Erectile Dysfunction

Erectile Dysfunction

Erectile dysfunction is the inability of a man to achieve an erection and maintain it at a level sufficient for sexual intercourse. These violations tend to recur periodically.

In some sources, erectile dysfunction is equated with impotence. However, the latter term suspects a serious degree of sexual dysfunction that is difficult to treat.

Doctors of the Clinical Hospital on Dr Nagi Clinic diagnose the causes of erectile dysfunction and prescribe complex treatment.


An erection occurs as a result of filling the cavernous and spongy bodies of the penis with blood. In this case, the arteries feeding them expand, and the veins through which blood flows from the penis are sharply narrowed.

There may be several reasons for the violation of this mechanism:

  • Icon Tick endocrine problems. Erectile dysfunction can be caused by insufficient levels of the male sex hormone testosterone. Also, erectile dysfunction can be associated with problems in the work of the pituitary gland, which occur with diabetes

  • Icon Tick vascular disorders, including atherosclerosis and varicose veins. In the case of vascular diseases, the balance of blood flow to and from the penis is disturbed. In this case, an erection may come and end quickly or come with difficulty and be unstable.

  • Icon Tick local diseases, for example, inflammation (in particular, prostatitis), trauma to the penis, hardening of the cavernous tissue, etc.

  • Icon Tick neurological diseases, which include epilepsy, multiple sclerosis, Parkinson's disease, brain and spinal cord injuries

  • Icon Tick taking medications, alcohol abuse, drug use

  • Icon Tick the psychological state of the patient. Overwork, stress, depression, various phobias affect erection


In the course of complex diagnostic measures, the specialists of the Clinical Hospital reveal the true cause of erectile dysfunction.

A test called "Artificial pharmacological erection" allows you to assess the quality and duration of an erection, differentiate psychogenic and organic disorders, and identify vascular disorders.

Laboratory tests include determining a man's hormonal status, blood sugar levels, examining sperm, prostate secretions, tests for STDs, PSA, etc.

Ultrasound examinations and Doppler ultrasonography of blood vessels are also carried out. Cavernosography (X-ray examination of the corpora cavernosa of the penis), CT, or MRI may be required.


The urologist of the Clinical Hospital, together with other specialists (endocrinologist, cardiologist, neurologist), prescribes treatment aimed at eliminating endocrine disorders, cardiovascular and neurological diseases.

In addition to drugs, psychotherapeutic effects, laser therapy, magnetotherapy, and negative pressure treatment are used. One of the most effective ways to restore sexual function is intracavernous injections of vasoactive drugs.

In some cases, conservative methods are not enough to restore erectile function, so you have to resort to a surgical solution to the problem, up to phalloplasty (penile prosthetics). In order not to completely lose erectile function, at the first problems with potency, you should immediately contact a competent specialist in urology-andrology.

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