The main reason why most people initially cite for their decision to go India for medical treatment like vesicovaginal fistula, is the low cost and experienced surgeons. India is now also providing medical insurance to uninsured medical tourists coming from other western sides for major procedures like urosurgery. Vesicovaginal fistula is an abnormal opening between the urinary bladder and vagina that results in continuous, involuntary dribbling (incontinence) of urine from the vagina. Vesicovaginal fistula is the biggest saver with tourism industry – 90% savings with standardized excellent facilities and highly skilled surgeons in India for Vesicovaginal fistula.
The goal of surgical repair of Vesicovaginal Fistula include adequate exposure, good homeostasis, wide mobilization of the bladder and vagina, resection of devascularized tissue and removal of foreign body, tension free closure, non-opposition of suture lines, and confirmation of a water tight seal on bladder closure, and postoperative bladder drainage for 10-14 days with the help of a foley's catheter. Vesicovaginal Fistula can either be treated by vaginal approach or abdominal approach. Vaginal approach for the surgical repair of Vesicovaginal Fistula - In transvaginal approach for surgical repair of Vesicovaginal Fistula, the tissues of vaginal wall are dissected and the fistula tract in the bladder mucosa is stitched with absorbable sutures to close. The excessive vaginal tissues are excised and the vaginal mucosa is then closed, completing the repair. Vaginal approach for the surgical repair is employed for simple and small Vesicovaginal Fistula Abdominal approach for the surgical repair of Vesicovaginal Fistula - In transabdominal approach, an infraumbilical incision is made which is carried down into the peritoneal cavity. This method is used for the surgical repair of complex Vesicovaginal Fistula that may be large or small but multiple in numbers. The abdominal approach may be facilitated by Cystoscopically guided placement of a catheter thru the fistulous tract. The bladder will be exposed, ureteral stents should be placed if the fistula is in close proximity to the ureteral orifice. The vagina and bladder will then be closed with interrupted delayed absorbable suture in a double layer fashion.
One of the major issues that medical tourists coming to India for Vesicovaginal fistula is not just the facilities but also in the physicians and surgeons themselves. Indian surgeons treat over 400,000 foreign patients every year and have made medical tourism its major focus. In addition to packaging these services better, India offers a smoother tourism experience than other western countries with the tourism aspect often an important factor for those seeking non-critical procedures. For the major surgeries that are the entire purpose of a trip, India is in a dead heat. It will boast state of the art equipment, top-notch foreign-trained surgeons and low prices. India’s slightly lower prices are offset by other western countries superior service and packaging. India tends to be a better choice for most medical tourists as it both matches India for major surgery, tourism options at cities like Mumbai, Chennai, Delhi, Hyderabad and other procedures.
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