Question: I have a sedantic work style. I had pain in my left side and examination found it as varicocele. How it can be treated? Will it bother me again after the treatment?

Answer: Varicocele usually is left-sided and causes pain in the left testis. The most important thing is that it causes male infertility due to depletion of the tissue, and we observe that it is the main cause of infertility of the married men among the patients applying to us. There is no drug treatment of it in modern medicine; the best modern option is surgical and operation duration is only 25-30 minutes, and it is painless. Patients are discharged same day of the operation and can resume their normal life.

Question: Dear doctor, I am 62. I have frequent urination accompanied by feeling of burning, and when I defecate, there is also sperm secretion. What is the cause of it? Thank you in advance.

Answer: Such complaints at 62 years are related to the diseases of the prostate gland; after 45-50 enlargement of the prostate starts (60-65%) and it causes frequent night urinations, intermittent urination, incomplete emptying of the bladder after urination, forking of urine to the sides and other serious complaints, which increase by time. As per the world experience and guidelines, all the men over 50 shall have urological examination once a year, which includes the prostate US examination, PSA (oncomarker) and general urine analysis. Treatment tactic is selected depending on the results. At early stages treatment starts with drugs and later stages closed operation (TUR) is conducted. This operation is done by epidural anesthesia without full lull to sleep, is painless, bloodless and patients spend two days in the clinic, then fully able to continue their normal lives.

Question: Hello, I am married 3 years. I do not have a kid. I have had several treatments, but still unsuccessful. My libido is good, but performance is low. What shall I do? Please help me. Thanks in advance.

Answer: Patients with complaints on infertility shall be correctly examined by an urologist-andrologist. Nowadays, successful treatment of infertility is possible after conducting some required tests, spermiogram, US examination, checking for sexually transferred diseases and reviewing the results of analysis, and selection of the latest treatment options.