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Varicoceles are a relatively common condition (affecting approximately 10 percent of men) that tends to occur in young men, usually during the second or third decade of life. Sometimes, these varicoceles cause no symptoms and are harmless. But sometimes a varicocele causes pain or atrophy (shrinkage), or fertility problems.
Normally, blood flows to the testicles through an artery, and flows out via a network of tiny veins that drain into a long vein that goes up through the abdomen. The direction of blood flow in this vein should always be up, toward the heart. A series of one-way valves in the vein prevent the reverse flow of blood back to the testicles.
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Uterine Adenomyosis Services
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Adenomyosis is a non-cancerous condition of the uterus that can mimic many of the signs and symptoms of fibroids. This condition results from the lining cells of the uterus growing directly into the muscle wall of the uterus. At the time of the menstrual period, these cells in the muscle bleed as well. And bleeding directly into the muscle causes pain. As the blood accumulates, the surrounding muscle swells and forms fibrous tissue in response to the irritation. This swollen area within the uterine muscle wall, called an adenomyoma, feels very much like a fibroid on examination and is often confused with a fibroid on a sonogram.
The condition can be located throughout the entire uterus and it become bulky and heavier also called diffuse adenomyosis or uterine endometriosis or localized in one spot (focal adenomyosis).
Diagnosis of Adenomyosis
The diagnosis of adenomyosis is suspected if the uterus feels enlarged and tender to the touch during the pelvic examination. However, the diagnosis of adenomyosis based on these findings is often inaccurate, and other causes-fibroids, endometriosis, or polyps-are often found as the cause for the bleeding or discomfort.
The uterus may be imaged using ultrasound (US) or magnetic resonance imaging;(MRI). Transvaginal ultrasound is the most cost effective and most available. Either modality may show an enlarged uterus. On ultrasound, the uterus will have a heterogeneous texture, without the focal well-defined masses that characterize uterine fibroids.
MRI provides better diagnostic capability due to the increased soft tissue differentiation and able to differentiate adenomyosis from multiple small uterine fibroids. The uterus will have a thickened junctional zone. A thickness of the junctional zone greater than 10 to 12 mm is diagnostic of adenomyosis (<8 mm is normal). Interspersed within the thickened, hypointense signal of the junctional zone, one will often see foci of hyperintensity (brightness) on the T2 weighted scans representing small cystically dilatated glands or more acute sites of microhemorrhage.
MRI can be used to classify adenomyosis based on the depth of penetration of the ectopic endometrium into the myometrium.
Symptoms of Adenomyosis.
Adenomyosis may be mild and cause no symptoms at all, Though adenomyosis is considered a benign (not life-threatening) condition, it can have a negative impact on a woman's quality of life. The common symptoms are: -
  • Heavy or prolonged menstrual bleeding
  • Severe menstrual cramping pain that worsen with age
  • Someone with adenomyosis might also feel pain during activities.
  • Passing of blood clots during period, bleeding between periods or light spotting.
  • Bladder pressure leading to a constant urge to urinate
  • Pressure on bowel, leading to constipation and bloating
  • Abnormally enlarged abdomen
  • The uterus might also increase in size and feel very tender to the touch.

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Uterus Fibroid Services
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Uterus Fibroid Services

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What is uterine / uterus fibroid ?
Uterine fibroids (myomas, leiomyomas, or fibromyomas) are the most frequent tumors of the female genital tract: 20 to 40% of women of childbearing age have a fibroid. Fibroids range in size from very tiny to the size of an orange or larger. In some cases, they can cause the uterus to grow to the size of a five-month pregnancy or more. Fibroid may be located in various parts of the uterus.
Fibroids affect at least 20% of all women at sometime during their life. Women aged between 30 and 50 are the most likely to develop fibroids. Overweight and obese women are at significantly higher risk of developing fibroids, compared to women of normal weight.
Types of uterine Fibroids:
  • Intramural fibroids are located within the wall of the uterus and are the most common type; unless large, they may be asymptomatic. It may cause heavy bleeding with clots. With time, intramural fibroids may expand inwards, causing distortion and elongation of the uterine cavity.
  • Subserosal fibroids are located on surface of the uterus and can become very large. They can cause pressure over bladder and rectum producing urgent urination and constipation with back pain.
  • Submucosal fibroids are located in the muscle beneath the endometrium of the uterus and distort the uterine cavity; even small lesion in this location may lead to bleeding and infertility.
  • Cervical fibroids are located in the wall of the cervix (neck of the uterus).
Symptoms of fibroids depending on location, they may cause:
1. Heavy, prolonged menstrual periods and unusual bleeding, sometime with clots. This might lead to anemia.
2. Lower abdomen, back or leg pain
3. Lower abdomen pressure or heaviness
4. Bladder pressure leading to a constant urge to urinate
5. Pressure on bowel, leading to constipation and bloating
6. Abnormally enlarged abdomen.
Diagnosis
Fibroids are usually diagnosed during a gynecologic examination. The presence of fibroids is most often confirmed by a lower abdomen ultrasound. Fibroids can also be confirmed using MRI (magnetic resonance imaging). These imaging techniques serve as a baseline examination for follow-up after uterine fibroid embolization (UFE).Causes
Doctors don't know the cause of uterine fibroids, but research and clinical experience point to these factors:
Genetic alterations: - Many fibroids contain alterations in genes that are different from those in normal uterine muscle cells.
Hormones: - Estrogen and progesterone, two hormones that stimulate development of the uterine lining during each menstrual cycle in preparation for pregnancy, appear to promote the growth of fibroids. Fibroids contain more estrogen and progesterone receptors than do normal uterine muscle cells.
Other chemicals: - Substances that help the body maintain tissues, such as insulin-like growth factor, may affect fibroid growth.
Complications
Although uterine fibroids usually aren't dangerous, they can cause discomfort and may lead to complications such as anemia from heavy blood loss.
Anemia: - if the bleeding is very heavy.
Urinary tract infections: - if pressure from the fibroid prevents the bladder from fully emptying
Pregnancy and fibroids: - Fibroids usually don't interfere with conception and pregnancy. However, it's possible that fibroids could distort or block your fallopian tubes, or interfere with the passage of from your cervix to your fallopian tubes. In other cases, treatment for fibroids during pregnancy isn't necessary. A common complication of fibroids during pregnancy is localized pain, typically between the first and second trimesters.

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Treatment of Brain & Spine Disease
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Treatment for Ischemic Leg Pain Services
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Ozone Therapy for Lumber Disc Herniation Services
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These procedures are performed without surgery by interventional radiologists. These physicians specialize in the use of X-rays, Digital subtraction angiography (DSA) and other techniques such as ultrasound, computed tomography (CT) and magnetic resonance (MR) to see inside the body without surgery. Flexible thin tubes (catheters) are inserted through skin or blood vessels and guided to the treatment (like heart angioplasty)
As it is done by interventional Radiologist, he can see inside the body without opening it through CT scan, ultrasound, DSA thereby treating exact site of disease without effecting surrounding structures.
  • It is less risky as compared to surgery
  • It is cheaper than traditional surgery.
  • No surgical scar on skin.
  • Exact localization of the disease is possible through image guidance.
  • Procedure done under local anesthesia.
  • It is done as an outpatient (OPD) / day care or short hospital stay.
  • Patients can resume normal activities within one to two day.
  • It can fast relieve pain and suffering for many cancer patients
  • Its safety has been proven over many years in thousands of people.
The pros and cons of the various techniques depend on the skill of the doctor performing the procedure and the availability of the necessary equipment. The patient should discuss the various procedures thoroughly with their primary physician and interventional radiologist.
Symptoms of a slipped disc / Back pain
  • The pain from a slipped disc can start in different ways. You might feel an ache in your lower back after you do something that you're not used to. Some hours later, the pain gets so bad that you can't move about easily.
  • Or you may get severe pain all of a sudden, without warning. Some people say it can feel like being stabbed with a knife.
  • Serious pain can stop you carrying out your normal activities.
Sciatica
  • If you have a slipped disc, you'll almost always get pain in your buttocks, thighs, legs, and feet. Usually the pain is only on one side.
  • You may also get numbness, weakness, or tingling in the same area.
  • These symptoms mean the damaged disc is pressing on a sciatic nerve. These nerves travel from the base of your back through your buttocks and down the back of each leg to your feet.
  • Sciatica can come on at the same time as the back pain or it may come on later. The pain may move from your lower back to your leg.
  • With sciatica you can find it uncomfortable to sit down, stand up, or bend over. You will also find it painful to lift the affected leg while you're lying down. This is one of the tests doctors use to diagnose sciatica.
  • You can often get relief by getting into certain comfortable positions, such as lying down.

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Chemo Embolization For Liver Tumor Services
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PRECISION TACE (Transarterial Chemoembolization) for Unresectable Liver Cancer and Metastases by Newly introduced Drug Eluting Beads (DC Beads)
(New Intra-arterial Drug Delivery System for the Treatment of Liver Cancer & Metastases)
The incidence of hepatocellular carcinoma (HCC) is increasing worldwide. Liver cancer is the fifth most common cancer in the world and third most common cause of cancer-related death. It is a highly malignant tumor of liver cell origin showing poor prognosis.
Recently,minimally invasive interventional radiological therapies to be effective in both primary tumors & metastatic tumors. These therapies may replace surgical resection in the near future.
Chemoembolization for liver tumor
Most patients with HCC are diagnosed at intermediate to advanced stage, and there is no standard treatment for these patients. Definitive surgical intervention is not feasible in most cases due to extreme tumor extension, multiplicity of tumor foci & associated liver cirrhosis at the time of diagnosis.
About 10-20% of patient of HCCs are eligible for resection & even after curative resection, post-operative recurrence is common. Because of these reasons, transarterial chemoembolization has been aggressively tried to treat HCCs by Interventional Radiologist and it improves survival of patients with unresectable HCC and is likely to become the standard treatment.
PRECISION TACE were 1st in the country to treat a patient of unresectable Hepatocellular Carcinoma by Intraarterial chemoembolization with newly introduced Drug Eluting beads (DC Beads).
This drug eluting bead is specifically designed to be loaded with Doxorubicin (chemotherapy drug), This Drug Delivery Embolization System brings a new level of efficacy accuracy and convenience to trans-arterial chemo-embolization. In addition there are other advantages like it requires lower dose of Doxorubicin in the system and allows higher doses of Doxorubicin in the tumor for longer time, and it is a consistent treatment.
Chemoembolization is a dual therapeutic approach involving Concomitant hepatic artery embolization and Infusion of a concentrated dose of chemotherapeutic drugs.
Procedure: -
It is a minimally invasive Interventional Radiological procedure, which means it requires only a tiny nick in the skin. It is performed under sedation and local anesthesia – feeling no pain and usually requires a short hospital stay.
The Interventional Radiologist makes a small nick in the skin at groin, insert a catheter, identifies arteries supplying to tumor(s) by using angiography with contrast media injection and then inject drug eluting bead loaded with chemotherapy drug (doxorubicin) that block the tiny vessels supplying the tumor (s). This blockade of blood supply to the tumor causes infarction and delivering a high concentration of drug to the target tumor (s) for longer time while reducing systemic toxicity.
Chemoembolization of Multiple mets
Chemoembolization of Hepatocellular carcinoma.
Ideal Patient for PRESISION TACE
(Trans-arterial chemoembolization) should meet following basic requirements:
1) Patient with diagnosis of unresectable hepatocellular carcinoma.
2) The size of the tumor is between 3-5 cm are indicated for Radiofrequency ablation.
3) Patient with diagnosis of hepatic metastases particularly Neuroendocrine tumor.
4) Bilirubin concentration less the 3mg/dl.
5) Evaluation of patient by team specialist (Interventional Radiologist, cancer & Gastroenterology).

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