✅ Verified Patient Story — Discharge Summary on File
📅 Treatment Date: April 2026
🏥 Fortis Escorts Hospital, Faridabad
🌍 Patient from: Tanzania
DL
Mr. Dickson Limbu Ntemi
57 Years · Male · Tanzania · UHID: 14478343
★★★★★
HoLEP Surgery
BPH Treatment
Spine Pain Relief
Radiofrequency Ablation
Fortis Faridabad
Tanzania → India
"
For two years I was suffering — unable to urinate properly, waking up every hour at night, and my back and leg pain had become unbearable. I was told in Tanzania that I needed prostate surgery, but the cost and availability of the right specialists was a serious problem. GAF Healthcare changed everything. Within 24 hours of sending my reports, I had a treatment plan, a cost estimate, and a hospital recommendation. Ten days later I was in India. I am going home a different man — the pain is gone, my urination is normal, and I feel like I have my life back.
— Mr. Dickson Limbu Ntemi, 57, Tanzania · Treated at Fortis Escorts Hospital, Faridabad · April 2026
📋 Treatment Summary — At a Glance
Patient
Mr. Dickson Limbu Ntemi, 57M, Tanzania
Hospital
Fortis Escorts Hospital, Faridabad
Primary Diagnosis
BPH with OAB + PIVD L5-S1 + Radiculopathy
Procedures Performed
HoLEP + Cystoscopy + RF Ablation + Caudal Neuroplasty
Consultant Team
Dr. Anup Gulati & Dr. Somanath Karmungikar
Discharge Status
Stable — Routine discharge, pain relieved
2 yrs
Suffering Before India
This is the complete, verified story of Mr. Dickson Limbu Ntemi — a 57-year-old patient from Tanzania who travelled to India through GAF Healthcare for HoLEP prostate surgery and advanced spine pain treatment at Fortis Escorts Hospital, Faridabad. His discharge summary is on file with GAF Healthcare. His story is shared with his permission to help other Tanzanian patients make informed decisions about seeking treatment in India.
1. Mr. Dickson's Story: Two Years of Suffering in Tanzania
Mr. Dickson Limbu Ntemi is a 57-year-old man from Tanzania. For more than two years, he had been living with a combination of problems that progressively destroyed his quality of life — and which local healthcare in Tanzania was unable to fully address.
His primary complaint was urological: he had been experiencing increased frequency of urination, straining to void, hesitancy, and haematuria (blood in the urine). These are classic symptoms of benign prostatic hyperplasia (BPH) — an enlarged prostate gland pressing on the urethra. For a man of 57, waking multiple times every night, unable to empty his bladder fully, and passing blood in his urine, the impact on daily life, sleep, and wellbeing was severe.
At the same time, Mr. Dickson had been suffering from a serious spinal condition affecting his lower back and right leg. He had been diagnosed with PIVD (Prolapsed Intervertebral Disc) at L5-S1 with an annular tear at L4-5, causing radiculopathy — nerve pain radiating down his right lower limb. Every step was painful. Sitting for long periods was difficult. The nerve pain affected his ability to work and his ability to rest.
His words capture the reality of those two years: "I was trapped between two conditions, each one making the other harder to bear. The urinary problem robbed me of sleep. The back and leg pain robbed me of movement. I needed help that Tanzania simply could not give me at the right price and the right quality at the same time."
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Patients from Tanzania with similar conditions: BPH (enlarged prostate) and lumbar disc disease with nerve pain are among the most commonly treated conditions in Tanzanian patients who come to India through GAF Healthcare. Advanced minimally invasive procedures like HoLEP and radiofrequency ablation are available at 60–80% lower cost than South African or European private hospitals.
2. Why He Chose India — and Why He Chose GAF Healthcare
Mr. Dickson had explored local options and had received advice to seek specialist treatment abroad. South Africa and Kenya were considered, but the costs were high and the specialists in minimally invasive urology — specifically HoLEP (Holmium Laser Enucleation of the Prostate), the most advanced and effective treatment for his prostate size — were not readily available.
A friend from Dar es Salaam who had previously used GAF Healthcare's services recommended reaching out. Mr. Dickson sent his medical reports — his urological investigations, MRI of the lumbar spine, blood tests, and symptom history — to GAF Healthcare via WhatsApp.
"
I sent my reports at night and by the next morning I already had a reply. Not just a general message — a proper response telling me exactly what treatment I needed, which hospital was best for my case, and what the cost would be in USD. No other hospital or agent I had contacted had ever given me this level of clarity so quickly.
— Mr. Dickson Limbu Ntemi on his first contact with GAF Healthcare
Within 24 hours, GAF Healthcare had reviewed his case and recommended Fortis Escorts Hospital, Faridabad — one of India's leading urology departments — and identified that his complex needs (simultaneous prostate and spine treatment) could be addressed in a single admission by two specialist teams working in coordination.
Medical visa invitation letter — issued by GAF Healthcare within 24 hours of confirming hospital and appointment
Airport pickup — GAF coordinator met Mr. Dickson on arrival at Delhi airport and escorted him to accommodation near the hospital
Hospital admission support — GAF coordinator accompanied him for registration, pre-operative assessment, and all administrative processes
Communication support — GAF team provided English and Swahili language coordination throughout the stay
Cost transparency — itemised USD cost estimate was provided before departure, and the final bill matched the estimate precisely
3. His Diagnosis: What Was Found at Fortis Faridabad
Upon admission to the Department of Urology at Fortis Escorts Hospital, Faridabad on 7 April 2026, Mr. Dickson underwent a comprehensive pre-operative evaluation under the leadership of Dr. Anup Gulati and Dr. Somanath Karmungikar.
Urological Findings
Investigations confirmed Benign Prostatic Hyperplasia (BPH) with Overactive Bladder (OAB). Cystoscopy revealed a Grade II prostate with a medial lobe, and bladder examination showed grade II trabeculation with evidence of cystitis — signs of chronic obstruction from the enlarged prostate.
Spinal and Neurological Findings
The spinal assessment confirmed PIVD L5-S1 with annular tear at L4-5 and right lower limb radiculopathy — a disc that had herniated and torn at two levels, compressing the nerve root responsible for pain radiating down his right leg. This is a complex presentation requiring specialist intervention beyond standard physiotherapy or oral analgesics.
4. The Procedures: HoLEP, Radiofrequency Ablation & Caudal Neuroplasty
Mr. Dickson underwent three distinct procedures during his four-day admission — each addressing a different component of his complex presentation. The coordination between the urology and pain management teams at Fortis Escorts was, in his words, "seamless — I felt like they had planned everything together, not separately."
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HoLEP with Cystoscopy — 8 April 2026
For BPH with OAB
HoLEP (Holmium Laser Enucleation of the Prostate) is the most advanced, gold-standard minimally invasive treatment for benign prostatic hyperplasia. Unlike traditional
TURP surgery, HoLEP uses a holmium laser to enucleate (remove) the entire adenoma (obstructing portion of the prostate) through the urethra — no incision, minimal blood loss, faster return to normal urination, and no size limit. Cystoscopy was performed simultaneously to directly visualise the bladder and confirm the operative findings. Per operative findings confirmed a
Grade II prostate with medial lobe and bladder trabeculation with cystitis.
ProcedureHoLEP + Cystoscopy
Date8 April 2026
ApproachTransurethral — no incision
FindingGrade II prostate, medial lobe, bladder trabeculation grade II
Advantage over TURPComplete tissue removal, less blood loss, lower recurrence
RecoveryFaster; catheter removed earlier than TURP
Read About Prostate Surgery in India →
⚡
Radiofrequency Ablation — Right L5 DRG — 9 April 2026
For L5-S1 Disc & Radiculopathy
Radiofrequency ablation (RFA) of the right L5 dorsal root ganglion (DRG) is a targeted, minimally invasive pain procedure. Under local anaesthesia and fluoroscopic (X-ray) guidance, a specialised needle is inserted to the precise anatomical location of the L5 DRG — the nerve structure responsible for transmitting pain signals from the disc herniation to the brain. Pulsed radiofrequency energy is then applied at controlled parameters (42°C for 20 seconds) to modulate pain transmission without destroying the nerve. This was performed by Dr. Sai on 9 April 2026. Mr. Dickson noted immediate pain relief in the sole of his feet bilaterally following the procedure, with no sensory or motor deficit.
ProcedurePulsed RF ablation, Right L5 DRG
Date9 April 2026
ApproachSubpedicular under fluoroscopy + ASP
Parameters20G / 110mm / 5mm tip; 42°C × 20 sec
Post-procedure10 gm triamcinolone given; pain relieved
ResultPain relief in sole of feet bilaterally; no neurological deficit
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Caudal Neuroplasty + Medial Branch Block + Multifidus Fenestration — 9 April 2026
For L4-L5 Annular Tear & Multilevel Pain
Three additional precision pain procedures were performed on the same day under fluoroscopic guidance. Caudal neuroplasty — a catheter was advanced through the caudal epidural space to L3-L4 level; contrast confirmed hydrodissection, followed by 8 mg dexamethasone to reduce nerve root inflammation. Bilateral medial branch hydrodissection was performed at L3, L4, and L5 levels — targeting the medial branches responsible for facet joint pain. Multifidus fenestration at L4-L5 with hyped echogenic material addressed the deep paraspinal muscle component of his pain. Piriformis and sciatic nerve scanning was performed bilaterally. Mr. Dickson experienced pain relief at every level following these procedures.
Caudal neuroplastyCatheter to L3-L4; epidurogram confirmed; 8mg dexamethasone
Medial branch blockBilateral L3, L4, L5 hydrodissection
Multifidus fenestrationL4-L5 with 0.25% xylocard + NS
Piriformis/sciatic scanBilateral; no significant finding
Needle26G, 12.5 inch, thoracolumbar interfascial plane
ResultPain relief at all treated levels
Are You Facing Similar Problems? GAF Healthcare Can Help
BPH, prostate problems, back pain, nerve pain — send your reports to GAF Healthcare. A specialist opinion and cost estimate in 24 hours — completely free.
Start Your Treatment Journey →
5. Fortis Escorts Hospital, Faridabad — Mr. Dickson's Experience
Mr. Dickson was treated at Fortis Escorts Hospital, Faridabad, under the care of Dr. Anup Gulati and Dr. Somanath Karmungikar, Directors of Urology at the hospital — with pain management by the specialist Dr. Sai team.
"
The nurses were patient and kind. The doctors came every day. Dr. Anup Gulati explained everything clearly — in simple English that I could understand. The pain procedures that Dr. Sai's team did for my back were done with great precision. I could feel the difference immediately after each procedure. The hospital is clean, well-organised, and the food was good. I was very comfortable during my stay.
— Mr. Dickson Limbu Ntemi on his experience at Fortis Escorts Hospital, Faridabad
Mr. Dickson noted several aspects of Fortis Escorts Hospital that made a strong impression:
Multidisciplinary coordination — the urology team and pain management team worked together from day one, staging the procedures across two days in the right clinical order
Investigative thoroughness — comprehensive pre-operative workup including ECG, echocardiography (LVEF 55-60%, normal), full blood count, liver function tests, HIV, hepatitis B and C screening, renal function, and coagulation profile — all completed on day one
International patient experience — staff were familiar with international patients; the GAF Healthcare coordinator facilitated all communication without Mr. Dickson ever feeling lost or unsupported
Discharge planning — a detailed, multi-page discharge summary was provided in English with all investigation results, operative findings, medication details, and clear follow-up instructions
6. The GAF Healthcare Journey: Step by Step
Day 0 — Tanzania
WhatsApp to GAF Healthcare — reports sent; response in 24 hours
Mr. Dickson sent his urological reports, MRI of lumbar spine, blood results, and symptom history to GAF Healthcare via WhatsApp. Within 24 hours he received a written response identifying his diagnoses, recommending Fortis Escorts Faridabad, naming the consultant team, and providing an itemised USD cost estimate — completely free of charge.
Days 2–5
Hospital confirmed → Medical visa invitation letter issued in 24 hours
GAF Healthcare issued the official medical visa invitation letter from Fortis Escorts Hospital within 24 hours, enabling Mr. Dickson to apply for his India Medical Visa from the Indian High Commission in Tanzania. Visa was processed and travel was booked.
Arrival — Delhi Airport
GAF coordinator met Mr. Dickson at the airport with name board
On arrival at Indira Gandhi International Airport, Delhi, a GAF Healthcare on-ground coordinator was waiting with his name board. Mr. Dickson was escorted to accommodation near Fortis Escorts Hospital, Faridabad — arranged and booked by GAF Healthcare in advance.
7 April 2026 — Day of Admission
Admitted to Fortis Escorts Faridabad — pre-operative workup completed
GAF coordinator accompanied Mr. Dickson for registration and admission. Comprehensive pre-operative investigations completed: ECG, echo (normal cardiac function confirmed), full blood count (Hb 12.4 g/dL, WBC 11.00), liver function, HIV (non-reactive), hepatitis B surface antigen (non-reactive), HCV (non-reactive), coagulation (PT 14.6 sec, INR 1.06 — normal). All cleared for surgery.
8 April 2026
HoLEP with cystoscopy performed by Dr. Anup Gulati / Dr. Somanath Karmungikar
HoLEP (Holmium Laser Enucleation of the Prostate) with cystoscopy performed. Grade II prostate with medial lobe enucleated. Bladder trabeculation grade II with cystitis noted and addressed. Post-operative recovery uneventful. Mr. Dickson was comfortable and resting by evening.
9 April 2026
RF ablation L5 DRG + caudal neuroplasty + medial branch block by Dr. Sai
Three precision spine pain procedures performed under fluoroscopic guidance. Pulsed radiofrequency ablation of right L5 DRG. Caudal neuroplasty with epidural access to L3-L4. Bilateral medial branch hydrodissection at L3, L4, L5. Multifidus fenestration L4-L5. Patient noted immediate pain relief in soles of both feet. No sensory or motor deficit. Post-procedure care uneventful.
11 April 2026
Routine discharge in stable condition — returning home to Tanzania
Mr. Dickson was discharged in stable condition after 4 days. He received a comprehensive discharge summary, HPE biopsy specimen collection form (pending), full investigation results, detailed medication list, clear follow-up instructions, and GAF Healthcare's 3-month post-discharge remote support contact. His urinary symptoms had resolved and his leg and back pain was dramatically reduced.
7. Results & Recovery — What Changed for Mr. Dickson
The transformation Mr. Dickson experienced during his four-day admission at Fortis Escorts Hospital was significant. Three of the four major problems he arrived with were directly and immediately addressed:
Urinary symptoms resolved — following HoLEP, the obstruction from the enlarged prostate was removed. Mr. Dickson's urinary flow, frequency, and haematuria improved dramatically and he was discharged voiding normally
Right leg pain dramatically reduced — radiofrequency ablation of the L5 DRG interrupted pain transmission from the compressed nerve root; Mr. Dickson noted immediate relief in the soles of both feet following the procedure
Lower back pain improved — caudal neuroplasty, medial branch block, and multifidus fenestration addressed multiple pain generators in the lumbar spine; Mr. Dickson reported significant reduction in his background lower back ache
Bladder OAB symptoms addressed — the medial lobe of the prostate responsible for bladder outlet obstruction was completely enucleated; the overactive bladder symptoms were expected to improve progressively in the weeks following discharge
HPE biopsy pending — tissue sample taken during the procedure was sent for histopathology; Mr. Dickson was advised to collect the HPE report and share it with GAF Healthcare for further guidance
Prostate Problems or Back Pain? Get a Free Medical Opinion in 24 Hours
Send your reports to GAF Healthcare. Our specialist team will review and recommend the right hospital and procedure — cost estimate in USD included. No charge. No obligation.
Learn About Prostate Surgery in India →
8. Full Discharge Summary Details
Follow-Up Instructions from Fortis Escorts Hospital
Rest for 7 days. Normal diet. Complete all prescribed medications as per schedule.
Avoid lifting heavy objects or straining. Drink plenty of oral fluids daily.
Apply hot packs as advised by Dr. Sai's team for ongoing lower back pain management.
Collect the HPE (histopathology) biopsy report and chest X-ray result from the hospital and share with GAF Healthcare for further oncology guidance if indicated.
Review after 7 days in Urology OPD — or contact GAF Healthcare for remote follow-up coordination.
Seek urgent care if: blood or clots in urine, inability to pass urine, fever, pain in abdomen, ulcers or burning sensation in urine.
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Important note for Mr. Dickson and similar patients: The HPE biopsy specimen (tissue/paraffin block) collected during the HoLEP procedure is a critical result. If the histopathology shows any unexpected findings, GAF Healthcare should be contacted immediately. GAF's oncology team will advise on next steps within 24 hours of receiving the report.
9. His Message to Tanzanian Patients — In His Own Words
"
To my brothers and sisters in Tanzania — if you are suffering with prostate problems, back pain, nerve pain, or any condition that you have been told needs specialist treatment that is not available or not affordable at home — please do not wait. I waited two years. Two years of pain, disturbed sleep, and fear. When I finally contacted GAF Healthcare and came to India, the problem that had taken two years to build was addressed in four days. I came out of that hospital walking better than I had in years. The cost was reasonable. The care was world-class. And I never felt alone for a single moment because GAF Healthcare was with me at every step.
— Mr. Dickson Limbu Ntemi · Tanzania · Fortis Escorts Hospital, Faridabad · April 2026
Mr. Dickson specifically encourages patients from Dar es Salaam, Mwanza, Arusha, Dodoma, and across Tanzania to reach out to GAF Healthcare. He has shared his contact information with GAF Healthcare for patients who wish to speak directly with someone who has been through this experience.
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For patients from across Tanzania: GAF Healthcare has supported patients from Dar es Salaam, Mwanza, Arusha, Dodoma, and cities across Tanzania. Whether you need urology, oncology, cardiac, orthopaedic, or neurological treatment — our team will find the right hospital in India and manage every aspect of your journey. Visit gafhealthcare.in/tanzania/treatment-in-india for the complete Tanzania patient guide.
People Also Ask
What is HoLEP surgery and how is it different from TURP?
HoLEP (Holmium Laser Enucleation of the Prostate) is the gold-standard, size-independent minimally invasive treatment for BPH (enlarged prostate). Unlike
TURP, which removes tissue using an electrical loop, HoLEP uses a holmium laser to enucleate (remove) the entire adenoma through the urethra — no incision, less blood loss, faster catheter removal, lower recurrence rate, and suitable for all prostate sizes. It is the treatment Mr. Dickson Limbu Ntemi received at Fortis Escorts Faridabad.
Can patients from Tanzania come to India for prostate surgery?
Yes. GAF Healthcare regularly coordinates prostate surgery (HoLEP, TURP, laser procedures) for patients from
Tanzania at JCI and NABH-accredited hospitals in India. The medical visa invitation letter is provided within 24 hours, airport pickup is arranged, and an English/Swahili-speaking coordinator supports the patient throughout their stay.
What is radiofrequency ablation for disc pain?
Radiofrequency ablation (RFA) for disc-related nerve pain targets the dorsal root ganglion (DRG) — the nerve structure transmitting pain from a herniated disc to the brain. Pulsed RF energy is applied under fluoroscopic guidance to modulate pain transmission. As Mr. Dickson experienced, patients typically feel immediate pain relief in the distribution of the treated nerve root, without damage to motor function.
How does GAF Healthcare help patients from Tanzania coming to India?
GAF Healthcare provides end-to-end support: remote medical opinion within 24 hours, hospital matching, itemised USD cost estimate, medical visa invitation letter, airport pickup, accommodation near the hospital, on-ground coordination in English and Swahili, hospital admission support, and 3-month post-discharge remote follow-up — all at no cost to the patient. See the full
Tanzania patient guide.
10. Frequently Asked Questions for Tanzanian Patients
How do I start the process of coming to India for treatment from Tanzania?
Send your medical reports — scan, ultrasound, blood tests, or any investigation results — to GAF Healthcare via WhatsApp (+91 90443 46292). Within 24 hours, you will receive a specialist opinion, recommended hospital, and itemised USD cost estimate. GAF Healthcare will then issue the hospital invitation letter for your India Medical Visa. Visit
gafhealthcare.in/tanzania/treatment-in-india for the complete step-by-step guide.
Is Fortis Escorts Hospital Faridabad good for international patients from Tanzania?
Fortis Escorts Hospital, Faridabad is a NABH-accredited hospital with extensive experience in treating international patients. The urology department under Dr. Anup Gulati is recognised for advanced laser prostate procedures including HoLEP. The hospital has a dedicated international patient department and the GAF Healthcare coordinator accompanies patients throughout their admission. Mr. Dickson's experience is a strong validation of the quality of care.
How much does HoLEP prostate surgery cost in India for Tanzanian patients?
HoLEP surgery in India is significantly more affordable than in South Africa, Kenya, or Europe — typically in a range accessible to most patients from Tanzania. GAF Healthcare provides an exact, itemised USD cost estimate within 24 hours of receiving your reports, covering surgeon fees, hospital stay, anaesthesia, investigation, and post-operative care. There is no charge for the cost estimate.
Can I get spine pain treatment at the same time as prostate surgery in India?
Yes — as Mr. Dickson's case demonstrates. India's leading hospitals have multidisciplinary teams that can coordinate different specialist procedures within a single admission. Urology and pain management procedures were staged across two days at Fortis Escorts Faridabad, maximising Mr. Dickson's outcome while minimising the number of trips to India and the total time away from Tanzania.
Is GAF Healthcare's service free for patients from Tanzania?
Yes. All GAF Healthcare services — remote opinion coordination, hospital matching, cost estimation, medical visa invitation letter, airport transfer coordination, on-ground support, and post-discharge remote follow-up — are provided at no cost to the patient. GAF Healthcare's revenue comes from long-term partnerships with hospitals, ensuring fully objective recommendations that always prioritise the patient's best interest.
Which cities in Tanzania does GAF Healthcare serve?
GAF Healthcare serves patients from all cities and regions across Tanzania — including
Dar es Salaam,
Mwanza,
Arusha,
Dodoma, Zanzibar, Mbeya, Morogoro, Tanga, and smaller towns. The WhatsApp coordination model means geography within Tanzania is no barrier — patients anywhere can connect and receive support instantly.
Send Your Reports — Specialist Opinion + Cost Estimate in 24 Hours
Like Mr. Dickson, hundreds of patients from Tanzania have found the right specialist and the right hospital in India through GAF Healthcare. Your journey starts with a single WhatsApp message — completely free.
Tanzania Patient Guide →
📚 Related Guides for Tanzanian Patients
This testimonial is based on the verified discharge summary of Mr. Dickson Limbu Ntemi (UHID: 14478343, Fortis Escorts Hospital, Faridabad, April 2026), shared with his explicit consent. Clinical details are reproduced accurately from the official hospital discharge documentation. Patient quotes represent his own words as communicated to GAF Healthcare. This article is for informational purposes only and does not constitute medical advice. Medical outcomes vary by individual. Always consult a qualified specialist for guidance specific to your condition. GAF Healthcare connects patients with internationally accredited hospitals and does not provide medical treatment directly. Last Updated: April 2026.