Dr. Gautam Banga, The Best Urologist Delhi

About the Doctor: Dr. Gautam Banga: The Best Urologist Delhi

Dr. Gautam Banga is regarded as one of the finest Urologists of Delhi and his claim to fame has not been without its merits. He practices privately in Delhi (Gurgaon, Faridabad and Noida) as a Consultant Andrologist, The Best Urologist Delhi, Penile Reconstructive and Urethra surgeon. Dr. Gautam is adept at handling complicated cases like Stricture Urethra, Hypospadias, Erectile dysfunction, chronic Testicular pain, deformities in the penis like penile curvature, Male infertility and other Urology ailments.

He is the Director of the Centre for Urethra and Penile Reconstructive surgery at the SCI International Hospital located in Greater Kailash at New Delhi.

The Doctor’s education : The Best Urologist Delhi

Dr. Gautam Banga obtained his degree in the field of medical science in 2001 from the prestigious BJ Medical College situated in Pune. He obtained his MS in Surgery from MGM Medical College and M.Y Hospital situated in Indore. He completed his M.Ch(Urology) at SMS Medical College and Hospitals located in Jaipur. The doctor did observer ship in Urethral Reconstructive surgeries post his M.Ch from the esteemed Kulkarni Urology treatment Centre located in Pune.

Dr. Gautam also completed 6 weeks fellowship at the Sava Perovic Foundation in Belgrade Serbia for Advanced Reconstructive Uro-Genital surgeries. He also holds memberships from the USI which expands to the Urological Society of India and the NZUSI which corresponds to the North zone Urological Society of India.

Dr. Gautam Banga’s experience : The Best Urologist Delhi

For the past few years, Dr. Gautam has been working on treating sexual problems like erectile dysfunction, cosmetic urological problems, penile deformities, Urethra reconstruction along many others. He has performed over a 200 Urethroplasty and his vast experience in dealing with multiple types of Urethral reconstructive surgery including traumatic and non-traumatic cases undoubtedly makes him one of the best Urologists of Delhi.

There are very few Urologists in Delhi who can perform Mini-PCNL and Dr. Gautam is one among them. He also specializes in performing RIRS which expands to Retrograde Intranet Surgeries and HOLEP which focuses on treating enlarged prostates using Lasers. He has performed well over 200 RIRS handling a rich diversity of cases and challenges. His reputation in the field of sexual rehabilitation and Andrology lends him a lot of credibility making reassuring his patients that he is one of the best Urologists in Delhi.

Owing to the doctor’s experience from numerous cases, he has gained a special interest in treating and healing failed Urethral Stricture. The doctor also has a liking for complex cases and always stays ahead with innovative solutions. In his 12+ years of experience as a Urologist, Dr.Gautam Banga has performed more than 1000 urology procedures focusing on reconstructing the Urethra and has an impeccable success rate. The doctor is also highly sought after, being one of the very surgeons in India who specialize in external genitalia.

The doctor generally analyses and documents the medical condition and history of the patient right from the first visit to ensure the patient gets the adequate care necessary for them to recover completely. He has garnered great reputation for his work ethics and has an overwhelmingly positive response from his patients.

His diversity of cases handled by the doctor is also a key contributor to his in-depth understanding of both, the Male and Female reproductive system. This experience helps Dr. Gautam ensure that he takes adequate precautions so there is no oversight in his procedure.

Dr. Gautam Banga expertise : The Best Urologist Delhi

Dr. Gautam works on treating case like Male infertility and Cosmetic urology. His expertise also lies in the fact that he handles cases related to both the genders.

His expertise also extends to treating enlarged prostate and kidney stones.  His varied experience helps him in not only treating complicated cases but also in analyzing and preventing future complications during intense and severe procedures.

He has witnessed very high success rates for his penile surgeries, offering and treating patients from all around Delhi. His rich experience also enables him to anticipate any future complications of a procedure performed today. This ability to anticipate helps him come up with a thorough and fool proof procedure to even the most difficult and complicated cases. He also treats erectile dysfunction and other sexual related problems in Male. Dr.Gautam also has a great track record with Penile augmentation.

Dr. Gautam is adept at treating both the genders and has performed surgery on the Urethra and cosmetic urology for women. His success rates speak for himself.

With a rich experience of handling well over 2000 cumulative cases from various disciplines, Dr. Gautam has garnered expertise in almost all of the verticals he has treated which makes him one of the very few Urologists in Delhi who has expertise is treating problems from both the genders. Apart from all the technical knowledge, the consistency and quality of the treatment offered by Dr. Gautam can be considered as one of his main expertise and is something which makes him one of the best Urologists of India.

The Center for Urethra & Penile Surgery

M-4, Greater Kailash I, M Block, Greater Kailash I, Greater Kailash, New Delhi, Delhi 110048
Contact Number: 099990 62316
Email: [email protected]

Premature Ejaculation Treatment explained by Dr Gautam Banga

Premature ejaculation treatment is also known as early ejaculation, rapid ejaculation and rapid climax. Premature ejaculation is a situation when men experience orgasm soon after minimal penis stimulation or sexual activity. If you are ejaculating sooner than your partner is expecting it, then your sex life may not be much satisfying, as you desirably want it to be. However, there is no specific time for an ejaculation during sex but if you are having it before an estimated time then there is possibly a situation when you will not be able to erect for some time and that totally ruins the moments you are having with your partner. Premature Ejaculation Treatment is there, expert specialists need to be approached.

Most of the men around the world reported the cause of premature ejaculation as stress or any type of emotional disturbance that could not yet be considered as an actual cause of this disease. Moreover, most men also reported they wish that they could last longer in bed. Delayed ejaculation is an opposite condition of premature ejaculation in which, ejaculation can occur in between four to eight minutes that is too a matter to look after.

 
 

There are four types of premature ejaculation & Premature Ejaculation Treatment–

Lifelong premature ejaculation & Premature Ejaculation Treatment– In this category of premature ejaculation, men usually ejaculate early in every intercourse. Moreover, the ejaculation remains premature throughout the life and this happens with every woman they are connecting to, in this part of disorder about eighty percent men ejaculate within 1 minute and the rest twenty percent men ejaculate within 1 to 2 minutes.

Acquired premature ejaculation & Premature Ejaculation Treatment – In this category of premature ejaculation, this happens sometimes in a man’s life. Usually, this occurs in the later life years and the men have the normal level of ejaculation experience before in his life. In addition, same as in the case of the previous category of lifelong premature ejaculation, men in this category also ejaculate within 1 to 2 minutes. Psychological, urological and thyroid problems are some basic causes of Acquired premature ejaculation.

Natural variable premature ejaculation & Premature Ejaculation Treatment – In this category of premature ejaculation, men usually have inconsistence rapid climax. Sometimes in this type, the ejaculation is shorter than usual and sometimes it is normal.

Premature – like ejaculatory dysfunction & Premature Ejaculation Treatment- In this category of premature ejaculation, men usually have it because of the self-perception or low self-esteem.  The time of ejaculation is in the normal range and sometimes more than it is expected.
 
 

Causes of premature ejaculation & Premature Ejaculation Treatment

During the sexual activity, men without premature ejaculation exactly know what they are doing and also about the feeling and emotions they are having at that moment. Moreover, they have an idea about the point when they cannot control to ejaculate and control it when it is necessary.

On the other hand, men with premature ejaculation have no idea about all above-mentioned things; they do not know when they are going to release and when they need to control their selves to last long in the bed. However, if somebody is doing sex for the first time in his life then it is natural to ejaculate early because he is usually on an emotional high and has little idea and control of what is happening and what is the actual process of it.

With the passage of time, men learn and understand to control the feeling that leads to ejaculation and try to control it naturally. Men without premature ejaculation know their level of control and the point of releasing which is completely opposite with men suffering from premature ejaculation.

PREMATURE EJACULATION TREATMENT

Low level of serotonin can also lead you the same situation where you can no longer stay on the bed. Serotonin is the chemical in the brain, which always make you feel happier and joyful. According to the recent study, men with the low level of serotonin have hard to time to stay longer due to the increasing amount of stress and low capability to control over.

Sexual performance anxiety is also one of the other cause of premature ejaculation, which includes bad experiences, and different level of stress during the sexual activity. Moreover, lack of sex education can also lead to this situation.

Stress can also take away your power to stay long because it reduces the level of serotonin in your body that could be a bigger cause of premature ejaculation. Stress could be of any type whether it is your personal issues or financial status or relationship etc. genetic cause also comes down the line.

Premature Ejaculation Treatment

• Antidepressant
• Topical drugs
• Home remedies
• Exercises

Recent surveys show 3 out of 10 men have a problem with premature ejaculation. The rest just did not really think it was a problem.

• Frankie Boyle
  

  For further details on Premature Ejaculation Treatment.

  You may reach out to

  Dr Gautam Banga

  MBBS,MS,M.Ch (Urology)
  Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
  Contact no. : +91-9999062316 | 011-41041131
  Email:- [email protected]
  Website : www.urethraandpenilesurgery.com

 
 

Urethral Stricture India

Its a condition caused when the urethra narrows down. Urethral stricture India can be a result of any injury, surgical procedure. Urethral stricture is more common in Men and boys. Women and girls have rare chance of having urethral stricture.

 

How to identify Urethral Stricture Treatment India condition?

 

• Urinary stream becoming more wide
• Frequent urination
• Urgency of urinating
• Experiencing pain while urinating
• Infection of the urinary tract
• Prostatitis
• Issue will completely emptying the bladder
• Blood in urine or semen
• Pelvic pain can also be a symptom

Causes & Correction of Urethral Stricture India

 

There are several factors which may lead to urethral stricture. Some of them are listed below:

• Any kind of trauma occurring from an injury or due to accidents that causes damage to the urethra or bladder
• Any kind of pelvic injury, which may include a fracture
• Any kind of surgical procedures carried out on Urethra
• Any kind of prostate surgery done, whether TURP or a laser procedure
• Prostate enlargement
• Urethral Cancer
• Infections of the Urethra Prostate infection or inflammation (Prostatitis)
• Previous Hypospadias Surgery
• Any kind of congenital malformations of the Urethra
• Radiation treatments done for curing prostate cancer
• Urinary Incontinence in Women: Inability of controlling the bladder.

 

Diagnosis of Urethral Stricture India

The trained urologists may physically examine the patient and look out for symptoms suggestive of urethral stricture. If they feel convinced of the condition, they will carry out regular test such as urinalysis (UA), urine culture, urethral culture and uroflowmetry. The doctors may also get an ultrasound done of the patient to analyse the amount of urine retention in the bladder.

Depending upon the patient’s condition the doctor may recommend one or more of the additional tests, mentioned below:

• Ultrasound of the urethra
• Retrograde urethrogram
• Cystography
• Antegrade cystourethrogram
• Cystourethroscopy
• MRI and CT scan

 

Treatment at The Centre of Urethra and Penile Surgery for  Urethral Stricture India?

 

Medicines don’t prove to be much helpful in treating urethral stricture. Once a stricture has developed, it may not go away on its own hence surgical procedures.

The various treatment options that exist for curing urethral stricture are:

• Urethroplasty: Urethroplasty refers to any open reconstruction of the Urethra. Depending upon the cause, length, location, and calibre of the stricture, the success rate of the Urethroplasty ranges from 85% to 95%. It is safe to perform Urethroplasty on Men of all ages. It is usually performed in posterior urethra.

 

• Urethral dilation and another endoscopic approach:The success rate for these approaches is very low.

 

• Urethral Stent: Placement of urethral stent is not a very acceptable treatment for urethral stricture. Urethral stents do not provide long term benefits and can lead to complications such as pain, dribbling after urinating, stent migration, stent malposition, and blockage of the stent.

 

Some Important points to take care in case of Urethral Stricture India:

• Recurrence of stricture may develop, hence its essential to consult doctor in case of urine retention symptoms in the patient.
• The recovery period after surgery will vary with the type of procedure performed, duration of catheterization, surgeon selected, and overall health of the patient.
• Ongoing care must be taken after a surgery is done for the treatment of urethral stricture as there are chances of recurrence.

For further details on Urethral Stricture. You may reach out to:-

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316 | 011-41041131
Email:- [email protected]
Website : www.urethraandpenilesurgery.com

BEST UROLOGY HOSPITAL INDIA

 
 
A healthy mind always resides in a healthy body.  What it takes to be the best urology hospital India.

Among various studies in medical science, urology is one of the most vital studies. It majorly deals with the aspects relating to the kidney, urinary bladder, adrenal glands, urethra and reproductive organs.

Since centuries, urologists are dealing with several issues related to urology and have evolved it by doing great discoveries in the field. We here at the Center of Urethra and Penile Surgery (BEST UROLOGY HOSPITAL INDIA) deal diligently with the various urological problems, providing the patients with advanced and satisfactory services.  We house the most skilled and experienced specialists, surgeons and supporting staff that work with every single patient here to provide world-class diagnostic and surgical services with the help of advanced tools. Providing you the most beneficial treatment and the prescription is our one of the best dictums.
 
 

 
 
The Center of Urethra and Penile Surgery (BEST UROLOGY HOSPITAL INDIA) is the only tertiary referral centre in North India that specializes in Male Urethral and Penile or Genital surgery. It was established in 2010 as the center for reconstructive urology that is dedicated to the treatment of the external genitalia and male urethra. In addition to patient care and providing the best hospitality, our aim also includes all the clinical and laboratory research and teaching.

UPS (BEST UROLOGY HOSPITAL INDIA) is exclusively specialized in the treatment of the disorder of penis, male urethra and external genitalia. Your investment in your health is one of the finest and rewarding in the world and we make sure that your decision to choose us will not make you regret because we treat our patients in with the best technology and experience. Your experience with us will definitely be flawless and fulfilled.

We offer expertise to you at UPS (BEST UROLOGY HOSPITAL INDIA)

Following are the major areas that we focus on at UPS (BEST UROLOGY HOSPITAL INDIA):

1. Urethral Stricture 

Urethral stricture is basically the narrowing of urethra for some reasons like accident, pelvic injury, cancer of the urethra, infection of the urethra, prostate infection or inflammation, inflammatory conditions like lichen scleroses and congenital malformation of the urethra. Urethra stricture is more common in men than females. This condition is found rare in the case of females.   Now days, optic urethrotomy, anastomotic urethroplasty and substitution urethroplasty offer better functional results, and majority of the patients found permanent solution for urethra stricture.

2. The Curvature of the penis / Peyronie’s disease 

Peyronie’e disease is inflammatory, benevolent condition that may cause curvature, reduction of the erect penis. The scar tissue that is also known as plaque form in the penis, the common places where plaque usually formed is the top and the bottom of penis in this disorder. There are some reasons or the causes of this disorder like acute injury to the penis, chronic injury to the penis or repeated injury to the penis and this also occur because of autoimmune disease in which the immune system of the body attacks its own cells and the organs.  It can be treated by vitamin therapy, pain management, radiation therapy and there are other options too to treat peyronie’s disease.

3. Erectile Dysfunction, also called ED and impotence

Erectile Dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to maintain an erection of the penis during sexual activity. This might happen due to the both psychological and physiological reasons. Like other diseases erectile dysfunction too has many causes like heart disease, high cholesterol, high blood pressure, diabetes, obesity, heavy use of alcohol and tobacco, and also because of Parkinson’s disease and other psychological problems.

There are some ways to cure impotence of oral medication, penile implant, psychological counselling and some physical exercises, which can fix this problem in men.

4. Hypospadias

This disease is self-diagnosed, in this disorder the urinary opening is on the underside of the usual site.  This is second most common birth abnormality in boys. Sometimes the infants lack the normal covering of the underside. This can be treated by surgery.

5. Enlarged Prostate treatment with LASER surgery
6. Disorders of the Male external genitalia

About the director of the Center of Urethra and Penile Surgery

Dr. Gautam Banga is the director of the Center of Urethra and Penile Reconstructive Surgery. He is a dedicated urethra and penile reconstructive surgeon. Moreover, he is a world-renowned Urologists and physicians. He has an expertise in other sub specialities in urology like plastic, pediatric surgery, laparoscopic and many others. He has been working on many things together with the complex problems that require the multidisciplinary approach. In 12 years of his career, he has done more than 1000 urology treatment with high success rate. Special interest in complex urethral stricture, Hypospadias and penile curvature cases.

A renowned andrologist dealing with male infertility and erectile dysfunction.

Best urologists in India who is dedicated towards the surgery of urethra and external genitalia.

People who visited us mostly share their delightful experience with us. People visit us from all over the world. We have satisfied many of our patients who trusted and believed us.

Healthy living for a great quality of life at every stage is what we believe in. therefore; it is time to act now.

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316 | 011-41041131
Email:- [email protected]

 

Children are perhaps the most fragile and precious beings on this planet- at least, for a parent. As such, it is our duty to ensure that they are taken care of and given the best protection. However, medical complications could occur to anyone And then the search is for Best Pediatric Urologist Delhi. In case like such, most parents are confused regarding what they should do.

Urinary problems are one of the most common conditions in infants and even adolescents. Even though urinary problems could be found in people from all age groups, things are more complicated in case of children. They do not have the same awareness of their body as we do. This is where Pediatric urologist Delhi is stepping in.

What is pediatric urology?

Pediatric urology is a sub-speciality of urology that specializes in dealing with children. Unlike urology for adults, pediatric urology specializes in the entire genitourinary system of children. It means they treat conditions involving both the reproductive system and urinary tract. It involves a range of organs like kidneys, ureter, bladder, urethra, penis and testes. Since most of the cases Pediatric urologist Delhi deals with include pre-pubescent children, they treat both girls and boys.

Why do we need Pediatric urologist Delhi?

Like we mentioned, children do not have the same awareness of their body as adults do. They are unable to recognize symptoms most of the times, which makes it hard for normal urologists to diagnose them. Most adolescents have an embarrassment to openly discuss their symptoms with others. Many symptoms in infants are actually not even related to the system they are affecting (like UTI manifest as fever in kids younger than 2 years, instead of affecting the urinary tract).

Due to such reason, Pediatric urologist Delhi is . So, how does a Pediatric urologist Delhi solve issues that a normal urologist can’t?

– Pediatric urologist Delhi are trained to specialize in children and recognize every single symptom, no matter how vague they are. Since they deal with a smaller range of medical conditions, they have a higher proficiency at treating them than other doctors.

– Pediatric urologist Delhi, due to their long practice, are excellent at opening dialogue with adolescents. Thus, they are able to get the full details of the condition even from kids who are unwilling to talk about it.

– Pediatric urologist Delhi also specialize in looking for less-pronounced symptoms, symptoms that a child cannot possibly recognize.

Who qualifies to be a Pediatric urologist Delhi?

While any urologist can be a Pediatric urologist Delhi, it takes something more to qualify to be that. Apart from the requirements of being a urologist (formal medical degree, along with surgical residency and specialization training in general urology), the doctor also has to receive fellowship training in pediatric urology. The fellowship specializes in:

– Training how to recognize symptoms in infants and children.
– How to treat such medical conditions in children.
– How to interact with children of all age groups.

A Pediatric urologist Delhi can also treat urological problems in adults too. However, most of the Pediatric urologist Delhis devote at least three-fourth of their time in treating children.

What are some common urinary problems in children?

– Urinary Tract Infection

UTI is one of the most common conditions in children, and may occur in both boys and girls. The infection affects bladder and urinary tract, though urethra and kidney might need attention. While being common, it is also easily treatable; though, proper and early diagnosis is necessary.

– Antenatal hydronephrosis

Sometimes, the kidney of a developing fetus is filled with fluid, which obstructs his/her urinary system. In best-case scenario, the condition is diagnosed during ultrasound itself and gives the parents time to take precautionary measure.

– Hydrocele

In this condition, the scrotal sack is full with a fluid. Though the more common cause is excess strain on the scrotum, other causes might contribute to hydrocele in case of children.

– Hypospadias

This birth defect is found only among boys and occurs during the development of fetus. Here, the opening of the urethra is not situated at the tip of the penis, but rather on the underside. Apart from causing occasional discomfort, this is not a serious condition.

– Spina bifida

Sometime, the development of spinal cord remains incomplete during pregnancy and the tissues remain underdeveloped. This condition, called spina bifida, is find out after birth and is easily treatable.

– Undescended testes

One of the most common conditions in men, undescended testicles occurs when one or both testicles fail to move into the scrotum. While in most cases the condition resolves with age, sometimes medical help is important to treat it.

– Neurogenic bladder

A rare condition, neurogenic bladder causes a block in the neural signals that connect the bladder. Thus, the bladder is unable to coordinate with the rest of the nervous system, leading to symptoms like bet wetting. While a neurologist is more equipped in dealing with it, a Pediatric urologist Delhi has the task of noticing the symptoms and giving the diagnosis.

– Ureteropelvic junction obstruction

In this condition, the junction where the ureters meet the kidney develop an obstruction, which affects the flow of urine. A surgery is the most effective way to remove such blockages, though other options may be there.

– Nocturnal enuresis

The condition causes a child to urinate while asleep, despite he /she knows about it. The condition occurs usually due to an underdeveloped bladder, and may rectify itself over the course of time. However, a Pediatric urologist Delhi would be able to give a more accurate estimate.

– Hernia

Despite being a common condition, hernia is a severe condition due to the pain it causes. In hernia, outgrowth might occur in organs which are not robust enough.

What to look in a Pediatric urologist Delhi?

Any Pediatric urologist Delhi with the qualifications we mentioned above is capable of treating your child. However, since children are different from adults, it is better to look for a doctor whom your child finds comfortable to talk to. If you child is an adolescent, it would be better to find a Pediatric urologist Delhi of the same gender.

As a further measure, try going for Pediatric urologist Delhi who have a long practice, as they would have a better experience in dealing with children.

Conclusion

Children are our responsibility, and thus, it falls upon the parents to give them the best facilities; that includes medical care. You have to keep an eye of your child’s health and look for any symptoms for urinary problems. However, for any urinary problem your child suffers from, a Pediatric urologist Delhi is the best option you have.

TO KNOW MORE ABOUT URETHROPLASTY SURGERY REACH OUT TO :

Dr. Gautam Banga at

91-9999062316, 011-41041131,
Email : [email protected]

BEST UROLOGIST FOR ERECTILE DYSFUNCTION TREATMENT

Men who have a problem with their sexual performance may be reluctant to talk with their best urologist, seeing it as an embarrassing issue. However, best urologists are used to dealing with potentially embarrassing issues in private consultations; and, erectile dysfunction is now well understood, and there are various treatment by best urologists available.

Let’s understand this issue in detail.

A Man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity.

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It’s also sometimes referred to as impotence.

There are several forms of Male sexual dysfunction, including poor libido and problems with ejaculation. But ED refers specifically to problems achieving or maintaining an erection. Men with ED often have a healthy libido, yet the body fails to respond.

Sexual dysfunction and ED become more common as Man ages. The percentage of complete ED increases from 5% to 15% as age increases from 40 to 70 years. But this does not mean growing older is the end of your sex life. ED can be treated at any age.

Erectile dysfunction (ED) occurs when a Man has consistent and repeated problems sustaining an erection. Without treatment by best urologist, ED can make sexual intercourse difficult.

What are the symptoms of ED?

You may have erectile dysfunction if you regularly have:

• Erection that is too soft for sexual intercourse.
• trouble getting an erection
• An inability to achieve erections.

• difficulty maintaining an erection during sexual activities
• reduced interest in sex
• Men who cannot get or maintain an erection that lasts long enough or is rigid enough to complete sexual intercourse is considered to have erectile dysfunction.

What causes erectile dysfunction?

Normal erectile function can be affected by problems with any of the following systems:

• injuries
• obesity or being overweight
• increased age
• stress
• anxiety
• drug use
• alcohol use
• smoking

• blood flow
• nerve supply
• hormones
• cardiovascular disease
• diabetes
• hypertension
• damage from cancer or surgery

Diagnosing ED: Physical Exam

The Andrologist examines the patient physically. On the basis of the symptoms and medical history diagnosis is defined. The best urologist conducts a complete physical exam to uncover signs such as poor circulation or nerve trouble. And look for abnormalities of the genital area that could cause problems with erections.

Lab Tests

Several lab tests can help diagnose Male sexual problems. Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire. Blood cell counts, blood sugar levels, cholesterol levels, and liver function tests can reveal medical conditions that may account for ED.

What treatment by best urologists are available?

Treatment by best urologist for ED will depend on the underlying cause. You may also need to use a combination of treatment by best urologists, including medication, lifestyle changes, or therapy.

Medical management:

Andrologist recommends medicines to treat ED if mild. If after knowing the history of the patient that the medicines have stopped responding for his case then he is advised for other options like Vacuum devices, penile injections, Penile prosthesis.

Vacuum devices

Vacuum erection devices are a mechanical way of producing an erection for men who do not want or cannot use drug treatment by best urologists, or find they are not working.

The lack of spontaneity with the use of vacuum devices means that many men find other treatment by best urologists for erectile dysfunction preferable.

Surgical treatment by best urologists

There are several surgical treatment by best urologist options:

• Penile Prosthesis / implants– these are a final option reserved for men who have not had any success with drug treatment by best urologists and other non-invasive options.

There are various kinds of penile implants available in market. Surgeon decides on the grounds of various factors which implant is needed for whom.

Types of implant:

Semi rigid –two piece implant

Inflatable-three piece implant

Advantages of penile implants:

• These are Easy to use. Surgeon teaches you how to operate the implant after the surgery.
• Feels natural during intercourse .Implant does not interfere with the natural orgasm means natural orgasm is intact even after the procedure.

• Eliminates the need for costly pills or shots
• Offers a long-term solution to erectile dysfunction
• Your partner will not be able to make out whether there is any implant in your body.

Durability is 10-12 years as per the study and trials.

Dr.Gautam Banga has been performing such cases successfully for the past 11 years. He has treated Males from 22 years to 77 years old.

Dr.Gautam uses AMS implants which are the best implants till date.

It is advisable to abstain from sexual activities for atleast 6 weeks after the surgery.

Success Rate :-about 90%-95% of Penile implants produce erections suitable for intercourse.

• Vascular surgery– another surgical option for some men is vascular surgery, which attempts to correct some blood vessel causes of erectile dysfunction.

Surgery is a last resort and will only be used in the most extreme cases. Recovery time varies, but success rates are high.

Discussing ED With Your Partner

It’s natural to feel angry or embarrassed when dealing with ED. But don’t forget that your partner is also affected. Talking openly about ED will help your partner understand the diagnosis and treatment by best urologist options. This can reassure a partner that you haven’t lost interest.

Best doctor for erectile dysfunction in Delhi

Best Hospital for Erectile dysfunction in Delhi

For any further enquiry on Penile Implant Surgery please contact:

Dr. Gautam Banga

MBBS, MS, M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316 | 011-41041131
Email:- [email protected]
Website : www.urethraandpenilesurgery.com

Failed Hypospadias

Failed Hypospadias is a condition that is quite common in young boys, occurring at the time of birth. Complications may occur if it is not treated. Even though Hypospadias has a very straightforward treatment. What could you do about it? Let’s know more about it.

What is Hypospadias?

Hypospadias is a birth defect that only occurs in Males. The Urethra, responsible for carrying urine outside of the body, develops abnormally instead of the usual location (tip of the penis). Most of the times, the opening of the urethra develops on the underside of the Male genital. However, there are many variations to it, and sometime it can also develop near the scrotum. The further it is from the usual position, the more severe the case could be.

Causes

Like most birth defects, causes of Hypospadias are not exactly known. Abnormal hormone production during pregnancy could alter the development of the reproductive system of the male fetus, which might sometimes result in Hypospadias. Physical damages have been shown to have no correlation with this condition.

Complications

Although there are no dangers to the people suffering from Hypospadias, there are still many complications that could arise in the patients. Some of them include:

• The irregular location of the urethra opening often leads to difficulty in urination. While it is manageable, it becomes very difficult for the young boys to learn doing it.
• More often than not, a person suffering from hypospadias has an abnormal penis, mostly with a curvature larger than usual. Not only does it pose problem with erection, it also might lead to low self-confidence of the individuals.
• Again, the abnormal shape of the penis and the location of the tip of urethra can affect ejaculation, sometimes making it impossible to achieve it. If not treated, it could lead to a problematic sex life and many psychological issues.

Failed Hypospadias Treatment

One has to understand that hypospadias is a condition for which surgery is the only treatment.

In most cases, a single surgery is enough to solve the issue. The urethra is adjusted so that it now points towards the tip of the penis and can work normally.

However, in the more complicated cases, multiple surgeries (in stages) may be required. Tissue grafts might be needed to reconstruct the urethra significantly.

Failed Hypospadias

The primary factor behind the success is the age of the individual. Children are known to have a success rate of about 95%, while it is lower in adults undergoing the same procedures.

The second major factor is the type of surgery undertaken. Repositioning of urethra is almost always successful, as it requires no additional procedure. However, creating a flap or grafts could be tricky and may often lead to complications.

Failed hypospadias surgery can be a major setback for the patients. The complications arising from the surgery may require multiple subsequent surgeries and hence, can impact the patient both psychologically and physically. Psychosexual analysis shows that Men with successful Hypospadias repair always have a better score than Men with failed hypospadias repair.

 

Steps to be taken before repair

The initial evaluation is very critical before carrying out the repair for hypospadias. The past failure has to be analyzed to understand the cause behind it. The most basic step, usually, is to view the complication that occurred with the failure. It could be a stricture, chordee, fistula or persistent hypospadias. Records of previous treatments are a great help in understanding the reason behind the complications, but often the failure occurs many years earlier and records are hard to obtain.

In any case, certain observations must be recorded. These include:

• Record of urine flow and any obstacles in it whatsoever
• Penile curvature
• Difficulty in intercourse and/or ejaculation
• Any infections in the urinary tract or stones in the urinary bladder

Hypospadias repair

There are many ways failed Hypospadias could be repaired. Let’s take a look at them:

Stricture repair

People suffering from urethral stricture after a failed Hypospadias operation could get it corrected surgically. A lot depends upon the length and location of the stricture itself. People having stricture that are small and/or located on the outside may require only a single surgery, while people with long and/or inside stricture may require staged urethroplasty along with grafting.

Excision and primary anastomosis

EPA is a very effective technique in dealing with stricture that are short and usually on the outside. While EPA is very successful in cases of urethroplasty, it must be used in case of Hypospadias with caution. Hypospadias is known to alter blood supply to the urethra, so it must be kept in mind using EPA. The doctor must ensure that the blood flow from the penile arteries must not be affected.

Preputial skin flap

While use of skin flap is common in most surgeries, it is rarely adopted in cases of Hypospadias repair. The reason is the lack of enough foreskin due to previous Hypospadias surgery, among other issues. For this reason, use of preputial skin flap has a high failure rate. However, if you have enough foreskin for creating skin flaps, then this technique could be used.

Single-stage buccal graft repair

In cases of long strictures, EPA is quite ineffective. Hence, buccal graft repair seems like the best option. Grafts are created from the buccal mucosa and used in the repair of strictures. However, even this method has only limited success, with strictures often recurring after some time. However, any method to repair long strictures in a single-stage surgery has high failure rate, and use of buccal grafts are the most effective among them.

Staged urethroplasty

For patients that have suffered multiple failed hypospadias, staged urethroplasty is the best chance. There are many considerations to be taken while undergoing staged urethroplasty. For instance, the choice of grafts has to be considered carefully before applying. Removal of urethral plate is another decision that must be taken wisely. In most of the cases, two stages are enough to repair any damage caused by a failed hypospadias operation. It must be noted that most men quit after the first stage itself, considering the second stage of urethroplasty closure as unnecessary.

 

Chordee Repair

Ventral penile curvature is another complication caused by a failed hypospadias surgery, though there are many ways to treat it. The most effective method is to induce an artificial erection. Things get complicated when both chordee and strictures are present in the patient. Removal of the urethral plate itself may seem like the best approach, but it rarely works. Instead, it would be better to perform staged surgeries while dealing with the two complications one-by-one.

Urethrocutaneous fistula

Urethrocutaneous fistula is one of the most common complications caused after a failed hypospadias surgery. Like strictures, the treatment depends heavily on the size of the fistula. Smaller fistula could be repaired easily with additional catheter drainage. Longer fistula could be repaired by first excising the fistulous tract, then closing the urethra. Closure of fistula is the most prudent way of repairing it.

Conclusion

Hypospadias is a defect that can cause you a lot of inconvenience, or may not cause any discomfort at all but repairs are necessary after a failed hypospadias surgery, preferably as soon as possible.

TO KNOW MORE ABOUT URETHROPLASTY SURGERY REACH OUT TO :

Dr. Gautam Banga at

91-9999062316, 011-41041131,
Email : [email protected]