Erectile Dysfunction

Erectile dysfunction (or impotence) in men is the ongoing inability to achieve and maintain an erection that is firm enough for sex.

  • Overview
  • Symptoms
  • Diagnosis
  • Treatments
  • Arrange a Consultation

    • Overview of Erectile Dysfunction

    Causes of erectile dysfunction

    • Vasculogenic (arterial/venous disease)
    • Neuropathic (diabetes/post prostatectomy)
    • Drugs (anti-hypertensives/anti-depressants)
    • Hormonal imbalance (low testosterone/Thyroid dysfunction/high prolactin)
    • Penile disorders – Peyronie’s disease
    • Psychological (anxiety/depression)
    • Aging
    • Combinations of the above

    Organic

    • Arterial
    • Venous leak
    • Neurological (central/peripheral)
    • Pelvic surgery
    • Endocrine
    • Cavernosal
    • Drugs
    • Renal failure
    • Increasing age

    Psychogenic

    • Stress
    • Anxiety
    • Depression
    • Relationship issues

    Symptoms of Erectile Dysfunction

    • Persistent inability to achieve and maintain an erection sufficient for satisfactory sexual performance
    • Does not include disorders of ejaculation

    Diagnosing Erectile Dysfunction

    How do we find the cause?

    • Detailed medical history and targeted physical examination
    • Blood pressure /pulse readings
    • Blood tests (testosterone/Thyroid function/prolactin/glucose/lipid screen)
    • Imaging – doppler ultrasound/MRI of the penis

    Treatments for Erectile Dysfunction

    • Treat any reversible causes
    • Psychosexual counselling
    • Trial of PDE5 inhibitor tablets (Sildenafil/Tadalafil/Vardenafil/Avanafil)
    • Vacuum pump devise
    • Intra-penile injection of Alprostadil/Aviptadil/Intra-urethral pellet or cream of Alprostadil
    • Penile prosthesis (malleable/inflatable)

    Next Steps

    Get fast access to leading specialists for the swift diagnosis and treatment of urological conditions in a private clinic environment.

    If you would like more information or wish to arrange a consultation with one of our specialist consultant urological surgeons then please either Call 0118 920 7040 or complete the form below.

    Insured patients

    Contact your GP and ask for a referral to the Urology Partnership.

    All consultations, investigations and treatments are covered by major insurance companies (depending on policy).

    Funding your own treatment

    Self-funding initial consultation fee is £205. Follow up fees are £165.

    Consultation charges are exclusive of any tests and other investigations that the consultant may wish to carry out.

    If you are making an appointment on behalf of someone else, please complete the form with their details but add your own name and contact details into the "further information" box.

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