Saturday, September 11, 2010

Color Doppler ultrasound video clips of varicocele

This case of recurrence of varicocele of the left scrotum; color Doppler ultrasound image shows a grade 3 varicocele of the left side. The pampiniform veins of the left side measure almost 4.4 mm on valsalva maneuver.

                                                                                  The right scrotum is also affected and show a grade 3 varicocele affecting a few vessels. Recurrence of varicocele after surgical correction is a known sequel of surgery.
This color Doppler video clip shows multiple veins dilating and filling up on Valsalva maneuver. The left of the video shows the appearance at rest in the left scrotum. 
                                                                              Same case: another video demonstrating the effect of breath holding for a few seconds. Note that the diameter of the veins (left scrotum) almost doubles on valsalva maneuver.
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CASE-2: Grade -3 varicocele (bilateral) with severe reflux:
Color Doppler ultrasound video of Left scrotal varicocele:

The right scrotum also showed grade 3 varicocele:                                                                                          
The left half of the video clip shows the pampiniform veins at rest. The right half shows the pampiniform veins filling up during Valsalva maneuver. This patient has markedly low sperm count and poor motility of the sperms visualized on semen examination. Surgery may be the only method to improve his fertility and chances of having a child.
The above color Doppler image of the right scrotum shows the veins measuring 4.2 mm. in the right scrotum!!  
 The left scrotum showed veins measuring as high as 5.7 mm. on Valsalva maneuver (see color Doppler ultrasound image above).
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1 comment:

  1. After 6 months of offering stem cell therapy in combination with the venous angioplasty liberation procedure, patients of CCSVI Clinic have reported excellent health outcomes. Ms. Kasma Gianopoulos of Athens Greece, who was diagnosed with the Relapsing/Remitting form of MS in 1997 called the combination of treatments a “cure”. “I feel I am completely cured” says Ms. Gianopoulos, “my symptoms have disappeared and I have a recovery of many functions, notably my balance and my muscle strength is all coming (back). Even after six months, I feel like there are good changes happening almost every day. Before, my biggest fear was that the changes wouldn’t (hold). I don’t even worry about having a relapse anymore. I’m looking forward to a normal life with my family. I think I would call that a miracle.”
    Other recent MS patients who have had Autologous Stem Cell Transplantation (ASCT), or stem cell therapy have posted videos and comments on YouTube.
    Dr. Avneesh Gupte, the Neurosurgeon at Noble Hospital performing the procedure has been encouraged by results in Cerebral Palsy patients as well. “We are fortunate to be able to offer the treatment because not every hospital is able to perform these types of transplants. You must have the specialized medical equipment and specially trained doctors and nurses”. With regard to MS patients, “We are cautious, but nevertheless excited by what patients are telling us. Suffice to say that the few patients who have had the therapy through us are noticing recovery of neuro deficits beyond what the venous angioplasty only should account for”.
    Dr. Unmesh of Noble continues: “These are early days and certainly all evidence that the combination of liberation and stem cell therapies working together at this point is anecdotal. However I am not aware of other medical facilities in the world that offer the synthesis of both to MS patients on an approved basis and it is indeed a rare opportunity for MS patients to take advantage of a treatment that is quite possibly unique in the world”.
    Autologous stem cell transplantation is a procedure by which blood-forming stem cells are removed, and later injected back into the patient. All stem cells are taken from the patient themselves and cultured for later injection. In the case of a bone marrow transplant, the HSC are typically removed from the Pelvis through a large needle that can reach into the bone. The technique is referred to as a bone marrow harvest and is performed under a general anesthesia. The incidence of patients experiencing rejection is rare due to the donor and recipient being the same individual.This remains the only approved method of the SCT therapy.