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Andrology

Andrology is a subspecialty of Urology which involves treatment of various conditions causing male infertility and male sexual dysfunc- tion. In short, Andrology deals with male reproductive health, a coun- terpart to Gynaecology.
The late arrival of the andrological discipline on the stage of modern medicine gave it the advantage of utilizing all the modern achieve- ments of basic and clinical science, from molecular biology to genet- ics, reaching levels of high quality. NU Hospitals is one of the few cen- tres to proudly have a dedicated Andrology unit with up-to-date infra- structure offering international expertise.

Our Services

Male Fertility

Varicocele

A varicocele is when veins become enlarged inside your scrotum (the pouch of skin that holds your testicles). These veins are called the pampiniform plexus. About 15 out of 100 men have varicoceles. It’s hard to predict which of these 15 will have fertility problems caused by their varicocele.

Primary / Secondary Male Infertility

Our hip replacement procedure covers all the aspects right from replacing the hip joint with prosthetic implants to providing incredible pain relief and improved function for patients with hip arthritis or fractures. So, you can trust our surgeons as they are highly experienced in using minimal incision techniques and tailored implants depending on individual patient factors like age and lifestyle. Comprehensive pre and post-operative care helps achieve excellent long-term outcomes.

Just before ejaculation, the sperm go from the epididymis into another set of tubes. These tubes are called the vas deferens. Each vas deferens leads from the epididymis to behind your bladder in the pelvis. There each vas deferens joins the ejaculatory duct from the seminal vesicle. When you ejaculate, the sperm mix with fluid from the prostate and seminal vesicles. This forms semen. Semen then travels through the urethra and out of the penis.

Male fertility depends on your body making normal sperm and delivering them. The sperm go into the female partner’s vagina. The sperm travel through her cervix into her uterus to her fallopian tubes. There, if a sperm and egg meet, fertilization happens.

The system only works when genes, hormone levels and environmental conditions are right.

Azoospermia

Damage to the reproductive system can cause low or no sperm. About 4 out of every 10 men with total lack of sperm (azoospermia) have an obstruction (blockage) within the tubes the sperm travel through. A birth defect or a problem such as an infection can cause a blockage. The known causes of genetic abnormalities are most commonly detected in men with no sperm in the ejaculate (azoospermia).

Oligo astheno-teratospermia (OAT)

Infertility is defined by the inability of a sexually active, non-contraceptive couple to achieve spontaneous pregnancy within 1 year. The evaluation for infertility may start at 6 months if the couple is above 30 years of age. A complete medical history, physical examination, and semen analysis are essential components of male infertility evaluation.

Klinefelter Syndrome

Klinefelter syndrome is a genetic condition where an extra chromosome (X) is present in the man (XXY, instead of XY). Klinefelter syndrome is the most common sex chromosomal abnormality. Adult men with Klinefelter syndrome usually have small firm testes along with features of low testosterone levels. In most cases, infertility and reduced testicular volume are the only clinical features that can be detected.

Men's Sexual Health

Erectile dysfunction

Erectile Dysfunction (ED) is a persistent inability to achieve or maintain an erection that is firm enough to have sexual intercourse.

Premature ejaculation

Premature ejaculation is when semen is released sooner than a man or his partner would like. PE might not be a cause for worry. But, PE can be frustrating if it makes sex less enjoyable and impacts your relationship.

Anejaculation

Anejaculation is the inability to ejaculate semen despite stimulation of the penis by intercourse or masturbation. If anejaculation is caused by medications, stopping the medicine will most likely restore normal function.

Hypogonadism (Low testosterone)

Male hypogonadism means the testicles do not produce enough of the male sex hormone testosterone. When levels are low, men might have decreased sex drive, less muscle mass, erectile dysfunction, and fatigue.

Peyronie's Disease

Penile curvature could be from birth (congenital penile curvature) or acquired later in life (Peyronie’s Disease). One will usually notice a curved penis only during the penile erection and not when the penis is flaccid (resting state). Congenital penile curvature, although present since birth, will become obvious during erection when he reaches puberty or early adult life.

Unconsummated marriage / relationship

When a heterosexual couple is unable to have penetrative vaginal intercourse, their relationship may be called unconsummated. The term unconsummated marriage is typically used in cultures where intercourse before marriage is taboo. However, in cultures where sexual relationships outside of marriage are more accepted, the term unconsummated relationship may be used.

Penis Injury (Penile Fracture)

The penis is hurt much less often than other parts of the body. It can be wounded as a result of:

  • Sex
  • Car accidents
  • Machine accidents
  • Gunshot wounds
  • Burns
  • Sports

Small penis

There is no one standard size for all men. The average size of the penis differs based on race, ethnicity, body habitus, and geographical factors. Various studies have revealed differences in average penile size.

Why choose us for Andrology?

AndroNeo is a dedicated andrology Centre in South India offering ethical and expert care in Male Fertility and Men’s Sexual Health. “Sex is sacred and should not remain a secret.” The goal of our care is to restore sexual function in men with sexual dysfunction, and to assist couples to conceive or to achieve intimacy.

  • Centre of Excellence for Male Fertility and Men’s Sexual Health
  • Internationally Trained Medical Experts
  • World Class Laboratory and Highly skilled Embryologists
  • State-of-the art facility including Surgical Microscope and CMR Robotic Technology
  • NABH accredited hospital & Validated Treatment Protocols
  • Utmost confidentiality & holistic care

BENGALURU

Dr. Pramod Krishnappa

MBBS, MS (Surg), DNB (Uro), ChM (Edinburgh), Fellow Andrology

Sr. Consultant Andrologist
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Meet Our Specialist

Dr. Pramod Krishnappa

  • Graduated from the prestigious Bangalore Medical College
  • European Society for Sexual Medicine ( ESSM) Penile Implant Fellowship at Madrid , Spain
  • European Urology Scholarship Program ( EUSP) in Penile reconstruction and gender reassignment surgeries at Belgrade , Serbia.
  • Visiting Fellow in Male Fertility at the University of Illinois at Chicago (UIC) , USA.
  • MIUC Travelling Fellowship in Onco sexology and Onco fertility at Memorial Sloan Kettering Cancer Center ( MSKCC) NewYork.
  • Recipient of Urological Association of Asia ( UAA) Youth Section Fellowship award 2021 and ISAR Best Research Award – Clinician 2022

Area of Expertise :

Male Fertility

  • Primary / Secondary male infertility
  • Semen / Sperm issues: Azoospermia (Obstructive and Non-obstructive), Oligo-astheno-teratospermia (OAT)
  • Varicocele
  • Klinefelter syndrome

Male Sexual Dysfunction:

  • Erectile dysfunction (ED)
  • Unconsummated marriage
  • Premature (early) ejaculation
  • Anejaculation (Inability to ejaculate)
  • Hypogonadism (Low testosterone hormone)
  • Peyronies disease (Curved penis with hard plaque in penis)
  • Congenital penile curvature (without hard plaque)
  • Penile fracture
  • Small Penis
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Email care.west@nuhospitals.com

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