Restoring function, not just treating symptoms.
Over 16 years in urology and andrology, with a surgical practice centred on penile implants and reconstructive andrology, and a public voice that explains men's health plainly, in Bengali and English.
What I treat, and how I think about it
Four areas · pick onePenile implants & reconstructive andrology
When tablets and injections stop working, a penile prosthesis is the one treatment that reliably restores the ability to have an erection whenever you want one, for as long as you want it.
The most common device is a three-piece inflatable implant: two cylinders inside the penis, a small pump in the scrotum, and a fluid reservoir in the lower abdomen. Nothing is visible from outside. A simpler malleable (bendable) implant suits men who want fewer parts and a shorter operation.
Reconstruction covers the rest of what goes wrong structurally: Peyronie's disease (curvature, from plication and grafting to combined implant surgery), urethral stricture (urethroplasty rather than repeated dilatation), and penile fracture or trauma repair.
Who typically benefits
- ED that no longer responds to PDE5 tablets or intracavernosal injections
- Diabetes-related ED, where the vascular and nerve damage is usually permanent
- ED after prostate surgery, once recovery has plateaued
- Peyronie's disease with curvature and weak erections, where one operation addresses both
Figures are from published series and guideline reviews; your own risk depends on diabetes control, prior surgery and general health — which is what the consultation is for.
The journey, in brief
Erectile dysfunction as a vascular sentinel event
The arteries of the penis are narrower than the arteries of the heart. They clog first — so ED is often the earliest visible sign of cardiovascular disease, typically two to five years ahead of a cardiac event.
That reframes the first consultation. Before we discuss tablets, we look at blood pressure, lipids, blood sugar, waist circumference and sleep. Treating ED well means treating the man, not just the erection.
Where medicine is the right answer, it is used properly: dosing, timing, and honest expectations. Where it is not, we move up the ladder — vacuum devices, intracavernosal injections, low-intensity shockwave therapy in selected cases, and implants when nothing else holds.
Commonly addressed
- New-onset ED in men under 50, treated as a cardiovascular screening opportunity
- Unconsummated marriage and performance anxiety, managed alongside the physical work-up
- Pornography-induced ED and premature ejaculation, with a structured, evidence-based plan
- Testosterone deficiency, diagnosed on proper morning samples before any replacement is considered
Ranges reflect published cohort data and current EAU/AUA guidance; an individual assessment is what decides treatment.
Male infertility
Half of all couples struggling to conceive have a male factor, yet the man is often the last to be examined. A proper andrological evaluation frequently changes the plan — and sometimes avoids IVF altogether.
Work-up goes beyond a single semen analysis: a repeat sample, hormones, scrotal examination and ultrasound for varicocele, and where indicated a sperm DNA fragmentation index (DFI), which conventional semen analysis does not capture.
Surgical options are used when the evidence supports them: microsurgical varicocelectomy for clinical varicocele with abnormal parameters, and micro-TESE sperm retrieval for non-obstructive azoospermia.
Commonly addressed
- Varicocele — when to operate and when to leave it alone
- High DNA fragmentation with recurrent pregnancy loss or failed ICSI
- Azoospermia, obstructive and non-obstructive
- Male accessory gland infection (MAGI) and its effect on semen quality
Prevalence and threshold figures are approximate and vary across studies and laboratories.
Functional & neuro-urology
Bladder problems are not an inevitable part of ageing. Urgency, leakage, incomplete emptying and night-time frequency all have causes that can be measured — and most of them can be treated.
The key investigation is urodynamics: a pressure-flow study that shows what the bladder and its outlet are actually doing, rather than guessing from symptoms alone. It is essential after spinal injury, in multiple sclerosis, in diabetic bladder, and before any surgery for incontinence.
Treatment ranges from pelvic floor training and medication to botulinum toxin injections into the bladder, sacral neuromodulation, and the artificial urinary sphincter for stress incontinence after prostate surgery.
Commonly addressed
- Overactive bladder that has not responded to first-line medication
- Neurogenic bladder after spinal cord injury or in neurological disease
- Post-prostatectomy incontinence
- Chronic pelvic pain and pelvic floor dysfunction in men
Figures are indicative; investigation and treatment are individualised.
Watch, read, follow
@drprabirbasu
Plain-Bengali explainers on ED, fertility, testosterone and men's health — for patients and families.
@docmanbyprabirbasu
English-language channel: evidence, myths, and what actually works in men's sexual and reproductive health.
drprabirbasu.com
Courses, ebooks and patient-education material, including the Peakspan programme on sexual longevity.
in/drprabirbasu
Evidence carousels and conference notes for clinicians and the health-curious professional.
@drprabirbasu
Deeper essays on the science behind the videos, with references you can check.
Three ideas that run through everything
FrameworksED as a vascular sentinel event
A weak erection is the body's early warning about the heart. Treat the warning, not just the symptom.
Sexual longevity
The aim is not a single good night but decades of dependable function — protected the same way you protect your heart and joints.
Peakspan
A structured programme for extending the years a man stays at his physical, sexual and metabolic peak, built on measurable markers rather than promises.
Implant myths, corrected
What the internet gets wrong“An implant is mutilation — a last resort nobody chooses.”
FactIt is chosen, not imposed. By the time most men reach implant surgery, natural erectile function is already lost to diabetes, surgery or Peyronie's disease. The implant is what reliably restores it — which is why candidacy is confirmed with a Doppler and a proper trial of lesser treatments first.
“The implant will make my penis bigger.”
FactIt restores firmness, not size. Erect length after surgery usually matches what it was before ED took hold. Many men perceive a gain simply because their erections become dependable again — and inflated girth is often fuller than the erections they have now.
“Diabetes means surgery is off the table.”
FactWell-controlled diabetics are among the commonest implant recipients — diabetes is one of the leading causes of the severe ED implants treat. Poorly controlled sugar does raise infection risk, which is exactly why HbA1c targets are set and met before a date is fixed.
“The pump will show, or my partner will feel it.”
FactThe pump sits behind the testicles, small and soft, and is found only if deliberately searched for. Deflated, nothing is visible. Partners are told when the patient chooses to tell them — and most say they would never have known.
Cost, insurance & planning your trip
Kolkata · patients from across India & abroadWhat penile implant surgery costs
Most implant patients travel to a specialist centre. Here is how cost, insurance and the trip itself usually work — no surprises.
The cost of penile implant surgery depends mainly on the device chosen — a malleable implant and an imported three-piece inflatable system differ considerably — along with the hospital, the anaesthesia and any additional work such as Peyronie's correction. Rather than quote numbers on a webpage, the honest approach is the one this practice follows: you receive a clear written estimate after your assessment, before any commitment is made.
Insurance: most Indian insurers classify penile implant surgery as elective and decline claims. Where ED follows prostate cancer treatment, diabetes or Peyronie's disease, documentation of medical necessity can support an appeal. The paperwork is prepared for you.
From Bangladesh, Nepal or elsewhere: everything starts with a video consultation. You receive a summary letter for visa and travel planning, surgery dates are fixed around your sugar control, and a companion is advised for the first week.
Costs vary widely between devices and hospitals; a written estimate is always provided after assessment.
Planning your visit, step by step
Penile implants — the questions everyone asks
Straight answersReady to talk it through?
Pick a slot online and consult by video, with WhatsApp follow-up. In-person surgical consultations are in Kolkata. Details at malehealthonlinekolkata.com.
বাংলা ও ইংরেজি — উভয় ভাষায়ই পরামর্শের ব্যবস্থা আছে।