Non-surgical Treatment
for Infertility
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(Varicocele
in Male and Blocked fallopian tube in Female) |
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Infertility affects lakhs of couples in India.
In females, blockade of fallopian tubes through which eggs
pass from the ovary to the uterus and in males, varicocele
of scrotum are the most common causes of infertility and is
seen in 30-40% of these couples.
The common causes of blocked fallopian tubes are infections,
TB, repeated abortion, long-term usage of contraceptive devices.
The varicocele in males is caused by non-function of valves
in testicular vein which leads to aching pain, testicular
atrophy (shrinkage) and fertility problem due to decreased
sperm count; decreased motility of sperm, and an increase
in the number of deformed sperms.
Due to lack of awareness about non-surgical treatment, patients
frequently undergo surgical treatment, which results in surgical
scar, long hospitalization, chances of infections, and done
under general anesthesia.
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| Non-surgical
treatment is performed by an interventional radiologist and
benefits are: |
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Less pain,
No surgical scar,
Performed on outpatient (OPD) / day care,
Patients are able to return to normal daily activities immediately.
A patient with both side varicoceles / blocked tubes can have
them fixed simultaneously in one sitting,
No general anesthesia / sutures / infections & it is cost-effective.
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Dr.Pradeep Muley M.D. Head and Senior Consultant Interventional
Radiologist at Fortis hospital, New Delhi trained from John’s
Hopkins Medical Institutions USA and Singapore general hospital
says this non-surgical treatment for varicoceles & opening of
blocked fallopian tubes is now becoming popular in India like in
western countries.
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Opening of blocked Fallopian Tubes
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Initially Hysterosalpingography (HSG) is performed to detect abnormalities
and site of blockade in the uterus and the fallopian tubes.
The opening of blocked fallopian tube procedure examination is
done 8 to 11 days after the first day of the patient’s last
menstrual period. In the same sitting the interventional radiologist
performs this treatment also. He inserts a thin tube inside the
uterus and very thin platinum wire passed through the fallopian
tube on both sides under vision of high-end digital monitor. Patient
can watch the entire procedure on computer monitor. The
procedure usually takes 30 to 45 minutes and patient can go home
after one hr. The success rate more then the other surgical procedures.
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Fig 1 : shows normal fallopian tube and ovary |

Fig 2 : shows blockage in tube |
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Fig 1 : HSG shows blocked fallopian tube |

Fig 2 : Opening of blocked tube by thin wire |

Fig 3 : Completely opened fallopian tube |
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Embolization for Varicocele – Male infertility
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Diagnosis of varicocele is fairly simple through physical or color
flow ultrasound Doppler examination. The varicocele is typical on
the left side, scrotum look like a “bag of worms”.
Non-surgical catheter directed embolization is an outpatient
treatment. Specifically trained interventional radiologist makes
a tiny nick in the skin at the groin or neck using local anesthesia
and a thin catheter is passed and directed to the testicular vein.
With contrast dye injection, interventional radiologist map out
exactly where the problem is and by using coils or particles,
by embolization, blood flow is re-directed to other healthy pathways.
Whole non-surgical treatment procedure is pain less and takes
about one hour.
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Picture shows normal anatomy and varicocele |

Picture shows normal anatomy and varicocele |
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Varicocele Embolization is effective in improving male infertility
and costs about the same as surgical ligation. The study shows,
sperm concentration improved in 83 percent of patients undergoing
embolization compared to 63 percent of those surgically ligated.
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| Varicocele Embolization
technique
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Dr. Pradeep Muley is trained in the USA and Singapore and has performed
over 15,000 non-surgical treatments for various diseases like uterine
fibroids, uterine adenomyosis, un-operable liver tumour, liver abscesses,
opening of blocked fallopian tubes, brain aneurysm and vomiting
of blood from lungs and stomach. He runs the VARICOSE VEIN AND FIBROID
CLINIC AT FORTIS HOSPITAL, VASANT KUNJ.
Recently, Dr. Pradeep Muley, MD has created INDIA’S 1ST
UTERINE FIBROID CLUB. Visit his website at http://www.indianinterventionalradiology.in
Dr. Muley also holds the distinction of treating the maximum number
of fibroid patients in India through the innovative Uterine Artery
Embolization method.
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For more in-depth information contact :
Dr. Pradeep Muley M.D.
Head & Senior Consultant Interventional Radiologist
Fellow, Neurointerventional Radiology, John’s Hopkins Medical
Institutions, USA
Visiting Associate, Neurointerventional Radiology, Iowa University,
USA
Fellow Interventional Radiology, Singapore General Hospital, Singapore
Lecturer Vascular & Interventional Radiology, KEM Hospital,
Mumbai.
Neuroradiology, AIIMS, New Delhi.
Mobile 098104 92778 or E-mail at muleypradeep@hotmail.com
Website http://www.indianinterventionalradiology.in
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