Learn about Permacath Insertion Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Permacath Insertion and request assistance for cost estimates or appointments.

About Permacath Insertion

Permacath insertion, also known as a tunneled dialysis catheter placement, is a specialized procedure performed by a urologist to establish long-term vascular access for hemodialysis in patients with chronic kidney disease. This involves surgically placing a flexible, cuffed catheter into a large central vein, typically the internal jugular vein, and tunneling it under the skin of the chest to create a stable, infection-resistant exit site. The procedure is usually done under local anesthesia with sedation, guided by ultrasound and fluoroscopy for precision and safety. It provides a reliable and immediate pathway for life-sustaining dialysis treatments, bridging the time until a permanent arteriovenous fistula or graft matures, or serving as permanent access when other options are not viable.

Key Highlights

    Provides immediate and reliable vascular access for hemodialysis.Designed for long-term use with a Dacron cuff that reduces infection risk and secures the catheter.Procedure is minimally invasive, typically performed under local anesthesia.Allows for efficient blood flow rates necessary for effective dialysis.Can serve as a bridge to a permanent fistula or as a permanent access solution.Insertion is guided by imaging (ultrasound/fluoroscopy) for enhanced safety and accuracy./ul

Who is this surgery for?

  • Patients with End-Stage Renal Disease (ESRD) requiring immediate hemodialysis.
  • When an arteriovenous fistula or graft has failed or is not yet mature.
  • Patients with poor peripheral vasculature unsuitable for fistula creation.
  • As a bridge access while awaiting kidney transplantation.
  • For patients requiring long-term plasmapheresis or other apheresis procedures.
  • In cases of acute kidney injury with an anticipated need for prolonged dialysis.

How to prepare

  • Comprehensive evaluation including blood tests, coagulation profile, and imaging of neck/chest veins.
  • Review of all medications; may need to temporarily stop blood thinners.
  • Informed consent process detailing the procedure, benefits, and risks.
  • Fasting for 6-8 hours prior to the procedure if sedation is used.
  • Skin preparation with antiseptic wash at the intended insertion site (neck/chest).
  • Pre-procedure antibiotic may be administered to prevent infection.

Risks & possible complications

  • Infection at the exit site, in the tunnel, or in the bloodstream (catheter-related bacteremia).
  • Bleeding or hematoma formation at the insertion site.
  • Damage to adjacent structures like arteries, nerves, or the lung (pneumothorax).
  • Catheter malfunction, kinking, or occlusion due to clotting (thrombosis).
  • Central vein stenosis or thrombosis over the long term.
  • Rare risks include air embolism, cardiac arrhythmia, or catheter migration.

Recovery & hospital stay

  • Immediate post-procedure monitoring for bleeding, breathing difficulties, or pain.
  • A chest X-ray is typically done to confirm correct placement and rule out pneumothorax.
  • The exit site will be covered with a sterile dressing; instructions for keeping it clean and dry will be provided.
  • Mild soreness at the site is common; pain medication may be prescribed.
  • Dialysis can usually begin soon after placement, once confirmed functional.
  • Regular follow-ups are needed for dressing changes, flushing the catheter, and monitoring for signs of infection.
  • checked Typical hospital stay: 0-1 days (often outpatient or short stay)
  • checked Expected recovery time: 1-2 weeks for site healing; immediate use for dialysis

Frequently Asked Questions

If you are considering permacath insertion in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for permacath insertion compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 35 Thousand – 80 Thousand 0-1 days (often outpatient or short stay) ~ 1-2 weeks for site healing; immediate use for dialysis Know More
Turkey TRY 123 Thousand – 280 Thousand 0-1 days (often outpatient or short stay) ~ 1-2 weeks for site healing; immediate use for dialysis Know More

Top hospitals for Permacath Insertion in India

These partner hospitals in India have dedicated urology teams and experience managing patients undergoing permacath insertion.

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79+ Rating

Kamineni Hospital LB Nagar

  • IconHyderabad, India
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1681+ Rating

Manipal Hospital Dwarka

  • IconDelhi, India
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1610+ Rating

Manipal Hospital Varthur Road

  • IconBangalore, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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1837+ Rating

Manipal Hospital Salem

  • IconSalem, India
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847+ Rating

Manipal Hospital Sarjapur Road

  • IconBangalore, India
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2882+ Rating

Manipal Hospital Whitefield

  • IconBangalore, India
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534+ Rating

Manipal Hospital Yeshwanthpur

  • IconBangalore, India
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537+ Rating

Manipal Hospitals Broadway

  • IconKolkata, India
  • Icon72 Doctors
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5990+ Rating

Manipal Hospital Rangapani

  • IconSiliguri, India
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10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
  • Icon250 Doctors
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135+ Rating

Manipal Hospital Goa

  • IconPanaji, India
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185+ Rating

Manipal Hospital Ranchi

  • IconRanchi, India
  • Icon41 Doctors
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872+ Rating

Manipal Hospital Millers Road

  • IconBangalore, India
  • Icon89 Doctors
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1161+ Rating

Artemis Hospital Gurgaon

  • IconGurgaon, India
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694+ Rating

Manipal Hospital Kharadi

  • IconPune, India
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156+ Rating

Manipal Hospital Patiala

  • IconPatiala, India
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20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
  • Icon55 Doctors
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5740+ Rating

Manipal Hospital Old Airport Road

  • IconBangalore, India
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PATIENT REVIEW

Sarah Iyer, a 67-year-old retired teacher...

Sarah Iyer, a 67-year-old retired teacher with a history of diabetes and severe peripheral vascular disease, had exhausted all options for creating a traditional arteriovenous fistula or graft in her arms. Her veins were too fragile. Facing end-stage renal disease, her only viable long-term access for hemodialysis was a Permacath. Sarah, who was already grieving her loss of mobility and health, was devastated, fearing the catheter would be painful and limit her activities further. The urologist spent extra time addressing her concerns, explaining the tunneled design's stability and lower infection risk. The procedure under sedation was uneventful. After initial tenderness, Sarah adapted well. The Permacath provided reliable dialysis for years. Emotionally, Sarah transitioned from feeling broken and out of options to finding a resilient sense of normalcy. She joined a patient support group, often reassuring others that while the catheter was a visible reminder of her condition, it also represented her strength and adaptability in continuing to live a full life with her grandchildren.

Urologists for Permacath Insertion

Explore experienced urologists who regularly perform permacath insertion and provide pre- and post-operative care in India.

Dr. Prof. R Manikandan
  • 17 Years Experience
  • Urologist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. K Anand
  • 6 Years Experience
  • Urologist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. G Suresh
  • 8 Years Experience
  • Urologist
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Ajay Shetty
  • 26 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. V Mohan Kumar
  • 20 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Nagarajan P
  • 17 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vikram G D
  • 17 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vishnu Prasad
  • 8 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 950
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Surya Kant Choubey
  • 24 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

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Dr. Harsha R
  • 8 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 750
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Bhadrappa Manohar
  • 11 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Rajasekar M
  • 8 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Prakash Babu
  • 17 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

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Dr. Shrinivas RP
  • 16 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

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Dr. Lokesh
  • 13 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Deepak Dubey
  • 36 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

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Dr. Shivashankar
  • 39 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

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Dr. Yogesh Garg
  • 15 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Dinesh Kumar T P
  • 16 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Thimmaiah
  • 13 Years Experience
  • Urologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated