Reversing a Vasectomy through Microscopic Surgery

 

Vasectomy pic
Vasectomy
Image: webmd.com

Active with the American Urological Association, Dr. Alan Sadah emphasizes personalized patient care as a practitioner with Metro Chicago Surgical Oncology, LLC. Among Dr. Alan Sadah’s areas of extensive knowledge is microscopic reversal of vasectomy.

With vasectomy centering on the removal of a segment of the vas, the tube that transports sperm from the testes to the penis, vasectomy reversal helps restore fertility through joining the separated ends back together. In the procedure, a microscope is employed to provide extremely magnified vision as the fine, thick-walled tube is re-joined using minute stitches.

Success rates of such procedures in re-achieving a healthy sperm count are correlated with the length of time since the original vasectomy was performed. When the reversal is performed within 15 years, the sperm will re-inhabit the ejaculate in approximately 90 percent of cases, though this is no guarantee of achieving pregnancy. In outlier cases, reversals have been successfully accomplished as long as two decades after the initial surgery.

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A Brief Overview of the Partial Nephrectomy

Partial Nephrectomy pic
Partial Nephrectomy
Image: webmd.com

Accomplished surgeon Dr. Alan Sadah works in the field of urology. Possessing more than three decades of medical experience, he belongs to the Metro Chicago Surgical Oncology, LLC, group and has hospital privileges at St. Alexius Medical Center, Advocate Good Samaritan Hospital, and others. During the course of his career, Dr. Alan Sadah has become experienced in such procedures as partial nephrectomy.

Also known as a kidney-sparing surgery or nephron-sparing surgery, a partial nephrectomy is a type of kidney cancer treatment. As the preferred treatment for most people who have early-stage kidney cancer, it lets surgeons save a good portion of patients’ kidneys. Having some portion of the kidney left after a tumor is removed improves kidney function and makes patients less likely to get heart disease.

A surgeon’s ability to perform a partial nephrectomy largely depends on the tumor’s location and the experience of the surgeon. When tumors are in the middle of the kidney or are extremely large, surgeons cannot perform a partial nephrectomy successfully. The same is true when kidneys have multiple small tumors or large tumors that are more than seven centimeters across. In these situations, the long-term results of a partial nephrectomy are the same as radical nephrectomies, which remove the entire kidney.

Since a partial nephrectomy is a complex procedure, inexperienced surgeons often avoid performing it. Even when a patient is a good candidate for a partial nephrectomy, unpracticed surgeons are more likely to suggest a radical nephrectomy since the procedure is more common and easier to perform.

Common Symptoms of Bladder Cancer

Bladder Cancer pic
Bladder Cancer
Image: webmd.com

A board-certified surgeon and urologist, Dr. Alan Sadah has been practicing medicine for more than two decades. He practices in Chicago, Illinois, as part of Metro Chicago Surgical Oncology, LLC, and maintains hospital privileges at several medical facilities. At his practice, Dr. Alan Sadah treats a range of conditions, including bladder cancer.

Roughly 68,000 adults in the United States are diagnosed with bladder cancer. This condition develops in the cells lining the bladder and it is most often diagnosed during its early stages. However, recurrence is common with bladder cancer, regardless of when it’s caught. Below are several signs of the condition that people should try to notice:

Hematuria: The first sign of bladder cancer is usually hematuria, or blood in the urine. Depending on how much blood is present, a person’s urine may change color to pink, orange, or dark red. Further, blood in the urine isn’t constantly present and may disappear for several weeks or months before reappearing again.

Changes in bladder habits: Many people experience a change in their bladder habits when they have bladder cancer. This may include urinating more often than normal, a burning sensation when urinating, or having trouble urinating. These symptoms are common among men with an overactive bladder, urinary tract infection, and other conditions, so it’s important to report any change in bladder habits to a doctor.

Physical pain: When individuals have bladder cancer, they often experience lower back pain on one side of the body. Pelvic pain is also a common symptom of the disease. In severe cases, this pain may move to other areas of the body, too, such as the bones. Again, some of these symptoms are associated with other conditions, so it’s important to have them checked.