Millions of Indian men are silent sufferers of male sexual health issues, and even fewer discuss these issues with their doctors. Furthermore, many of these men have no idea that they can get medical attention for their penile problems and see a solution for their fertility issues, painful and curved penis, and numerous sensitive and painful conditions that affect their quality of life for many months and years.
Understanding and addressing these conditions should never be ignored. A specialist and treatment can help resolve most of these issues. Dr. Vikas Singh is a highly qualified Urologist who has been resolving male sexual health issues of men in Indore and has been associated with Reform Clinic Indore for more than a decade.
Furthermore, your concerns, no matter how difficult or problematic they are, are in the safest of hands. You have a right to quality care of the highest standard. Don’t hesitate to seek help.
Male sexual health covers a wide range of physical, emotional, and reproductive concerns, and can stem from vascular, hormonal, structural, neurological, or even psychological causes.
In India, these issues are still often seen as taboo, leading many men to delay seeking help for years, even though most causes are well understood and treatable. Globally, erectile dysfunction affects around 10% of men in their 40s, rising to 20% in their 50s and 30-40% in men over 60. Varicocele affects about 15% of men overall and up to 40% of men facing infertility.
In Indore, complete diagnosis and treatment for these conditions are available at Kokilaben Dhirubhai Ambani Hospital under specialist care
Erectile dysfunction (ED) is the top sexual health issue for men in nearly all countries. It is defined as the inability, for a prolonged period, to attain and maintain firmness for a desired sexual function. Separated from many possible causes, investigations help to come up with solutions.
Peyronie’s Disease causes the penis to curve, shorten, or stiffen due to scar tissue building up beneath the skin. In the early phase (6-18 months), pain and curvature develop together. Later, the curve becomes fixed, which can affect intimacy and cause emotional distress. Early-stage treatment includes oral medication or injections, while more severe, fixed curvature may need surgical correction or an implant.
A varicocele is an enlargement of veins in the scrotum that raises testicular temperature, impairing sperm production. It’s found in about 15% of men overall and up to 40% of men with infertility, and can also cause scrotal discomfort and lower testosterone. Microscopic varicocelectomy, a precise surgery done under a microscope, is the most effective treatment, offering better outcomes than traditional techniques.
The frenulum connects the foreskin to the underside of the glans. When it’s unusually short or tight, it can cause pain and restrict movement, sometimes tearing during intercourse. It’s often mistaken for phimosis, but the foreskin actually retracts fine, it’s the frenulum that’s the issue. Treatment is a simple procedure called frenuloplasty, done under local anesthesia, with a smooth 2-3 week recovery and excellent success rates.
For men with severe ED that hasn’t responded to medication, injections, or vacuum devices, a penile implant is often the most effective long-term solution. These devices allow full control over erections, are invisible when not in use, and fully removable if needed. Around 90% of patients and partners report satisfaction with inflatable implants, making it a reliable option for treatment-resistant ED.
Sexual health concerns are best tackled when they are detected and reported in their early stages. The main reason why most men take time before they consult a medical practitioner on their sexual problems is the discomfort they experience when they talk about such conditions. The following are a few medical concerns on men’s health that you should address before it’s too late:
Diagnosis forms the backbone of all therapies. At Kokilaben Dhirubhai Ambani Hospital, Indore, Dr. Vikas Singh employs an amalgamation of detailed evaluation of the clinical data with diagnostic work to ascertain the primary pathology rather than the symptom.
For severe ED that hasn’t responded to other treatments, a penile implant offers a safe, reliable solution. The three-piece inflatable implant is the most advanced option, using a pump to move fluid between a reservoir and cylinders, giving a natural look with over 90% satisfaction among patients and partners. The malleable implant uses two flexible rods that stay semi-rigid and can be positioned as needed, simpler to use and a good fit for older patients or those with limited hand dexterity, with satisfaction rates of 80-90%.
The surgery involves a 1-2 day hospital stay, and sexual activity should be avoided for 4-6 weeks during healing. Dr. Vikas Singh provides counseling before and after surgery for both patients and partners.
This microsurgery is the gold standard for treating varicocele and improving fertility. Using an operating microscope for 25x magnification, the surgeon corrects the dilated veins while carefully preserving nearby structures. A small 2-3cm incision in the groin allows precise vein ligation, minimizing risks like recurrence or artery damage.
Sperm quality typically improves within 3-6 months, and 40-70% of men achieve natural conception within 12-24 months after surgery. It also improves outcomes for IUI, IVF, or ICSI. The procedure takes about 60-90 minutes and most patients go home the next day.
Treatment depends on the disease phase. In the early, active phase, oral medication or plaque-targeted injections can help slow progression. In the chronic phase, once curvature has stabilized, surgery involving plaque incision and grafting is often needed for significant deformities. For men with both Peyronie’s and ED, a penile implant with intraoperative correction can address both issues in a single procedure.
Frenuloplasty lengthens a short, tight frenulum to relieve pain and prevent tearing. A small incision is made and closed using the Z-plasty technique to lengthen the tissue while preserving its function. Done under local anesthesia in just 20-30 minutes, it’s a walk-in, walk-out procedure with self-dissolving stitches. Patients can resume physical activity right away, and sexual activity within 3-4 weeks, with excellent, near 100% success rates and very few complications.
PDE5 Inhibitors (Sildenafil, Tadalafil, Vardenafil) – Considered the first line of pharmacological treatment for ED, PDE5 Inhibitors work by decreasing the contraction of arterial smooth muscle and allowing the arteries to dilate and fill with blood, given the right sexual stimulation, achieving an erection. These medications work for about 65 – 70% of males. Once the doctor has reviewed cardiovascular health and medications, prescribed treatment options, and given very specific contraindications, the doctor can then prescribe one of the PDE5 Inhibitors.
Testosterone Replacement Therapy
Low testosterone (hypogonadism) in men, testosterone can be given via injections or can be given via topical formulations (gels, patches) to improve libido, increase energy and improve overall mood and sexual function.
Intracavernosal Injections
Intracavernosal injections to the erectile area of the penis with Alprostadil produce a very strong and reliable erection in a very short period of time (10 to 20 minutes) in the population of men who do not respond to oral medications. After some training, most men can perform the self-injection very easily.
Vacuum Erection Device (VED)
A device that creates a vacuum around the penis causing an erection by pulling blood into the penis with a constriction ring. The treatment of ED with these devices is drug free and safe, particularly for men for whom a PDE5 Inhibitor has contraindications.
Lifestyle and Psychological Management
Huge improvements, sometimes even to the point of complete treatment of ED, can be reached by non-medication methods – the elimination of cigarettes, decreased alcohol, increased fitness, management of diseases such as diabetes and blood pressure, and sexual performance anxieties are some methods of improvement that can be achieved through therapies such as cognitive behavioral and performance anxiety management
Choosing the right male sexual treatment requires consideration of the diagnosis, the stage or severity of the condition, the cause, and your personal preferences. Given that the final recommendations remain with Dr. Vikas Singh, the following is a basic guide:
| Condition | Recommended Treatment Approach |
| Mild to Moderate ED | Oral PDE5 inhibitors (sildenafil/tadalafil), lifestyle modification, testosterone therapy if low T confirmed |
| Moderate ED – failed oral medications | Intracavernosal injections (alprostadil), vacuum erection device |
| Severe ED – failed all non-surgical options | Penile implant (inflatable preferred; malleable for selected patients) |
| Peyronie’s Disease – Acute Phase | Oral pentoxifylline, intralesional injections, regular monitoring |
| Peyronie’s Disease – Chronic Phase | Penile plication or incision-grafting; penile implant if ED co-exists |
| Varicocele – Infertility or Scrotal Pain | Microscopic varicocelectomy |
| Frenulum Breve | Frenuloplasty – a day procedure under local anaesthesia |
| Low Testosterone (Hypogonadism) | Testosterone replacement therapy (injections, gel, or patches) |
Dr. Vikas Singh follows proven, research-backed techniques across all treatments. Here’s what the data shows:
Recovery & Life Following Male Sexual Treatment in Indore
Recovery looks different depending on the treatment, but most patients see real improvement in both physical function and quality of life.
Male Sexual health treatments are now available in one clinic with Dr. Vikas Singh. ED diagnosis and treatment, penile implant surgery, Peyronie’s disease treatment, frenuloplasty, management of varicocelectomy, and fertility evaluations are now available in Indore. There is no longer any reason to travel to Mumbai or Delhi.
Penile implant surgery goes beyond technical skill. Patient selection is essential, and guidelines dictate that patients will receive comprehensive counseling and post-op training. Dr. Vikas Singh offers comprehensive counseling and post-op training and is committed to ensuring that both patients and partners receive all resources.
Dr. Vikas Singh uses an operating microscope to perform Varicocele surgery to ensure that they are minimally invasive. Microscopic Varicocele surgery has not been performed before in Indore. Dr. Vikas Singh is committed to ensuring that his patients receive the best services available.
Dr. Vikas Singh prides himself on ensuring his patients receive highly sensitive consultations. Judgements and embarrassing comments will not be made. There will be complete confidentiality.
During his training, Dr. Vikas Singh has performed numerous intricate surgeries during his postgraduate training as he trained at PGI Chandigarh, Max Super-Speciality Hospital in New Delhi, and SMS Medical College in Jaipur.
Dr. Vikas Singh has performed numerous intricate surgeries at Kokilaben Hospital in Indore. At Kokilaben Dhirubhai Ambani Hospital in Nipania, Indore, Dr. Singh has advanced surgical theatres, penile dopplers, an andrology and fertility laboratory, and a supportive staff team.
In aging populations, you might see some diminished sexual function, perhaps a delay in an erection, but it is a delay, not a dysfunction. Furthermore, if an erection delay gets worse, it is not a part of normal aging. It is a patient’s condition. It is treatable. It is clearly a medical issue. Most patients with delays and dysfunction (not only in the ED) can expect large improvements in terms of their medical condition with the right treatment.
Not at all. There is an insertion, but it is not something you or your partner can see. There is also no evidence of your device in the flaccid state of your penis. Neither your partner, nor your friends will be able to tell if your erection is caused by a non-personal reason or a medical device. Many of your friends (your partner is also your friend) will tell you that their sexual satisfaction has improved. The device that allows them to have an erection any time is very reliable.
The entire spermatogenesis process can take 72 to 90 days. When we talk about the treatment of ED and infertility of patients, we are also able to measure the success at the 3, 9, and 12-month mark of the surgery. If you will not be able to conceive naturally within that time, we are also able to measure the infertility treatment attempts. We discontinue attempts to conceive. Dr. Vikas Singh will help you with the necessary recommendations of timing and infertility attempts.
For the large majority of the population, as well as men with heart conditions, PDE5 inhibitors like the ED medications have proven to be largely safe with one major exception, which are men with heart conditions that use the nitrate type drugs (nitroglycerin spray or isosorbide mononitrate) are at risk of suffering a significant drop in blood pressure due to a dangerous drug interaction. Before prescribing, Dr. Vikas Singh thoroughly checks his patient’s cardiac history along with their medications.
Not at all, your age is not associated with any surgical contraindications. It is not at all unusual for men in their 60s, 70s, or even older than 80 to go through with a penile implant, all of which have had astounding results. Your surgical fitness is what will determine whether or not you are safe to have surgery, not your age. Dr. Vikas Singh will determine that surgery is safe, appropriate, and qualifies for the particular circumstance in which the patient is in with a comprehensive procedure assessment.
A varicocele is a scrotal vein dilation that makes the scrotum feel like a large mass of worms. A hernia results from a disruption in the integrity of the abdominal wall that allows the abdominal tissue, including visceral tissue, to protrude through the abdominal wall, creating a noticeable bulge in the abdominal wall. A hernia and a varicocele are two conditions that are not related at all, therefore they have different treatments. A scrotal ultrasound can identify the two with certainty.
Peyronie’s disease likely develops in those of a genetic disposition after there is repetitive micro-trauma to the erect penis after there is vigorous sexual activity. However, many men cannot identify a specific injury. It is not a sexually transmitted condition. Also, it is not the patient’s “fault.” Because of this, seeking treatment early is always the best option.
No, absolutely not. There is a very high occurrence of counterfeit medications online. They may contain incorrect doses or may contain substances that are harmful. More importantly, ED can mean that there is a serious cardiovascular or hormonal condition that is underlying and so managing it means that the client will miss treatment and diagnosis. Therefore, they must consult Dr. Vikas Singh prior to starting any form of treatment.
It is dependent on what the problem is derived from. For the short term problems like medication side effects, obesity, or anxiety, it can result in permanent resolution. For the permanent problems that are adverse like vascular damage or nerve injury, it can manage the issue, but will not resolve it. A penile implant can offer the most efficient long term and permanent solution. Most devices will function well up to 10-15 years.
