Erectile dysfunction

Many men face the problem of sexual disorders. Sexual impotence can lead to deep depression, severe psychological distress, loss of self-esteem, and disharmony in family and intimate relationships. The appearance of such a disorder requires timely diagnosis and adequate therapy.

Qualified specialists of the K+31 medical Center with extensive practical experience use innovative equipment and unique techniques, restoring men's health and self-confidence to patients.

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What is sexual dysfunction?

The smooth muscles of the cavernous bodies of the penis and the walls of arterial vessels perform the main function in erection and in its subsequent decline after ejaculation. The muscles of the penis in a relaxed state are under the influence of the sympathetic nervous system. During sexual arousal, nerve impulses contribute to the production of neurotransmitters and the corpus cavernosum increase in size. As a result of the difference in the amount of blood flow and outflow, the pressure in the corpuscles increases, which causes an erection.

Sexual activity depends on the level of dopamine and serotonin-like substances, which have stimulating and depressing effects, respectively. A violation in any link of a complex process can lead to problems with an erection.

What is impotence in men? This is how it is customary to call failures in intimate life. In a state of impotence, a man is unable to perform a full-fledged act under any circumstances.

Erectile dysfunction is a prolonged, single or recurring violation of potency, that is, the inability of a man to achieve and maintain an erection.

What is sexual dysfunction?
Kotov Sergey Vladislavovich
Kotov Sergey Vladislavovich
Deputy chief physician of K+31 for urology, chief urologist of K+31, urologist-andrologist, oncourologist, doctor of medical sciences, professor
Experience: 22 years
Doctor of Sciences, PhD, professor
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Sorokin Nikolay Ivanovich
Sorokin Nikolay Ivanovich
Head of the urology department, urologist, oncologist, oncosurgeon, doctor of medical sciences, professor
Experience: 24 years
Doctor of Sciences, PhD, professor
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Denshchikov Mikhail Borisovich
Denshchikov Mikhail Borisovich
Urologist
Experience: 26 years
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Survillo Igor Igorevich
Survillo Igor Igorevich
Urologist
Experience: 13 years
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Tereshchenko Suren Alexandrovich
Tereshchenko Suren Alexandrovich
Doctor urologist-andrologist
Experience: 28 years
Doctor of Sciences, PhD
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Medvedev Alexander Alexeyevich
Medvedev Alexander Alexeyevich
Urologist
Experience: 31 year
PhD
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Dzhabrailov Jabrail Abdulazizovich
Dzhabrailov Jabrail Abdulazizovich
Urologist, andrologist
Experience: 25 years
PhD
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Pshikhachev Ahmed Mukhamedovich
Pshikhachev Ahmed Mukhamedovich
Urologist, Oncologist
Experience: 23 years
Doctor of Sciences, PhD
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Gomberg Mikhail Alexandrovich
Gomberg Mikhail Alexandrovich
Dermatovenereologist
Experience: 43 years
Doctor of Sciences, PhD, professor
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Navruzbekov Gamzat Abdulkadirovich
Navruzbekov Gamzat Abdulkadirovich
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Valeev Danil Ravilovich
Valeev Danil Ravilovich
Urologist
Experience: 6 years
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Dzhalilov Dmitry Olegovich
Dzhalilov Dmitry Olegovich
Urologist
Experience: 17 years
PhD
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Alferov Anton Sergeevich
Alferov Anton Sergeevich
Leading urologist, andrologist
Experience: 16 years
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Gabaraev Alan Petrovich
Gabaraev Alan Petrovich
Urologist, andrologist
Experience: 13 years
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Meshkova (Borodaykina) Daria Yurievna
Meshkova (Borodaykina) Daria Yurievna
Urologist
Experience: 10 years
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Nemenov Alexander Alexandrovich
Nemenov Alexander Alexandrovich
Urologist, oncologist (oncourologist)
Experience: 7 years
PhD
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Reasons

Erectile disorders can be caused by any factors that cause a decrease in blood flow to the cavernous bodies of the penis.

The disorder is most often a manifestation of various somatic diseases, pathologies of the genitourinary system, etc.

The main causes of sexual dysfunction include:

  1. Diseases of the cardiovascular system: angina pectoris, arterial hypertension, arrhythmias, atherosclerosis, myocardial infarction, stroke
  2. Endocrine disorders: thyroid gland malfunction, diabetes mellitus, obesity, hypogonadism, etc.
  3. Traumatic injuries. Rupture of the urethra, fracture of the pelvic bones, and the consequences of surgical intervention on the prostate gland can cause persistent erectile dysfunction
  4. Neurological diseases: multiple sclerosis, herniated discs, peripheral neuropathies
  5. Malignant neoplasms of different localization
  6. Other somatic pathologies: chronic obstructive pulmonary diseases, renal and hepatic insufficiency, etc.

In chronic prostatitis, dysfunction is caused by circulatory disorders, hypotestosteronemia, and psychogenic factors that form the syndrome of waiting for failure. A decrease in testosterone levels due to age is important.

Adverse environmental conditions, increased radiation levels, harmful working conditions, alcohol abuse, psychoactive substances, side effects of medications, and smoking have a negative impact.

The causes of psychogenic impotence are:

  • Self-doubt, fear of failure
  • Frequent conflicts with a partner
  • Psychoemotional stress, constant traumatic situation, stress
  • Chronic overwork, which can cause general exhaustion of the body

Erectile dysfunction is often a symptom of depressive, anxiety, and psychotic disorders.

General information

Signs of impotence

Depending on the mechanism of development, several types of this disorder are distinguished.

Neurogenic impotence occurs against the background of cerebrovascular pathologies, spinal cord injuries, diseases of the central and peripheral nervous system.

Problems with psychogenic potency can be temporary or permanent.

Among the early symptoms of sexual dysfunction:

  • Weak erection at any time
  • Reduced or no orgasm
  • Decreased libido
  • Premature ejaculation
  • Sperm reduction

Subsequently, at later stages, the inability to achieve the necessary tension of the penis, to keep it in an erection state, complete impotence is possible.

The lack of effective treatment can lead to undesirable consequences: an absolute inability to achieve even minimal penis tension, infertility, a state of chronic stress, mental disorders.

Diagnostics

At the initial stage of diagnostic measures, the urologist tries to determine the causes, the presence of negative factors, etc .

In an intimate conversation with a patient, the main task of a specialist is to clarify aspects of sexual life, to find out the nature of family relationships, and the partner's attitude to an existing problem. When collecting medical history, it is important to pay attention to concomitant chronic diseases, medication, etc . Special questionnaires and questionnaires are used to assess sexual health. They are one of the most effective diagnostic tools that allow you to determine the presence of dysfunction and the degree of impairment.

When examining the external genitalia, the urologist pays attention to the features of the constitution, possible defects, the development of secondary sexual characteristics in men, the size and consistency of the prostate.

Depending on the clinical picture, laboratory tests are prescribed: general and biochemical blood tests, determination of sugar levels, hemoglobin, C-reactive protein, cholesterol, lipidogram, etc. It is mandatory to perform a blood hormone test.

To assess the quality and duration of an erection, a pharmacological test with additional stimulation is performed.

Instrumental diagnostic methods are widely used:

  1. Ultrasound examination of the prostate gland (transrectal). It helps to visualize the size and structure of an organ, detect signs of inflammation, tumor process, etc.
  2. Dopplerography of the vessels of the penis makes it possible to assess the state of hemodynamics
  3. Cavernosography is an X–ray technique for detecting venous vessels through which venous outflow is carried out
  4. Histological examination of cavernous body tissue
  5. Ultrasound of the thyroid gland is prescribed to identify structural changes and the functional state of this organ

If sexual function is impaired, you should consult a urologist as soon as possible.

Treatment

Modern urology has effective techniques for the successful treatment of impotence in men. The choice of therapeutic tactics and techniques depends on many factors. The decision on the appropriate method is made by the doctor after identifying the cause of the disorder.

The first step is conservative therapy using testosterone preparations. These androgenic drugs have proven their effectiveness, but are not indicated in all cases.

A relatively new technique is the intracavernous administration of medications such as phentolamine, prostaglandin E1, etc. The use of technology makes it possible to lead a normal sex life without discomfort and restrictions.

Surgical intervention is performed in patients younger than 40 years of age, if conservative therapy is ineffective, as well as in men after blunt trauma to the pelvis or perineum, in the absence of risk factors.

There are various microsurgical techniques, the purpose of which is the revascularization of the penis. In urological practice, methods aimed at creating tightness of the circulatory system of the penis are used:

  • Endovascular embolization of organ veins
  • Resection of venous vessels
  • Ligation of legs, etc.

Intracavernous phalloprosthesis is indicated for patients suffering from this disorder of an organic nature for at least a year, with tolerance to other therapies. An important condition for the recovery period after surgery is the choice of the optimal prosthesis design. The advantages of the technique are the absence of the need for injections and constant medication, minimal risk of complications, and a natural erection.

In various forms of the disorder, psychotherapy, a healthy lifestyle, the elimination of bad habits, a balanced diet, massage, physical activity, etc. are of great importance .

Appointment to the doctor

Fill out the form, our managers will contact you within 15 minutes

The K+31 clinic offers high-quality diagnostics and effective treatment of various types of erectile dysfunction. Highly qualified doctors of our center use modern equipment, proven techniques and innovative developments.

We guarantee an individual approach and attentive attitude to each patient. Timely diagnosis and the best treatment option, taking into account age, general well-being and all the features, will help restore potency and restore the quality of life.

For more information, you can call the clinic's phone number or fill out a special online form on the website.

Make an appointment at a convenient time on the nearest date

Reviews

A huge thank you to Alexander Alexeevich!!! He's so kind. He cares about his patients. He saw what others missed. He helped my husband. He helped me. This isn't the first time we've seen him.
06.02.2026
B. Natalia Ivanovna
I want to thank the doctor for the professional operation. Everything went smoothly, carefully, and without unnecessary stress. The doctor explained each step in detail and was always available during the recovery period. His very attentive and humane attitude is especially valuable.
26.01.2026
K. Alan Vladimirovich

About doctor:

Gabaraev Alan Petrovich

Akhmedkhan Mukhamedovich masterfully performed a renal cell carcinoma resection. A modest, wonderful man.
15.01.2026
B. Vitaly Vladimirovich
A huge thank you to Anton Sergeevich Alferov for his attention to his patients. He is a true professional.
14.01.2026
Olga

About doctor:

Alferov Anton Sergeevich

Wonderful doctor, I am very grateful to him.
21.12.2025
T. Alexandra Alexandrovna
I'm 19 years old. I went to see Igor Igorevich for congenital phimosis. During my appointment, the doctor explained everything about my situation and the possible treatment options. The most important thing for me was that the explanations weren't in arcane medical jargon, but in layman's terms. Ultimately, I had surgery. The postoperative period was uneventful, and the doctor was always available via instant messaging. Now that's what I call a modern doctor!
05.12.2025
Nikolay

About doctor:

Survillo Igor Igorevich

I had a difficult case – a tumor that was very difficult to operate on, and if it failed, I would have lost the kidney. But Sergey Vladislavovich took on the case, and what's more, he set me up for success. And that's exactly what happened! My recovery was quick, and now I can live a normal life. A huge thank you to Sergey Vladislavovich and the entire medical staff for literally saving lives and giving them a second chance at a happy life.
05.12.2025
Igor Konstantinovich
Nikolai Ivanovich Sorokin performed the stone removal surgery. Postoperative examinations showed complete clearance! The surgeon was finally able to rid me of the bladder growths I'd been struggling with for a year. I'm very grateful to Nikolai Ivanovich for the work he did.
05.12.2025
Sergey
I went to the doctor because my sperm analysis results weren't very good. They started running diagnostic tests and discovered I had bilateral varicoceles. It was decided to perform surgery. Throughout our entire conversation, Mikhail Borisovich never gave me any doubt that we would definitely solve my problem. As a result, after a month of rehabilitation, I no longer feel any discomfort and am looking forward to the scheduled appointment to have my tests done again.
05.12.2025
Rostislav
I express my deepest gratitude to Sergey Vladislavovich for the stone removal surgery! He is a true professional, dedicated to helping his patients and minimizing postoperative risks. I also want to thank Mikhail Borisovich Denshchikov, who helped me prepare for the surgery and then the doctor himself during the operation.
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