Infertility is the inability to conceive with a live birth within 6 months to one year after having regular non-contraceptive intercourses. Cause of Infertility varies from person to person. Hence detailed evaluation and specific treatment for every couple are mandatory.

Evaluation of male and female partners is done individually by specialists with vast experience in the field of Infertility and Andrology in our centre.

In men, infertility is treated by:

• Surgery, if there is a blockage in the vas deferens, the tubes that carry sperm.
• Antibiotics, to treat the infected reproductive organs.
• Hormone treatments, if the problem is a low or high level of certain hormones.
• Medications and counselling, to treat problems with erections or ejaculation.

In females,

• Cause of infertility is evaluated, and treatment is given to help them conceive by natural methods, IUI, IVF and ICSI, as and when required.
• Drugs are given to bring their cycles and harmonies back to normal
• Fertility preserving surgeries like:

- Hysteroscopic Polyp removal
- Laparoscopy both diagnostic and therapeutic like Chocolate cyst removal
- Tubal Recanalisation etc. are done to aid them to conceive.

Unproductiveness in men and women can also be treated with assisted reproductive technology or ART.

Hysteroscopy procedure can give the doctor a close-up look at cervix and uterus and help in learning about causing problems.

Diagnostic Hysteroscopy

Hysteroscope (a thin pipe with a light on the edge) is entered into the vagina. The patient can be either awake or under general anaesthesia during the procedure. The doctor is then able to see into your cervix and inside your uterus. If the doctor finds anything abnormal inside there, a sample is taken out for later testing.

Therapeutic Hysteroscopy

• Hysteroscopic Uterine septal resection
• Uterine Polyp removal and
• Hysteroscopic Myoma Resection.

Laparoscopy is a keyhole surgery which is used to study on the organs inside the abdominal (belly) and pelvic area. It has benefits over traditional surgery, including more speedy recovery without staying in the hospital overnight, and effective in reducing pain and much smaller scars. A surgeon or a gynaecologist performs laparoscopy under general anaesthesia. The surgery can be used for:

• removing the uterus,
• Evaluating the cause of female infertility
• Diagnosing uterine abnormalities
• Fibroid removal if required
• Evaluating tubal patency and abnormalities and correction
• Diagnosing and treating ovarian problems like

- PCOS
- Ovarian Cysts
- Chocolate cysts
- Ovarian tumours
• Evaluating adnexal problems like

- Adhesions
- Endometriosis
- Adnexal cysts
• Treating emergency conditions like

- Ectopic Pregnancy
- Torsion of ovarian cysts etc.

Colposcopy is a simple examination of the abnormality on the mother’s cervix that allows the doctor to decide if she needs treatment.

We are pioneers in Endoscopic and Laser Treatments for Urological Diseases including,

• Urinary Stones (Kidney Stone, Ureteric Stone and Bladder Stones)
• Ureteroscopy and Lithotripsy(URS)
• PCNL (Percutaneous Nephrolithotomy) and Mini PCNL
• Flexible Ureteroscopy and Laser Lithotripsy(RIRS)
• ESWL (Extracorporeal Shock Wave Lithotripsy )

We are having the most advanced Electromagnetic ESWL Machine in our centre.

Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). During the surgery, a scope is inserted through the urethra. The laser delivers energy that is used to shrink or to remove the excess tissue that is blocking the urethra and preventing urine flow.

There are different types of prostate laser surgery, such as:

• Photoselective vaporisation of the prostate (PVP)
• Holmium laser ablation of the prostate (HoLAP)
• Holmium laser enucleation of the prostate (HoLEP)

Blood in your urine can be alarming to indicate a serious disorder. Treatment might involve taking antibiotics, trying a prescription medication to shrink an enlarged prostate, or having shock wave therapy to break up bladder or kidney stones or removal of any tumour. The doctor asks you to perform certain diagnosing tests (Blood and urine tests, cystoscopy, imaging tests, etc.) before providing any treatment.

A urinary tract infection (UTI) is an infection from microbes. UTI generally occurs in both men and women but more commonly in women, in their bladder or urethra, but more severe infections surround the kidney. The Urinary tract infection may cause pelvic pain, increased urge to urinate, pain with urination and blood in the urine. A kidney infection may cause back pain, nausea, vomiting and fever.

Stress urinary incontinence (SUI) is an involuntary or spontaneous loss of urine on effort, physical exertion, sneezing, or coughing that is often disturbing to the patient and generally affects the quality of life.

In most cases, the examination of urinary incontinence requires

• a thorough medical history
• a physical test
• urinalysis and measurement of postvoid residual urine volume
• cystoscopy

Then, the treatments are suggested accordingly, either medical treatment with medicines or surgical treatment with minimally invasive day care procedures like TVT or TVT- O.

• Male Infertility Evaluation, Counselling and Treatment.
• Percutaneous Epididymal Sperm Aspiration (PESA)
• Testicular Biopsy.
• Testicular Sperm Extraction (TESE) and Micro TESE even for Azoospermia candidates
• Sexual Problems including Erectile Dysfunction and Premature Ejaculation
• Premarital health check-up and counselling