Dear Mr Suresh,
Varicocele is one of the common causes of testicular pain. The operation for the varicocele is usually done using laproscopic surgery, conventional TV ligation or microscopic microsurgical varicolectomy. Laproscopic surgery is the least time consuming and easy procedure and the patient can leave the hospital next day. It is easy for the doctor and more convenient for the patient as the surgery can be performed within half an hour and the patient doesn’t need much rest. The major disadvantage of the laparoscoic operation is that on each side one dilated vein will be ligated, the remaining ones are left out. In the conventional TV ligation only the enlarged veins visible to the naked eye, are ligated.  In Varicocele there may be several dialated veins (average 5 to 12) on each side such as the internal and external spermatic veins, cremasteric veins etc.  All these veins need to be ligated and other structures like arteries and lymphatics have to be preserved without causing any damage. The most common complications of varicocelectomy are varicocele recurrence, hydrocele and injury to arteries. When using an operating microscope or loupe these structures are clearly visible and complications can be reduced significantly. Hence at Dr. Promodu’s Institute, we perform only microsurcgical microscopic varicocelectomy. When you come for consultation please bring all your investigation reports. However we may repeat or do certain tests as per the indications. This is for confirmation and documentation. After reaching Kerala you can contact us on 0484 2555301 or 2555304 and come for a preliminary evaluation. Only after the primary evaluation, we can plan other steps including surgery, if indicated.

It appears that you are suffering from premature ejaculation. This may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

It appears that you are suffering from premature ejaculation. This may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

Homosexuality is of two types. The first is ego syntonic in which the individual enjoy and it doesn't cause any mental stress to the person. Second type is ego dystonic in which the individual feels mental agony and distress about his own homosexual behaviour and hence wants to change it. No treatment is indicated for the first group. Ego dystonic homosexuality can be treated if the individual has a genuine motivation to change his behaviour.

Treatment is indicated only if the person has any discomfort or problem due to his own homosexual tendency or behaviour. The desire to change the orientation should not be due to other's (family, friends, religion etc) pressure. Treatment will be successful only if the person has a very genuine and consistent motivation to change his behavior. There is no medicine to change the sexual orientation. Treatment is psychological using techniques of sex therapy based on cognitive behavioural principles. Usually we don't take any homosexuals for treatment. But we have treated a few men with genuine motivation and they recovered.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

It is an unnatural sex.

Usually night emission is not considered as a disease. When a boy reaches the adolescent age night emission begins as a sign of maturity.  It indicates that he has achieved reproductive ability. The frequency is more till the age of 25 to 30 yrs, after that frequency decreases. If the person engages in regular masturbation or sexual contacts night emission may not occur very frequently. If there is any pain, burning sensation or discomfort after ejaculation there may be a chance for infection or inflammation of prostate gland or seminal vesicles. In such condition treatment is required.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

There is no medicine available or discovered so far to increase the penile size. Only surgical procedures are available which we are doing  at our Institute. You can see it from our web site also.  There are solutions for all problems.

It appears that you are suffering from premature ejaculation. This may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

We can give a definite opinion only after clinical examination/investigation.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 or 9387507080 between 9.30am and 5.00pm from Monday to Saturday.

It appears from your file that you have not undergone the scanning(CDDU) as advised by the doctor. Unless all the investigations are completed as per doctors advice no further treatment is possible.

Often it is psychological problem. Usually people with depression are not able to achieve an orgasm. Problems like depressive cognition, negative attitude, mental stress, obsessive traits etc can impair the orgasmic response. Normally, it is a difficult condition to treat. How ever there is treatment for the same.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.30am and 5.00pm from Monday to Saturday.