Department Of Andrology

ANDROLOGY

Andrology is a subspecialty of Urology which involves treatment of various conditions causing male infertility and male sexual dysfunction. In short, Andrology deals with male reproductive health, a counterpart to Gynaecology.

The late arrival of the andrological discipline on the stage of modern medicine gave it the advantage of utilizing all the modern achievements of basic and clinical science, from molecular biology to genetics, reaching levels of high quality. Kasturi Hospitals is one of the few centres to proudly have a dedicated Andrology unit with up-to-date infrastructure offering international expertise.

Our andrology unit manages patients with andrological conditions including male sterilisation and infertility service, and other disorders of the penis or male genitalia. we treat andrology conditions including Peyronie's disease, priapism, erectile dysfunction (including insertion of penile prostheses), and reconstructive procedures for genital conditions and male factor infertility.

Common conditions that are treated:

1. Erectile dysfunction
2. Gender dysphoria
3. Male factor infertility
4. Penile and testicular cancer
5. Peyronie's disease
6. Priapism
7. Scrotal, epididymal and testicular disease

Abnormalities in sperm due to various reasons can deprive an otherwise happy couple of having a child. Of all infertility cases, approximately 40–50% is due to “male factor” infertility.

In such conditions with abnormalities in semen/sperm, one has to approach the Andrologist for possible solutions without much delay because the fertility potential of a couple decreases significantly with advancing age.

Diagnosis:

1. Both male and female partners have to be simultaneously investigated, to categorise infertility.
2. Basic evaluation of male infertility involves:

• General physical examination including scrotum and penis.
• Basic blood hormone profile such as Testosterone, FSH, LH.
• Semen analysis

1. Semen collection: A dedicated room with adequate privacy would be given. If the male partner is unable to ejaculate, a penile vibrator could be used for stimulation.

Surgical sperm retrieval:

Depending on several factors such as testicular size, previous scrotal surgery and hormone levels, the Andrologist will decide which would be the best option.

Different surgical options to retrieve sperms:

1. PESA: Percutaneous Epididymal Sperm Aspiration
2. TESE (Testicular Sperm Extraction)
3. Micro- TESE: using a surgical microscope