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Genital and urinary organs

Coil embolization for male varicoeles

This procedure is performed for men with scrotal varicoceles, which can cause fertility problems and pain. A small catheter is advanced into the neck or leg vein. A 15-to-30-minute procedure involving coiling and plugging the affected vein is performed. The patient is discharged from the hospital later that same day with a small bandage over the puncture site.

Female pelvic congestion syndrome

This procedure is performed for women with enlarged gonadal veins with flow in the wrong direction. These can present with problems in fertility and can also be painful, specifically pelvic pain late in the day and pain with intercourse. A small catheter is advanced into the neck or leg vein. A 15-30-minute procedure involving coiling and plugging the affected vein is performed. The patient is discharged from the hospital later that same day with a small bandage over the puncture site.

Percutaneous nephrostomy

This procedure is performed to help relieve an obstruction or a leak in the kidney or ureter system. A small tube is placed within the kidney which can offer a portal to intervening on obstructing kidney stones, masses or leaks in the system.

Prostate artery embolization

This procedure is performed for lower urinary tract symptoms and benign prostatic hyperplasia. A small catheter is placed in the femoral or radial artery and advanced into the prostate arteries on the right and left sides of the body. Small beads/particles are placed into the prostate arteries which blocks the blood flow to the prostate. The patient is discharged after 24 hours with a small bandage on the leg or the left arm. Over the course of 1–3 months, the prostate becomes 50–60% smaller. Overall, patients report a 60–70% improvement in quality of life after having this procedure performed.

Renal cell cancer ablation

This procedure is performed in collaboration with the Urology department for renal cell cancers that measure from 1 to 6 cm in size. A small needle is passed into the kidney lesion using ultrasound and/or CT guidance. Biopsies are obtained. Following the biopsy, a small needle or small needles are passed into the kidney lesion. The needles are designed to provide lethal heat or freezing to the lesion. The patient is discharged 24 hours later with a small bandage on the back.

Renal cyst sclerosis

This procedure is performed to help patients that present with painful or infected kidney cysts. First, using ultrasound, X-ray and/or CT guidance, a small tube is placed within the kidney cyst. The fluid or infected material is removed from the cyst. Once the material is removed, sclerosis of the cyst is performed with alcohol or another sclerosing agent so that it will not come back. The patient leaves the hospital the same day the procedure was performed.

Uterine artery embolization

Women can present with life threatening or significantly life limiting bleeding. This can occur most commonly from uterine fibroids, but also can occur in association with pregnancy. A small catheter is placed in the femoral or radial artery and advanced into the uterine arteries on the right and left sides of the body. Small beads/particles are placed into the uterine arteries, which block the blood flow to the fibroids or abnormal bleeding vessels. The patient is discharged after 24 hours with a small bandage on the leg or the left arm.