Fibroid is a tumour of the uterus which is very common in females aged between 30 to 40 years. Approximately 20 to 30 % Females have fibroids. When a fibroid is diagnosed the patient wants to know if it is cured by medicines or by surgery only and the associated risk.
Fibroids are the tumours of the muscle wall of the uterus and can vary from a pea size to the size of a football. They can be in different locations; Intramural, submucous and subserosal.
There are three points that we note before treating a fibroid:
1.Size of the fibroid:- If the size of fibroid is less than 4cm and the patient is asymptomatic then we only monitor the fibroid and the patient doesnot require any medical or surgical treatment.
- If the size of fibroid is more than 4cm and its location is submucosal i.e, towards the lining of the uterus or if the patient is having symptoms like heavy menstrual periods or pressure symptoms like increased frequency of urine or motions or period continue for many days.
In that case treatment is required.
- The age of the patient and if she wants to become pregnant.
If her age is more than 40 to 50 years then instead of removing fibroids we advise to remove the uterus.
If the patient wants to preserve her fertility then we can save the uterus and only remove the fibroids which is called Myomectomy.
We have an option of medical treatment which is good for some patients.
If your doctors feels that the medical management is not the right option then there are options of hysteroscopy and laparoscopy to remove then fibroids.
In hysteroscopy we remove the fibroids which are located in the … Continue Reading ››
KIDNEY STONE IN CHILDREN: DON’T LET YOUR CHILDREN SUFFER
CASE STUDY OF A 10 MONTHS OLD PATIENT WHO UNDERWENT SURGICAL INTERVENTION (Mini PCNL) FOR BILATERAL KIDNEY STONES AT SCI INTERNATIONAL HOSPITAL, DELHI, INDIA.
A couple far in Afghanistan was so delighted at the time of their first son’s birth in October 2017. The family called for a great celebration for their first child birth.
They named him Waaris (changed name). Kid was healthy and active. He had made the environment pleasant at home with his innocent smiles. He used to cry as well the way usually infants do but with his growing age his crying got intense and became the cause of concern to parents. They used to try every possible way to pacify the child but they had no other option to feel sad at that moment as the small kid could not even tell his problem to them.
Time passed away and the boy turned eight months.
It was a normal day, boy was playing with his toys, all of a sudden, he started crying out loud. His parents could not understand the reason behind that. But they could feel his painful state, they got worried and rushed to his paediatrician in Kabul. The doctor evaluated the kid and helped him with the immediate relief by injecting the analgesics (Painkiller).
The Paediatrician advised them to get an ultrasound KUB done for their child to find out the possible cause. The Parents did not delay the ultrasound, the very next day it was done which depicted stones in both the kidneys of the child. They suspected kidney stone in children.
Their Paediatrician advised them to see … Continue Reading ››