and Laparoscopy
Centre, Singapore
Late onset male hypogonadism was previously known as andropause or PADAM. It is a condition of low testosterone which is the male
hormone often wrongly accepted as part and parcel of an aging male. However, research has shown the benefits of recognizing and treating
hypogonadism. We offer hormone replacement therapy with oral medications (pills), depo injections and implants.
Premature ejaculation is now believed to be both psychological as well as physiological abnormalities. We offer sexual counseling
and education in stop-start and sensate focusing techniques. Coupled with application of local anesthesia and medications (SSRIs),
we can achieve a significant increase in intravaginal latency time.
Up to 50 percent of fertility problems in couples may involve the male partner. We evaluate with Semen analysis, male hormone profile
and ultrasound examination of the testes.
Varicocele is a group of abnormal and enlarged veins in the scrotum and may cause of poor
sperm count. Semen analysis will often show mild to moderate oligospermia (decreased sperm numbers) and teratospermia (deformed sperm).
This can be corrected with a simple day surgery procedure and sperm count would improve after 2-3 months.
Absence of sperm or azoospermia is
evaluated with non invasive method by Transrectal ultrasound examination. Ejaculatory duct obstruction is corrected with transurethral
incision.
Percutaneous testicular aspiration or open testicular exploration, biopsy and retrieval of sperm (TESE/TESA/MESA procedures)
may be necessary in patients with obstruction of the vas. Sperm can be collected and frozen for use in future IVF/ICSI. The presence
of an embrologist within the operation room ensures good collection of spermatozoa.