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Varicocele Treatment Delhi Affordable

Varicocele Treatment in Delhi

Varicocelectomy – What is Varicocele Treatment Delhi?

When the veins in the scrotum of a Male are enlarged, the condition is known as varicocele. When the patient is suffering from varicocele, the blood flow to his reproductive organs is inhibited and this results in a reduced blood flow. The reduced blood flow can lead to other complications like erectile dysfunction, reduced sperm count and impotence. Varicoceles Treatment Delhi.

Varicoceles Treatment DelhiSince the blood valve is partially blocked, the blood that has seeped in finds it hard to return back to the heart, hence resulting in the enlargement of the scrotum. The scrotum is the region where the testicles of a man are located.

Varicocele generally develop over a period of a long time and most of the cases are easy to identify and treat. In certain cases, treatment may not even be mandatory and the varicocele condition can heal itself. In severe cases, the condition can affect the physical appearance of the patient by enlarging the size of the testicle so much that it looks pronounced. The enlarged testicles can also get in the way of normal movement, thereby affecting the individual functionally.

Varicocelectomy : Varicocele Treatment Delhi

Oftentimes, varicocele do not show any symptoms or might not even cause any observable discomfort. If a varicocele is diagnosed but the patient does not experience any pain or discomfort, then the doctors might advise the patients against varicocelectomy and leave the varicocele to cure on its own.

How is Varicocelectomy caused?

Varicocele are generally observed in the left side of the scrotum while the ones on the right side are often associated with the growth of tumours. The growth on the right size makes things a little complicated as it involves the patient to not only perform a varicocelectomy but also ensure that they undergo a procedure to remove the unwanted growth.

Medical experts are not yet entirely certain as to why a patient develops varicocele but believe that it is formed when the valves housed within the veins prevent the blood from flowing in and out of scrotum. This blockage can lead to accumulation of blood within the valves and the blood flow around the valve increases resulting in a dilated veins. It has a high risk of hampering the functioning of the testicles and resulting in a decreased sperm production.

Varicocele are generally observed to be formed in teenagers during their puberty, while it can still form in older men as well. Improper diet can also be a factor in certain scenarios.

How is Varicocelectomy diagnosed?

Varicocele have been statistically known to occur in around 15 out of every 100 adult men and 20 out of every 100 teens. The easiest way to diagnose varicocele is by analysing if a healthy man is suddenly experiencing sexual problems like erectile dysfunction, a reduced sexual drive or infertility.

Varicocele are hard to diagnose as they don’t generally show symptoms or distinct signs of their presence. There are rare instances where the patient may suffer from pain which may range from severe pain to a very subtle yet stinging sensation. The pain can also worsen as the day progresses and spike while the patient lies on their back.

Varicocele also enlarge to observable scale once provided with enough time. It is generally described as appearing similar to a bag full of worms, while it might sound derogatory, such a visual description can actually aid the patient check himself to compare if his condition is severe.

Doctors usually perform a scrotal ultrasound test to diagnose patients for varicocele. This also helps the doctors take a measurement of the spermatic veins and enables the doctor to obtain a detailed and clear report of the situation.

Once the diagnoses are complete and the patient is tested with a positive for the presence of varicocele, they are classified into 3 grades based on the size of the lump with Grade 1 being the smallest and Grade 3 being the largest.

Varicoceles Treatment DelhiWhen is an intervention necessary?

A medical treatment is not prescribed until the size of the lump is so large that it affects the normal day to day functioning of the patient or if it causes severe pain. The patient can also opt for a voluntary treatment if the presence of the condition is the cause for infertility. In such scenarios, a proper treatment in a good healthcare centre can easily resolve the problems giving the patient back his normal life in a relatively short span of time.

Varicocele Treatment Delhi                    

There are multiple ways to treat the condition of varicoceles and the following ones are the most effective ones:

Open surgery Varicocele Treatment Delhi :

Varicocele Treatment Delhi is generally performed in the groin region, but can also be performed by making incisions below the groin or abdomen. This procedure is a conventional method of treating varicocele and is generally done in an outpatient manner with the help of local or general anaesthesia.

The current advancements in technologies have translated into higher success rates for the open surgery approach which is now used in conjunction with the surgical microscope and Doppler ultrasound for maximum efficiency.

The pain from the surgery is often mild but continuous and can last for a few days before it subsides. Painkillers are only suggested if the pain is severe and unbearable. Patients are also advised to not have intercourse for a short period of time.

Laparoscopic varicocelectomy:

Laparoscopy varicocelectomy is a relatively short surgery that does not require the patient to be admitted to the hospital for more than a single day. In the beginning, a thorough analysis of the pelvis or abdomen is performed by a skilled urologist. The urologist will then tie the abnormal veins so that the Blood can flow around the abnormal veins to the normal ones.

During this procedure, the surgeon performs an incision in the region around the abdomen to insert a small instrument. The incision is generally very small and instruments are used to repair the varicocele in contrast with the open surgery where the incisions are large and the surgeons have to perform the surgery using their hands directly.

Varicocele embolization:

This procedure is relatively less invasive than varicocelectomy and is also quite short. The procedure can easily be complete with a high degree of success on the same day, allowing the patient to get discharged from the hospital at the earliest. The treatment involves placing a coil into the varicocele and into the catheter which blocks the blood from entering the abnormal veins.

Post this procedure, the patient can generally return to their routine work in about three days and can resume their exercising schedule in about two weeks.

MICROSURGICAL VARICOCELECTOMY: Varicocele Treatment Delhi

Advances in microsurgical techniques now offer patients the option of repairing their varicocele with greater success and fewer complications.

Best treatment for varicocele is microsurgical subinguinal approach because using surgical microscope helps avoid injury to the testicular artery and lymphatic vessels.

  • It is associated with higher success rate (disappearance of varicocele)
  • Lower complication rate (varicocele recurrence, hydrocele formation and testicular atrophy)

Recovery post-Varicocele Treatment Delhi

Recovery post the treatment from varicocelectomy is generally quicker than other surgeries and it is advised that the patients take and finish the courses of medicines provided to them. It is also very important the patient takes adequate care of the incisions as per the instructions received from their doctors.

The patients are also instructed to apply a cold compress or use ice to the scrotum for about 15 minutes for the first 36 hours post-surgery to decrease the amount of swelling.

Varicocele Treatment Delhi

It is also necessary for the patient to follow the instructions provided by the doctor during bathing. The patient must avoid using a hot tub, swimming and involving in other activities that might cause problems in the region where the incision was performed.

The patients are also advised to not indulge in any form of intercourse for at least three weeks. They should also refrain from lifting heavy objects which exert pressure on the abdomen regions. Driving is also a strict no since the effect of the painkillers can induce drowsiness and cause major life hazard.

Varicocele Treatment Delhi

The patients are told not to strain while stool and in often cases, stool softeners are prescribed by the doctors.

The Center for Urethra & Penile Surgery

M-4, Greater Kailash I, M Block, Greater Kailash I, Greater Kailash, New Delhi, Delhi 110048
Contact Number: 099990 62316, 9886624303
Email: info@urethraandpenilesurgery.com

Failed Urethroplasty Treatment In India

Failed Urethroplasty

Failed Urethroplasty treatment by one of the best Reconstructive Urologists. Urethra is one of the most vital parts of the body, thatregulates the excretion of urine from the body. In men, urethra also forms the passage for the ejaculation of sperms. However, this thin, fibro-muscular tube could also be easily ruptured, causing severe pain. In most of the cases, urethroplasty serves as the best course of action if there is any injury or defect inside the urethra.

Failed Urethroplasty

What is failed urethroplasty

Failed Urethroplasty is a surgical procedure to treat any rupture inside the walls of urethra. These ruptures could be caused due to trauma, infections or physical injuries. Urethroplasty is considered to be the go-to medical procedure, since the success rate in urethroplasty is quite high.

During urethroplasty, the urethra is reconstructed via surgical procedure and using a urethral catheter. This catheter is left inside the urethra for few weeks, during which time urethra is completely healed.

 

Types of urethroplasty

Based upon multiple factors (like the physical condition of patient, severity of defect, status of urethra etc.) there are generally 4 types of urethroplasty:

 

1) Anastomotic urethroplasty

This is a single-stage surgery, where the urethra is envisioned (in the range of the deformity), and the cut is made at its mid-line (as a rule), utilizing a bovie blade to dissect both the dermal as well as sub-dermal layers until the related musculature, corpus cavernosum, ventral urethral perspectives and corpus spongiosum are uncovered. Specific care is provided amidst the procedure to avoid any harm to nerves and veins (which could become a cause of erectile dysfunction or loss of penile sensitivity).

This technique is quite successful, with a rate of success over 95%. Anastomotic urethroplasty is viewed as the “best quality level” of surgical repair alternatives, since it is comparatively easier with high success rate.

2) Buccal mucosal onlay graft

In this technique, the range of the defect is assessed and marked horizontally mid-line, and the sutures are situated (one, each) at the proximal and distal closures of the zone of urethra nearest to fringe of the blemished territory. At the same time, a urological specialist who is expert in buccal mucosal gathering systems will start to collect and repair a segment within cheek of the patient, relative to the measurement/shape ascertained and asked for by the specialist performing the urethral part of the methodology.

With a high success rate of 87-98%, buccal mucosal onlay urethroplasty is viewed as the best of repair alternatives for strictures larger than 2 cm long.

3) Scrotal/penile island graft

This type of surgery is carried out in male patients. A scrotal graft (or, in some cases, a penile island flap) is sutured in the location, fixed with firbin glue to prevent any leakages. The whole process is carried out using micro surgical techniques. Due to high complexity, this type of urethroplasty has a success rate of 70-85%, thus making is not an attractive choice. However, in cases of strictures larger than 4cm, it could be opted for.

4) Johansen’s urethroplasty

This complex urethroplasty involves opening the urethra ventrally, while a skin strip (usually created from scrotum) is buried inside for the repair. Due to its high complexity, only a few cases have ever opted for this, thereby making no data for success rate available.
Failed urethroplasty

Even though urethroplasty is the benchmark for any treatment of urethra, it is not completely successful. Severe complications might occur in up to 12% of the cases, while minor ones might be as high as 40%. Let’ take a look at some of the causes of failed urethroplasty:

 

  • The major cause for failure in case of anastomotic urethroplasty was the inadequate excision of the wound at the top of prostatic urethra. Surgery in case of scars around the urethra often leads to failures. Other causesincludeischemia and tension hematoma. In general, defects that have existed for a longer time have higher chances of having a failed urethroplasty.
  • In case of buccal mucosal onlay graft, the success rate is generally better. The main causes include formation of proximal anastomotic ring or distal anastomotic ring, or the loss of entire graft. In presence of these factors, BMG urethroplasty is generally discouraged. However, in other cases, it gives excellent results.
  • The length of strictures directly affects the success of any urethroplasty. In almost every case, stricture with greater length at a higher risk factor associated with them.
  • As opposed to popular notion, the size of defect has almost no impact upon the success of the surgery. Likewise, the patients’history of previous urethroplasty has no importantinfluence on the outcome of the current operation.

Statistically, the chances of the urethroplasty getting failed are quite low. In case of BMG urethroplasty, for example, there is less than 3% chance that any significant complication would arise. However, no matter how small, the chances of a failed urethroplasty always persists. The complications that arise are generally minor ones. Some of such post-surgical complications are:

 

  • The stricture may not be completely eliminated, and might return after surgery.
  • The patient might suffer from urinary incontinence, which is the involuntary leakage of urine. This complication is more common in women.
  • The patient could suffer from erectile dysfunction. In most cases, this is a temporary post-surgery symptom, but sometime it could become a severe condition in itself.
  • Urinary retention is also a common complication, where the patient might not be able to completely empty the bladder even after many attempts. Due to this, the patient might get the urge to urinate frequently.
  • Retrograde ejaculation is a less common, but more severe complication. In this case, the patient is unable to ejaculate the semen via urethra, which instead gets deposited in the urinary bladder. This is not a symptom and must be treated immediately.
  • Bleeding from both external and internal sature lines.

 

Conclusion

Urethroplasty is one of the most popular courses of actions in case of ruptured or infected urethra. Countless patients, with their success stories, have popularized this surgery among people and doctors alike. However, failed urethroplasty is not unheard of, and the factors that contribute to them must be kept in mind. Patients must be aware of the complications that might arise in case of urethroplasty procedure those are not successful, and what must be done in that case.

To know more please contact :

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com