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Nephron Sparing Surgery in Renal Tumors : A Case Report A 69 yrs old male presented to our OPD with h/o left sided varicocele. A known case of Diabetes, hypertension and bilateral medical renal disease, he underwent MRI abdomen which revealed a large lower pole lesion in left kidney with no renal vein or IVC thrombus. DTPA Scan revealed a 61% function in the affected kidney. Due to his bilateral medical renal disease and poorly functioning contra lateral kidney, he was planned for Nephron Sparing Surgery / partial nephrectomy (L) and DJ Stenting under cold ischaemia. Post op patient initially showed a rise in creatinine levels which gradually settled down to pre operative levels. Before we go into the discussion of partial nephrectomy or nephron sparing surgery (NSS) in RCC, I would like to emphasize on the presenting complaint. Varicocele in the left side is one of the presentation of Left sided kidney mass, which occurs due to the drainage of the gonadal vein into the renal vein on the left side and generally indicates tumor thrombus in the venous system renal/ IVC, however in this case it was because of compression of left gonadal vein by the renal mass. Renal tumors comprise approximately 3.8% of all new cancers with median age at diagnosis of 64 yrs. It is the third most common urological malignancy. The rate of RCC has increased by 1.6% per year for last 10 yrs, the reason of which is unknown. Majority of them are renal cell carcinomas and 80% of them are clear cell variety. Smoking and obesity are high risk factors of RCC. Some genetic diseases are also associated with RCC, like Von Hippel Lindau (VHL) disease. At presentation 25% are locally advanced. More often patient presents with metastatic disease (20%) . Only a few patients present with Virchows Triad - the 'too late triad' ( of hematuria, abdominal pain and flank mass). A CT Scan or MRI of the whole abdomen including pelvis clinches the diagnosis. A NEEDLE BIOPSY IS NOT NE

As with any condition, basic conservative treatments are sought first before resorting to surgical procedures. In the case of hip problems, the first options include proper care and rest, physical therapy and medication. When these options do not take effect, surgical treatment becomes the next step.

This article covers important information on how to stay safe from STIs and how they can effectively they can be treated before they before they compromise your health.

"After two weeks of taking LAMININE capsules, my daughter's CA125 went down from 214 to 52. Before this, her doctor recommended another session of chemo but because of the good test results(after taking laminine) there's no need anymore for chemo. Thanks to our dear Lord and to LAMININE. R. Pineda https://office.lifepharmglobal.com/Enrollment.php?SPONSOR=8569889

Sure everybody eat Cranberry before.But do you know health benefits of Cranberry.Cranberry are perhaps best known for their effects on urinary tract health

Did you eat garlic before.Because of benefits of garlic,right now a lot of people start to eat garlic to prevent body diseases.

March 13, 2009 -- Whether you drive, take the bus, or bicycle, being in heavy traffic triples your risk of heart attack within one hour. Air pollution from car fumes is the likely culprit, suggest Annette Peters, PhD, and colleagues at the Institute of Epidemiology, Helmholtz Center, Munich, Germany. In a previous study, Peters and colleagues found that a sizeable proportion of heart attacks -- about 8% -- could be attributed to being in traffic. To follow up, the researchers interviewed 1,454 people who survived heart attacks. In the hour before their heart attack, many of the survivors had been in heavy traffic. Analysis of the data showed that these heart-attack-vulnerable people were 3.2 times more likely to suffer a heart attack if they'd been in heavy traffic in the previous hour.

The prostate is the gland below a man's bladder that produces fluid for semen. Prostate cancer is the third most common cause of death from cancer in men of all ages. It is rare in men younger than 40. Levels of a substance called prostate specific antigen (PSA) is often high in men with prostate cancer. However, PSA can also be high with other prostate conditions. Since the PSA test became common, most prostate cancers are found before they cause symptoms. Symptoms of prostate cancer may include Problems passing urine, such as pain, difficulty starting or stopping the stream, or dribbling Low back pain Pain with ejaculation Prostate cancer treatment often depends on the stage of the cancer. How fast the cancer grows and how different it is from surrounding tissue helps determine the stage. Treatment may include surgery, radiation therapy, chemotherapy or control of hormones that affect the cancer.

If you wish to take up yoga for insomnia, vigorous forms like power yoga or ashtanga yoga would work best and must be practiced at least thrice a week. Make it a point however, to practice earlier in the day, and not just before you call it a day. While these forms are recommended because of their intensity, you can even take up other forms of yoga, as any discipline will help and provide you a host of other health benefits.

With the right stretch mark removal treatment, your skin will look almost as good as it used to be before you had those ugly marks.

Be informed about the vaccines and immunizations your government says is safe. Read this article before getting you or your family the N1H1 or flu shot and many more.

If you get up in the morning feeling a little lazy and you consider stopping at McDonald's on your way to work to grab breakfast, check the list below before taking that step. Why? Because McDonald's breakfasts are dangerously high in sodium, and they can put you at great risk of high blood pressure, heart attack and stroke.

2. The benefits and risks of topiramate should be carefully weighed when prescribing this drug to women of childbearing age, particularly for conditions not usually associated with permanent injury or death. Alternative medications that have lower risk of oral clefts and other adverse birth outcomes should be considered for these patients. If decision is made to use topiramate in women of childbearing age, effective birth control should be used. Oral clefts occur in the first trimester of pregnancy before many women know they are pregnant.