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Overview of Urology & Andrology
Advance Andrology & Men’s Health is a medical specialty to deal specifically with male health. The main focus is to treat problems related to the male reproductive system, as well as other urological problems in men as rightly expressed by the Best Andrologist in Bangladesh.
Urology majorly focuses on the surgical treatment of Urinary tract systems like Adrenal tumors, urinary stones, testicular carcinoma, benign prostatic hyperplasia, penile carcinoma, renal cell carcinoma, and Prostatic Carcinoma treated by the Best Urologist in Bangladesh.
Male Infertility
Male infertility is means a man that lowers the chances of his female partner getting pregnant. These main types are:
Oligospermia – Low Sperm Count
- Varicocele or Dilatation of Spermatic veins:
- Unknown causes
- Hormonal Disturbance
- Genetic Factors
- Steroid Use
- Testis infection
- Higher age of father
Azoospermia – Nil Sperm Count
- Obstructive or Non Obstructive
- Testicular Atrophy
- Genetic Disorders
Asthenospermia – Low Sperm Motility
Immunonologic Infertility– A man’s body makes antibodies due to injury, surgery or infection that attack his own sperm
Retrograde Ejaculation– Semen goes backwards in the body that means they go into bladder instead of out the penis
Hormones – Hormones made by the pituitary gland tell the testicles to make sperm. Very low hormone levels cause poor sperm growth
Chromosomes – Sperm carry half of the DNA to the egg. Changes in the number and structure of chromosomes can affect fertility. For example, the male Y chromosome may be missing parts.
Medication – Certain medications can change sperm production, function and delivery. These medications are most often given to treat health problems like:
- Arthritis
- Depression
- Anxiety or depression
- Infections
- High blood pressure
- Cancer
Each of these conditions requires detailed evaluation and proper treatment. Male Infertility if properly treated can get fantastic results.
Male Infertility in Bangladesh
Male infertility in Bangladesh is increasing rapidly. Some of them are –
- Higher age of marriage and conception – Men are getting married in their late 20’s and planning a child in 30’s
- High stress jobs
- High usage of tight jeans, laptops
- Smoking and Alcohol use
- Unhealthy dietary habits
- Lack of Physical Exercise
- Obesity and Overweight
- Chemical Additives and Pesticides in Fruits and Vegetables
- Estrogen, Oxytocin and Hormones in Milk and Food products
Male Infertility Treatments
Sperm Retrieval process for assisted reproductive techniques (ARTs), We are following different Male infertility treatments:
The treatment options for Varicocele:
Surgical Treatment of Varicocele
- Subinguinal Microscopic Varicocele ligation (Goldstein Approach) – The best approach.
- Other old techniques like open and laparoscopic (Palamo)
Nonsurgical Treatment of Varicocele
- Observation and watchful waiting (No treatment)
- Medicines for varicocele like Daflon, Vitamin E, L Carnitine etc
- Non surgical Varicocele Embolization
The Treatment options for Non Obstructive Nil Sperm count are
- Hormonal Manipulation
- Newer Drugs like Aromatase Inhibitors, and BHCG
- Varicocele correction
The treatment options for Obstructive Azoospermia are
- TUR – Resection of the ejaculatory duct
- Vasoepidymostomy – If the obstruction is at the level of the epidydmis
- Vasovasostomy – If the obstruction is at the level of the vas
- MESE – Microscopic Epidydmal Sperm Extraction – Where healthy motile sperms can be obtained from the epidydmis
- TESE or Micro-TESE – Testicular Sperm Aspiration / Extraction – Where the sperms can be retrieved from the testis
Choose The Best Choose Medihelp:
Micro-TESE
Microsurgical testicular sperm extraction (microTESE) is a surgical procedure used to retrieve sperm from inside a man’s testes (organs that produce sperm)
It is used for men with non-obstructive azoospermia, which is when a man cannot produce enough sperm to have a detectable amount in his semen, a common cause of male infertility.
- Patients with azoospermia
- Patients with severe above male factor infertility
- Patients with obstruction of the vas deferens of surgical cause (vasectomy)
- Patients with absence of the vas deferens of genetic cause (mutations of the cystic fibrosis gene)
- Patients with obstruction of the vas deferens of infectious cause
- If a man has an adequate level of testosterone in his blood after a hormone test and has other tests that indicate that his testicles are not producing normal amounts of sperm
- Whether a man remains azoospermia even though he has received treatment and his testosterone levels have been normal for at least four months
Benefits of Micro TESE:
Why Micro TESE is better than a biopsy?
- Micro-TESE is usually reserved for non-obstructive azoopermia, for those who have already had a fine needle aspiration or biopsy without recovering sperm. However, there is scientific evidence to show that for men with non-obstructive azoospermia, fine needle aspiration or biopsy before micro TESE may be not recommended.
- The success rate of Micro testicular sperm extraction (Micro-TESE) is quite favorable for men. In fact, doctors can find sperm about 60 % of the time during micro TESE procedures.
- Many studies have also shown that Micro- TESE procedures yields the highest rate of sperm retrieval and causes the least amount of damage to the testicles.
- ICSI with Micro testicular sperm extraction (Micro-TESE) allows to solve many cases of absence of sperm in the ejaculate and severe male factor infertility, helping many couples in fulfilling their parenthood dreams.
How is Micro-TESE Performed?
Micro TESE procedure is performed in the following cases-
- Sperm and testosterone (male hormone) are produced in the 2 testicles of the scrotum.
- Sperm leave the testicles through a rolled tube called the epididymis. There they remain until they are ready to be used.
- Each epididymis is attached to the prostate by a tube called the vas deferens. This duct runs from the scrotum to the groin, then the pelvis and behind the bladder.
- There, each vas deferens joins the seminal vesicle and forms the ejaculatory duct.
- For ejaculation, sperm pass through the ejaculatory ducts to mix with fluid from the seminal vesicles, prostate, and other glands to form semen.
- Semen travels through the urethra and exits through the end of the penis
Micro-TESE procedure is performed when the goal is pregnancy but is not possible without help. It is for men who have little or no sperm in semen, or men who are not able to ejaculate.
In these cases, sperm can be collected from other parts of the reproductive tract. To obtain better pregnancy rates, Micro TESE process is used with in IVF and intracytoplasmic sperm injection (ICSI).
Recovery After Micro-TESE Procedure?
- To manage the swelling, using ice pack is usually recommended for the next 24 hours from the procedure.
- A combination of ibuprofen and acetaminophen is also recommended to lower discomfort and uneasiness.
- Scrotal swelling is to be expected with this process. The swelling may take some weeks to go down completely.
- Some other medicines may also be prescribed as an additional pain reliever.
- It’s highly recommended to avoid sex, masturbation, and vigorous activity for at least 8-10 days after this surgical process, to allow your testicles to recover completely.
- A tight underwear will help support your scrotum and will help in the recovery process
Why Medihelp?
Medihelp is one of the leading male infertility treatment hospitals in Bangladesh. We have a team of specialists who deal with this widespread problem in males when they are not able to make their partner pregnant. These methods are called assisted reproductive techniques (ARTs). Based on the specific type of infertility and the cause, we are suggested as follows:
- Intrauterine Insemination (IUI)
- In Vitro Fertilization (IVF)
- Intracytoplasmic Sperm Injection (ICSI)
IVF/ICSI is a useful treatment method to cure unexplained infertility, failed IUI, endometriosis, etc. Besides IVF, we also follow other treatment procedures, such as Hormone Replacement Therapy, Varicocele Surgery to treat male infertility.
Andrology, Urology & Micro Testicular Sperm Extraction (Micro TESE) FAQs-
The Micro-TESE surgery is carried out in the outpatient clinic. Its duration is usually between 1.5 – 3 hours depending on the intraoperative findings and the patient can leave the clinic 4 hours post the surgery. Please note that you are not allowed to actively participate in traffic within 24 hours of anaesthesia.
We carry out the surgery under general anaesthesia. You will have no pain during the surgery. After the surgery, an uncomfortable feeling and pressure in the operating area, especially when walking or during physical exertion, are possible. Severe pain is not expected after this surgery. The symptoms can be alleviated by resting, cooling the scrotum and pain killers (occasionally).
After the surgery, you will be need rest for a week. You should avoid heavy physical exertion or sports activities within 4 weeks from the surgery. The patient is expected to visit the clinic 1-2 days after the surgery for check-up.
At MediHelp hospital, we make sure that all the patient’s details are safe and are safe confidential.
Some of the conditions an andrologist can treat include prostatitis, prostate cancer, penile cancer, infertility, erectile dysfunction, testicular cancer, and premature ejaculation.
Urology is a medical specialty focused on urinary system conditions. Andrology also falls under this category which focuses on medical conditions experienced by males.
A urologist can help the patient with male infertility condition by improving the sperm count for successful fertility with proper diagnosis, and the role of hormones in sperm production and will provide a complete sperm analysis to figure out the treatment option for the same.
Consult Now
Our Department
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01955772788 (For Appointment),
01955772788 (For General Queries) - 17/3 Don Chamber (Kat Potti), Narayanganj-1400, Narayangonj, Narayanganj, Bangladesh
