After having whole discussion I fly to India for surgeons of total cystectomy at hospitals of Delhi. There I met my surgeon. He explained the whole procedure. My surgery was performed under general anesthesia and taken about 2 – 3 hours. An incision was made across the lower abdomen; the ureters are cut from the bladder, freeing it for removal. The bladder and associated organs i.e. prostate gland, seminal vesicles, vas deferens in men and the uterus, fallopian tubes, ovaries, and part of the vagina in women. A method of urinary diversion was created to remove the urine after this surgery. The tissues and nerves around the prostate and bladder are dissected very carefully to ensure not to damage them during the procedure. However, the nerves controlling erection of penis may be damaged during the surgery. In women, your surgeon will reconstruct your vagina after the surgery. The surgery was performed well.

Many people from the urbanized world come to India for surgeons of total cystectomy at hospitals of Delhi and 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 patients, including from developed nations such as the UK and the US. Things are going to change radically in favor of India, particularly in view of the high eminence expertise of medical professionals, backed by the fast improving tools and nursing amenities, and above all, the cost-effectiveness of the pack up. India is the land to travel to, a sanctuary of tourism escapade, and a civilization to tour through. Tourists come to India for its affluence of sights, cultural excitement, and diversity of landscape and in search of that extraordinary something, an extra punch that only India promises and delivers. My tour for surgeons of total cystectomy at hospitals of Delhi in India was awesome!!!!

My doctor told me that I will be heavily charged for this surgery in UAE as the medical infrastructure is so costly. He suggested me to go India for radical nephrectomy as the medical healthcare groups over there are providing surgeries at a very affordable cost. Having heard much of India, both as a great vacation destination and a place where excellent dental and other medical services are extensively available at a reasonable cost, India became my choice. I researched several websites based in India. Two healthcare groups in India caught my attention, I was particularly drawn to Forerunners Healthcare Consultants, a medical healthcare group because the website answered most of my questions and I liked the fact that my point of contact was with an English person.  Furthermore, there was information about flights from the UK; pick up’s from the airport and hotel accommodation reservations.  These things, along with some of the comments of former clients, gave me the confidence to proceed. And found their site to be the most sophisticated and informative. Why, because their website visually was presented in a very analytical, (the way scientists think), typo free, easy to navigate, informative way. I e-mailed Dr. Dheeraj Bojwani. I reported the extent of my problems and also that I only had about a week to get the work completed. Was it possible? My answer came back the next day as a very friendly and helpful reply from Dr Dheeraj Bojwani. Not only was it possible, he suggested who to contact for accommodations and assured me concerning other issues. Radical nephrectomy at Mumbai in India is becoming very popular among international patients just because of cost consideration.  

I arrived in India and was scheduled to be picked up at my hotel. The wonderful representative of that medical healthcare group was there promptly with a brand new mini van to whisk me away and he quickly dispersed any nervousness I had with his cheerful personality. On the drive from the airport I noticed that parts of the city were covered in graffiti. I was worried about cleanliness and hygiene. I told myself that if I wasn’t happy with the situation when I reached the surgeon’s I would not have any treatment. My fears on arriving at the clinic were quickly alleviated. It was so clean, professional and empathetic. From the time of my arrival to my departure, the time elapsed was 9 days. During that period I was picked up at my hotel every day. This company seemed to provide the most suitable and professional package, which included a lovely hotel in the middle of City; taking less than 2 hours to get there. The clinic was located near the hotel and has the latest technical equipment and the most professional staff.  I was scheduled for treatment. On arrival at the clinic, the work started almost immediately. My first observation on day one was the harmony between doctor and his staff of doctors and assistants. In a very short time I felt that harmony extended to me; I felt more like a family member than a patient.

During my post operative operations, it was extremely crucial for mysurgeon to assess my kidney function before radical nephrectomy. A thorough physical examination, ECG, chest x-ray, complete blood profile, complete kidney profile, pulmonary function tests, blood gas analysis, blood typing and cross matching was done in case transfusion was required. Specialized tests like intravenous pyelography, Cystoscopy / Ureteroscopy, retrograde pyelography, cystourethrography, CT scan, ultrasonography, MRI, renal angiography and renal venography was performed for complete anatomic assessment. I was hospitalized at least one day before the surgery. I informed my surgeon about my other health conditions and medications. I refrained from taking aspirin or Ibuprofen at least 2 weeks before the surgery. I do not ate or drink any thing for at least 10 – 12 hours before the surgery.

My surgery was performed under general anesthesia. Abdominal approach was anterior subcostal, thoracoabdominal, or flank approach. The kidney was dissected free of its attachments. The renal artery and vein were dissected and cut, ureter was cut and the adrenal gland was freed and removed along with the kidney. A drain was left in and the wound was closed. It was a minimally invasive procedure in which the kidney was removed by making four small incisions. Surgical instruments were used to free the kidney from its surrounding structures and the kidney was removed through an incision in the front of the abdominal wall below the navel. The renal artery, renal vein and the ureter are then tied off and the incision was sutured. It took up to three hours.

Following radical nephrectomy, I spend the next few hours in the recovery room to monitor my heart and lung function and also to check for any immediate post operative complications like excessive bleeding. I was hospitalized for about 5 – 7 days and those days were quite painful and uncomfortable. I was prescribed pain medication to cope with the pain. As with all other major surgeries, I was encouraged to do deep breathing and coughing exercises following the surgery. I avoided strenuous activities, heavy lifting and playing sports for 2 – 3 weeks after radical nephrectomy. I was able to return to my daily activities in 4 – 6 weeks. My renal function was monitored closely to make sure that one kidney can take over and compensate for the loss of the removed kidney.

Everyone involved in my treatment exhibited a high degree of professionalism, which demonstrated the pride and joy they have in their chosen professions. The end result was very much above my expectations. They changed my life, gave me my smile back, and the experience of a life time with their warm hearted generosity and care. I consider them friends for life. They organized a tour which included Agra and Goa.   Even if I could have afforded to have the treatment in the UAE I wouldn’t have been as happy as I am with the whole service and experience that I had in India at Mumbai for my radical nephrectomy. High quality and affordable surgery were my priority and these were provided to me complete satisfaction by Forerunners Healthcare. Although I live in UAE, I preferred to have the treatment in India because it costed me much less compare to UAE prices. I’m admired by surgeon’s work, Indian work environment and professional staff. Good weather, costs and love of Indian food were the deciding factors to get my radical nephrectomy at Mumbai in India.

Doctor ran tests, including ultrasounds, and determined that I was dealing with more than a bladder infection. He found megaureter1 on my right side and that my right kidney was significantly smaller than my left, probably resulting from an infection that had stunted the kidney’s growth. He also was able to detect vesicoureteral reflux in the otherwise normal left kidney. This is a condition in which urine flows backward, from the bladder to the kidney. Over time, that can worsen and result in kidney damage. Doctor ran tests, including ultrasounds, and determined that I was dealing with more than a bladder infection. He found megaureter1 on my right side and that my right kidney was significantly smaller than my left, probably resulting from an infection that had stunted the kidney’s growth. He also was able to detect vesicoureteral reflux in the otherwise normal left kidney. This is a condition in which urine flows backward, from the bladder to the kidney. A child with vesicoureteral reflux is predisposed to kidney infection. Over time, that can worsen and result in kidney damage. “Having no health insurance we could never afford it so, I was given information of Forerunners Healthcare Consultants for Pyeloplasty in India from a friend. From the very first contact with them, I have been extremely impressed with the caring and professionalism of Dr Dheeraj Bojwani. An organization that is very professional and put the needs of the customer first. I booked myself for my pyeloplasty surgery in India. After a few days I flew to India for the surgery.

One of the consultants picked me up from the airport and took me to the hotel that was reserved for me. Next day I went to meet my surgeon. A thorough pre-operative assessment by my urologist comprised of physical examination, urinalysis for the presence of blood and white cells, urine culture for infection were performed. I informed my surgeon about my other health conditions and medications that I took. I refrained from taking aspirin or Ibuprofen at least 2 weeks before laparoscopic pyeloplasty. I Do not ate or drink any thing for at least 10 – 12 hours before the surgery. Laparoscopic Pyeloplasty was performed under general anesthesia. Three small incisions were made near the umbilicus, a laparoscope was inserted through the incision, the ureteropelvic junction (UPJ) was relieved of it’s cause of obstruction and a stent was inserted inside the ureter at the UPJ to keep it patent, bridge the pyeloplasty repair and help drain the kidney. The entire procedure took about 3 – 4 hours. A catheter was placed in my bladder to drain the urine for the next few days.

I spend the next few hours following the surgery, in the recovery room to monitor my vital signs and observed for any immediate post-operative complications. I was hospitalized for 24 – 48 hours following the surgery. Pain medication and antibiotics was given post-operatively. The stent was removed 4 – 6 weeks after the surgery. I avoided performing strenuous activities like lifting something heavy, jogging, treadmill or playing sports for at least 2 weeks after the surgery. I was instructed to move around, avoid getting constipated, do some very simple breathing exercises to help prevent respiratory infections. I was able to perform all my routine daily activities in about 2 – 4 weeks time after the surgery.

This trip for pyeloplasty in India lived up to and exceeded my expectations. My surgeon was excellent. He was a fine gentleman, a great technician and explained everything thoroughly. Nursing care in the hospital was exceptional. The hospital was interested in my experience as well, and went to great lengths to get insight on how they could improve their services. Forerunners Healthcare Consultants gave me the best customer service I’ve received in many years. They were attentive to detail, supportive during my visit abroad and kept my family informed of my progress as well. UK healthcare should be so efficient and patient oriented.” If anyone wishes to have their surgery I would recommend India like I did for my pyeloplasty.

      I am Mustafa (60) from Bangladesh, came to India for treatment of Parkinson’s disease at Delhi. I am here to share my experience of travel to India with the co-ordination of DHEERAJ BOJWANI HEALTHCARE CONSULTANTS. A couple of months before, I had a severe neuro problem or you can call disease i.e. Parkinson’s disease. I begin to have an affect on small areas of cells in mid brain known as the substantia nigra. Degeneration of these cells caused a reduction in the chemical called dopamine, and this reduction results in the signs and symptoms of Parkinson’s disease. I consulted my doctor and he told me about the whole conditions and symptoms. Parkinson’s disease is a non-fatal, chronic neurological condition named after Dr. James Parkinson, who first identified and described the syndrome in 1817. The disease progresses slowly, affecting a small area of cells in the mid-brain known as the substantia nigra. Although Parkinson’s disease can occur at any age, it rarely occurs in individuals younger than 30. Rather, it often occurs between the ages of 50 and 80 years, with most people experiencing their first symptoms around age 60. Typically, risk increases with age. Early symptoms are generally subtle and progress gradually. Although Parkinson’s disease is a chronic illness, medication and the support of friends and family can help relieve many of the symptoms. This enables affected individuals to maintain a reasonable quality of life.

Then he suggested me to take a medical surgery as soon as possible. But I was very nervous about healthcare and costs. I was thinking that how will I manage all this suddenly!! Then my doctor showed me the website of Dheeraj Bojwani healthcare consultants for Parkinson’s disease treatment at Delhi in India that was available at a very low cost with best medical facilities and infrastructure as compared to US, UK. I visited that website and was very impressed. So I contacted to Dr. Dheeraj Bojwani for the consultation of Parkinson’s disease treatment at Delhi in India. He offered me the best prices. He gave me all the description about cleanliness etc of Indian hospitals and assured me that I won’t let you down. So I decided to travel to India for Parkinson’s disease treatment at Delhi. My wife was there with me. We both were received very warmly by the consultants of the company. I also met to Dr. Bojwani. My surgery was to be performed next day, I was very nervous but my wife gave me courage.

In my case, surgery was needed as I do not respond to drugs. A therapy called deep brain stimulation (DBS) has now been approved by the U.S. Food and Drug Administration. In DBS, electrodes were implanted into the brain and connected to a small electrical device called a pulse generator that was externally programmed. DBS reduced the need for levodopa and related drugs, which in turn decreased the involuntary movements called dyskinesias that are a common side effect of levodopa. It also helped to alleviate fluctuations of symptoms and to reduce tremors, slowness of movements, and gait problems. DBS required careful programming of the stimulator device in order to work correctly. My surgery was performed very well. After that me and my wife was taken to some sight-seeing places of Delhi like India Gate, Indira Gandhi National Airport etc. The cost was included in the surgery package. I was very surprised to see that how India is so beautiful due to its cultural heritage and Indian traditions. I can’t forget my memorable trip to India for Parkinson’s disease treatment at Delhi.

     I am Zaara from Pakistan. I am here to share my experience of nephrostomy at hospital Mumbai in India. One of my ureters was blocked and the urine that is produced by the kidney cannot flow forward. I was very worried about the problem. I consulted my doctor; he told me that nephrostomy should be performed as soon as possible. But the medical infrastructure of Pakistan is not as good as other countries so he suggested INDIANHEALTHGURU, famous medical healthcare group in India. So I searched for their website and contacted Mr.Dheeraj Bojwani. He replied my mail within few days. He was so kind, and answered all my queries regarding the nephrostomy surgery at hospital of Mumbai in India. Health tourism is a developing concept whereby people from world over visit here for their medical and relaxation needs. Most common treatments are heart surgery, knee transplant, cosmetic surgery and dental care. The reason India is a favorable destination is because of its infrastructure and technology in which is in par with those in USA, UK and Europe. It has some of the best hospitals and treatment centers in the world with the best facilities. Since it is also one of the most favorable tourist destinations in the world, medication combines with tourism has come into effect, from which the concept of medical tourism is derived.

So I decide to fly for nephrostomy at hospitals of Mumbai in India. After traveling there I met my surgeon. He told me about the procedure. My procedure involved inserting a tube or a catheter through the skin inside the kidney to drain urine. Nephrostomy tube or catheter was kept patent by inserting a stent inside it. It can be temporary or permanent. It was a kind of ‘Interventional Radiology’ procedure. It is usually performed when one of the ureters is blocked and the urine that is produced by the kidney cannot flow forward. As a result the back pressure of accumulated urine can cause damage to the kidney tissue and result in kidney failure. It can also be performed to access the kidney stone in the upper part of renal pelvis, that way it can either be dissolved chemically or by Intracorporeal Shortwave Lithotripsy (ICSWL). If you have a stone in your ureter that is large and / or of abnormal shape like stag horn calculus in the renal pelvis which either needs to be dissolved chemically or by ICSWL, if you have a stricture in your ureter that hampers the passage of the stone thus causing complete blockage and back pressure on the kidney, if there is a retroperitoneal tumour that is pressing on the renal pelvis or ureter causing your ureter to kink, if you have a tumour of the renal pelvis that has been resected and needs local chemotherapy, then you are an ideal candidate for Nephrostomy. Medical tourism is providing nephrostomy at hospital of Mumbai in India to international patients.

My surgery went well. I am thankful to Dr. Dheeraj Bojwani.  As health care costs skyrocket, patients in the developed world are looking overseas for medical treatment. India is capitalizing on its low costs and highly trained doctors to appeal to these “medical tourists.” Even with airfare, the cost of going to India for surgery can be markedly cheaper, and the quality of services is often better than that found in the United States and UK. Indeed, many patients are pleased at the prospect of combining their surgeries. My trip for nephrostomy at hospital of Mumbai in India was great!!!!

                       My name is Kate Williams, I am a U.K resident living in London, and I would like to share my experience of knee transplant surgery at Hyderabad in India with all of you. Two years before I was working as finance consultant in London, everything was going well with my daily routine, household affairs and official work. Then suddenly I started experiencing something wrong with my knees, the cartilage in my knee joint gradually wore away, my knee joint became inflamed and its cartilage got completely destroyed. My knee suffered pain swelling and showed a decrement in motion. I quickly approached a surgeon who detected my trouble as osteoarthritis after making a diagnosis.

I was suggested to get knee replacement surgery, but the treatment charges in U.K were too high, moreover the expenses of transplant and lodging were unaffordable in U.S.A and all over Europe. Now I started seeking the best knee transplant surgery at an affordable charge by searching medical treatment catalogues, magazines and of course on the internet, one of my office friends told me that in India medical surgeries and transplants are being provided with the best ultra modern facilities at a less charge as compared to other international rates. I came across a website of a healthcare group in India called FLY2INDIA4HEALTH, it provided information about various medical treatments. Fortunately I came in contact with a representative of that group who after knowing my case in detail offered to arrange my knee replacement surgery at Hyderabad in India which contained the arrangement of my traveling, lodging and medical treatment facilities. That kind representative took my case with due consideration and called me on phone to inform me that he had made all arrangements and I will have to come to Hyderabad after a week at the hospital that has been referred by him for me.

I reached at the airport along with my husband where that medical representative received me for my knee replacement surgery at Hyderabad in India with a warm cordial welcome and we were transferred to a luxurious hotel for lodging purpose, I liked the place too much as it had all the modern facilities with a classical outlook which gave the lodging persons a homely atmosphere, the Indian food that was served to us was really a “yummy” in taste however I had to avoid taking oily and spicy Indian dishes as recommended by the medical representative who was famous by the nickname “healthguru”. The group also provided me with a pre-activated cell phone facility which the medical representative kept a constant contact taking information about my medical treatment progress. The hospital where I was about to be medically operated was not too far, the doctors and including the entire staff were fluent and efficient at spoken English such that I was easily able to converse with them, all of them responded to me in a friendly manner during the entire process of the medical knee transplant. During the treatment the doctors took a physical examination of my case by developing an x-ray film of my knee, they bended my leg and tried to rotate it in rightward as well as leftward direction, occasionally the doctors used arthroscopy to diagnose Osteoarthritis.

When a knee replacement was performed, the bone and cartilage on the end of the thigh bone and top of the shin bone were removed. This was performed using precise instruments to create surfaces that can accommodate the implant perfectly. A metal and plastic knee replacement implant was then placed in to function as a new knee joint. Depending on the condition of the cartilage underneath the kneecap, the kneecap surface was also replaced. I was provided with a meniscus transplant surgery, which included the placement of a knee cartilage from a cadaver donor, after the transplant I was recommended to take a continuous rest for fifteen days, thereafter the physicians encouraged me to undertake  nominal simple exercises like making a slow rotatory motion of the transplanted knee, walking etc. Knee replacement surgery was very successful, but the success of the procedure was partly due to the rehabilitation period that follows the surgery. For patients to expect a good result from knee replacement surgery, they must be an active rehab participant. Rehabilitation after knee replacement begun immediately. I worked with a physical therapist as soon as the surgical procedure had been performed. The emphasis in the early stages of rehab was to maintain motion of the knee replacement and to ensure that that I can walk safely. The body reacts to surgery by making scar tissue, and patients may never recover normal motion if they do not focus on bending and straightening their knee replacement.

 After having undergone the medical transplant I was transferred for enjoying a holiday trip. I was made to lodge at a lovely hotel resort arranged by the medical group where the “healthguru” also made a visit to me two times during the pleasant one week holiday and wished me his cordial best regards for getting a speedy recovery and that worked a lot indeed as I was able to walk comfortably and normally without the slightest pain sensation and this indeed seemed a miracle to me. I realized that Indian medical treatment is so effective because it also uses love, friendly behavior and true feelings of hospitality to every patient as a healing medicine apart from using modern treatment techniques. I returned back after enjoying the holidays where the arrangements for my return journey by air had already been arranged in advance by the medical healthcare group and its representatives came to bade me a warm cordial goodbye at the airport. After sincerely thanking them I flew back to London to resume back into my daily routine life, now all is going on very well but I keep on narrating my unique, pleasant experience of knee replacement surgery at Hyderabad in India cum holiday trip to my friends and relatives. Moreover I shall always remain obliged and grateful to the representatives of that group in helping to solve my medical problem in a manner that makes me feel that I didn’t go any painful surgery rather coming to India was a pleasant holiday trip for me. I would highly recommend all national and international patients to approach this group just like I did for my knee replacement surgery at Hyderabad in India.

I arrived here within a week, I was met and greeted by their representative at the airport on the arrival and they were always there to support and resolve any situation that came up. I felt extremely well taken care of and pampered spent a day getting my pre operative investigations. It’s been very nice; in fact it was like going to a hospital in Canada. If the hernia bulge can be pushed back in and the symptoms are tolerable, you may not need surgery. My physician suggested that I should wear a special belt to support the area, and avoid heavy lifting. The surgery to correct the condition was performed under a local or general anesthesia, in the hospital. The surgery, called herniorrhaphy, repairs the opening in the muscle wall. Inguinal herniorrhaphy was performed using a laparoscope, a thin, telescope-like instrument that requires a small incision and involves a short recovery time.

During laparoscopic surgery, five or six small incisions were made in the abdomen. The laparoscope and surgical instruments were inserted through these incisions. The surgeon was guided by the laparoscope, which transmited a picture of the internal organs on a monitor. The advantages of laparoscopic surgery included smaller incisions, lesser risk of infection, lesser pain and scarring, and a more rapid recovery. Sometimes the weak area is reinforced with steel mesh or wire. This operation is called hernioplasty. I don’t remember much of the day of the surgery, I just slept through the day, but I do remember when I entered the surgery suite, … the place was so huge, with all modern facilities, so bright and amazing … I have never before seen in a surgery suite like that. When I came out of the surgery I was immediately covered with a warm blanket and the painkillers were started and did not experience any pain. The IV was kept on for three days. Since then I have been back in my room. Dr Dheeraj Bojwani couldn’t have been better leading me to steady progress. He is extremely charming and has a good sense of humor. The aftercare and my stay in hospital was wonderful, I was visited regularly by the doctors and nursing care staff.

The hospital food and the hygiene standards in the hospital were better than in Canada. The quality of medical care like any service delivery is to a large extent determined on the out come, and after complete recuperation, I can say with confidence that I was satisfied when I visited India for the inguinal hernia surgery at Bangalore. The entire surgery treatment facilitation abroad to India was handled excellently by the medical traveler assistance team of their health care. The care was unique right from the reception to the panel of doctors and to the pre and post surgery care. Thanks to Indian Health Guru Consultants for filling healthful joy and smiles in my life with inguinal hernia surgery in India. While leaving this beautiful country- India in best of my health, I am still to believe that I was in India with in a week of initiating the medical tour process with you for my surgery. Never imagined all of it to be that much easy process with their Consultants, right from medical records evaluation to the prompt expert opinion from the specialist private doctors, from online medical consultations to booking surgery treatment date to travel, transfers, hotel stay arrangements and recuperation in absolute privacy. Thanks for providing me with the best of health care services, excellent US trained surgery team, the best caring nursing team for English patient care and the most advanced health care technology. Heart full of blessings for being my best friends in India, always holding my hands with care and love, guiding me at every step of my medical tour, you were my and my family’s greatest support all through. I feel I was blessed in being allowed to make this trip. It will be an experience I will never forget. There is no doubt that I would recommend this company for inguinal hernia surgery at Bangalore in India to anyone who needs.

He also added that percutaneous nephrolithotomy at Chennai in India would be a sensible decision. They will offer you an affordable price. Medical tourism of India is opening its feathers to fly high. Equipped with the cutting edge technology, the health care sector in India has geared up its speed to be one of the most flourishing industries. The privatization of the healthcare sector has carried with it excellent facilities, brilliant improvement in infrastructure and world-class treatments. Offering an array of superb quality hospitals and treatments at very low cost, now India proves itself to be one of the best places for the medical treatment in the world. To add on, India is one of the largest pharmaceutical industries in the world. I confirmed my medical trip for this surgery and flied to India. That medical healthcare group arranged my whole tour for Nephrolithotomy at Chennai in India. A standard percutaneous nephrolithotomy was performed under general anesthesia and usually took about three to four hours to complete. After I was been anesthetized, the surgeon made a small incision, about 0.5 in length on my back on the side overlying the affected kidney. The surgeon then created a track from the skin surface into the kidney and enlarged the track using a series of Teflon dilators or bougies. A sheath was passed over the last dilator to hold the track open. After the track has been enlarged, the surgeon inserted a nephroscope, which was an instrument with a fiberoptic light source and two additional channels for viewing the inside of the kidney and irrigating the area. The surgeon used a device with a basket on the end to grasp and remove smaller kidney stones directly. Larger stones were broken up with an ultrasonic or electrohydraulic probe, or a holmium laser lithotriptor. The holmium laser has the advantage of being usable on all types of calculi.

A catheter was placed to drain the urinary system through the bladder and a nephrostomy tube was placed in the incision in the back to carry fluid from the kidney into a drainage bag. The catheter is removed after 24 hours. The nephrostomy tube was removed while I was still in the hospital but may be left in after I  was discharged. I spend the next few hours in the recovery room under observation for immediate post-operative complications after the surgery. I required hospitalization for five to six days after the procedure. The urologist ordered additional imaging studies to determine whether any fragments of stones are still present. These can be removed with a nephroscope if necessary. The nephrostomy tube was then removed and the incision was then covered with a bandage. I was given instructions for changing the bandage at home. I was given fluids intravenously for one to two days after surgery. Later, I was encouraged to drink large quantities of fluid in order to produce about 2 qt of urine per day. Some blood in the urine was normal for several days after PCNL. Blood and urine samples were taken for laboratory analysis of specific risk factors for calculus formation. All thanks to INDIANHEALTHGURU. God bless them!! Nephrolithotomy at Chennai in India was my best decision.   I had some complications after the surgery but the doctors told it as a common condition after the procedure.  They always took special care to make me feel comfortable. I would highly recommend Dr. Bojwani and his staff to those who are looking for the best quality of hospital care at a low cost budget. They had been so helpful for my Percutaneous Nephrolithotomy at Chennai in India.” It’s lucky to have met such a nice group of medical professionals in India.

After getting all the information about lithotripsy procedure I decided to proceed and get a lithotripsy surgery. I requested my doctor to suggest me some names of the best surgeons. He said that in our country you will not get the best healthcare or medical facilities at a reasonable price. Here you can’t afford this surgery, or there will be lack of priority of affordable cost of this surgery. So it is better that you should think about a medical tour for lithotripsy at Mumbai in India. The cost of this surgery in that country is very low and you will get all the medical facilities and treatment at a comparative price. Urosurgery in western countries cost 5 to 6 times as much as in India. Over the years, India has become a global centre of excellence in urosurgery including the lithotripsy by promoting the notion that medical services in India can be bought off the shelf from the lowest priced provider anywhere in the globe, care. He suggested INDIANHEALTHGURU, for lithotripsy at Mumbai in India. He showed me some cases that were successfully treated by them. I also talked to some patients of kidney patients who went through lithotripsy. After talking to them I felt confident. I gave them a call and talked about my problem. After few days they mailed me about my lithotripsy surgery package including the cost and yes, they offered me an adventurous vacation too in India. They offered me a very less price. I agreed to their offer and flew to India after my whole documentation procedure with my friend for lithotripsy at Mumbai.  Consultants of that company received me with a warm welcome. They already made my staying arrangements in hotel of Mumbai, I was supposed to be having my surgery there. Then I met the urologist who made the diagnosis before surgery. My surgeons told me some things to bring before a night of the surgery. During the preparation of my surgery, the urologist advised that a small internal tube be inserted prior to lithotripsy. This is to help the passage of the stone fragments produced by the lithotripter. It is inserted through the external opening of the bladder under a general anesthetic. Lithotripsy is also known as ESWL (extracorporeal shock wave lithotripsy). There are many different types of machine, but they all rely on the same principle. A shock wave was generated electrically and was focused precisely on the stone. X-rays or ultrasound were first used to visualize the stone so that the target can be at the focus of the shock waves throughout the treatment. The shock wave is a physical source of energy. No electric current passes through the body.

 The energy of the shock wave was only delivered to the hard surface of the stone and passed harmlessly through the soft tissues of the body. Most lithotripter machines are designed to work on an outpatient basis. Either no form of anesthesia or sedation alone was required during treatment. I was not able to return home after a 2-hour recovery period. Treatment took about an hour to complete. I lied on a couch and my loin positioned over a water-filled pad or dish and the stone was located. If sedation is required, an intravenous injection is given. The shock waves were delivered at one second intervals. A clicking noise was evident there was discomfort in my loin or my back. Pain was not occurred. The operator was present throughout the procedure so that the treatment can be stopped if the discomfort is severe. The number of treatments required was entirely dependent on the size and consistency of the stone and on the power of the lithotripter. The urologist and the operator were able to tell me exactly how the treatment is progressing: after each treatment or before the next, an x-ray was taken to see how the stone has changed. Some lithotripters may require you to have a general anesthetic. This is usually because they are more powerful and the shock waves would therefore cause pain. These machines tend to treat the stones more quickly but at the cost of a general anesthetic. Follow-up is always necessary. Stone recurrence is not uncommon. After the surgery, x-ray sign of a further stone developing, I was advised to have lithotripsy before the stone becomes a problem.

After my procedure I faced some problems for few days like infection or scarring etc, but that is normal after any surgery. I enjoyed the vacation too with my friend and got back to my country. Beside lithotripsy at Mumbai in India, there is a wide range of surgery packages at an affordable price in major industrialized cities like Goa, Hyderabad, Chennai, kerela, Bangalore, Pune, Delhi through medical tourism. I will be always thankful to INDIANHEALTHGURU. I realized that a new horizon of the medical field cropping out in India is urosurgery, which is utilizing some of the state of the art techniques in corrective procedures. It has a talent pool of qualified surgeons, some of them have been trained in the US and UK, in specialized areas of urosurgery. One of the most frequently asked questions when considering surgery is “how much?” and “what is the price of surgery in India?” Indian medical facilities for any kind of surgery are comparable to anywhere in the world. Many patients travel from United States of America, UK or any other abroad country to get low cost lithotripsy at Mumbai in India. I was one of them!!!!  

During my preparation of the routine blood and urine analysis, Prostate Specific Antigen (PSA) level, CT of abdomen and chest x-ray was requested by my physician on my pre-operative consult. I informed my physician about my other health conditions and medications. I refrain from taking aspirin or Ibuprofen at least 2 weeks before Radical Prostatectomy. I don’t ate or drunk anything for at least 10 hours before the Radical Prostatectomy surgery. I was instructed to be hospitalized the night before the surgery. I had open radical prostatectomy – An incision was made in the abdomen. The entire prostate gland and seminal vesicles were removed, the urethra was sewn back to the urinary bladder and a catheter was inserted which stayed for about 3 weeks. The entire procedure took about 3 hours and was performed under general anesthesia. The surgeons world wide have mastered what is called the ‘nerve saving technique’ of prostatectomy. In this technique the prostate gland and the surrounding tissues was carefully dissected out to avoid damaging the nerve bundles responsible for erection. The only downside to this technique is that in doing so, the surgeon may unknowingly leave behind some cells and the cancer may recur. This method is of choice only if the prostate cancer is localized in its early stages.

I spend the next couple of hours in the recovery room under observation following Radical Prostatectomy. My vital signs, circulation and respiration were closely monitored. I was also closely monitored for any immediate post-operative complications like excessive bleeding. If you have had Laparoscopic Radical Prostatectomy, then your hospital stay would be 2 days. The catheter will be removed on the seventh post-operative day and you will be able to return to the normal daily activities in about 4 weeks. I had open radical prostatectomy, I was probably stayed in the hospital for 4 – 5 days, and my catheter was removed after 3 weeks and was able to get back to my normal daily activities in 6 – 8 weeks. I was prescribed pain medication to alleviate pain and discomfort during the initial post-operative period. My surgeon provided with post-operative follow up guidelines which included regular rectal examination, monitor PSA (Prostate Specific Antigen) levels, and biopsies of suspected tissues. Post operative follow up after Radical Prostatectomy is recommended every 3 months for the first year and every 6 months thereafter. Surgeons carried out their work professionally and satisfactorily. I would recommend anyone to go through INDIANHEALTHGURU as they organized my treatment in a prompt manner and ensured that I was seen by the best specialists. The services I received from them for Radical Prostatectomy at Delhi in India were fantastic and value for money.