Hi

 

Just had a urethrotomy op in University Hospital in Khon Kaen and the surgeon - Kachit Pachirat - will do a follow-up check by cystoscope at the end of this month.  He says that it is likely that the scar tissue will return and in that case he recommends an urethroplasty op.

 

I know absolutely nothing of his experience in this field, but he tells me he has done many - some successful others not - and I am not filled with confidence.

 

I have heard good things about a Professor Wachira Kochakan in Bangkok, albeit I am told he is very busy.

 

I am 80 years old and therefore no medical insurance so costs are important.

 

Grateful for information regarding my best option here in Thailand.

 

Many thanks 

Best source for information, Sheryl, will return to forum in a day or two but a quick check shows this as a rather involved and long OR procedure (much more involved that what you just had) so expect a government hospital setting is what you want cost wise.  I just had urethra removed due cancer and that was over 200k in a moderate private hospital (already had diversion so only removal involved - still took almost 4 hours).  

As kindly mentioned, @Sheryl will be back on the 15th. I have tagged this post so she will be able to reply to you on het return.

Thank you.  You are very considerate and helpful

On 10/13/2018 at 5:57 PM, blackcab said:

As kindly mentioned, @Sheryl will be back on the 15th. I have tagged this post so she will be able to reply to you on het return.

Has @Sherly returned?   Would like to know if she could comment on the Professor I named.

36 minutes ago, Pompeyboy123 said:

Has @Sherly returned?   Would like to know if she could comment on the Professor I named.

Not a She.

35 minutes ago, HAKAPALITA said:

Not a She.

Her name is Sheryl and she has started posting again but was in transit so did not have access to her normal database information.  Expect she will post when she has information.

2 minutes ago, lopburi3 said:

Her name is Sheryl and she has started posting again but was in transit so did not have access to her normal database information.  Expect she will post when she has information.

I though She, but a post in Motoring clicked a switch. 

Sorry, thius got lost in the shuffle on my retrun and I didn't see it.

 

You need a specialist in reconstructive urology  to maximize chances of a good outcome with urthroplasty (though even then there is no guarantee). Prof. Kachit Pachirat is as far as I can tell a general surgeon.

 

Prof. Wachira Kochakarn is well qualified in this. Another of his team, also specializing in reconstructive urology,  is Asst.Prof. Wit Viseshsindh (first name sometimes spelled with a V).  These doctors are at Ramthibodhi hospital in Bangkok, a government hospital that has an after hours "premium" clinic whereby you can directly consult the senior doctor. (If you go through the public channel you will be treated by residents in training under their supervision. There will also be very long waits).  https://med.mahidol.ac.th/qsmc/th/service/premium_clinic-th

 

The success rate at Ramathibodhi for urtheroplasty is around 85% and they seem to have more experience with it than anywhere else in Thailand.

 

 

 

Sheryl, you have a amazing wealth of knowledge.  Thanks for your many posts and info.

I second this.    Thank you very much Sheryl.   I a very much more informed in the light of your information.