Welcome to National Kidney & Prostate Clinic
The male partner has an erection which allows the couple to have intercourse. Erection occurs due to blood flowing into two erectile chambers, called the corpora cavernousa. When the corpora become hard and rigid then the penis becomes erect.
Erectile dysfunction means absence of rigidity of the penis. This means the couple can no longer have normal sexual intercourse. This occurs due to various reasons, which can be organic like diabetes, hypertension, neurological. Or also due to psychological reasons.
We treat the organic erectile dysfunctions mainly, and refer the psychological issues to a clinical psychiatrist.
What are the reasons of erectile dysfunction?
May be one the commonest reasons in India.
How do we treat these cases?
The psychological cases are generally referred to our psychiatrist. Although they may also be helped with some medication for sexual disorders, but the primary cause is to be addressed first.
The organic cases are managed by first treating the primary condition.
However the basic treatment is divided into initial evaluation, medical trial, and then in selected cases surgical care.
Inflatable penis prosthesis
Sexual counselling is always a couple counselling, please seek an appointment, with our helpline 8420017061
What is varicocele?
The testicles which are the organs of the male, which produce sperms are located outside the abdomen in the scrotum. The artery and the vein supplying the testis travel from inside the abdomen to the scrotum. When the veins of the testis are dilated and contain stagnant blood, that condition is called varicocele.
This can result in a heavy dragging sensation in the lower abdomen of the patient. Since varicocele is more common on the left side therefore the dragging sensation is also more common on the left side.
What is male infertility?
When a couple is having regular sex and does not conceive after one such year of trying to conceive, that condition is called infertility. At this point the husband’s semen is tested after five days of absence of ejaculation. When the husband’s sperm count is less or the sperms are weak or malformed, then the problem of infertility is due to the husband and therefore this condition is called male infertility.
What is oligo-astheno-spermia?
When the sperm count is less than the normal levels or the sperms are weak and less active then this condition is called oligo-asthenospermia. This is a very common condition, which can result in infertility in a couple. Varicocele is a common condition which causes this defect in sperm quality and strength.
When do we treat the varicocele?
Vaircoceles can often exist without causing any trouble therefore varicoceles are treated only when they are symptomatic. Varicoceles can cause pain and dragging heavy sensation in the lower abdomen, and they can also cause reduce fertility in the male. Only under these circumstances are the varicoceles needed to be treated. Since small and harmless varicoceles need no treatment.
What is the best treatment for the condition?
When the varicoceles are large and symptomatic, they are treated. The best care is by surgery. Although various procedures have been described the best procedure is a microsurgery. Herein we use an operating microscope. And ligate the dilated veins specifically while sparing the testicular artery and the lymphatics.
This procedure has the highest cure rate with least chance of damage to the testis and least chance of formation of hydrocele.
What is the recovery like after this procedure?
Generally this is a day care of an overnight stay procedure and the patient can return to work seven days after the surgery .
We check the semen parameters three months after the surgery, wherein we can expect a 50% improvement in the semen parameters after the surgery.