Yes, we do this surgery regularly.

Varicocele causes progressive and duration dependent damage to the testis. As a result sperm motility will be reduced first followed by count. Over the years testis become atrophied and the production of male hormone (testosterone) will reduce. It will cause loss of sexual desire and erection. In other words you may develop an early andropause.

If there is a varicocele in an unmarried man one must undergo microsurgical varicocelectomy. This is the latest scientific view and standard teaching on this matter. How ever in most of the places varicocele is usually operated using laparoscopic surgery or conventional surgery.

The most common complications of conventional varicocele operations are hydrocele, varicocele recurrence, and injury to testicular artery, spermatic cords etc. A person having varicocele should undergo microsurgical varicocelectomy before going for IUI, IVF or ICSI to improve the sperm quality. It will reduce or nullify the adverse effect of ROS (reactive oxygen species) on the sperms. Presence of varicocele will reduce the percentage of success when going for artificial reproduction techniques.

In microsurgery the use of the operating microscope allows for reliable identification of spermatic cord, lymphatics, internal spermatic veins and venous collaterals, and the testicular artery or other arteries. So that chances for these complications are almost reduced to less than 1 percent. Repair of varicocele results in greater improvement in sperm motility and count.

Microsurgical varicocelectomy provides a safe and effective approach to varicocele repair with preservation of testicular function, improvements in semen quality, and improvements in pregnancy rates. So in your case the best solution is bilateral microsurgical varicocelectomy.

It may take few months to resume there normal menstrual cycle after delivery. It becomes delayed when they are breast feeding. There is nothing abnormal in it. There is a lot of hormonal changes during delivery and lactation. It will become normal gradually. Some times the hormonal changes can affect the sexual desire. More than that the arrival of a precious baby can change her mind as she has to spent more time to look after.  Wait for a few more months. If her condition doesn improve discuss the matter with her. If necessary you can have a consultation after some time.

Usually the curvature of penis occurs due to the development of plaques inside the penis. It will lead to curvature and pain during erections. You may be able to feel a hard area on the penis at the site of the curvature or on the opposite side. This condition is known as Peyronies disease. If it is at the early stage it can be treated with medicines. Otherwise you may need a surgery to remove the plaques. It all depends on the extent and severity of the disease. In our hospital we do scanning and other relevant investigations before planning any treatment. Depending on the results we plan the treatment. In certain cases if the plaque is large and situated in the corpus cavernosa or corpus spongiosum there is a risk of losing erectile ability as a complication of the surgery. One can predict any such risk after appropriate evaluation. Before planning any surgery this has to be considered and sufficient precaution should be taken to solve if any such emergency occurs. You can consult an andrologist for this treatment.

Homosexuality is of two types. The first is ego syntonic in which the individual enjoy and it doesn cause any mental stress to the person. Second type is ego dystonic in which the individual feels mental agony and distress about his own homosexual behaviour and hence wants to change it. No treatment is indicated for the first group. Ego dystonic homosexuality can be treated if the individual has a genuine motivation to change his behaviour.

Treatment is indicated only if the person has any discomfort or problem due to his own homosexual tendency or behaviour. The desire to change the orientation should not be due to others (family, friends, religion etc) pressure. Treatment will be successful only if the person has a very genuine and consistent motivation to change his behavior. There is no medicine to change the sexual orientation. Treatment is psychological using techniques of sex therapy based on cognitive behavioural principles. Usually we don take any homosexuals for treatment. But we have treated a few men with genuine motivation and they recovered.

There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem. So please consult a doctor practicing modern medicine.

You are advised to consult a nearby Urologist for physical examination and management.

You both require physical examination/investigations before an opinion can be given. So you consult nearest Urologist and Gynaecologist, if not satisfied please contact us.

If any of the partners is not satisfied we can assume that there is a problem. Inability to control the ejaculation may be due to several reasons. Sometimes this may be a habit. In some other cases such problems may be due to infection, inflammation, hypersensitivity, or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.

There is effective treatment available for hydrocele/varicocele which includes medication and surgery. You need to undergo physical examination and investigations before a firm opinion can be given.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.30am and 5.00pm from Monday to Saturday.

There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem. So please consult a doctor practicing modern medicine.