Medical Services

Andrology & Sexology

To address the increased male infertility complications,CRAFT has a fully-fledged Andrology and Sexology department, headed by Dr. Dharmaraj, DNB MRCS, DNB (Urology), Fellow in Andrology. CRAFT is the 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 are not effective. We had several successful pregnancies for women with partners who were strongly advised for 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 Zeiss 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