Total Proctocolectomy with End Ileostomy
Complete removal of colon and rectum with a permanent end ileostomy — the most reliable curative option for severe colitis or polyposis when J-pouch is not suitable.
What is Total Proctocolectomy with End Ileostomy?
Total Proctocolectomy with End Ileostomy is the complete surgical removal of the colon, rectum, and anus, with creation of a permanent end ileostomy on the abdominal wall. It is the most definitive curative procedure for severe ulcerative colitis, familial adenomatous polyposis, or other colon disease — chosen when J-pouch surgery is not suitable due to patient factors, sphincter weakness, or low rectal cancer. With modern stoma care and structured support, most patients live full, active lives. Dr. Tejasree Vengala performs this surgery at Lux Hospitals, Hyderabad, with sensitivity and expert technique.
How the Procedure Works
Pre-Operative Counselling
Detailed counselling about life with an ileostomy is provided. The optimal stoma site is marked by the stoma nurse.
Anaesthesia & Preparation
Surgery is performed under general anaesthesia. The abdomen is prepared and draped in sterile fashion.
Colon, Rectum, and Anus Removal
The entire colon, rectum, and anal canal are carefully removed laparoscopically or open, with attention to preserving important pelvic nerves.
End Ileostomy Creation
The end of the small intestine is brought through the abdominal wall at the marked site and matured to the skin to create a permanent stoma.
Recovery & Stoma Training
Patients are mobilised early. The stoma nurse provides comprehensive training on pouch care, change, and lifestyle adaptation.
Outcomes
Who Needs This Treatment?
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Most definitive curative surgery for severe colon disease
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Eliminates all colon-related symptoms permanently
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Eliminates cancer risk in FAP and severe colitis
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Single major surgery without staged J-pouch procedures
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Most patients return to full active life within weeks
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Comprehensive stoma nurse support throughout
When J-pouch is not the right answer, end ileostomy gives a clean, definitive cure. Modern stoma care has come so far — patients work, travel, exercise, even swim. With the right support, an ileostomy is just one part of a full and active life.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Total Proctocolectomy with End Ileostomy Cost in Hyderabad
The cost of total proctocolectomy with end ileostomy in Hyderabad depends on the underlying colorectal condition, severity and extent of disease, surgical complexity, surgical approach, investigations required, and the care needed before and after surgery.
For patients requiring removal of the colon and rectum with creation of a permanent end ileostomy, the approximate cost ranges between ₹3,00,000 and ₹5,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Total Proctocolectomy with End Ileostomy | ₹3,00,000 – ₹5,50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, surgical approach, complexity of bowel surgery, and whether any additional procedures are required.
Factors That Influence Total Proctocolectomy with End Ileostomy Cost
The overall cost may depend on:
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Underlying colorectal condition: The reason for surgery, extent of colon and rectal involvement, disease severity, and associated complications may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, colonoscopy, imaging when needed, blood tests, and medical assessments before surgery may affect the overall cost.
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Extent of bowel removal: The complexity of removing the colon and rectum and managing the remaining bowel may influence the surgical cost.
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Surgical approach: The cost may vary depending on whether the procedure is performed through an open, laparoscopic, or robotic approach.
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Additional procedures: Treatment of complications, adhesions, or other colorectal conditions may require additional procedures and can affect the overall cost.
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Hospital stay and post-operative care: The duration of admission, medicines, nutritional support, wound care, stoma supplies, stoma education, and follow-up requirements may influence the final estimate.
Is Total Proctocolectomy with End Ileostomy Covered by Insurance?
Total proctocolectomy with end ileostomy may be covered by health insurance when it is performed for a medically necessary colorectal condition. Coverage depends on your insurance policy, inclusions, exclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, colonoscopy findings, and investigation reports to determine the appropriate surgical approach. She will explain the procedure, expected recovery, stoma care requirements, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.