Lar area. Once a varicocele has been diagnosed, a surgical procedure can be done to correct the problem. Infertility -we offer a complete range of facilities for investigation of male infertility. Female infertility investigation by gynaecologists with special training in infertility is also provided. Treatment is coordinated with the assisted conception unit and an 'ivf' laboratory. Pediatric urology - pediatric urology involves the diagnosis and treatment of all urological problems encountered in children. viagra 100 mg oder viagra 20mg Clinical expertise the department has nationally and internationally renowned urological surgeons and physicians, offering uniquely comprehensive range of innovative care for all urological disorders. generic viagra overnight delivery Holmium laser in bph transurethral resection of the prostate (turp) is still considered the gold standard treatment for benign prostatic hyperplasia (bph). cheap viagra However, its current use is limited to small and medium-sized prostates due to an overall morbidity rate of 15-20%[1] and blood transfusion rate ranging from 5% to 11%. buy viagra without prescription [2] patients currently undergoing treatment for bph are progressively older with more comorbidities; thus, there is an increased need for more minimally invasive procedures in the current treatment era. In an attempt to limit the morbidity associated with standard turp several laser therapies have been introduced for the treatment of bph, including neodymium:yttrium aluminium garnet (nd:yag), the holmium:yag, and the potassium-titanyl-phosphate (ktp) lasers. [3] these lasers have been used to coagulate, vaporize and cut prostatic tissue overgrowth using a variety of techniques. viagra without a doctor prescription The holmium laser has been further developed to allow for actual prostatic lobe enucleation with subsequent tissue removal. Holmium laser enucleation of the prostate (holep) has emerged as an effective transurethral treatment option for patients suffering from symptomatic bph of any size. viagra 40 pills 99 [4] a multitude of publications have supported the safety and efficacy of holep for small and large gland bph,[4–20] even in the presence of bleeding diatheses and anticoagulation. [17] holep has been found to be as effective as turp[7–11,19] and open suprapubic prostatectomy[5,7,16] for the treatment of obstructive bph, with the benefit of less morbidity. viagra 40 pills 99 Long-term studies of patients undergoing holep demonstrate sustained relief from bph symptoms from 4 to 7 years postoperative, with very low retreatment rates, ranging from 0 to 4%. [12,16,18,21] the efficacy of holep lies in its excellent tissue debulking capabilities. Large case series have shown that holep produces a prostate volume and prostate-specific antigen reduction of 60-90%. viagra online without prescription [6,13–15,18] another benefit of holep is the potential to be performed as an outpatient procedure with catheter removal within 24 hours of surgery. viagra pregnancy side effects When compared. viagra 10 mg side effects order viagra online