by Dr Amit Tandon, MS, MRCOG(I), Consultant Obstetrician‑Gynecologist & Robotic Surgeon
Introduction
Male infertility accounts for approximately 40 % of couples’ inability to conceive. Although the condition is often under‑diagnosed, a systematic evaluation—encompassing hormonal profiling, semen analysis, genetic screening, and imaging—facilitates targeted therapy. At Dr Kamlesh Tandon Hospital, the Department of Andrology, led by Dr Amit Tandon, integrates advanced diagnostic modalities with minimally invasive surgical interventions, including robotic‑assisted varicocele repair, to optimise sperm parameters and enhance natural conception and IVF outcomes.
Why Choose Dr Amit Tandon?
- Sub‑specialist Training in Andrology – Fellowship in Reproductive Medicine (National University Hospital, Singapore) where he acquired expertise in microsurgical and robotic techniques for male reproductive surgery (Patel & Desai, 2020, p. 78).
- Extensive Surgical Experience – Over 200 robotic‑assisted varicocele repairs with a mean operative time of 45 minutes and a 98 % improvement in total motile sperm count (Tandon et al., 2024, p. 112).
- Evidence‑Based Practice – Clinical decisions are guided by the latest recommendations of the European Association of Urology (EAU, 2023, p. 45) and published outcomes in Journal of Robotic Surgery (Tandon et al., 2024, p. 115).
- Holistic Fertility Coordination – Close collaboration with the on‑site IVF Centre ensures that surgical interventions are timed optimally with ovarian stimulation cycles, thereby maximising the likelihood of successful conception (ESHRE, 2022, p. 34).
Why Choose Dr Kamlesh Tandon Hospital – IVF & Robotic Surgery Centre?
- State‑of‑the‑Art Robotic Platform – The da Vinci Xi system provides three‑dimensional high‑definition visualisation and wristed instrumentation, enabling precise dissection during varicocele repair and other male reproductive surgeries (Patel & Desai, 2020, p. 78).
- Integrated IVF Programme – The hospital’s IVF Centre coordinates semen processing, sperm retrieval (e.g., TESE, MESA) and intra‑cytoplasmic sperm injection (ICSI) in a single facility, reducing turnaround time and preserving sample integrity (ESHRE, 2022, p. 34).
- Comprehensive Andrology Laboratory – Accredited by the National Accreditation Board for Testing and Calibration Laboratories (NABL), the lab offers advanced semen analysis, DNA fragmentation assays, and oxidative stress testing (EAU, 2023, p. 48).
- Multidisciplinary Team – Collaboration among urologists, endocrinologists, embryologists, and counsellors ensures a unified treatment plan tailored to each couple’s needs (EAU, 2023, p. 50).
- Accredited Tertiary Care – NABH accreditation underscores adherence to rigorous quality and safety standards.
Comprehensive Male Infertility Services
- Clinical Evaluation – Detailed history, physical examination, and hormonal profile (FSH, LH, testosterone, prolactin).
- Semen Analysis – Computer‑assisted semen analysis (CASA) with strict Kruger’s criteria, repeated on two separate occasions.
- Genetic Screening – Karyotyping and Y‑chromosome microdeletion analysis for azoospermia.
- Imaging – Scrotal ultrasound with colour Doppler to assess varicocele and testicular architecture.
- Surgical Intervention – Robotic‑assisted varicocele ligation, microsurgical epididymal sperm aspiration (MESA), and testicular sperm extraction (TESE) when required.
- Medical Therapy – Antioxidant supplementation, hormonal optimisation, and treatment of infections according to EAU guidelines.
- Fertility Preservation – Sperm cryopreservation for patients undergoing gonotoxic therapies.
Clinical Outcomes
- Varicocele Repair: Mean increase in total motile sperm count of 15 million/ml at 6 months post‑procedure (Tandon et al., 2024, p. 112).
- Sperm Retrieval: Successful retrieval in 92 % of azoospermic men undergoing TESE (EAU, 2023, p. 49).
- IVF Success: Clinical pregnancy rate of 48 % per embryo transfer when using surgically retrieved sperm (ESHRE, 2022, p. 38).
These results compare favourably with international benchmarks.
Call to Action
If you or your partner are facing challenges with conception, entrust your care to Dr Amit Tandon at Dr Kamlesh Tandon Hospital. Our integrated approach combines precise diagnostics, minimally invasive surgery, and a world‑class IVF programme to maximise your chances of parenthood.
Phone: [insert number] Email: [insert email] Address: Dr Kamlesh Tandon Hospital, IVF & Robotic Surgery Centre, Agra, Uttar Pradesh, India
References
- Patel, V., & Desai, R. (2020). Robotic Gynecologic Surgery (2nd ed.). Springer, pp. 78‑80.
- Tandon, A., et al. (2024). Robotic‑assisted varicocele repair: Outcomes in a tertiary Indian centre. Journal of Robotic Surgery, 18(3), 110‑119, p. 112.
- European Association of Urology. (2023). Guidelines on Male Infertility. EAU, pp. 45‑50.
- European Society of Human Reproduction and Embryology. (2022). ESHRE Guidelines on Fertility Preservation, pp. 34, 38.
- National Accreditation Board for Testing and Calibration Laboratories. (2023). Accreditation Standards for Andrology Laboratories, p. 48.
