Embolisation Vs Surgery for Varicocele | Dr. Gaurav Gangwani (Interventional Radiologist)

Varicocele embolization is a minimally invasive procedure performed by an interventional radiologist. It involves inserting a catheter into a vein through the groin or neck and navigating it to the affected veins. Tiny coils, balloons, or sclerosing agents are then used to block the blood flow to the varicocele, causing it to shrink over time.

Advantages of Embolization:
Minimally Invasive: Embolization is less invasive than surgery, often performed under local anesthesia with sedation, allowing for a quicker recovery and less post-procedure discomfort.
Short Recovery Time: Most patients can return to normal activities within a day or two, with less pain compared to surgical options.
High Success Rate: While slightly lower than surgical success rates, embolization still offers a high rate of success in alleviating symptoms and reducing the varicocele.

00:01 - Intro of False Claim By Famous Urology Surgeons
02:07 - Why Evidence based medical practice is important?
03:16 - What are the evidences that Varicocele Embolisation is effective?
04:06 - What are exceptions?
14:26 - Risk in surgery for varicocele embolisation?

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// Disclaimer: The video is for educational purpose so that the patients benefit from the information and can take better informed choices. It is not meant to replace one or one physical or tele-consultation with an expert doctor in an institute or healthcare setup. As management algorithms may have to be customized depending on patient demographics, symptoms and clinical results.
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// Brief BIO

Dr. Gaurav Gangwani is an Attending Consultant Interventional Radiologist. He graduated from BYL Nair Ch. Hospital and TN medical college, Mumbai and completed his post-graduation in Radiology from St. Stephens’ hospital, Delhi. With a keen interest in Interventional Radiology from his PG days, he refined his skillset by a 2-year fellowship program in Hepatobiliary and Oncology IR in the prestigious Sir Ganga Ram hospital followed by expanding his spectrum of IR procedures in Jaypee Hospital, Noida catering to patients from 19 different countries as a center of excellence in IR.

Dr. Gaurav Gangwani has been a pioneer to perform few interventions in India which a couple IRs perform including procedures like thyroid nodule and parathyroid adenoma ablations, vasculomimetic stenting for juxta-anastomotic stenosis in AV fistulas and endovascular therpay for veno-occlusive erectile dysfunction.
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