Erection Problems

 
 

Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterised by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image. The symptoms are persistent and might include:

  • Trouble getting an erection

  • Trouble keeping an erection

  • Reduced sexual desire

The effect of these penile symptoms can the result the following  broader symptoms:

  • An unsatisfactory sex life or relationship problems

  • Increased stress or anxiety

  • Embarrassment and low self-esteem

  • Difficulties having children

What are the causes ?

In many cases, erectile dysfunction is caused by something physical. Common causes include:

  • Cardiovascular disease (problems with heart or blood vessels

  • High cholesterol

  • High blood pressure

  • Diabetes

  • Obesity

  • Parkinson's disease

  • Multiple sclerosis

  • Certain prescription medications

  • Smoking

  • Peyronie's disease — development of scar tissue inside the penis

  • Alcoholism and other forms of substance abuse

  • Sleep disorders

  • Treatments for prostate cancer or enlarged prostate

  • Previous surgery or injury to the pelvic area or spinal cord

The brain plays a key role in triggering the cascade of physical events that result in an erection, starting with feelings of sexual excitement. Several psychological factors can interfere with sexual feelings and affect erections, these include:

  • Depression or anxiety

  • Stress

  • Relationship problems due to stress, poor communication or other concerns

Treatment

The first step in rectifying these problems is to discuss your situation with us so that we can help to define your particular problem and identify any risk factors or lifestyle changes that, when addressed, could improve your function.

At Urology Dubai, a consultation typically includes a full medical history and review of your current medications. A blood test allows evaluation of your hormone status. The blood pressure and neurological status of the genital area is also assessed. These non-invasive studies can easily be completed in one visit. Usually, at that same visit a preliminary diagnosis can be formulated and appropriate treatment can be instituted.

We can arrange all forms of medical therapy as indicated by the testing described above. These include: oral medication and testosterone replacement therapy when appropriate, intraurethral MUSE therapy, intrapenile injection therapy, vacuum pumps and low-intensity shockwave therapy.

A good way to gauge how severe your erectile dysfunction is to fill out the International short Index of Erectile Function (IIEF) questionnaire - link here. The lower your score, the more likely you are to benefit from treatment.

low-intensity shockwave therapy

Low-intensity shockwave therapy (LISWT) is a non-invasive and innovative treatment option for men experiencing erectile dysfunction. This therapy involves the use of gentle shockwaves to stimulate blood vessel growth and improve blood flow to the penis, ultimately enhancing natural erectile function. The procedure is painless and typically well-tolerated, requiring no anesthesia or downtime. Many patients find it to be a convenient and effective solution, especially when other treatments may not be suitable or have not provided the desired results.

As a non-surgical and drug-free alternative, low-intensity shockwave therapy presents an appealing option for men seeking effective and sustainable improvements in erectile function.