Frequently Asked Questions

The centre operates 24 hours and urological emergencies — acute retention of urine, severe renal colic, sudden testicular pain — are attended immediately. For routine consultations we recommend booking by phone or WhatsApp on +91 95369 72369 so you are seen without waiting and with adequate consultation time.

Completely. Consultations take place in a private room, records are access-controlled, and nothing is shared with family members or anyone else without your explicit consent. Many men delay seeking help for sexual health concerns because of embarrassment — our entire practice is structured to remove that barrier.

Any previous scans, blood reports, semen analysis results and a list of your current medications, including anything bought over the counter or from a gym. If you are attending for fertility concerns, bring your partner's reports too. Photo identification is useful for records.

Yes, and for fertility consultations it is genuinely helpful. For sexual health concerns it is entirely your choice — many men attend alone initially and involve their partner later.

The centre is on Hospital Street in Hanamkonda, beside Gravid Home, within the Chinta Neuro Centre premises. Parking is available on site. If mobility is a concern, call ahead and we will arrange assistance.

Yes. We see patients from across Warangal, Hanamkonda, Kazipet and the surrounding districts, and from further afield in Telangana for specialised andrology procedures. If you are travelling a distance, call first so investigations can be planned into a single visit.

In most men, yes. ED is treatable and often reversible once the underlying cause is identified — which may be vascular disease, diabetes, low testosterone, medication side effects, smoking or psychological stress. Where the damage is permanent, function can still be restored reliably through injection therapy or a penile implant.

No. Erectile quality does change with age, but persistent inability to achieve an erection is not a normal consequence of ageing and should be evaluated. Many men retain good function into their seventies.

Not necessarily, but it is a recognised early warning sign. The penile arteries are much narrower than the coronary arteries, so vascular damage shows there first — often years earlier. This is exactly why we assess cardiovascular risk as part of an ED workup.

Buying them without a prescription is risky. Dosage is frequently wrong, counterfeit products are common, and these drugs are genuinely dangerous when combined with nitrate heart medication. They also mask conditions such as diabetes that need treating in their own right.

Not usually, at least not entirely. Lifelong premature ejaculation has a strong neurobiological basis relating to serotonin signalling. Anxiety often accompanies and worsens it, but treating the underlying physiology is generally what produces improvement.

The device sits entirely within the body and is not visible externally. Penile sensation, the ability to orgasm and ejaculation are all preserved, because the nerves responsible are not disturbed. Satisfaction rates for modern implants are among the highest of any urological procedure.

After twelve months of regular unprotected intercourse without conception — or after six months if the female partner is over 35. A male factor contributes in roughly half of all infertility cases, so evaluating the man early avoids months of unnecessary delay.

A routine test reports count, motility and volume. An advanced analysis follows current WHO criteria and adds strict morphology, vitality, leucocyte screening and, where indicated, DNA fragmentation testing. Two men with identical counts can have very different fertility potential — these parameters are what reveal that.

Maintain two to five days of sexual abstinence — shorter or longer intervals distort the results. Avoid alcohol beforehand, mention any fever or illness in the previous three months, and produce the sample in our private collection room so it is processed within the correct time window.

Quite the opposite. External testosterone and anabolic steroids suppress your body's own sperm production and are a common cause of severe, sometimes prolonged, infertility. If you are taking any such preparation, tell us at the first visit.

Both are sperm retrieval procedures for men with azoospermia, where no sperm appear in the ejaculate. TESA draws sperm from the testicular tissue; PESA retrieves it from the epididymis, typically where there is an obstruction. Both are short day-care procedures under local anaesthesia.

No. Many men with low counts conceive naturally, and treatment frequently improves the count. Even when no sperm appear in the ejaculate, retrieval procedures often find sperm within the testis.

Sperm production takes approximately 74 days, so semen parameters are normally reassessed three months after starting treatment. Meaningful improvement before that is unlikely, whatever may be promised elsewhere.

Almost always. Small stones often pass with hydration and medication. Larger ones are treated with shockwave lithotripsy, ureteroscopy, retrograde intrarenal surgery or percutaneous nephrolithotomy — all keyhole or scope-based, with no large incision.

Because removing a stone treats the episode, not the tendency. Without a metabolic evaluation, more than half of patients form another stone within a decade. Stone composition analysis and a 24-hour urine study allow genuinely targeted prevention.

No — this is a common and counterproductive misconception. Restricting dietary calcium increases oxalate absorption and raises stone risk. Normal dietary calcium should be maintained; it is usually salt and oxalate that need attention.

Enough to produce at least 2 to 2.5 litres of urine a day, which in our climate usually means considerably more intake than that — especially for outdoor workers. Pale, near-colourless urine is the practical marker.

Recurrent UTIs in men are rarely 'just an infection'. They usually signal incomplete bladder emptying, prostate enlargement, a stone or a urethral stricture. Repeated antibiotic courses without investigation drive resistance and delay the real diagnosis.

Visible blood in the urine should always be evaluated promptly, even if it happens once and then stops, and even if it is painless. Painless bleeding is the more concerning kind — bladder tumours characteristically bleed intermittently.

Dilatation stretches and tears scar tissue rather than removing it, and the tearing heals by forming more scar. Each repetition tends to make the stricture longer and denser. Urethroplasty offers far better long-term results for most strictures.

Discuss it from age 50. If your father or brother had prostate cancer, begin the conversation around 45. Assessment combines a PSA blood test, a clinical examination and a uroflow study.

No. Benign prostatic hyperplasia is a very common non-cancerous enlargement causing weak stream, frequency and night-time urination. It is a separate condition from prostate cancer, though the two can coexist — which is why symptoms should be assessed rather than assumed to be 'just age'.

Standard endoscopic prostate surgery does not typically cause erectile dysfunction. It does commonly cause retrograde ejaculation, where semen passes into the bladder — harmless, but relevant if you are still planning children, so tell us beforehand.

Persistent fatigue, reduced sexual desire, weak morning erections, loss of muscle mass, increased abdominal fat, low mood and poor concentration. These overlap with many other conditions, so diagnosis needs a morning blood test — usually repeated — rather than symptoms alone.

No, and doing so can cause lasting harm. Fatigue has many causes, and taking testosterone without a confirmed deficiency suppresses your own production and sperm output, sometimes for a long time after stopping.

No. It becomes more common with age but is not a normal or inevitable consequence of it. Most men improve substantially once the type of incontinence is correctly identified and treated.