Comprehensive Andrology Services: Precision Care for Male Reproductive Health

Advanced Endourology Precision Care for Stones and Prostate (1)

In the evolving landscape of 2026, male reproductive health—known as Andrology—has moved from the shadows into the forefront of personalized medicine. Whether you are navigating the challenges of male-factor infertility or seeking permanent, reliable contraception, modern surgical techniques offer higher success rates and shorter recovery times than ever before.

Under the expert guidance of Dr. Sreeharsha Harinatha, a specialist with over 15 years of experience in reconstructive urology and microsurgery, our clinic provides gold-standard treatments for Varicocelectomy, Vasectomy, and Vaso-vasostomy.

1. Microsurgical Varicocelectomy: Restoring Fertility

A varicocele is an enlargement of the veins within the loose bag of skin that holds your testicles (scrotum), similar to a varicose vein in the leg. It is the most common reversible cause of male infertility, affecting sperm count, motility, and quality.

The Modern Approach

We utilize the Microsurgical Subinguinal Varicocelectomy, which is considered the “Gold Standard” in 2026. Using a high-power surgical microscope, Dr. Sreeharsha can precisely identify and ligate (tie off) the dilated veins while preserving the delicate testicular arteries and lymphatic vessels.

  • Success Rate: Significant improvement in semen parameters in 60-80% of patients.
  • Recovery: Most patients return to light desk work within 48 hours.
  • Advantage: Lowest recurrence rate (less than 1%) compared to traditional open or laparoscopic surgery.

2. No-Scalpel Vasectomy: The Modern Choice for Contraception

For men who have completed their families, a vasectomy is the most effective and permanent form of birth control. Gone are the days of large incisions and long recoveries.

The Procedure

We specialize in the No-Scalpel Vasectomy (NSV). Instead of a traditional incision, a tiny puncture is made to access the vas deferens (the tubes that carry sperm).

  • Time: The procedure typically takes 15–20 minutes under local anesthesia.
  • No Stitches: The puncture site is so small it heals naturally without sutures.
  • Efficacy: Over 99.9% effective once the “clearance” is confirmed via follow-up semen analysis.

Note: A vasectomy does not affect your testosterone levels, sex drive, or the sensation of climax. It simply removes the “passengers” (sperm) from the “vehicle” (semen).

Vaso-vasostomy: Reversing the Past

Life changes, and so do decisions. A Vaso-vasostomy is a microsurgical procedure performed to reverse a previous vasectomy.

Precision Under the Microscope

Reconnecting the vas deferens requires extreme precision, as the inner channel of the tube is less than 0.5 mm in diameter. Dr. Sreeharsha employs a multi-layer microsurgical technique to ensure a watertight seal.

  • Microsurgical Advantage: Utilizing ultra-fine sutures (thinner than a human hair) ensures the highest possible patency rates (return of sperm to the ejaculate).
  • Timing Matters: While reversals can be successful many years after a vasectomy, the highest success rates are typically seen within the first 10 years.

Why Choose Dr. Sreeharsha Harinatha for Andrology?

Andrology is as much an art as it is a science. Choosing a surgeon with a background in Robotic and Reconstructive Urology ensures that you are receiving care from someone accustomed to the highest levels of anatomical precision.

With international diplomas from France and Germany, Dr. Sreeharsha brings a global standard of care to Bengaluru, ensuring that every patient receives a customized treatment plan based on the latest clinical evidence.

Frequently Asked Questions

While surgery significantly improves sperm quality and quantity, fertility is a journey involving both partners. We recommend a comprehensive evaluation of both individuals. However, for men with a palpable varicocele and abnormal semen counts, this procedure offers the best chance at natural conception.

Yes, it is potentially reversible through a Vaso-vasostomy. However, a vasectomy should always be approached as a permanent decision. Reversal success depends on the time elapsed since the original surgery and the surgical technique used for the reversal.

Usually, patients are advised to wait about 7 days to allow the puncture site to heal. Crucially, you must use backup contraception until a follow-up semen analysis (usually at 3 months) confirms the absence of sperm.

Most microsurgical reversals are performed as "day-care" procedures or require a single overnight stay, depending on the complexity of the reconnection.

Most patients report a "dull ache" for a few days, easily managed with over-the-counter pain relief and supportive underwear. You should avoid heavy lifting or strenuous exercise for about 2 weeks.