Medical Services

Andrology & Sexology

Tackling Male Infertility Treatment

To tackle the increased male infertility complications,CRAFT has a full-fledged Andrology and Sexology department, headed by Dr. Dharmaraj, DNB MRCS, DNB (Urology), Fellow in Andrology. CRAFT is the first and only centre in India to do Micro TESE-ICSI, which is very effectively used in case of Non-obstructive Azoospermia, where the conventional TESE-ICSI or PESA–ICSI will not be effective. CRAFT has already had several successful pregnancies for women with partners who are strongly advised donor or with failed donor IVF cycles.

Reproductive Urology

  • Clinical Evaluation of Male Infertility
  • Laboratory Evaluation of Male Infertility
  • Basic Semen Analysis & Culture
  • Sperm Function Test

     I. Advanced Semen Testing

  • Estimation of Seminal ROS (Reactive Oxygen Specimen)
  • Estimation of DNA Fragmentation in Sperms (DFI)
  • Genetic Testing
    • Karyotyping
    • Microdeletion in ‘Y’ chromosome (PCR)

       II. Imaging Studies Ultrasound Scan 2D

  • Scrotal Ultrasound Color Doppler
  • Trans sectal Ultrasonography
  • Abdominal Ultrasonography
  • Vasography-asses Patency of Male Genital Ductal System

Medical Management of Male infertility

  • Endocrine Management of Hypogonadism
  • Hyperproclactinoma
  • Excess Androges/Oestrogen
  • Idiopathic Infertility with Pharmacologic Therapy

Surgical Management of Male Infertility

  • Testis Biopsy – Microsurgical Technique

Obstructive Azoospermia

  • Vasal Reversal by
    • Vaso Vasostomy
    • Vaso Epididymostomy
  • Trans Urethral Resection of Ejaculatory Duct in ED Obstruction (Obstructive Azoospermia)
  • Microsurgical Epididymal Sperm Aspiration (MESA)
  • Percutaneous Epididymal SPERM Aspiration (PESA)
  • Testicular Sperm Aspiration (TESA)
  • Testicular Sperm Extraction (TESE)

Non Obstructive Azoospermia

  • Conventional TESE
  • Micro TESE (Microscopic Testicular Sperm Extraction)

Peculiarity of Micro TESE

  • To obtain Sperms in Non Obstructive Azoospermia (NOA)
  • Failed Conventional TESE also benefited
  • Use of Karl Zeius Operating Microscope X 25 magnification, High end designed for Urogenital Surgeries

     Male with

  • Kline Felters Syndrome
  • Idiopathic Azoospermia
  • ‘Y’ Chromosome Microdeletion
  • Impaired Testicular Pathology
    • Hypo Spermatogenesis
    • Maturation Arrest
    • Sertoli only cell histology

Varicocele Surgery
Optional: Laparoscopic Varicocelectomy/Conventional/Microsurgical
Suggested: Microscopic High Magnification Karl Zeius Sub Inguinal – X 25 Magnification

Varicocelectomy

Peculiarity: Lymphatic sparing Testiculary Artey sparing very least chance of recurrence and highest success rate

Andro & IVF LAB

  • Sperm Banking Cryopreservation / Vitrification
    • For Cancer Patient
    • Before submitting to Radio/ Chemo Therapy
    • Hypogonadal Male
    • For Transplant Patient on Immune Suppressant etc.,
  • Oocyte Vitrification
  • Embryo Vitrification
  • Prenatal Genetic Diagnosis (PGD)

SEXOLOGY
Erectile Dysfunction

  • Clinical Evaluation
  • Laboratory Evaluation

Specialized Evaluation and Testicular Assessment

  • Penile Triplex Doppler
  • Combined Intracavernosal Injection and Stimulation
  • Dynamic Infusion Cavernosometry and Cavernosography

Periscope

  • Overall Estimation of Vascularage
  • Penile Brachial Pressure Index
  • Measures Co-ordination Autonomic Nervous system

Psycho Physiologic Evaluation

  • Electro Penogram/Rigiscan for Nocturnal Penile Tumuscene and Rigidity Monitoring (NPTR)
  • Audio Visual and Vibratory Stimulation
  • Psychologic Evaluation

Ejaculatory Dysfunction

  • Functional Ejaculatory Dysfunction
  • Neurogenic An Ejaculation
  • Retrograde Ejaculation
  • Premature Ejaculation
    • Treatment Modalities 
      • Medical
      • Vibro Ejaculation
      • Electro Ejaculation

Medical Management

  • Penile Pharmaco Therapy
  • Medical Devices - Vacuum Erection Device
  • Venocele- Penile Occlusion
  • Extra Corporeal Short & Shock Ware Lithotripsy (Non Responders to Medical Management)

Penile Prosthetic Surgery

  • Indian Prosthesis
  • Inflatable Two Pieces
  • Three Pieces Prosthesis

Others

  • Conventional Circumcision
  • Cosmetic Circumcision
  • Frenulo Plasty
  • Glanuloplasty
  • Venous Leak Surgery in selected cases
  • Penile Reconstruction
  • Dorsal Neurectomy in selected cases for Pre Mature Ejaculation
  • Priapism
  • Peyronies Disease

Orichiopexy for Undescended Testis

  • Conventional
  • Laparoscopic
  • Hernia (Open & Laparoscopic) and Hydrocele Surgeries

Men’s Health

  • Hypogonadism in Young
  • Gynaecomastia (Male Breast Enlargement)
  • Androgen Deficiency in aging Men
  • Prostate Health in Urological and Andrological Perspective

Sexual Medicine

  • Hypoactive Sexual Disorder
  • Sexual Arousal Disorder
  • Orgasmic Disorder
  • Sexual Pain Disorder
  • Sexual Orientation Issue
Dr. P. Dharmaraj

Dr. P. Dharmaraj

Consultant Uro Andrologist & Sexologist
DNB, MRCS, DNB (URO), Fellow in Andrology

When it comes to male infertility and other sexual issues, Dr. Dharmaraj is the man of the hour. India’s first Surgeon to perform Micro-TESE operation. If you have a desire to have your own biological babies, he will find a way.

Dr. Dharmaraj P did his MBBS from Govt. Stanley Medical College, Chennai in 2000 and DNB...

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