Erectile dysfunction is a great strain for those affected and their partners. A visit to the urologist is often fraught with inhibitions. We at alta uro take your fears and worries seriously and offer you a treatment tailored to your needs.

What is erectile dysfunction?

Erectile dysfunction (ED) is a common sexual disorder in men. It consists of the inability to achieve or maintain sufficient penile rigidity. Common causes of ED are cardiovascular disease, diabetes mellitus, nerve damage to the penis or pelvic area, pelvic surgery, neurological diseases, or a low testosterone level.

What diagnostics are needed?

First of all, an in-depth conversation as basis of a diagnosis. The urologist will establish a detailed medical and sexual anamnesis. This will help to accurately assess the severity of the ED as well as identify any possible risk factors. In addition, a physical examination and a blood test are also carried out. A further examination is the erectile tissue (corpus cavernosum) injection test, which determines the flow rate of the blood in the penis after an artificially induced erection.

What treatments does alta uro offer?

When treating ED, it is highly important to understand both the causes and the consequences of the disease. Therefore, our treatment includes both physical and psychological aspects of ED. Recommendations as to a healthy lifestyle are the most important aspect of therapy. Thus, to stop smoking or regular sports activities may already significantly improve erection.

The so-called phosphodiesterase-5-inhibitors (PDE-5 inhibitors) play a significant role in drug therapy. This group of drugs leads to improved blood flow in the penis and a more easily achieved erection. For this purpose, various active ingredients are available which in particular differ as to the onset of the action and the duration of the effect. There is a choice between medications to be taken as needed or medication taken on a daily basis.

As an alternative to drug therapies, alta uro also performs extracorporeal shock-wave therapy (ESWT) to improve erectile dysfunction. For this purpose, shock waves are delivered to various areas of the penis. The therapy can cause narrowed or damaged blood vessels to permanently recover. The formation of new blood vessels in the erectile tissue (corpus cavernosum) can thus lead to a better blood circulation in the penis and, consequently, an improved erection. A treatment will take about 15-20 minutes. Depending on the degree of severity, between 6 and 10 therapy sessions are necessary. The therapy is absolutely painless and carried out on an outpatient basis in our clinic.

An additional form of therapy is the so-called MUSE therapy. For this therapy, a pellet of an active substance is introduced via an applicator into the urethra, which leads to an erection. Additionally, an erectile tissue injection therapy (SKAT) is possible. For this therapy, a vasodilating agent is applied directly into the erectile tissue with a very fine syringe.