Includes

Surgery
Stay at the Hospital
Pre-operative Investigations
Medicines and Consumables at the hospital
Food at the hospital
Airport transfers
IndiCure assistance

Does Not Include

Accommodation outside the hospital
Air tickets
Visa

Stay Required

Stay at the Hospital – 1 to 2 days   
Stay in India – 7 to 8 days

The cost quoted above is indicative and should not be taken as the final cost of the surgery. The final cost can be ascertained after the surgeon has evaluated the patient. The cost in Indian Rupees can vary based on exchange rate.

Pyeloplasty Cost in India starts from US $ 1,700 and varies depending on your medical condition or comorbidities, if any, surgeon, facility and the city where you choose to get the surgery done.

Factors that affect Pyeloplasty cost in India
  • Urologist’s Fees

    An important expense when it comes to your pyeloplasty cost in India is going to be your surgeon’s fees. IndiCure recommends highly experienced, skilled, board-certified surgeons who are capable of delivering great results. Although the charges may vary depending on the experience of the surgeon, you can be assured that you are in safe and skilled hands when you choose medical treatment in India with IndiCure.

  • Type of Surgical Approach

    There are different approaches and techniques to perform the surgery. These could be Open, Laparoscopic, Robotic etc, which determines the cost of pyeloplasty. Besides, a significant portion of the overall cost of the surgery arises from the use of any customized surgical instruments or specialized computer technology. With the hopes of improving patient care, new techniques and technologies are often introduced to the surgical process. Such innovative advancements in the surgical approach can increase costs.

  • Surgical Facility

    Having your pyeloplasty surgery in an accredited surgical facility by skilled and qualified medical staff is a critical factor. Moreover, the geographical location of this facility also affects the quote. But, IndiCure provides you with a projected estimate that will be affordable.

  • Surgery-Related Expenses

    The surgery-related expenses include the pre- and post-surgical expenses. The pre-surgical expenses are associated with the candidacy and the medical history of the patient. This also includes the routine medical exams and tests to ensure you’re a good fit for the surgery. Post-surgical expenses may include prescription medications and follow-up consultations.

We at IndiCure, understand that you travel with a budget in mind and do not like to be greeted by surprises after arrival in India. We thus club all these expenses and give you the package cost that is inclusive and affordable at the same time.

Your case manager shall give you an estimated cost of your surgery after discussing your medical reports with the surgeon. The final cost, however, shall be confirmed after your consultation with the surgeon.

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Our services are FREE for our patients.

In fact, we have Special Negotiated Rates with the Hospitals and you can avail Discounted Rates when you choose to Travel with IndiCure.

IndiCure Services

We Help you Choose the Right Treatment, Surgeon & Hospital

We Arrange Video/Telephonic Consultation with the Surgeon

We Assist you with Visa & Accommodation

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We Assist you at Hospital & Provide Post Operative Support

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Best Urologists in India

Dr.-H-S-Bhatyal
Dr. H S Bhatyal
MBBS, MS, MCh
40+ Years of Experience

Dr. H. S. Bhatyal is one of India’s most known and skilled urological surgeons. He has more than 40 years of experience, with a focus on renal transplantation. He has received the Dr. CKP Menon Award and holds Limca Book of Records National Record Edition 2001 record holder.

Dr Vikram Sharma
Dr. Vikram Sharma
MBBS, MS, Dipl (Urology)
30+ Years of Experience

With 30 years of clinical experience, Dr. Sharma is one of the most senior pioneers and inventors in the field of Indian Urology. He is the Director of Urology, Andrology, Robotics, and Kidney Transplant Surgery at Fortis Memorial Research Institute in Gurgaon, and is a nationally and internationally recognised expert.

Dr.-Pankaj-Maheshwari
Dr. Pankaj Maheshwari
MBBS, MS, M.Ch
23+ Years of Experience

One of the most famous names in Urology in India, Dr Maheshwari received a Traveling Fellowship from the Societe Internationale d’Urologie in 1999-2000, which he used to train in Holmium laser urology in New Zealand and New York. In India, he was a pioneer in the use of the Holmium laser in urology.

Best Urology Hospitals in India

BLK-Max-Superspecialty-Hospital Delhi
BLK Hospital

New Delhi

BL Kapur Memorial Hospital is one of the biggest standalone private hospitals in Delhi, NCR. Established by late Dr. B L Kapur, an eminent Obstetrician, and Gynecologist on invitation by then Prime Minister of India, Mr. Jawahar Lal Nehru. The institute went on to become one of Delhi’s premier multi-specialty hospitals.

Fortis-Hospital,-Mulund,-Mumbai
Fortis Hospital

Mumbai

Fortis Hospital, Mulund is a 300 bedded multispeciality tertiary care facility situated in the centre of the city, offering a range of clinical, diagnostic, and surgical services. The hospital began operations in 2002 and since then has achieved various milestones.

See How It Works

What is Pyeloplasty ?

Pyeloplasty is a procedure that allows urine to flow freely from the kidney to the lengthy tube that connects the kidney to the bladder (ureter). The ureteropelvic junction (UPJ) blockage is the name for this type of obstruction.

The surgery’s purpose is to establish a free flow of urine, which will relieve edema and pressure in the kidney. Pyeloplasty is the most common surgical surgery for the treatment of kidney enlargement caused by urine collecting (hydronephrosis). The procedure clears the obstruction between the ureter and the renal pelvis (UPJ blockage). It reconnects the healthy segment of the ureter to the kidney’s drainage system after removing the constricted or obstructed portion.

Types of Pyeloplasty

Open Pyeloplasty: The incision can be made in the lower back, right beneath the 12th rib, across the abdomen, or in the flank region, which is the most usual traditional technique of performing the surgery. In each case, a lengthy cut is done, exposing the kidney by removing the skin, intermediate tissue, and muscles. The ureter is then rejoined to the renal pelvis after the constricted part of the junction is cut and removed. A stent is sometimes put in the narrowed area to maintain the area open and allow for easy urine drainage. Muscles, skin, and other tissues are sewn up after the treatment. The patient is required to stay in the hospital for 3–4 days, with a recovery period of 1–3 months.

Laparoscopic Pyeloplasty: The treatment was initially carried out in 1993 and since then has steadily gained acceptance among patients and surgeons alike. Small cuts and microscopic instruments replace huge incisions in this surgery, which is similar to open pyeloplasty. Despite the fact that the surgery necessitates specialized expertise, it is a more preferred option due to the shorter hospital stay and speedier recovery.

Robotic Pyeloplasty: Many of the obstacles brought by laparoscopy have been overcome because of the da Vinci robotic surgical system. Instruments are delivered into the body through many small incisions and manipulated under video guidance, similar to standard laparoscopic surgery. In robotic surgery, unlike traditional laparoscopy, when the surgeon’s hands are directly linked to the tools, the surgeon’s actions are controlled from a console located away from the patient and translated by robotic arms. This method allows the wrist to move more freely and reduces tremor, making the surgery easier.

Retrograde Endopyelotomy: The process is the same, except a ureteroscope is used instead of a nephroscope, which is introduced into the bladder and guided up to the renal pelvis. The constricted section is removed, and the stent is inserted between the bladder and the pelvis. This treatment can be done as an outpatient procedure.

Percutaneous Antegrade Endopyelotomy: An incision is created immediately above the top pole of the kidney in this procedure. The nephroscope is inserted up to the renal pelvis and constricted area through the incision. With the help of a camera, micro tools are guided through the scope, and the narrowed portion is cut. The ureter and pelvis are sewn together, and a stent from the pelvis to the bladder is inserted. The stent is usually left in place for 4-6 weeks. The procedure’s main benefit is a faster recovery time due to a tiny incision and reduced blood loss.

Acucise Endopyelotomy: A cutting wire and a balloon catheter are utilized in this treatment, which is comparable to retrograde pyeloplasty. The cutting wire is linked to the front of the balloon catheter. A contrast medium is used to fill the balloon. The acucise catheter is directed through the bladder up to the pelvis. The balloon is inflated and the position of the balloon is verified with a fluoroscope. The cutting wire is then used to cut the narrowed area. The catheter is withdrawn and a ureteric stent is inserted.

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When is Pyeloplasty required ?

A pyeloplasty may be required in both adults and children. A UPJ blockage affects one out of every 1500 babies. It affects twice as many men as it does women.

If the problem does not improve after 18 months, pyeloplasty will most likely be required.

Adults, teenagers, and older children can develop a UPJ obstruction and may require a pyeloplasty if their kidney is clogged.

How is Pyeloplasty done?

Babies/infants:

Step 1

A two to three inch cut is made immediately below your baby’s rib cage during an open pyeloplasty, and the clogged piece of ureter is removed.

Step 2

The ureter is then reattached to the renal pelvis with a normal caliber ureter.

Step 3

A stent (a little silicone tube) is inserted into their kidney to drain urine. The stent will be removed once they have healed.

Older children/adults:

Step 1

The surgeon will make a series of small incisions, each measuring between eight and ten millimeters in length.

Step 2

Your surgeon’s assistant robot contains three to four robotic arms. Two to three people are holding instruments, and one is holding a camera. The devices have a similar range of motion to the human hand and can remove the narrow/scarred area of the UPJ blockage while reconnecting the normal tissue.

What is the Recovery after Pyeloplasty like?

After surgery, your healthcare professional will continue to check for this for several months. Follow your healthcare provider’s advice for returning to “normal.” Short walks should be attempted immediately following surgery. You can move heavy objects and work out after four to six weeks.

What Results Can I Expect from Pyeloplasty?

Pyeloplasty is a rewarding procedure. The effectiveness of a pyeloplasty ranges from 85 percent to 100 percent. When compared to other surgical procedures for UPJ obstruction, it offers the highest success rate.

Questions to Ask

We at IndiCure completely understand your concerns and it is always our endeavor to provide the best outcome for every patient. Following is the list of questions you must ask before you embark on your journey for Pyeloplasty in India.

  • Is it time for a Pyeloplasty surgery?
  • Is the urologist board certified?
  • How experienced is the Surgeon?
  • Which language does the surgeon speak?
  • Is the treatment done in a well-equipped facility?
  • Can you give me any information on outcomes and complication rates?
  • How much pain can I expect, and how will it be managed in the hospital and after I go home?
  • What about the risks involved?
  • Does the surgeon use a certified anesthetist?
  • How long will the recovery period be?

Preparation for the Surgery

Prepare to answer questions about your:

  • Medical history and exams
  • Previous surgeries
  • Current medication review
  • History of smoking, drugs, or alcohol

Patient Testimonials

Frequently Asked Questions

Following pyeloplasty, you or your child may experience some discomfort. After a week, the pain may subside, and you or your child will be prescribed medication to assist alleviate the discomfort.

Studies show that regardless of the beginning degree of relative performance, pyeloplasty did not improve renal function. In some patients whose hydronephrosis was discovered prenatally and who were originally followed with observation, a renal scan revealed that differential function decreased following pyeloplasty.

Open pyeloplasty takes 8 weeks to recover from, whereas laparoscopic pyeloplasty takes 3-4 weeks.

The success rate in terms of total radiographic clearing of the obstruction is around 90%, with symptomatic alleviation being around 95%. Endoscopic methods such as endopyelotomy, on the other hand, have a success rate of 70-80%.

A few weeks following surgery, the stent is removed in the operating room. This is an outpatient operation that can be completed the same day. A drain may be implanted in the area around the kidney and ureter to drain any excess fluid that accumulates during and after surgery. The drain is removed from the bedside once the drainage stops.

In general, the dangers of a pyeloplasty are the same as any other surgery, including infection, redness, swelling, bleeding, and the procedure failing to correct the condition. Urine can, however, flow into other places during kidney operation, causing irritation.

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