Giancarlo Balercia

Giancarlo Balercia

Varicocele

Few topics in medicine are as controversial and  discussed as varicocele and its significance in human pathology . But first of all, what is varicocele ? It is actually a varicose dilatation of the testicular reflue veins (pampiniform plexus, to the involvement of the internal spermatic veins), which has its highest incidence between the ages…

SEMEN ANALYSIS

Seminal fluid analysis (spermiogram) is the cornerstone of diagnostic procedure which evaluates male fertility.  It determines whether the male partner of a couple is actually infertile, if the infertility level is sufficient to consider a procedure of assisted reproduction and eventually which assisted reproduction technique is the most appropriate. It is also the main guide…

PREMATURE EJACULATION

Premature ejaculation is probably the most common sexual problem that afflicts men, affecting approximately 20% of the adult male population. If it is true that in daily clinical practice, requests for andrology consultation for erectile dysfunction or fertility problems predominate, an accurate examination by the andrologist of the case history on ejaculatory problems can identify…

MALE INFERTILITY

Infertility is defined as the failure to conceive after 12 months of unprotected and sufficiently frequent intercourse. In the past it was generally believed that this situation was mainly due to female causes, but it has now been demonstrated that the male factor is present in at least 50% of cases (male factor alone or…

GYNECOMASTIA

Gynecomastia is characterized by the enlargement of one or both male breasts and is due to a non tumoral proliferation of the mammary ducts and of the relative stroma-supporting tissue. It should be distinguished from the simple accumulation of adipose tissue (so-called “lipomastia” or pseudo-gynecomastia) and from the presence of inflammatory or tumoral process. The…

ERECTILE DYSFUNCTION (IMPOTENCE)

Erectile dysfunction (impotence) is the inability to achieve and/or maintain a sufficient erection for satisfactory sexual intercourse. It can occur in all decades of life, from puberty to old age; for some men this can be an occasional problem while for others a frequent one. It is important to note that having an erectile dysfunction…