Varicocele Embolization Using Sclerosant, Coils And Glue

varicocele embolization - Dr. Sandeep Sharma
Varicocele is a condition in which the veins in the pampiniform plexus dilate abnormally due to blood reflux from the internal spermatic vein. Varicocele affects about 15-20 percent of adolescents and young guys, and up to 40-45 percent of infertile males have it. The cause of varicocele is unknown, but it is likely complex. The most prevalent cause of reflux in the internal spermatic vein is valve malfunction, which can be inherited or acquired. To divert blood flow away from a varicocele, a catheter (long, thin, hollow plastic tube) and imaging guidance are used to put small coils and/or liquid material in a blood vessel. It's less invasive than traditional surgery, and it can safely ease pain and swelling while also potentially improving sperm quality. The aberrant testicular vein is subsequently blocked with little metal coils. The radiologist will remove the catheter when the treatment is completed and gently press on the entry site for a few minutes to prevent bleeding. It will take about 40-60 minutes to complete the treatment while treating both sides will take longer.

Surgical repair appears to have higher risks than varicocele embolization, with no clear advantage in terms of success rates, implying that embolization may be the preferred option for unilateral varicoceles in infertile men. What are the potential side effects of varicocele embolization? The technique is completely risk-free. Infection is one of the very infrequent dangers. The use of cyanoacrylate glue for varicocele embolization was found to be as safe as other embolic materials, resulting in less radiation (shorter scope duration, less kinetic energy emitted per unit mass, lower DAP) and a lower recurrence rate than other embolic materials. Coils are the most often utilized endovascular technique because they are safe, simple to use, and easily available. As an alternative to coils, Amplatzer vascular plugs can be employed. Coils and plugs have a fully occlusive mechanism of action, and their impact is equal to surgical ligation of the main gonadal vein. Mechanical embolic agents have the disadvantage of being less effective in the presence of collateral vessels, which can lead to varicocele recanalization. Coil embolization has also been linked to problems such as coil migration, which can result in pulmonary embolism. Coil embolization has also been linked to problems such as coil migration, which can result in pulmonary embolism. Thanks to the development of detachable coils, which we used in our study, this type of problem are almost non-existent nowadays. Plug placement, on the other hand, can be difficult at times and necessitates the use of big sheaths when the internal spermatic vein is large. Discomfort during varicocele glue embolization is a typical side effect that might progress to pain. Some researchers speculated that when cyanoacrylate and sclerosing agents were employed instead of coils, post-embolization discomfort was more common.
 

Varicocele's Advantages Embolisation


o Varicocele embolization therapy takes 15 minutes.

o There's no chance of it happening again.

o There was no discomfort, no stitches, and no scars.

o The following day, return to work.

What are the benefits of Varicocele Treatment?


o Testicular atrophy can result from irreversible injury to the testis (shrinkage)

o Varicocele is a common cause of infertility in men.

o Varicocele results in a reduction in sperm count and motility.

o Sperm become malformed or misshapen.

o Permanent agony and pain

The majority of embolization coils are currently MRI compatible. The coil's fibers aid in vein thrombosis, which leads to venous blockage. Coils can be inserted properly and safely using radiological guidance, allowing for accurate placement to decrease the frequency.

Best doctor for acute stroke. Dr. Sandeep Sharma is the Best doctor for Acute Stroke Mechanical Thrombectomy. He is an expert in both suction retrieval and stent retrieval and uses both techniques in perfect combination.

Comments

Post a Comment

Popular posts from this blog

Bilateral Varicocele Embolization

Image
Varicoceles are not life-threatening, however, they can be linked to serious illnesses in rare cases. If a varicocele arises on the right side of the abdomen rather than the left, for example, make sure there is no mass or other abnormalities in the abdomen that could be causing it. Blood is transported back to the heart via veins throughout the body. They usually feature valves to keep the blood flowing in the right way. When the valves in the testicular vein don't work properly, blood can pool in the scrotum, resulting in a varicocele. They commonly happen on the left side, and they're caused by the testicular vein's path through the abdomen. Varicocele is a frequent condition that is not hazardous. In fact, a varicocele affects 15% of all adult men. Many men's varicocele will go undiscovered for the rest of their lives or may create no complications at all. Varicoceles affect about 20% of teens, therefore a portion of them will most likely resolve on their own. The
Read more

LIVER ABSCESS DRAINAGE

Image
A pus-filled patch of fluid within the liver is known as a pyrogenic hepatic abscess. Pyogenic denotes the production of pus. A liver abscess can arise from a number of various causes, including a blood infection, an abdominal infection, or an infected abdominal injury. An abscess in the liver is a serious infection. It has the potential to cause major issues and even death. It can cause tissue damage in the spot where it is discovered. Fever, discomfort, nausea, diarrhoea, and loss of appetite are all possible symptoms. The whole first treatment for an amebic liver abscess is amebicidal medicines. The medication of choice is metronidazeole. The size of the abscess is a key determinant in deciding how well medical therapy works. Other treatment options include percutaneous needle aspiration and/or catheter drainage.  The type of abscess that occurs is influenced by one's age. People in their 40s and 60s are more likely to have a liver abscess that is not caused by trauma.  The foll
Read more

What is Interventional Radiology?

Image
  The medical technology has done so much progress in the past one decade that it’s sometimes surprising. Interventional radiology is one such amazing medical innovation that involves medical imaging which guides minimally invasive surgical procedures that help in diagnosis, treatment and cure of many different kinds of treatments. For imaging, the modalities used are ultrasound, MRI, CT and fluoroscopy. Why Interventional Radiology? Many surgeries are now being switched to the method of Interventional radiology and that is because the IR procedure is known to be more effective compared to their traditional surgical counterparts. This method is any day less risky, less painful and even costs you way lesser comparatively. These reasons are influencing people to prefer the IR treatment methods and hence it is starting to expand all across the world. How does Interventional Radiology work? There are various broad range procedures performed under Interventional Radiology like treating tumo
Read more