Andrological operations
Andrology is an innovative branch of urology that studies the anatomical and physiological characteristics of the male reproductive system and treats and prevents diseases in this area. The main goal of andrology is to preserve male reproductive function.
The specialists at the K+31 Clinic, with many years of practical experience, use unique surgical techniques for the treatment of andrological diseases, restoring men's health and self-confidence.
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What conditions require treatment by an andrologist?
If you experience any unpleasant symptoms or a deterioration in your health, it is important to make an appointment with a specialist as soon as possible.
An andrologist's area of expertise includes the treatment of the following conditions in men:
- Varicocele (varicose veins of the testicles)
- Hydrocele (testicular dropsy). The pathology is accompanied by fluid accumulation in the cavity of the internal membranes of the testicles.
- Testicular atrophy, torsion
- Prostate pathologies
- Male infertility
- Erectile dysfunction: decreased potency, impotence
- Infectious and inflammatory processes of the genitals
- Congenital and acquired anomalies: phimosis, shortening of the frenulum of the penis, cryptorchidism, Peyronie's disease, penile curvature, testicular hypoplasia, etc.
- Benign and malignant neoplasms of the genital tract
- Injuries to the scrotum and genitals
Disease detection In the early stages, it will help prevent the progression of the process and maintain male potency for many years.
Andrological surgeries
Diagnostic and therapeutic procedures at the K+31 Clinic are performed in accordance with international standards and clinical guidelines. To clarify the diagnosis and conduct additional examinations, the andrologist refers the patient to related specialists.
The main treatments for andrological pathologies are:
- Conservative (in the early stages of the disease)
- Surgical Therapy
- Microsurgical Interventions
- Surgical Treatment of Tumors
The choice of treatment strategy depends on the nature of the pathology, the severity of the condition, the patient's age, the presence of comorbidities, and the individual characteristics of the patient.
Before surgery, a comprehensive examination is performed, including laboratory blood and urine tests, an ECG, an ultrasound of the scrotum and other organs as indicated, etc.
The main contraindications to surgical treatment are:
- Acute infectious diseases
- Post-stroke or myocardial infarction
- Uncorrectable bleeding disorders
- Severe concomitant pathology in the decompensation stage
- Local inflammation
Assessing your health and identifying chronic diseases will help prevent unwanted consequences.
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General information
Scrotum surgeries
Surgical interventions are aimed at restoring organ function or removing the testicle if it is damaged by a pathological process. Additional reasons for performing surgery include persistent pain, impaired sperm production, signs of testicular atrophy, etc. Procedures are performed on a planned or emergency basis under general or local anesthesia.
The following surgical techniques are used for varicocele treatment, the purpose of which is to block the backflow of venous blood:
- The Marmara procedure is a gentle microsurgical technique recognized as the "gold standard" for treating this condition in patients of all ages. It is the preferred method for adolescents and individuals with underlying chronic conditions. This procedure completely restores normal blood flow to the spermatic cord. The advantages of this technique include high efficiency, minimal trauma, a short recovery period, and improved reproductive function.
- The Ivanissevich procedure involves ligation of the testicular vein in its iliac region, followed by resection. This is a proven, easy-to-perform technique performed through an inguinal approach. Disadvantages include trauma, the possibility of complications, recurrence of varicocele, and an aesthetic defect.
- Microsurgical varicocelectomy. Special microscopes and instruments are used during the procedure, ensuring high precision, reducing trauma to adjacent tissues, and the risk of complications.
- Laparoscopic clipping of the testicular vein. Minimal damage to surrounding tissue allows the patient to return to their normal lifestyle as quickly as possible.
Indications for surgery for hydrocele include progressive enlargement of the testicle, pressure in the scrotum, urinary problems, and other symptoms that impair quality of life. Depending on the specific pathology, the following are used:
- Classic techniques: Bergman's procedure for large hydrocele, Winkelmann's technique (appropriate for minor fluid accumulation)
- Sclerotherapy, laser tissue excision, etc.
Surgical manipulations of the vas deferens are performed for infertility caused by duct obstruction.
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Causes and symptoms of male diseases
According to statistics, more than 50% of men aged 25 to 55 suffer from various genital pathologies. The reasons for this increase in incidence include constant stress, psycho-emotional and physical strain, weakened immunity, environmental degradation, and other unfavorable factors.
In most cases, men consult an andrologist when they experience severe clinical symptoms that negatively impact their daily lives. This is due to psychological factors. It is important to understand that the lack of timely and adequate treatment leads to undesirable consequences and serious complications.
The following symptoms may prompt a consultation:
It should be noted that many pathological conditions are asymptomatic, so men over 45 are advised to see a specialist every six months.