Vesicovaginal Fistula (VVF) Treatment Cost in India
The Vesicovaginal Fistula (VVF) treatment cost in India ranges from $2,500 to $8,500 USD (which is equivalent to ₹2,05,000 to ₹765686 Indian Rupees. VVF is a condition where an abnormal passage forms between the bladder and the vagina, leading to continuous leakage of urine. Treatment usually involves surgical repair to close the fistula and restore normal urinary function.
Cost Range of Vesicovaginal Fistula (VVF) Treatment Cost in India
What is Vesicovaginal Fistula (VVF)?
Vesicovaginal Fistula (VVF) is a medical condition in which an abnormal opening (fistula) forms between the bladder and the vagina. This opening allows urine to continuously leak from the bladder into the vagina, leading to uncontrolled and constant urine leakage, which can significantly affect a woman’s physical health, emotional well-being, and quality of life.
VVF most commonly occurs as a complication of gynecological or pelvic surgery (such as hysterectomy), prolonged or obstructed labor, pelvic radiation therapy, infections, or trauma. Women with VVF may experience continuous wetness, recurrent urinary infections, skin irritation, foul odor, and social discomfort.
Treatment usually requires surgical repair, which involves closing the fistula and restoring normal bladder and vaginal anatomy. With proper surgical care, most women experience complete recovery and restoration of urinary control.
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Who Needs Vesicovaginal Fistula (VVF) Surgery?
- Continuous leakage of urine through the vagina, day and night
- Persistent wetness and foul odor affecting daily life and hygiene
- Recurrent urinary tract infections due to abnormal urine flow
- Skin irritation, sores, or infections around the genital area
- VVF caused by gynecological surgery (such as hysterectomy)
- Fistula resulting from prolonged or obstructed childbirth
- Radiation-induced or traumatic fistula affecting the bladder
- Failure of conservative treatment (catheterization alone not effective)
- Social, emotional, or psychological distress caused by constant urine leakage
Types of VVF (Vesicovaginal Fistula) Surgery
Surgery / Procedure | Description | Approx. Cost in India (USD) |
Transvaginal VVF Repair | Most common approach; the fistula is accessed and closed through the vagina with minimal external incisions. | $2,500 to $5,000 |
Transabdominal VVF Repair | The fistula is repaired through an abdominal incision; used for high or complex fistulas. | $3,000 to $6,000 |
Laparoscopic VVF Repair | Minimally invasive technique using small incisions and a camera to repair the fistula. | $3,500 to $7,000 |
Robotic-Assisted VVF Repair | Advanced minimally invasive surgery using robotic tools for precision, ideal for complex or recurrent fistulas. | $5,000 to $9,000 |
Combined Abdominal & Vaginal Approach | Used in complex cases where access from both sides ensures complete repair and tissue reinforcement. | $4,000 to $8,000 |
Interstitial Tissue Flap / Omental Flap Augmentation | Specialized technique using healthy tissue to reinforce the repair, often used in recurrent or difficult cases. | $4,500 to $9,000+ |
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Diagnostic Tests Before Vesicovaginal Fistula (VVF) Surgery
Diagnostic Test | Purpose |
Clinical Pelvic Examination | Helps identify continuous urine leakage and locate the fistula opening in the vagina. |
Urine Routine & Culture | Detects urinary tract infection that must be treated before surgery. |
Dye Test (Methylene Blue Test) | Confirms the presence of a fistula by observing dye leakage from the vagina. |
Cystoscopy | Direct visualization of the bladder to identify fistula location, size, and number. |
Imaging Tests (CT Urogram / IVP) | Assesses urinary tract anatomy and rules out ureteric involvement. |
Ultrasound (Pelvis / KUB) | Evaluates bladder, kidneys, and surrounding pelvic structures. |
Blood Tests (CBC, Kidney Function) | Ensures overall health and readiness for surgery. |
ECG / Chest X-ray | Pre-anesthesia fitness evaluation. |
Estimated Total Diagnostic Cost in India: $450 – $500 USD
Factors Affecting Vesicovaginal Fistula (VVF) Treatment Cost in India
- Size, Location, and Number of Fistulas-Small, single fistulas are simpler to repair, while large, high, multiple, or complex fistulas require advanced techniques and increase cost.
- Cause of the Fistula-Fistulas caused by previous surgery, radiation therapy, or prolonged labor may need more extensive reconstruction, affecting expenses.
- Type of Surgical Approach-Costs differ between transvaginal, transabdominal, laparoscopic, and robotic-assisted repairs, with minimally invasive and robotic options costing more.
- Primary vs. Recurrent Fistula-Recurrent or previously failed repairs are more complex and usually cost more than first-time surgery.
- Surgeon’s Expertise and Specialization-Highly experienced urogynecologists or reconstructive urologists may charge higher professional fees.
- Hospital Category and Location-Treatment at NABH/JCI-accredited hospitals and in major metro cities typically costs more than in smaller cities.
- Use of Tissue Flaps or Reconstruction-Procedures requiring omental, Martius, or interposition flaps to reinforce repair increase surgical time and cost.
- Duration of Hospital Stay-Extended hospitalization, ICU monitoring, or prolonged catheterization can increase costs.
Why India is Preferred for Vesicovaginal Fistula (VVF) Treatment
India is widely preferred for Vesicovaginal Fistula (VVF) treatment due to its combination of highly experienced urogynecologists and reconstructive urologists, advanced surgical techniques, and affordable healthcare costs. Leading hospitals across India routinely perform successful VVF repairs using transvaginal, laparoscopic, and robotic-assisted approaches, following international clinical standards and achieving high success rates—even in complex and recurrent cases.
Another key advantage is cost-effectiveness. The cost of VVF treatment in India is significantly lower than in Western countries such as the US, UK, or Europe, while maintaining excellent safety and quality standards. Patients also benefit from modern hospital infrastructure, advanced diagnostic facilities, shorter waiting times, and personalized care. For international patients, India offers comprehensive medical travel support—including visa assistance, accommodation arrangements, and coordinated follow-up care—through organizations like HOSPIDIO, making India a trusted and compassionate destination for effective VVF treatment and recovery.












