Endopyelotomy Surgery in India-costs, Benefits and Risks

This article describes about getting low cost Endopyelotomy Surgery in India, the advantages and the risks associated with traveling to India and the total…

India’s health care services industry is poised to become a major driver of economic growth as first-world patients, driven out of their own systems by high costs and crowded conditions, look for cheaper places for medical care. For India, new terms such as health tourism, health care outsourcing and medical back office support are suddenly gaining currency. The health care sector in India has witnessed an enormous growth in infrastructure in the private and voluntary sector. The private sector which was very modest in the early stages, has now become a flourishing industry equipped with the most modern state-of-the-art technology at its disposal. It is estimated that 75-80% of health care services and investments in India are now provided by the private sector.

What is Endopyelotomy Surgery?

This operation is done to open up a narrowing of the ureter. This is the tube that goes from patient’s kidney to patient’s bladder. A nephrostomy tube (a small drainage tube) is passed through an incision (cut) in patients back into patient’s kidney.

A ureteric stent (small hollow, plastic tube) is then passed through the nephrostomy tube into the ureter. This stent makes sure that urine (pee) drains from the kidney to bladder. The nephrostomy tube may be removed after patient’s stent is in place. Patient’s stent will stay in place for a few weeks.

What does the procedure for Endopyelotomy Surgery involve?

Two approaches are commonly used for Endopyelotomy; both these techniques are performed under general anesthesia. Patient will be required to stay in the hospital for 2 days following the Endopyelotomy procedure:

·Antegrade Endopyelotomy – In this procedure, the ureteropelvic junction of the kidney is approached from the side through the Nephrostomy tube. A blade is used to cut the UPJ and relieve the obstruction. The entire procedure takes about 2 – 3 hours. The nephrostomy tube is left in after Endopyelotomy.

·Retrograde Endopyelotomy – This procedure is performed by approaching the UPJ via the urethra. The Retrograde Endopyelotomy instrument contains a balloon that dilates and at the same time cuts to relieve the obstructed UPJ. This technique of Endopyelotomy is performed under general, regional or intravenous sedation. The entire procedure of Retrograde Endopyelotomy takes about 2 hours.

Benefits of Endopyelotomy Surgery:

·Short hospital stay

·Quicker recovery

·Less pain during post-operative period following Endopyelotomy

·Less need for pain medication

·Quicker return to normal activity and work

·Smaller incisions and less scarring

·The advantage of this approach is two fold. Primary placement of the stent helps to define the appropriate site and direction for the endopyelotomy incision, allowing marsupialization of the proximal ureter into the renal pelvis. Use of this technique also obviates the need to pass a large-caliber stent after the endopyelotomy incision has been made, thereby avoiding a potential risk of ureteropelvic junction disruption.

Risks of Endopyelotomy Surgery:

·Failure of the operation

·Excessive bleeding

·Infection (at the operation site or the urinary tract)

·Injury to other organs and tissues

Cost of Endopyelotomy Surgery:

Endopyelotomy surgery cost depends on the particular surgery that is being performed, its complications and also depends on specific hospitals and geographical areas and even countries. For e.g. In India Endopyelotomy surgery is performed at a very low cost, compared to countries like United States. Patients planning to undergo Endopyelotomy surgery should make sufficient inquiries to their doctor regarding the surgery, surgery procedures, risks, cost estimates and alternate treatments available etc.

Further they should choose a hospital that is known for its quality rather than just on the basis of cost alone. Also, patients should ensure that the when then estimate the cost of the surgery, they should consider the cost of the surgery, surgeon fees, other hospital expenses like stay, anesthesia cost, cost of medicines, any treatment or facility or nursing required during the recovery period etc.

Insurance companies also provide coverage for Endopyelotomy surgery and will reimburse the cost of the surgery. Patients should confirm with their insurance providers regarding their specific insurance plans, surgery details and get the coverage information before undergoing the surgery.

Why to get Endopyelotomy Surgery in India?

As it is known, medical procedure prices are extremely high in the United States. 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 come to India.

India facilitates uninsured and underinsured American patients seeking affordable medical treatments along with an opportunity to explore mystic Asia and near by tourist locations. Health care in India is comparable too much that is available in the United States, and at a far lower cost. Medical procedures in India cost approximately 20% to 30% compare to the ones in U.S. Unlike many of its competitors in medical tourism, along with World-renowned Consultants and Surgeons, India also has the technological sophistication and infrastructure to maintain its market niche and Indian pharmaceuticals meet the stringent requirements of the U.S. Food and Drug

Administration. A growing number of uninsured and underinsured Americans seeking low cost quality medical care and surgery are boarding plane to India. India has the top-notch centers for open heart surgery, pediatric heart surgery, hip and knee replacement, eye surgery, dentistry, bone marrow transplants and cancer therapy and virtually all of India’s clinics are equipped with the latest electronic and medical diagnostic equipment.

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