In Male-Varicocele embolization In female – opening of blocked fallopian tube Walk home same day

Non-surgical Treatment for Infertility

(Varicocele in Male and Blocked fallopian tube in Female)

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.

Non-surgical treatment is performed by an interventional radiologist and benefits are:

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.

Opening of blocked Fallopian Tubes

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.

Embolization for Varicocele – Male infertility

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.

(Picture shows normal anatomy and varicocele)

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.

(Varicocele Embolization technique)

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 1^ST 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.

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 This e-mail address is being protected from spambots. You need JavaScript enabled to view it

http://www.indianinterventionalradiology.in