Erectile Dysfunction

Erectile dysfunction (ED) is defined as, inability to achieve or keep the penis hardness for satisfactory intercourse, experienced every time for a period of longer than 6 months. It is shown globally that the incidence is between 40-65% among men between the ages of 40-65 years. That means almost 2 men out of 3 or4 experience this problem of Erectile dysfunction.

Erectile dysfunction (ED) is common but many people believe it is unsolvable and bear to live with this condition. In 21st Century modern medicine, we can proudly say that we have the tools and treatments to restore penile functions in about 95% of the cases. The first step should be yours…. We can help you.

Reasons for Erectile Dysfunction (ED)

The erection mechanism starts with an electric signal from the brain that travels through the spinal cord to the pelvic area. Once reaching the target the signal initiates a series of mechanisms that involve dilation of the arteries to the penis, bringing more blood, relaxation of the muscles in the penis allowing small spaces to be filled by the inflow of blood, and activation of a valve mechanism that will trap the blood inside the penis during the intercourse. Many pathologies may effect erection mechanisms. Most common ones are:

  • Diabetes
  • Atherosclerosis ( coronary artery disease including)
  • Smoking
  • High cholesterol
  • Obesity
  • Hormonal imbalances
  • Previous pelvic surgery or radiation therapies or injuries
  • Central nervous system diseases (Parkinson’s disease, MS, etc.)
  • Psychiatric disorders (depression, anxiety disorder, etc.)
  • Spinal cord injuries

Diagnosis for Erectile Dysfunction

Initial diagnosis starts with a thorough evaluation of your symptoms, lifestyle and any probable underlying causes. Our expert will perform a physical examination. After an initial assessment, blood tests involving blood sugar, cholesterol, and hormonal levels are crucial. Usually, at this point, treatment is started. Depending on our expert‘s initial assessment a penile doppler ultrasound imaging may be necessary to evaluate the vascular structures.

Therapy options

Lifestyle changes:

Usually, this is the most undermined but very effective treatment option, especially in the long-run. Diabetes, high cholesterol, hormonal imbalances respond well to positive lifestyle changes.

Medical treatments: 

Oral medications are readily available to everyone. Unfortunately, like every drug to get a good response and also to avoid complications, appropriate drug choice with correct dosage and usage is necessary. Not everyone responds to oral medications, but this does not mean that this is the end, we still can offer many other options

Low-intensity shock wave therapy (ESWT):

This is a novel technique focusing on the rejuvenation of the penile tissues using a person’s own healing mechanisms by activating them with harmless sound waves. This technique has been used especially in orthopedics to improve tissue healing for a long time but has been popularized in ED treatment over the last few years. It is a painless outpatient procedure with the number of sessions between 6-12 each taking about 15-20 minutes. The results will be apparent after a 6 week period.

P-shot: 

This is also a method for the body’s own healing mechanisms. A sample taken from your own blood is processed and a serum containing the healing cells are separated. They then are injected back into the penile tissues. The procedure has very little pain.

ICI Therapy: 

This is a very effective treatment option where the patient is taught to use a very tiny needle (just like the ones used by diabetic patients who use insulin) to do an injection of special drugs to be delivered to the penis. It is an effective method especially in those who do not respond to oral drugs or who have an underlying nervous system disorder, a spinal cord problem or who had pelvic surgery since the signal from the brain does not reach the target organs.

Penile implant surgery: 

An almost 96% satisfaction rate of patients have been reported for this surgical treatment. Once the patient has severe pathology where other treatment options do not work, or the patient can not use other options due to side effects or if the patient wants a definitive once and all solution, penile implant surgery is an excellent choice. New devices and new techniques make this option a very viable one. In a one day surgery, patients will be free of all his problems about his intimate life.

Micro-vascular surgery: 

In very select cases vascular surgery can be utilized. These are usually young patients who do not carry systemic vascular risks and there is local arterial damage due to some pelvic trauma. A good volume of blood can be diverted from an abdominal artery to the penile artery with microscopic anastomosis.

Erectile Dysfunction (ED) can be easily managed. Given all the treatment options we can provide more than 90% return of sexual functioning in all men who desire to have a normal intimate life.

Take the first step and ask for help. We can help.