Ileal Replacement of Ureter Treatment in India

Vikram Verma, a 56-year-old civil engineer,...

Vikram Verma, a 56-year-old civil engineer, had a history of recurrent kidney stones. After his third major stone removal surgery, a stricture (scar tissue) formed in his left ureter, the tube draining his kidney to his bladder. Despite a minimally invasive attempt to fix it with a stent, the stricture returned, causing debilitating flank pain, recurrent urinary tract infections, and a worrying drop in his kidney function. His urologist, Dr. Sharma, explained that the damaged section of ureter needed to be replaced. He recommended an ileal replacement, using a small segment of Vikram's own small intestine to create a new, functional conduit. The 5-hour open surgery was successful but challenging. Vikram spent a week in the hospital, initially anxious about the complexity and the temporary ileostomy bag needed to protect the new connection. His recovery at home was slow, requiring careful management of his new bladder habits. Six months later, his kidney function stabilized, the pain was gone, and the ileostomy was reversed. Emotionally, Vikram moved from fear and frustration over his failing body to immense relief and a cautious optimism. He felt he had regained control of his health, though he remained vigilant with follow-ups.