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Erectile Dysfunction. Treatment in Germany

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

Urology Clinic Munich-Planegg Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology, Andrology

According to the Focus magazine, the Urology Clinic Munich-Planegg Munich ranks among the best specialized hospitals in Germany! The hospital was founded in 1970 by Dr. med. Rudolf Castringius. During that time, it became a leader in men's healthcare in Germany. In addition, the hospital has the status of one of the best med
Diagnosis of erectile dysfunction (impotence)
2605 help2105
Diagnosis and conservative treatment of erectile dysfunction
2499 help1999

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

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 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 fields of
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

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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

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

PAN Clinic Cologne

9/10
location_onGermany, Cologne

Department of Adult and Pediatric Urology, Andrology

The PAN Clinic Cologne is a multidisciplinary medical facility that combines advanced medicine, excellent quality of patient care and a high level of comfort. Founded in 1999, the clinic is located in the very heart of Cologne. During this time, the medical complex has gained long clinical experience, but at the same time it has
Diagnosis of erectile dysfunction (impotence)
2153
Diagnosis and conservative treatment of erectile dysfunction
2054
| from Booking Health GmbH

Erectile dysfunction is a persistent inability to achieve or maintain an erection for sexual intercourse. It reduces the quality of life for men and is usually a harbinger of cardiovascular disease. Symptomatic treatment of pathology is carried out mainly with the help of medications. If medicines do not work, then doctors resort to surgical and endovascular interventions. Germany offers the very latest methods for erectile dysfunction treatment, including revascularization, penile reinnervation, stem cell therapy and modern options for phalloprosthetics.

Content

  1. Diagnostics
  2. Treatment principles
  3. Elimination of the causes of erectile dysfunction
  4. Specific therapy for erectile dysfunction
  5. Surgery for erectile dysfunction
  6. Innovative treatment
  7. Treatment in Germany with Booking Health at an affordable price

Diagnostics

 

All patients undergo a thorough diagnostic examination to assess their health status, primarily to find out the causes and leading mechanisms of the development of erectile dysfunction. This pathology is not a separate disease, but a symptom of a wide variety of diseases: vascular, nervous, endocrine, reproductive.

Here are some specific diagnostic tests for erectile function assessment: 

  • Nocturnal penile tumescence and evaluation of penile erection rigidity check if the erectile mechanism is preserved.
  • Intracavernous injection test assesses the state of the blood vessels, but does not have an independent diagnostic value, and therefore it is used in combination with ultrasound.
  • Duplex ultrasound scanning of the penile blood vessels is the main method for assessing blood flow in the penis.
  • Arteriography and dynamic infusion cavernosometry or cavernosography is a more accurate contrast-enhanced diagnostic test of the blood vessels, which is required only when planning surgical or endovascular treatment.

 

If erectile dysfunction occurs before the age of 40 without obvious organic causes, a consultation with a psychotherapist or a psychiatrist is required.

Treatment principles

 

For patients with erectile dysfunction, treatment is carried out in stages. Doctors start with the first-line therapy, and if it does not work, they switch to the second one. Preference is given to less invasive techniques, simpler and cheaper ones. But if they do not work, endovascular procedures or surgical interventions may be required. They usually provide a more consistent clinical outcome.

The initial directions of treatment for erectile dysfunction are as follows: 

  • Identification and elimination of the causes of the disease.
  • Lifestyle modification and elimination of risk factors.
  • Patient training and counseling of his partners.

The next stage is the combination treatment of erectile dysfunction itself. This is pharmacotherapy combined with psychological therapy, which is practiced by psychotherapists and sexologists.

If conservative treatment does not work, they switch to invasive procedures, as well as non-standard methods of treatment, including innovative ones. The main options for surgical interventions are open surgery and endovascular procedures to restore blood supply to the penis. In extreme cases, when the restoration of a natural erection is impossible, doctors resort to phalloprosthetics.

Elimination of the causes of erectile dysfunction

 

Erectile dysfunction always has specific causes. Some diseases that interfere with erection can be eliminated or controlled.

Depending on the cause of erectile dysfunction, there are 6 types of this disorder: 

  • Vascular – the most common type of erectile dysfunction that occurs in older men due to the damage to the arteries and veins. 
  • Psychogenic – occurs against the background of emotional experiences or mental disorders, and it is more typical for young men.
  • Neurogenic – associated with diseases of the nervous system, both central and peripheral ones. 
  • Penile – occurs due to congenital structural features, damage or disease of the genital organs.
  • Endocrine – most often develops due to testosterone deficiency.
  • Medication-induced – potentially reversible, arising as a side effect of medications. 

Most patients are diagnosed with vascular erectile dysfunction, which develops due to atherosclerosis. As a rule, it affects elderly men, and is often combined with cardiovascular pathologies. The treatment requires improved vascular health: statins are used to lower cholesterol levels, correct blood pressure, normalize weight. Patients are advised to quit smoking and exercise regularly. All these measures not only improve erectile function, but also have a beneficial effect on health in general.

Neurogenic erectile dysfunction can have central and peripheral causes.

Central ones include Parkinson's disease, stroke, multiple sclerosis, trauma and spinal cord diseases. Such patients require elimination or compensation of the underlying pathology, including the use of neurosurgical interventions.

The most common peripheral cause is diabetes mellitus. Patients need adequate hypoglycemic therapy, insulin, and diet to control this disorder. Less commonly, damage to the peripheral nerves is associated with prostatectomy, pelvic irradiation, pelvic surgery, and retroperitoneal surgery.

Penile (anatomical) erectile dysfunction occurs due to congenital and acquired diseases: micropenis, hypospadias and epispadias, Peyronie's disease. The treatment involves surgical interventions.

The main hormonal causes of erectile dysfunction are hypogonadism or age-related androgen deficiency. Hypogonadism is a testosterone deficiency in young men due to testicular or pituitary failure. It can be primary or secondary. Both types of the pathology are treated with hormones, but different ones: patients are given testosterone replacement therapy or gonadotropins, which stimulate testosterone production in the testicles. Less commonly, hormonal erectile dysfunction is associated with increased prolactin levels, increased or decreased  thyroid and adrenal hormone levels. All of these causes must be corrected, but some patients will require surgery to remove hormone-producing masses.

As for medication-induced erectile dysfunction, it is most often caused by antidepressants, diuretics, antiandrogens, and drugs. To improve erection, it is enough to stop taking them. Some medicines can be replaced with drugs with similar pharmacological effects. If replacement is not possible, symptomatic pharmacotherapy for erectile dysfunction becomes an option of choice. 

Specific therapy for erectile dysfunction

 

Dysfunction treatment aimed directly at improving erection includes the following: 

  • PDE5 (phosphodiesterase) inhibitors for penile vasodilation.
  • Antispasmodics and prostaglandins (as second-line medications).
  • Local negative pressure therapy.
  • Psychotherapy. 

The main drugs are PDE5 inhibitors. They dilate blood vessels for several hours, while the effect of some medicines can last for several days. These medications are not usually used all the time. They are taken on demand, shortly before sexual intercourse. They only solve the problem of vascular erectile dysfunction.

Doctors in Germany often combine pharmacotherapy with psychotherapy. The best results are obtained in young men with good vascular health. However, older men can also benefit from such dysfunction treatment. Psychotherapy can increase the effectiveness of pharmacotherapy and reduce the need to use medications.

In some patients, PDE5 inhibitors do not work or provide insufficient effect. In such a case, doctors switch to the second-line therapy for dysfunction treatment:  

  • Intracavernous administration of vasodilators (injections into the penis).
  • Urethral micro-suppositories (suppositories that are inserted into the urethra).
  • Vacuum devices. 

All these methods for erectile dysfunction are used immediately before sexual intercourse. They allow achieving an erection for a while, but these treatment options for dysfunction do not give a long-term effect. While taking any medications, including PDE5 inhibitors, the disease may continue to progress. Thus, specific conservative treatment of erectile dysfunction is mainly symptomatic.

Surgery for erectile dysfunction

 

The standard surgery for erectile dysfunction is phalloprosthetics. Other surgical procedures are less common.

Surgeons in Germany implant new types of phalloprostheses, consisting of several inflatable cylinders and a pump placed in the scrotum. With its help, fluid is injected into the cylinders, and thus an erection close to natural is achieved. The best are three-piece systems with a reservoir behind the pubis.

For the treatment of erectile dysfunction of vascular origin, penile revascularization surgery is used. It can be not only open, but also endovascular, which means that the surgical procedure is performed from the inside of the vessels. Such interventions are minimally traumatic and safe for health. This innovative treatment option is not available everywhere, but patients with erectile dysfunction can use the services of German doctors to undergo such a surgical intervention.

Prior to endovascular dysfunction  treatment, patients are carefully examined to establish the mechanism of erectile dysfunction. It is then eliminated in various ways. Doctors usually perform the following procedures:

  • Stenting involves dilating a narrowed artery from the inside with the help of a frame placed in its lumen. 
  • Angioplasty involves dilating an artery from the inside with an inflating balloon. 
  • Embolization involves closing the lumen of a vein with coils or chemicals to prevent blood from flowing out of the penis. 

Innovative treatment

 

As an experimental treatment of erectile dysfunction of neurogenic origin, penile reinnervation surgery is performed abroad. Doctors take the sural nerve, suture its one end to the trunk of the femoral nerve and the other to the tunica albuginea of the corpora cavernosa. As a result, the innervation of the organ is restored. Erection returns in 70% of patients.

Some hospitals use low-energy shockwave therapy. It improves erectile function by stimulating the growth of blood vessels. The technology was first used for erectile dysfunction treatment in 2010. It is well tolerated and safe for health. The technology is considered experimental, although more and more studies are accumulating on it, and they are usually successful. Nonetheless, the effect of the procedure is gradually weakening: a month after the end of therapy, it decreases by a third, after 2 years – by two thirds.

For erectile dysfunction in Germany, doctors are increasingly using stem cells. They are used for a large number of pathologies to restore organs and tissues. The patient's own stem cells are safe for health, but they are recently used, insufficiently researched, and therefore are not included in the standard of dysfunction treatment. When conducting stem cell therapy, these cells are injected into the corpora cavernosa of the penis. An improvement in erection can be expected after a few weeks, and the effect lasts for several months.

Treatment in Germany with Booking Health at an affordable price

 

To undergo erectile dysfunction (impotence) treatment in one of the German hospitals, you can use the services of the Booking Health company. On our website, you can find out the cost of treatment and compare prices in different hospitals in order to book a medical program at a favorable price. Treatment in German 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 Germany. Booking Health will fully organize your trip to Berlin. We will provide the following benefits for you:

  • We will select the best German hospital, whose doctors specialize in erectile dysfunction treatment. 
  • We will solve the problem of the language barrier, and take care of your communication with the doctor of the German hospital.
  • We will reduce the waiting time for the medical care program. You will undergo treatment in Berlin on the most suitable dates for you.
  • We will reduce the price. The cost of treatment in Germany will be lower due to the lack of overpricing and additional coefficients for foreign patients.
  • We will solve any organizational issues: we will draw up documents, meet you in Germany and take you to the hospital, book a hotel in Berlin, and provide interpreting services.
  • We will prepare a program and translate medical documents. 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 Germany.
  • We will organize additional diagnostic examinations and treatment in German hospitals.
  • We will buy medicines in Germany 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 reduce the cost of treatment, organize your trip to a German hospital, and you can fully focus on restoring your health.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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