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02031312933

Erectile Dysfunction

 

International Andrology Treatment Protocol

Our ED treatment protocols are based on the latest medical research, medical guidelines and our extensive clinical experience and we expect that 100% of our patients will be able to restore their erectile function. Each treatment plan is personalised and is multi-modal – in general our treatment protocols will assist patients to achieve good on-demand erections and at the same time improve the quality of their natural erections – the protocols will typically consist of a combination of the following:

 

  1. Control of risk factors for ED such as diabetes, hyper-tension and change/adjustment of medication that might have contributed to the ED issue                                                                                                                                                                                              

  2. Lifestyle consulting for patients whose lifestyle contributes to the the ED issue and in particular providing assistance with weight loss, diet, exercise and reduction of stress among others                                                                                                                                                                                  

  3. Basic in office sex therapy and in some cases psychosexual counselling                                                                                                                                                                                             

  4. First line of on demand treatment together with shockwave therapy – for newly diagnosed patients with up to moderate ED, with clear organic aetiology we recommend a treatment protocol with PDE-5 inhibitors for achieving on demand erections together with shockwave therapy for penile rejuvenation. The type of medication and shockwave treatment protocol will depend on the severity of ED, treatment goals and patient profile and will be discussed extensively with the doctor during your consultation. For patients also suffering from low testosterone, the treatment protocol is supplemented with Testosterone Replacement Therapy                                                                                                                                                                                               

  5. Second line of on demand treatment together with shockwave therapy– for patients who have unsuccessfully tried in the past PDE-5 inhibitors or their use is contra-indicated then another on-demand treatment modality will be prescribed together with shockwave therapy. For most patients, the most appropriate second line treatment will be injection therapy but other options include alpostadil MUSE pellets or Vitaros cream. For patients that do not want to undergo pharmacological treatment, another option is the use of a penis pump                                                                                                                                                                                              

  6. Combination therapy – some patients will benefit from a combination of first and second line treatment options                                                                                                                                                                                              

  7. Penile Implants – unfortunately for a small minority of patients (less than 10%) the natural erection mechanism has been destroyed and they will not respond to any conservative treatments. In this case, erectile function can be restored 100% with the implantation of a penile prosthesis                                                                                                                                                                                                          

  8. Vascular surgery – For a few selected cases vascular surgery may improve natural erections and can be considered as an alternative treatment modality, before proceeding with the penile implant option                                                                                                                                                                                              

  9. Pelvic floor exercises have shown to improve erectile function, strength and control of ejaculation and orgasm and we will typically instruct patients on how to do them during their consultation                                                                                                                                                                                              

  10. Vacuum erection device exercises – there is growing body of evidence that daily exercises with a vacuum pump (10 minutes per day) can help restore erectile function to patients that have undergone radical prostatectomy. Although no specific studies have been done, similar benefits might be observed on patients that suffer from ED for any organic aetiology and given that this is a safe treatment option with no side-effects, we usually recommended it to our patients.

I am suffering from erectile dysfunction, what should I do next?

We advise you to book a consultation with one of our highly experienced doctors. The first step towards successful treatment is an accurate diagnosis of potential causes by our specialists.

After this, our doctors will seek to do two things:

  • design a treatment plan that will allow you immediately to achieve a strong erection to continue normal sexual activities
  • design a treatment plan to address the underlying causes of your erectile dysfunction. This means that each treatment we offer in our clinic is highly personalised.


While our doctor’s experience from over 30,000 erectile dysfunction patients allows us to create detailed treatment plans, a majority of doctors limit treatment options to medication, often leaving the underlying causes untreated. This can lead to a life-long dependence on drugs and in many cases, long term, unsuccessful treatment and your dissatisfaction.

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LEARN MORE ABOUT ERECTILE DYSFUNCTION

Erectile dysfunction, often referred to as ED, is the inability to achieve and sustain an erection suitable for sexual intercourse. The prevalence of erectile dysfunction increases with age and whilst around 20% of adult men suffer from erectile dysfunction that increases to 50% for men aged 40 and above. Continue Reading....
In order for men to achieve an erection, a number of things need to be functioning correctly Continue Reading....
Obtaining an accurate detailed history for the erectile dysfunction patient is essential in order to make an accurate diagnosis before planning treatment procedures. The initial step is a self-administered patient history questionnaire. Continue Reading....
With the proliferation of oral medications such as Viagra and other PDE-5 inhibitors, the public awareness and treatment options for erectile dysfunction have increased significantly. Continue Reading....
Our ED treatment protocols are based on the latest medical research, medical guidelines and our extensive clinical experience and we expect that 100% of our patients will be able to restore their erectile function. Continue Reading....
There are three main oral drugs categories for erectile dysfunction treatment: vardenafil (Levitra and Staxyn), sildenafil (Viagra) and tadalafil (Cialis) as well as their generic versions. Continue Reading....
The first successful pharmacological treatment of erectile dysfunction was through penile injections of papaverine and phenoxybenzamine. Continue Reading....
Shockwave therapy is the latest treatment option for patients suffering from erectile dysfunction. It is one of the few treatments options that improves natural erections as well as rejuvenating the erection mechanism. Continue Reading....
While there are many therapy based treatments for erectile dysfunction, some patients do not respond to pharmacological therapy such as Cialis or Viagra and surgical treatment provides the only option. Continue Reading....
There are a number of new medications and treatments that are being researched or hypothesised, to treat erectile dysfunction. Continue Reading....
Erectile dysfunction is a multi-factorial disease and in most cases it is a symptom of another disturbance. Every patient treated in our clinic will undergo our extensive diagnostic treatment protocol consisting of the following steps Continue Reading....
Unfortunately, most insurance companies do not cover sexual dysfunction or male fertility consultations and most of our patients are self-financing. Continue Reading....

LEARN MORE ABOUT ERECTILE DYSFUNCTION

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