Urology · Andrology
Andrology
Erectile dysfunction, male infertility, penile conditions and reconstructive surgery. Private clinic, consultation conducted personally by Prof. Calarco.
Condition Andrological conditions (ED, infertility, penile curvature, reconstructive surgery)
Techniques Medical · Surgical · Rehabilitative
Hospital stay Day surgery (penile prosthesis, varicocelectomy)
Anaesthesia Spinal or local (depending on procedure)
Follow-up Check-up at 4 weeks; personalised rehabilitative follow-up
Andrology and men's health
Andrological conditions (ED, infertility, penile curvature, reconstructive surgery)
Treatment options
I.
Erectile Dysfunction
ED
ED affects approximately 50% of men between ages 40 and 70. Causes are often vascular, neurological or psychogenic — and in most cases it can be treated effectively.
- Complete aetiological assessment (hormonal, vascular)
- Dynamic penile colour Doppler ultrasound
- Personalised pharmacological therapy
- Penile prosthesis implant (refractory cases)
Indicato per: ED of vascular, neurological or psychogenic origin
II.
Male Infertility
In one third of couples struggling to conceive, the cause is male. A comprehensive andrological assessment identifies and often corrects the problem.
- Semen analysis and culture
- Hormone levels (FSH, LH, testosterone)
- Microsurgical varicocelectomy
- TESE/microTESE for azoospermia
Indicato per: Male infertility with correctable factor
III.
Reconstructive Surgery
Correction of congenital or acquired penile deformities, trauma or infection sequelae, and prosthetic surgery for erectile rehabilitation after prostatectomy.
- Penile curvature correction (Peyronie's disease)
- Adult hypospadias surgery
- Penile prosthesis implant (hydraulic/semi-rigid)
- Post-prostatectomy erectile rehabilitation
Indicato per: Deformities, traumatic sequelae, refractory to medical therapy
Clinical pathway
-
01
First andrological visit
Full medical history, physical examination, possible dynamic penile Doppler. Duration: 45–60 min. Personal consultation, no assistants present.
-
02
Couple assessment
When indicated, a joint consultation with the partner is available to address the problem together.
-
03
Integrated pathway
Collaboration with sex therapists, endocrinologists and ART centres for cases requiring a multidisciplinary approach.
-
04
Treatment
Medical, surgical or rehabilitative depending on diagnosis. Day surgery where indicated.
-
05
Follow-up
Check-up at 4 weeks. Post-operative erectile rehabilitation programme if required.
Frequently asked questions
Is erectile dysfunction always treatable?
In 70–80% of cases yes, with oral medical therapy. In refractory cases, penile prosthesis implant guarantees excellent satisfaction outcomes (over 90%) for both patient and partner.
Does varicocele always cause infertility?
Not necessarily. Varicocele is present in 15% of men but causes infertility in only some. Semen analysis determines whether surgical correction is indicated.
Can erectile function be recovered after prostatectomy?
Yes, especially in younger patients (<65) with bilateral nerve-sparing technique. Erectile rehabilitation with PDE5-inhibitors begins in the early post-operative weeks. Results depend on age, pre-operative function and surgical quality.