Overview
and are currently performing the surgeries in India’s best surgery centers which are in most prominent cities at Chennai, Hyderabad, Mumbai, Delhi and Bangalore.
Surgical repair of Vesicovaginal Fistula entails surgery to the bladder as well as the vagina. Patients are kept in the Intensive Care Unit (ICU) under observation for couple of days following surgical repair of Vesicovaginal Fistula. The cost of Vesicovaginal Fistula surgery in India is lower compared to that of its cost in reputed surgery centers of other developed countries.
This low cost of surgical treatment in India is just because of the low cost of India rupee in international currency market, it doesn’t affect the quality standard of treatment.
Vesicovaginal Fistula is an abnormal opening between the urinary bladder and vagina that result in continuous, involuntary dribbling of urine from the vagina. The foremost cause of Vesicovaginal Fistula is difficult and unattended deliveries.
Another cause of Vesicovaginal Fistula is injury during gynecologic surgery like hysterectomy where there is extensive dissection between the bladder and the uterus, unrecognized bladder laceration, inappropriate stitch placement, and devascularization injury to the tissues.
Some factors that increase your risk of developing Vesicovaginal Fistula are history of Pelvic Inflammatory Diseases, pelvic malignancy, endometriosis, infection, diabetes, prior pelvic or vaginal surgery and anatomic distortion of the vaginal vault.
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 straight forward 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.
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 Surgery to repair Vesicovaginal Fistula surgery in India is quite successful. The reported outcome rate of repairing a Vesicovaginal Fistula is 90 - 95%. For repair of complex Vesicovaginal Fistula, the reported outcome rate is less than 90%, but, for experienced surgeons, the outcome remains highly successful.
In India, most experienced surgeons are available in best surgery centers which are in most prominent cities at Chennai, Hyderabad, Mumbai, Bangalore and Delhi.
The cost of surgical treatment in India is lower compared to that of its cost in other developed countries;
Medical tourism in India helps international patients in getting safe and comfortable surgical treatment; also they help patients in selecting an expert surgeon and a reputed surgery center for their surgical treatment.
Diagnosis And Staging
This section outlines the practical points patients should review with the treating specialist before confirming travel, including medical reports, hospital planning, recovery expectations, and follow-up needs.
What Patients Should Confirm
Patients should confirm the diagnosis, stage, biopsy summary, imaging reports, and whether the plan includes surgery, chemotherapy, radiation, targeted therapy, or a combination.
Before requesting a medical opinion, keep recent reports, imaging files, discharge summaries, prescriptions, and a short symptom timeline ready. This helps the specialist review the case without unnecessary back-and-forth.
Travel And Follow-Up Planning
International patients should ask about visa documents, attendant needs, estimated hospital stay, nearby accommodation, fitness-to-fly advice, and how follow-up will continue after returning home.
Forerunners Healthcare can coordinate hospital options, doctor review, appointment planning, travel support, and cost estimates while keeping the final medical decision with the treating specialist.
Care Planning Checklist
Before confirming treatment, patients should share recent reports, imaging, prescriptions, allergy details, previous discharge summaries, and a short timeline of symptoms or diagnosis. This helps the hospital team give a clearer medical opinion and a more realistic cost estimate.
Patients should also confirm the expected hospital stay, attendant needs, visa documents, airport transfers, accommodation near the hospital, payment inclusions, and what may change if extra tests or a longer stay are required.
Follow-up planning should be discussed before travel. Ask what warning signs need urgent attention, when flying is usually reviewed, how medicines or dressings will be managed, and how the treating team will coordinate after the patient returns home.
