When a blockage occurs between the kidney and the ureter—a condition known as UPJ Obstruction—it can cause flank pain, recurrent urinary infections, and progressive kidney swelling (hydronephrosis). If left untreated in significant cases, it may gradually affect kidney function. Whether diagnosed in a newborn or an adult, the standard corrective procedure is called Pyeloplasty—a reconstructive surgery that removes the blocked segment and reconnects the healthy ureter to restore urine flow. For many patients in Bangladesh, undergoing this delicate surgery in India offers access to experienced urologists and advanced surgical techniques, along with linguistic and cultural familiarity—especially in Kolkata. At Karetrip, we coordinate logistics for Bengali-speaking patients seeking care in India. Here is your balanced 2026 guide to surgical options, cost estimates, and visa requirements.

The “Bengali Comfort” Advantage: Why Kolkata?

Undergoing kidney surgery can be stressful. Language and communication clarity are important during recovery. Kolkata is often preferred by Bangladeshi patients because:

• Language Familiarity: Most healthcare staff communicate in Bengali and Hindi, reducing language barriers during consultations and discharge instructions.
• Dietary Comfort: Post-operative recovery requires appropriate nutrition. Familiar staple foods are easily available in Kolkata.
• Proximity: A direct flight from Dhaka to Kolkata takes approximately 45 minutes. Land routes via Benapole–Petrapole are also commonly used.

While Kolkata is popular for comfort and affordability, complex cases may require referral to higher-volume robotic centers in Bangalore or Chennai.

Open vs. Laparoscopic vs. Robotic: What to Choose?

The choice of surgical method depends on patient age, anatomy, prior surgeries, and surgeon expertise.

Open Pyeloplasty

• Method: A 5–7 inch flank incision is made to access the kidney.
• Commonly Used For: Infants or situations where minimally invasive access is technically challenging.
• Recovery: Typically 5–7 days in hospital (if uncomplicated). Pain levels may be higher due to larger incision.

Laparoscopic Pyeloplasty (Keyhole Surgery)

• Method: Small incisions (usually 3–4 ports) are used with a camera and long instruments.
• Suitable For: Most adults and older children.
• Recovery: Often 2–4 days in hospital (if uncomplicated) with quicker return to routine activity compared to open surgery.

Robotic-Assisted Pyeloplasty

• Method: Uses robotic surgical systems (e.g., Da Vinci) for enhanced 3D visualization and instrument precision.
• Suitable For: Complex anatomy, redo surgeries, obese patients, or where fine suturing precision is advantageous.
• Recovery: Similar or slightly faster than laparoscopy in selected cases.

No technique guarantees 100% permanent cure, but reported success rates for pyeloplasty (open, laparoscopic, or robotic) are generally above 90–95% in experienced centers.

Pyeloplasty Surgery Cost in India (2026 Estimates)

Costs vary depending on:

• Hospital category
• Surgeon experience
• ICU requirement
• Complications (if any)
• Room selection

Below are approximate 2026 package estimates for international patients. (Exchange reference: 1 INR ≈ 1.35 BDT; rates fluctuate.)

Surgery Type Cost in INR (Approx) Cost in BDT (Approx)

Open Pyeloplasty ₹65,000 – ₹90,000 87,000 – 1,20,000 BDT

Laparoscopic Pyeloplasty ₹85,000 – ₹1,30,000 1,15,000 – 1,75,000 BDT

Robotic Pyeloplasty ₹1,60,000 – ₹2,50,000 2,16,000 – 3,37,000 BDT

DJ Stent Removal (Post-Op) ₹15,000 – ₹20,000 20,000 – 27,000 BDT

A temporary internal DJ stent is usually placed to help healing and is removed after approximately 4–6 weeks. Removal is a short endoscopic procedure. Final billing depends on actual clinical needs and hospital policy.

Hospitals Commonly Chosen for Pyeloplasty

Hospital selection should depend on surgeon experience and case complexity.

In Kolkata (Language & Proximity Advantage):

• Apollo Multispeciality (Salt Lake)
• AMRI Hospitals
• Medica Superspecialty

In Bangalore / Chennai (Advanced Minimally Invasive & Robotic Programs):

• Manipal Hospitals
• Fortis Hospitals
• AINU (Asian Institute of Nephrology & Urology) Complex pediatric or redo cases may benefit from high-volume tertiary centers.

IVAC Medical Visa Process for Bangladeshi Patients

Bangladeshi citizens are generally required to apply for a Regular (Paper) Medical Visa through IVAC (Indian Visa Application Centre). The e-Medical Visa is typically not available. Standard Process:

• Hospital Visa Invitation Letter (Mandatory): An official letter from the treating hospital is required before booking an IVAC appointment.
• IVAC Submission: Passport, application forms, hospital letter, and supporting documentation must be submitted at IVAC centres (Dhaka, Chittagong, Sylhet, etc.).
• Urgent Medical Cases: Hospitals may issue supporting urgency documentation if obstruction is severe. Expedited visa approval remains at the discretion of the Indian High Commission.

Karetrip coordinates documentation with hospitals but does not influence visa approval decisions.

Conclusion: Protecting Kidney Function with Proper Planning

UPJ Obstruction is a progressive condition in many cases. Timely surgical correction can relieve symptoms and preserve kidney function when indicated. India offers multiple surgical approaches—open, laparoscopic, and robotic—depending on case complexity. However, choice of technique must be based on urologist evaluation, not cost alone.

Want a case-specific estimate? Chat with our AI agent, Rua. Securely upload your latest CT urogram or ultrasound. We can coordinate a clinical review with urologists in Kolkata or Bangalore and assist with a hospital-issued cost estimate and Visa Invitation Letter.

Medical Disclaimer

The pricing provided in this blog is an estimate for 2026 based on standard hospital tariffs and approximate exchange rates. Final cost depends on patient age, severity of obstruction, surgical approach, and hospital policy. All surgical decisions must be made by a certified urologist after detailed evaluation. Karetrip facilitates appointments and travel logistics but does not provide direct medical advice or guarantee clinical outcomes.