Erectile disfunction

Many men face the problem of sexual disorders. Sexual impotence can lead to deep depression, a severe psychological state, loss of self-esteem, disharmony of family and intimate relationships. The appearance of such a violation 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.

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 corpora cavernosa increase in size. As a result of the difference in the amount of inflow and outflow of blood, the pressure in the bodies increases, which causes an erection.

Sexual activity depends on the level of dopamine- and serotonin-like substances, which have a stimulating and depressing effect, respectively. Violation in any part of a complex process can lead to problems with erection.

What is impotence in men? So it is customary to call failures in intimate life. In a state of impotence, a man is not able to perform a full-fledged act under any circumstances.

Erectile dysfunction is a long-term, single or periodically repeated violation of potency, that is, the inability of a man to achieve and maintain an erection.

Reasons

Any factors that cause a decrease in blood flow to the cavernous bodies of the penis can lead to erectile disorders.

Violation is most often a manifestation of various somatic diseases, pathologies of the urogenital area, etc.

The main causes of sexual dysfunction include:

  1. Diseases of the cardiovascular system: angina pectoris, arterial hypertension, arrhythmias, atherosclerosis, previous myocardial infarction, stroke.
  2. Endocrine: thyroid dysfunction, diabetes, obesity, hypogonadism, etc.
  3. Traumatic injuries. Rupture of the urethra, fracture of the pelvic bones, the consequences of surgery 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 disease, kidney, liver failure, etc.

In chronic prostatitis, dysfunction is caused by circulatory disorders, hypotestosteroneemia, and psychogenic factors that form the failure expectation syndrome. Age-related decline in testosterone levels is important.

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

The causes of impotence of a psychogenic nature are:

  • self-doubt, fear of failure;
  • frequent conflicts with a partner;
  • psycho-emotional stress, constant traumatic situation, stress;
  • chronic overwork, which can cause general exhaustion of the body.

Often, erectile dysfunction is a symptom of depressive, anxiety and psychotic disorders.

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.

Psychogenic potency problems can be temporary or permanent.

Among the early symptoms of sexual dysfunction:

  • weak erection at any time;
  • reduction of manifestations of orgasm or complete disappearance;
  • decreased libido;
  • premature ejaculation;
  • reducing the amount of sperm.

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

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

Diagnosis

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 the patient, the main task of the specialist is to clarify aspects of sexual life, to find out the nature of family relationships, the partner's attitude to the existing problem. When taking an anamnesis, 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 a man, the size and consistency of the prostate.

Depending on the clinical picture, laboratory tests are prescribed: a general and biochemical blood test, determination of the level of sugar, hemoglobin, C-reactive protein, cholesterol, lipid profile, etc. Blood hormones are mandatory to be tested.

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

The methods of instrumental diagnostics are widely used:

  1. Ultrasound examination of the prostate gland (transrectal). Helps to visualize the size and structure of the 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 identifying venous vessels through which venous outflow is carried out.
  4. Histological examination of the tissue of the cavernous bodies.
  5. An ultrasound of the thyroid gland is prescribed to detect structural changes and the functional state of this organ.

In case of violation of sexual function, 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 effective, but are not indicated in all cases.

A relatively new technique is the intracavernous administration of drugs - phentolamine, prostaglandin E1, etc. Using the technique makes it possible to have a normal sexual life without discomfort and restrictions.

Surgical intervention is performed in patients younger than 40 years old, with the ineffectiveness of conservative therapy, as well as in men after blunt injuries of the pelvis or perineum, in the absence of risk factors.

There are various microsurgical techniques that aim to revascularize the penis. In urological practice, methods are used to create tightness of the circulatory system of the penis:

  • endovascular embolization of organ veins;
  • resection of venous vessels;
  • leg ligation, etc.

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

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

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 methods 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 quality of life.

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

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist