Cancer

Vesicovaginal Fistula Surgery in India-Go Get it.    by Dr.Dheeraj.Bhojwani

The new millennium has many economic opportunities, one of them being medical tourism. For the uninitiated medical tourism refers to a tourist visiting another country with the dual purpose of getting medical treatment, which is more affordable in the other country and enjoying a vacation as well. A question that pops up: What does a medical tourist want? Primarily, it is the low cost of treatment and medicines in India. There is no compromise on the quality of medical services, which can confidently compete, with that of even the most developed nations. India has achieved universally acclaimed standards in complex and significant procedures such as cosmetic surgery, to urology surgery. And all this at 1/10th of the price compared to developed nations. India with advanced medical services paired with her exotic natural bounties has become a heaven for medical tourists.

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 affordable Vesicovaginal Fistula surgery in India-please visit the Website
=>http://www.indianmedguru.com

Important Details:

Medical Tourism to India – http://www.indianmedguru.com

International Patient Experiences – http://www.indianmedguru.com/testimonials-international-patients-india.html

Email – contact@indianmedguru.com

Contact Number- 0091-98607-55000.

About the Author

Dr Dheeraj is a “Medical Tourism Consultant” to international patients who want to come to India for medical treatment and surgery.He consults,co-ordinates and makes customised medical packages for International patients suiting their needs and requirements.

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