Andrology and mens sexual health Clinic

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Treatment of Erectile dysfunction (ED)  depends on the underlying cause and grade along with severity of the condition. 

1. First-line treatments typically include lifestyle modifications such as weight management, regular exercise, quitting smoking, reducing alcohol intake, and managing stress. 

2. Second line - Oral phosphodiesterase type 5 (PDE5) inhibitors that enhance blood flow to the penis. 

3.Recent advances - P Shot, Li SWT, and Penile Implants.

Treatment of Premature ejaculation (PE) involves a combination of behavioral techniques, medications, and psychological counseling, depending on the severity and underlying causes. 

1. Behavioral strategies - start-stop technique and the squeeze technique help improve ejaculatory control over time. 

2.Topical anesthetic creams or sprays containing lidocaine or prilocaine can reduce penile sensitivity and delay ejaculation. 

3. Oral medications like selective serotonin reuptake inhibitors (SSRIs)

Chronic Pain Syndrome (CPS) treatment typically involves a multidisciplinary approach to manage long-term pain and improve quality of life. 

Treatment may include medications such as pain relievers, antidepressants, or anticonvulsants to help control pain. 

Physical therapy can help improve mobility and reduce discomfort, while cognitive-behavioral therapy (CBT) addresses the emotional and psychological aspects of chronic pain. 

In some cases, lifestyle changes, stress management techniques, and alternative therapies like acupuncture or massage may also be used to complement conventional treatments. 

Microscopic varicocelectomy is a highly effective and gold standard surgical procedure used to treat varicocele with minimal complication, lowest recurrence rate and shoretest hospital stay. 

The procedure is performed under a high-powered surgical microscope, which allows for precise identification and ligation of the dilated veins while preserving important structures. It requires a highly expertise hands and our centre provides this facility.  

Male infertility treatment depends on the underlying cause and may involve medical, surgical, or assisted reproductive techniques. 

1. Lifestyle modifications- Healthy diet, regular exercise, quitting smoking, reducing alcohol intake, and managing stress, can improve sperm quality. 

2. Medical treatments include hormone therapy and medications like clomiphene citrate or gonadotropins.

3. Sperm Exctraction methods - Micro-TESE, TESE, PESA

4. Assisted reproduction techniques- IVF, IUI, and ICSI.

Penile lengthening surgery is a cosmetic and reconstructive procedure aimed at increasing the perceived length of the penis. 

1. Release of the suspensory ligament, increases the length of internal portion of penis by 1-2 cm. 

2. Fat grafting or dermal fillers are used to enhance girth alongside lengthening. 

3. Post-surgical stretching with penile traction devices is often recommended to prevent retraction and maintain results. 

4. Penile Implants: 2 piece and 3 piece implants.