Nigerian Patient Experience Endoscopic Extraperitoneal Radical Prostatectomy Surgery in Kolkata, India

Endoscopic Extraperitoneal Radical Prostatectomy at Kolkata in India is indeed an ideal way to say good bye to the menace called prostate cancer. We at Tour2India4Health had been catering medical services to international patients with best of the packages and facilities. Countless foreign patients avail their desired medical treatments and surgeries and take back home mind blowing experiences. Recently Dr. Nwogu had his Endoscopic Extraperitoneal Radical Prostatectomy in Kolkata. Soon after returning to Nigeria, he wrote us a piece compiling his experience of being treated in India. Read on to see what he has to say about his experience.

Hi, My name is Dr. Nwogu. I am from Nigeria Last month I had my Endoscopic Extraperitoneal Radical Prostatectomy at Kolkata. It was an amazing experience coming down all the way from Nigeria for my Endoscopic Extraperitoneal Radical Prostatectomy. I came through Tour2India4Health Group, which was the result of my internet search. I remember how I was unnerved by my frequent urination problem, especially during night time, my anguish bugged me more, till one day I noticed blood in my urination. I was really appalled to see it; I immediately consulted a local physician and narrated my saga of uneasiness. The physician after a couple of test and a biopsy revealed that I have a prostate cancer and that I would now requireEndoscopic Extraperitoneal Radical Prostatectomy to get away from this problem.

I tried to find some solutions at my place and the other areas of my vicinity, however, was dismayed not to find anything worth to be opted for. It just seemed futile running from pillar to post. I had no option but to think of an alternative. I searched the internet, the last resort for the people like us. My internet search led me to a medical consultant called Tour2India4Health. I went through its website, checked the packages they had for Endoscopic Extraperitoneal Radical Prostatectomy in India. I called them up and enquired about the possibility of having my Endoscopic Extraperitoneal Radical Prostatectomy in India.

The executive informed me couple of options of having my Endoscopic Extraperitoneal Radical Prostatectomy in India, with city options like Kolkata, Pune and Ahmedabad, he explained me its procedure, which seemed too easy, and I immediately gave my consent. Soon I left for my Endoscopic Extraperitoneal Radical Prostatectomy in Kolkata. Things were pretty organized in India; soon I met my cancer surgeon who was supposed to perform myEndoscopic Extraperitoneal Radical Prostatectomy in Kolkata. He made me at ease through his knowledge and skills. Soon the day for my Endoscopic Extraperitoneal Radical Prostatectomy dawned. Endoscopic extraperitoneal radical prostatectomy (EERPE) is usually performed with the patient under general anesthesia. Patients are placed in a dorsal supine position with legs slightly apart.

The laparoscopic tower is placed at the bottom of the operating and the patient in a supine position with a 20 head down tilt. With increasing experience it is realized that there was no need for such an extreme Trendelenburg posistion and that 10 head down tilt was sufficient for performing the procedure since the bowel did not interfere with this procedure. In addition, even long operating times in difficult cases can be managed without cardiopulmonary limitations. The first step in the procedure is to create a preperitoneal space and the placement of the first trocar.

An 15 mm incision is made in the infraumbelic crease immediately laterally to the midline and carried down to the anterior rectus fascia. The anterior rectus fascia is horizontally incised, exposing the rectus muscle. The rectus muscle fibers are vertically separated by blunt dissection, exposing the posterior rectus fascia. The space between the rectus muscle and the posterior rectus sheath is bluntly developed by finger dissection in the direction of the preperitoneal space.

The posterior rectus heath is absent inferior to the arcuate line. A balloon trocar is introduced superior to the posterior rectus sheath and insufflated under direct visual control. The epigastric vessels and the pubic arch are the main landmarks during balloon dilation. The balloon trocar is removed and stay sutures are then placed on either end of the anterior rectus sheath incision. An optical trocar (Hassan type) is introduced and fixed. After insuflation with CO2 (12mmHg), the second 5mm trocar is positioned 2 fingertips left, lateral to the midline (at a 1/3 to 2/3 ratio from the umbilicus to the pubic arch). Furthermore, a 5mm trocar is then positioned medial to the right anterior superior iliac spine.

Another 5mm trocar is placed in the right pararectal line taking care to avoid injury of the epigastric vessels. The left preperitoneal space is bluntly dissected from the right side. The final 12mm trocar is placed approximately three finger breaths medial to the left anterior superior iliac spine. In extremely obese or very tall patients, all trocars should be placed 1–3 cm caudally for optimal access to the retropubic space. The entire Endoscopic Extraperitoneal Radical Prostatectomy in Kolkata went smooth and took five hours to complete.

After the Endoscopic Extraperitoneal Radical Prostatectomy in Kolkata, I left the operating room with an intravenous line, a urethral catheter, and a small rubber drain in their lower abdomen. After recovering from anesthesia, I started to drink clear liquids. In the first few hours, depending on strength and motivation, I got out of bed and stretched my legs and walked around the nurse's station by next morning. I was discharged with a catheter connected to a leg bag, which fits under my pants. Loose clothing and shoes that don't require tying was recommended by my surgeon to handle in the first few hours and days after my Endoscopic Extraperitoneal Radical Prostatectomy. My experience in India was very good. I am pleased with its outcome. I will certainly recommend anyone for the Endoscopic Extraperitoneal Radical Prostatectomy in Kolkata. Lastly, I would like to extend my words of gratitude to executives of Tour2India4Health and the surgeon who performed my Endoscopic Extraperitoneal Radical Prostatectomy in Kolkata. May God bless them all!

Thank you,

Dr. Nwogu
Nigeria

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