Erectile Dysfunction

Occasional erectile difficulties should not be considered a cause for concern, as they can result from stress, relationship issues, or similar factors. However, persistent erectile dysfunction should be medically evaluated and, if necessary, treated.

Although this topic may feel embarrassing, you should not hesitate to speak with your doctor about it. In many cases, effective help is available.

Symptoms

Erectile dysfunction may present with the following symptoms:

• Difficulty achieving an erection

• Difficulty maintaining an erection

• Reduced sexual desire (low libido)

Causes

The development of an erection is based on a complex process in the brain involving nerves, hormones, muscles, and blood vessels.
Disruptions at any of these levels can interfere with the cascade required to achieve a satisfactory erection. Both physical and psychological stress can also have a negative impact on erectile function.

In most cases, erectile dysfunction is caused by an underlying physical condition, such as:

• Heart disease

• Atherosclerosis

• Hypercholesterolemia

• High blood pressure

• Diabetes

• Obesity

• Metabolic syndrome

• Multiple sclerosis

• Parkinson’s disease

• Low testosterone levels

• Penile curvature (acquired or congenital)

• Venous leak

• etc.

Psychological causes such as depression, anxiety, and interpersonal difficulties should also not be overlooked, as they can significantly contribute to the condition.

Risk factors

It is a misconception that erectile function inevitably declines with age. Erectile dysfunction is often an early warning sign of other underlying issues — especially cardiovascular disease.

Several risk factors contribute to the development of erectile dysfunction:

• Medical conditions: particularly diabetes and heart disease

• Smoking

• Overweight/obesity

• Psychological causes: stress, anxiety, depression, etc.

• Substance abuse: drugs and excessive alcohol consumption

Complications

Erectile dysfunction can lead to a variety of complications in your life, such as:

• An unsatisfying sex life

• Stress and performance anxiety

• Feelings of shame and low self-esteem

• Relationship difficulties

• Infertility

Diagnosis

We offer the full range of diagnostic evaluation for erectile dysfunction.
The foundation of any treatment is a detailed consultation with your physician, during which you should describe your concerns as precisely as possible.
With the help of modern laboratory tests and ultrasound examinations, we can provide effective support in treating your condition.

Therapy

Depending on the underlying cause of your erectile dysfunction, various treatment approaches are available.
These range from medical therapy and hormone replacement to surgical interventions aimed at restoring erectile function.

We also offer penile prosthesis implantation (erectile implant) for patients who have not benefited from other treatment options.

All therapeutic decisions are based on the latest guidelines of the European Association of Urology (EAU).