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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

UTI stands for urinary tract infection.Urinary tract infections (UTIs) are the second most common reason people visit their doctors. While both men and women get UTIs, women are more prone to them. The urinary tract consists of: Kidneys, Uterus, ...

UTI stands for urinary tract infection.Urinary tract infections (UTIs) are the second most common reason people visit their doctors. While both men and women get UTIs, women are more prone to them. The urinary tract consists of: Kidneys, Uterus, ...

Craving to hold a little baby in their arms whom they could call their own, but unable to have one always troubled them.

Craving to hold a little baby in their arms whom they could call their own, but unable to have one always troubled them. 

We present the 4 main happy hormones and neurotransmitters chemicals of happiness and the natural ways to stimulate them day by day.

This page provides a great guide about the different types of nasal sprays and how to use them correctly.

In Australia individuals have various options available to them when deciding to test for HIV. A key factor or involved in this decision is whether or not the individual wishes to accompany their HIV test with professional counseling.

The accuracy of the HIV test kit in Australia depends greatly on the manufacturing process of the test kit. It is essential that you purchased estimates that a manufacturer of under the GMP and ISO quality standards.

Back pain can be recover if you perform task which lead you to healthy back and utilize natural remedies for back pain like avoiding positions and activities that may addition or cause back pain, utilize ice, and take nonprescription pain relievers when you require them.

With packed professional and personal lives and little if any "down time," more and more people are searching for quick and easy products to give them a buzz and keep them going and going. For some people, a cup of coffee just doesn't cut it.

Jungle Magic Mosquito Banditz, is a revolutionary mosquito repellent band & one of its kind specially designed for children to protect them against mosquito bites.

The flu is a disease, accompanied mankind for centuries, but it remains a serious medical and social problem in our days. The flu can be manifested in the form of pandemics, epidemics, local outbreaks and isolated cases. Worst flu epidemics caused by type A influenza virus.The flu epidemics occur almost every year. The main factors that determine the risk of disease are: level then its predecessor specific immunity and age of infected them - the final ages are extremely susceptible to infection. Complications of influenza are mainly from the lungs, and less of the nervous system. They are more common in patients of advanced age.

Bacterial vaginosis is a problem catching hold of many women these days and showing them the state of embarrassment. It is up to you to discuss this problem with your doctor for bacterial vaginosis treatment or cure it naturally. Natural means are always preferable over the antibiotics one.

I imagine most readers of this blog would expect a group of subjects to do better on a Paleolithic diet as compared to a standard American diet, but there are few studies actually making the comparison. One was posted yesterday in the Advance-0nline-Publication section of the European Journal of Clinical Nutrition that shows subjects following a Paleolithic diet made major metabolic changes, and made them rapidly