Varicolce surgery can be done using different methods. We do microscopic microsurgical varicocelectomy. It takes more time for operation compared to other forms of operation. Cost depends on the time taken, medicines used etc. 3-4 days hospital stay after the surgery is required. If you want to know more details regarding the charges etc. it can be discussed only after completing your evaluation.

Ejaculation during sleep is not a disease and doesn t need any treatment. There is treatemnt for fast ejaculation. Treatment may take 3 months to one year depending on the casue and severity of your problem

There is a relationship between varicocele and VOD. 20% men with varicocele got VOD which is one of the common causes of ED. So a possiblity cannot be ruled out. It can be found out with the help of investigations.

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This condition is known as sitational male orgasmic dysfunction. If you canot overcome this there is treatment for the same. You can consult a doctor.

Yes we do have facilities for the same. But note that treament will be successful only if he got a genuine motivation to change.

Yes

The size of the penis is not important. When your erection is poor the size of penis appears small due to poor filling of the penile tissues. I think you have erectile dysfunction and premature ejaculation. It can be treated. Consult a doctor in your place and discuss the matter.

If you don t have sexual desire you may not get an erection. Repeated erectile failure can lead to loss of desire also. First of all we need to identify whether it is a sexual desire disorder or an erectile dysfunction. From your description more chance is for a sexual desire disorder. Any sort of mental tension or stress can lead to loss of sexual desire. Long period of abstinence also can cause the same. There are other reasons also. What ever may be the cause it is a treatable condition.

A man need not lose erections or reduce the rigidity at 50s. Last month an 86 years old man came to cosult and told " Doc, my erection is a little low since last 2 months". So a healthy man can get a satisfactory erection even at 80s or 90s. There is a cause behind your erectile problem. ED has several causes. Always it need not be diabetes or hypertension. The cause need to be detected and the treatment should be based on the findings. If the problem is very minor and negligible you can ignore it. Don t take medicines like viagra without proper evaluation as it has a lot of side effects. Such drugs should be prescribed very judiciously. We do have genuine medicines, but we don t prescribe any treatment with out full evaluation.