Total Proctocolectomy with End Ileostomy
Complete removal of the colon and rectum with a permanent ileostomy - the definitive surgical cure for ulcerative colitis when J-Pouch reconstruction is not appropriate due to sphincter function, dysplasia pattern, or patient preference.
What is Total Proctocolectomy with End Ileostomy?
Total Proctocolectomy with End Ileostomy involves removing the entire colon and rectum and creating a permanent ileostomy through which all faecal output is collected in a stoma appliance. Unlike the J-Pouch procedure, no internal reservoir is created - the ileostomy is permanent.
Dr. Samhitha Reddy performs total proctocolectomy with end ileostomy at Lux Hospitals, Hyderabad for ulcerative colitis patients where J-Pouch surgery is not appropriate - due to poor sphincter function (which would result in poor pouch continence), a dysplasia pattern requiring complete sphincter excision, low rectal cancer, or patient preference for a simpler, single-stage curative operation. As part of the comprehensive ulcerative colitis specialist in Hyderabad programme, it provides definitive cure with reliable outcomes.
Total proctocolectomy with end ileostomy provides permanent surgical cure for UC. Counselling by a specialist stomal therapist before surgery is essential to ensure the patient understands stoma care and realistic quality-of-life expectations.
How the Procedure Works
Pre-operative Assessment
Colonoscopy, MRI pelvis, sphincter function assessment, and stoma siting by the stomal therapist are completed pre-operatively.
Laparoscopic Colectomy
The colon is mobilised and resected laparoscopically - from the terminal ileum to the rectum. The mesentery is divided systematically.
Proctectomy
The rectum and anus are dissected and excised - either with sphincter preservation (intersphinteric plane) or abdominoperineal resection depending on indication.
End Ileostomy Creation
The terminal ileum is brought through a carefully sited opening in the right lower quadrant of the abdomen and matured as an end ileostomy.
Stomal Therapy Education
The specialist stomal therapy nurse provides comprehensive training on stoma care, appliance management, and dietary guidance before discharge.
Outcomes
Who Needs This Treatment?
- →Provides permanent, definitive cure for ulcerative colitis - disease completely eliminated
- →Single-stage option - simpler than the 2-3 stage J-Pouch approach
- →No risk of pouchitis - the commonest J-Pouch complication
- →Appropriate when sphincter function is poor and pouch continence cannot be assured
- →Modern stoma appliances are discreet and manageable - excellent quality of life achievable
- →Available at Lux Hospitals, Hyderabad with specialist stomal therapy support
Total proctocolectomy with end ileostomy is a true cure - the disease is gone. And while a permanent ileostomy requires adjustment, many patients are genuinely surprised by how well-managed and unobtrusive modern stoma appliances are. Freedom from chronic colitis often far outweighs the adaptation.
— Dr. Samhitha Reddy, 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 condition, complexity of surgery, sphincter function, investigations required, and the care needed before and after the procedure.
For patients with poor sphincter function or low rectal cancer requiring permanent diversion, the approximate cost of total proctocolectomy with end ileostomy ranges between ₹2,50,000 and ₹4,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Total Proctocolectomy with End Ileostomy | ₹2,50,000 – ₹4,50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, 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 condition and surgical complexity: The reason for surgery, extent of colorectal disease, tumour location, sphincter function, and overall surgical complexity may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, imaging, endoscopic assessment, and medical evaluations before surgery may affect the overall cost.
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Additional procedures: If procedures such as lymph node evaluation, cancer-related treatments, stoma-related procedures, or management of associated conditions are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, stoma care support, medicines, nutritional guidance, 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 condition. Coverage depends on your insurance policy, inclusions, 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 the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether total proctocolectomy with end ileostomy is suitable for you. She will explain the procedure, expected outcomes, 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. Samhitha Reddy and get a personalised treatment plan.