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Treatment of Erectile Dysfunction

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnosis of erectile dysfunction (impotence)
1846
Diagnosis and conservative treatment of erectile dysfunction
1902
Stem cell therapy for erectile dysfunction (impotence)
18000

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnosis of erectile dysfunction (impotence)
2183
Diagnosis and conservative treatment of erectile dysfunction
2252

Urology Hospital Munich-Planegg Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to Focus magazine, the Urology Hospital Munich-Planegg Munich ranks among the top specialized German hospitals! The hospital was founded in 1970 by Dr. Rudolf Castringius. During this time, it became the leading provider of male health care in Germany. In addition, the hospital has the status of one of the best medical
Diagnosis of erectile dysfunction (impotence)
2605 help2105
Diagnosis and conservative treatment of erectile dysfunction
2499 help1999

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Urology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnosis of erectile dysfunction (impotence)
1988
Diagnosis and conservative treatment of erectile dysfunction
2022

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnosis of erectile dysfunction (impotence)
2726
Diagnosis and conservative treatment of erectile dysfunction
2810

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnosis of erectile dysfunction (impotence)
0
Diagnosis and conservative treatment of erectile dysfunction
0

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnosis of erectile dysfunction (impotence)
2284
Diagnosis and conservative treatment of erectile dysfunction
2213

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnosis of erectile dysfunction (impotence)
2262
Diagnosis and conservative treatment of erectile dysfunction
2204

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Urology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnosis of erectile dysfunction (impotence)
2067
Diagnosis and conservative treatment of erectile dysfunction
2075

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Reproductive Medicine and Andrology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnosis of erectile dysfunction (impotence)
1931
Diagnosis and conservative treatment of erectile dysfunction
2028

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnosis of erectile dysfunction (impotence)
1984
Diagnosis and conservative treatment of erectile dysfunction
2123

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Adult and Pediatric Urology, Andrology

The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
Diagnosis of erectile dysfunction (impotence)
1907
Diagnosis and conservative treatment of erectile dysfunction
1902

Hospital Harlaching Munich

9.2/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the Hospital Harlaching Munich ranks among the top 20 medical centers in Bavaria, and is also one of the 100 best hospitals in Germany! The medical complex provides top-class medical care, which meets modern European standards. The medical facility is an Academic Hospital of the Ludwi
Diagnosis of erectile dysfunction (impotence)
1846
Diagnosis and conservative treatment of erectile dysfunction
1978

Academic Hospital Cologne-Holweide

8.9/10
location_onGermany, Cologne

Department of Urology

As the Academic Teaching Hospital of the University of Cologne, the Hospital Cologne-Holweide offers a wide range of medical services. With eight specialized departments, the Hospital Cologne-Holweide is an important health care center for patients with various diseases from both Cologne and other regions. The Hospital Holweide
Diagnosis of erectile dysfunction (impotence)
2007
Diagnosis and conservative treatment of erectile dysfunction
1947

Klinik im Park Zurich

8.9/10
location_onSwitzerland, Zurich

Department of Urology

Every year, Zurich attracts thousands of foreigners with its best Swiss clinics. One of them is Klinik Im Park that has been providing a constantly high level of medical services, professional care and friendly atmosphere for 25 years. Why exactly do patients choose Swiss clinics? The reason is that our specialists will do their
Diagnosis of erectile dysfunction (impotence)
0
Diagnosis and conservative treatment of erectile dysfunction
0

Hospital Nordwest Frankfurt am Main

8.8/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Urology

According to the reputable Focus magazine, the Hospital Nordwest Frankfurt am Main ranks among the top German medical facilities! The hospital has a reputation of a modern multidisciplinary medical center with excellent quality of services. The medical complex is an academic hospital of the Goethe University Frankfurt, thanks t
Diagnosis of erectile dysfunction (impotence)
2185
Diagnosis and conservative treatment of erectile dysfunction
2214

Acibadem Healthcare Group Istanbul

8/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Urology

The Acibadem Healthcare Group Istanbul was founded in 1991 and in a short time has become one of the leading medical facilities not only in Turkey, but throughout the world. The medical group has developed rapidly for many year. Today, it consists of 22 hospitals and 19 outpatient clinics in 5 countries (in Turkey, Bulgaria, Hol
Diagnosis of erectile dysfunction (impotence)
1971
Diagnosis and conservative treatment of erectile dysfunction
1923
| from Booking Health GmbH

Erectile dysfunction is the inability to achieve an erection, which is necessary for full-fledged sexual intercourse. It can be associated with different causes, but most often it is the result of damage to the blood vessels. Doctors in developed countries use not only standard, but also innovative treatments for this pathology, including stem cells, endovascular procedures and surgery to restore blood supply to the penis.

Content

  1. Prevalence
  2. Causes
  3. Diagnostics
  4. Treatment
  5. Treatment in Europe with Booking Health at an affordable price

Prevalence

 

Erectile dysfunction is one of the most common reasons for visiting a urologist. Poor sexual health with erectile dysfunction does not affect life expectancy, but significantly reduces its quality.

Pathology can develop at any age. Erectile dysfunction is determined in 13% of men already in the third decade of their life. After the age of 70 years, 100% of people have poor sexual health, and erectile dysfunction combines several mechanisms of its development at once: the most common of them are damage to the blood vessels and low levels of male hormones.

According to the WHO, 10% of men in the world suffer from impotence. Another 70% periodically experience erection problems. Only 20% of men on the planet have perfect sexual health.

Causes

 

With erectile dysfunction, the filling of the penis with blood worsens. The causes can be different, and there are 5 main types of pathology distinguished by its origin:

  • Psychogenic – caused by an emotional state or mental disorders (the problem primarily affects young men, who usually do not have problems with the health of internal organs).
  • Vasculogenic (vascular) – the most common cause associated with impaired blood flow to the penis or increased blood outflow from the corpus cavernosum (a problem of older men with weakened vascular health and high blood pressure).
  • Neurogenic – most often develops in diabetes mellitus or after prostatectomy, and is caused by the damage to the peripheral nerves.
  • Endocrine – occurs even in good health, since the levels of male hormones inevitably decrease with age.
  • Penile – caused by direct damage of the male reproductive organs.

The risk of worsening sexual health increases with age. In 80% of cases, the men suffering from erectile dysfunction are also diagnosed with other organic pathologies. Most patients suffer from atherosclerosis, obesity, diabetes mellitus, and have high blood pressure. A temporary deterioration in erection can be caused by poisons, drugs, alcohol.

Diagnostics

 

With erectile dysfunction, patients complain about the inability to achieve an erection sufficient for satisfactory sexual intercourse. The doctor's task is to find out the causes of this condition and eliminate them, if possible. Important information is obtained already at the stage of interviewing men with erectile dysfunction.

Healthcare professionals abroad use various questionnaires that help determine the cause and degree of deterioration in sexual health:

  • International Index of Erectile Function (IIEF-5).
  • Aging Male's Symptoms (AMS) Scale.
  • Male Copulative Function (ICF) Scale.
  • Hospital Anxiety and Depression Scale.

Laboratory tests are required to determine male sex hormones, glucose and glycated hemoglobin, and indicators of lipid metabolism. General clinical tests are performed to assess the patient's health.

Special tests:

  • Pharmaco‐penile Doppler ultrasound.
  • Nocturnal penile tumescence and rigidity monitoring.
  • Endothelial function assessment.
  • Cavernosography – contrast-enhanced CT or MRI scanning.

A new direction in the diagnostics of erectile dysfunction is the assessment of the status of endothelial dysfunction. The endothelium is the inner layer of the blood vessels. It determines the healthy condition of the entire arterial bed. Impairment of chemical processes in the endothelium leads to vasoconstriction and impaired blood flow to the penis.

To assess the health of the penis, doctors abroad also use neurophysiological tests, cavernosography, arteriography and sonography with 3D reconstruction. Cutting-edge technologies ensure accurate diagnostics of erectile dysfunction, which is important for planning treatment for the disease.

Treatment

 

Treatment of erectile dysfunction can be invasive and non-invasive. Either option can be used as first-line therapy. Non-invasive treatment is more sparing and has greater adherence among patients. On the other side, invasive interventions are often able to provide more lasting results, and also ensure a spontaneity of sexual activity (no need to take a pill before sexual intercourse).

The main treatments for patients with sexual dysfunction are:

  • Medicines for erection improvement.
  • Hormones.
  • Local negative pressure.
  • Lifestyle modification.
  • Shockwave therapy.
  • Injection of vasoactive drugs (vasodilators) into the penis.
  • Stem cells and platelet-rich plasma.
  • Phalloprosthetics.
  • Implantation of external penile implants.
  • Surgical revascularization (restoration of blood supply to the penis).
  • X-ray-guided vascular surgery.

Non-drug therapy

 

Whenever possible, it is worth starting with a lifestyle modification. It does not provide immediate results, but improves the course of the disease, slows down its progression, and increases the effectiveness of the treatment of erectile dysfunction. Patients are advised to eat healthy foods, give up alcohol, drugs, quit smoking, normalize weight, and exercise regularly. A healthy lifestyle affects all the mechanisms of the development of erectile dysfunction at once:

  • Improvement of vascular health.
  • Improvement of mental health.
  • Prevention or help in diabetes management.
  • Elimination of the effect of toxins on sexual health.
  • Increase of the production of male sex hormones.

In recent years, a comprehensive approach has been increasingly used in the conservative treatment of erectile dysfunction, acting on several of its causes at once. This is due to the fact that in many patients the deterioration of health is due to the simultaneous influence of vascular, endocrine and psychological causes.  

The treatment for these patients often includes not only pharmacotherapy, but also psychotherapy. It is provided by sexologists and psychotherapists. This treatment option may be the primary one in young men with good physical health but symptoms of anxiety and depression. In such cases, it achieves better results than medicines. In elderly patients, it is used as an adjunct to the main treatment for erectile dysfunction in order to improve therapeutic results.

Vacuum erectile device (VED) is used for situational treatment. The penis is placed in it. A pump creates negative pressure. It causes vasodilation and blood flow. A ring is then placed on the penis to prevent blood outflow after the disconnection of the device. The technology is used for both vascular and neurogenic dysfunction. It has proven itself well for the treatment of impotence after prostatectomy.

Drug therapy

 

Phosphodiesterase type5 (PDE5) inhibitors with Viagra are the main treatment for vascular erectile dysfunction. There are several drugs of this pharmacological group, which differ in the speed of onset and duration of the effect. They are taken on demand, namely, when intercourse is planned. They do not have a long-term positive effect on the course of the disease, and the progression of the pathology does not slow down. Long-acting PDE5 inhibitors are prescribed for those patients who have a regular sexual life. The effect after taking them lasts for several days.

Other means are less commonly used. These include:

  • Hormone replacement therapy with testosterone that is prescribed to young men with hypogonadism, as well as to older men, whose hormone levels have decreased due to physiological involution of the testes.
  • Drug therapy of diabetes mellitus, which is a common cause of damage to the penile nerves and blood vessels.
  • Intracavernous injections that imply the administration of vasodilators into the penis (second-line therapy for vascular erectile dysfunction, if PDE5 inhibitors do not give the desired result).
  • Intraurethral suppositories with prostaglandins are a non-invasive alternative to penile injections (suppositories are inserted into the urethra).

Penile revascularization surgery

 

If the penile vessels are damaged, they can be expanded or, on the contrary, blocked to prevent the blood outflow from the corpus cavernosum. Surgical procedures for vascular erectile dysfunction can be performed using both open and minimally invasive techniques.

Over the past few years, the preference has been given to endovascular techniques abroad. Interventions are performed through the blood vessels. The doctor makes a small incision in the groin, inserts a catheter through it, reaches the target vessels and performs the necessary manipulations. The intervention is performed under X-ray guidance.

The following types of endovascular procedures can be used for erectile dysfunction:

  • Vascular stenting involves the placement of a metal frame that keeps the lumen of the artery open.
  • Balloon angioplasty is the dilation of the vessel using a balloon that is inflated with saline.
  • Coil vein embolization blocks the blood outflow from the penis. The procedure is often complemented by X-ray-guided vascular elimination of arteriovenous conflicts.

Stem cells

 

On the one hand, the treatment of erectile dysfunction with stem cells is an innovative and promising method, on the other hand, it has not yet been sufficiently researched. The first experiments on mice were carried out only in 2004, and the first application in humans took place in 2010. Therefore, the therapy is not yet considered a standard therapy.

But so far, many clinical studies have already been carried out, which have shown good results. Bone marrow, blood, adipose tissue, and umbilical cord blood are used as sources of stem cells. They are usually autologous (patient's own), much less often – allogeneic (donor).

In the United States, the procedures using the stromal vascular fraction have become most popular for the cell therapy of erectile dysfunction. It is obtained from the patient's adipose tissue. After receiving the adipose tissue, it is placed in a special apparatus, which produces a stromal vascular fraction rich in stem cells. There are so many cells here that cultivation is not required. However, there is also a minus: the procedure is invasive, because it requires obtaining several tens of milliliters of adipose tissue.

In Europe, peripheral blood is used more often. The procedure for collecting cells is fast and minimally invasive (intravenous injection). There are few stem cells, but they are cultured to increase their number. Several million cells are then injected into the corpora cavernosa. Under their influence, damaged tissues are restored, the state of blood vessels improves and erectile function normalizes.

Treatment in Europe with Booking Health at an affordable price

 

To undergo erectile dysfunction treatment in one of the European hospitals, you can use the services of the Booking Health company. On our website, you can see the cost of treatment and compare prices in different hospitals in order to book a medical care program at a favorable price. Treatment in European hospitals will be easier and faster for you, and the cost of treatment will be lower.

You are welcome to leave your request on the Booking Health website. Our specialist will contact you and provide a consultation on treatment in Europe. Booking Health will fully organize your trip abroad. We provide the following benefits for you:

  • We will choose the best European hospital, whose doctors specialize in the treatment of erectile dysfunction.
  • We will help you overcome the language barrier and establish communication with the doctor of the European hospital.
  • We will reduce the waiting time for the medical care program. You will undergo treatment on the most suitable dates for you.
  • We will reduce the price. The cost of treatment in Europe will be lower due to the lack of overpricing and additional coefficients for foreign patients.
  • We will take care of all organizational issues: we will draw up documents, meet you abroad and take you to the hospital, book a hotel, and provide interpreting services.
  • We will prepare the program and translate medical records. You do not have to repeat the previously performed diagnostic procedures.
  • We will help you keep in touch with doctors after the completion of treatment in Europe.
  • We will organize additional diagnostic examinations and treatment in European hospitals.
  • We will buy medicines abroad and forward them to your native country.

Your health will be in the safe hands of the world's leading doctors. The Booking Health specialists will help you reduce the cost of treatment, organize your trip to a European hospital, and you will only have to focus on restoring your health.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed

To check for the Erectile dysfunction you can submit a request on BookingHealth and our managers will find the best hospital that is specialized in Erectile dysfunction to fulfill your needs
Cost of Erectile dysfunction treatment varies from 18000 to 18000



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