens, most of your sperm will flow into your bladder and be expelled when you urinate (this is called retrograde ejaculation). This should not, however, be considered a method of birth control. Some sperm may make it into ejaculation. If you are hoping to conceive children in the future, talk to your doctor about the possibility of developing retrograde ejaculation after the TURP.

Transurethral Resection of the Prostate in India:

 India is fast emerging as the medical tourism destination of choice to the world combining the best of Western and Eastern health care systems.60, 000 cardiac surgeries were performed in 2004 that matched international standards. Multi organ transplants such as renal, liver, heart, bone marrow transplants are successfully performed by some of the best qualified specialists in the world in state of the art squeaky clean hospital facilities; all this at 20-30% of the cost in the European Union and North America. India also remains the preferred destination for a natural approach to health including Indian holistic systems of Ayurveda, Yoga and Siddha aside from Homeopathy. Medical Tourism India is a unique venture facilitating individually customized, high quality, low cost medical care when you desire, without waiting, coupled with the joy of exotic retreats, sports for those so inclined, great food experiences, art culture and music and for those who wish to combine work and play- business opportunities galore.  To know more about Hospitals in India and the Transurethral Resection of the Prostate Surgery packages available in Hospitals, 

 http://www.indianhealthguru.com  

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Urethroplasty Surgery In India

 

What is Urethroplasty surgery? 

Urethroplasty is a surgical procedure to correct scar tissue blockage of the urethra called urethral stricture. The urethra is the tube that carries urine from the bladder (through the penis in males) to the outside of the body. A urethral stricture can occur anywhere in the urethra. A urethral stricture is a scarred or hardened area that causes narrowing of the caliber of the urethra. The stricture eventually reduces or obstructs the flow of urine out of the bladder, making it difficult to urinate. The bladder therefore must work harder to push the urine through the narrowed area of the urethra (the stricture). 

Who is an ideal candidate for Urethroplasty?

If a person have a urethral stricture due to any of the causes i.e. repeated episodes of urethritis, benign prostatic hyperplasia, scarring from a previous surgery, injury or trauma most commonly to the pelvic region or from pressure of a tumor, then you are an ideal candidate for Urethroplasty.

What does Urethroplasty procedure involve?

Urethroplasty is performed under general anesthesia. Two Urethroplasty techniques are popularly used:

• Anastomotic Technique – In this method of Urethroplasty, the narrowed part of the urethra is cut and the proximal and distal parts of the urethra are re-joined, a Foley’s catheter will be left in for the next 2 weeks to ensure complete healing and repair. This method of Urethroplasty is used for small urethral strictures i.e. less than 2 cm wide.

• Tissue Transfer – In this method of Urethroplasty, Skin and Tissue is Grafted from a non-hair bearing part of the body like the buccal mucosa or bladder mucosa. Free grafts like Full Thickness Skin Grafts or Split Thickness Skin Grafts can be used for this purpose. Tissue Transfer Urethroplasty can be also be carried out in 2 stages if sufficient local tissue is not available for a Skin Flap Procedure and local tissue factors are not suitable for a free graft.

 Post-Operative Instructions Activity

1. No heavy lifting (more than 15 lbs.) for 4 weeks (1 week for an implant).
2. No driving for 3 weeks (1 week for an implant). We also discourage riding in a car since the vibrations and movement may cause bleeding.
3. Use the stairs infrequently. Take one step at a time, and have assistance available.
4. No long trips for 3 weeks.
5. No cutting the lawn, shoveling snow, raking leaves, etc., for 4 weeks.
6. No sexual activity for 6 weeks after surgery.
7. No manipulation of the prosthesis
8. Showers after the bandages are removed (48 hrs) are okay. It is okay to wash the wound, do not rub the wound just pat dry it. Avoid tub baths or swimming in a pool for 1 week.
9. Regular light activity is encouraged several times daily. We encourage walking. Do not be a couch potato.
10. If discomfort returns then reduce activity, take it easy, and more gradually resume activities.

What is the outcome of Urethroplasty?

The success rate reported for Urethroplasty to treat urethral stricture is 70 – 80%. Urethroplasty has optimal results in case of small strictures (2 cm or less) as well as large strictures i.e. more than 2 cm.

Why should one travel to India for Urethroplasty Surgery?

Health Tourism, Wellness travel Or medical tourism is a concept where a patient travels to another country for medical treatment in order to save costs, or get treatment faster or even to avail of better medical facilities. Most patients from Europe, USA and UK travel to developing countries such as India for treatment because India besides, offering some of the cheapest pricing options of treatment, also offers a good holiday.  There are no waiting lists or queues to stand in, the doctors are comparable to anyone in the world and finally, language does not pose a problem as most people speak English. More and more people have started traveling to India for Medical Treatment and during the past year alone, over 150,000 people traveled to India for their medical requirements. Fact is that the medical tourism is a good idea if – you want to save costs, you need the treatment to be done at your time and convenience; you need a high quality budget incorporated. India boasts of several good private owned hospitals with facilities second to none. They have some of the best specialist doctors, with most top end being educated in USA and UK. When it comes to becoming a doctor, India also has some of the strongest criteria. Language is another plus factor – English, which is widely spoken throughout the country and in all good hospitals. Furthermore, the costs are much lower than most countries and most importantly; there are no waiting lists  

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

 http://www.indianhealthguru.com  

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