We treat patients with problems of male sexual dysfunction (i.e. impotence, premature ejaculation), andropause or male infertility at our outpatient clinics.
Andropause, or male menopause, is the symptom resulting from age-related decline of the male hormone, testosterone. We have a protocol for evaluation, diagnosis and treatment of andropause which is similar to established international guidelines. Male menopause can result in sexual dysfunction, behavioural, mental and physical symptoms. The documentation of low serum testosterone level confirms the diagnosis and male hormone replacement therapy is instituted in symptomatic men with low testosterone levels who are suitable for such therapy). The therapeutic options are oral formulation, topical gel or patch, intra-muscular injection or subcutaneous (under the skin) pellet implantation. Close monitoring with blood tests and symptom reviews are performed at regular intervals in the clinic.
We offer diagnosis and treatment of erectile dysfunction. A colour doppler scan of the penis may be used for easy differentiation between physical and psychological causes. A multidisciplinary approach is often adopted, as many of the patients with erectile dysfunction have co-existing medical conditions. Treatment options include the use of medications to induce penile erections, penile self-injection therapy (prostaglandin E1) and vacuum device therapy. In severe cases of erectile dysfunction, surgical implantation of a penile prosthesis is a viable option. For patients with psychological erectile dysfunction, sex therapy and psychosexual counselling are available by psychiatrists and psychologists who work closely with us.
Besides erectile dysfunction, we also manage other sexual dysfunctions such as premature ejaculation and male libido disorders.
We provide services for the evaluation and treatment of male infertility. Some diagnostic tools we utilise include the blood tests, seminal analyses and ultrasound examination of the testes. Where it is indicated, surgery such as microsurgical vasovasostomy and varicocelectomy (open, laparoscopic, microsurgical or percutaneous) will be offered to appropriate patients. We are actively involved in the management of male sexual dysfunction, such as impotence, premature ejaculation and libido disorders. Psychosexual therapy and counselling by affiliated specialists are available for patients with psychologically induced impotence.
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