LOD therapy

LOD therapy in urology is a safe and painless treatment for sexual dysfunction and impotence in men. During the procedure, local negative pressure (LOD) is applied to the penis to increase blood flow and improve erection.

This therapy is performed by urologists at the K+31 multidisciplinary clinic in Moscow. A course of treatment in the urology department allows men to restore their sexual function and self-confidence.

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How does LOD therapy work?

For a strong and full erection, a rapid, large blood flow to the penis during arousal is necessary. When this mechanism is functioning properly, a man experiences no problems in his intimate life. Any circulatory problems in the pelvic area disrupt this process, leading to erectile dysfunction (impotence) of varying severity.

LOD therapy, also known as phallodecompression, restores normal erectile function. Gradually increasing negative pressure promotes dilation and increased blood flow to the blood vessels, resulting in enlargement, straightening, and hardening of the penis. During the procedure, the man should be familiar with the natural process of arousal to establish the correct connection between sexual desire and erection.

Key advantages of LOD therapy in urology:

  • Clinically proven effectiveness
  • Suitable for men of all ages (18 years and older) with various causes of erectile dysfunction
  • Painless
  • No special preparation or rehabilitation required
  • Can be combined with other hardware and medication treatments for impotence

The use of LOD therapy has been well studied and widely covered in scientific medical literature. More than 200 publications describe the therapeutic effects and various nuances of the procedure, so men have no reason to fear this method or doubt its effectiveness.

How does LOD therapy work?
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
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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Indications for the procedure

The primary condition for which phallodecompression is recommended is erectile dysfunction. Treatment is most often prescribed for organic causes of the condition, when there are changes in the pelvic and genital vessels. Local negative pressure therapy is effective in:

  • Incipient atherosclerotic changes in the pelvic arteries
  • Diabetic angiopathy and neuropathy
  • Chronic prostatitis and other inflammatory diseases of the pelvic organs (outside of the acute stage)
  • Neurological diseases
  • Natural age-related changes that reduce the quality and durability of erections

LOD therapy also helps with psychoemotional causes of impotence and the constant fear of failure that prevents a man from enjoying intimacy.

Since increased blood flow is important not only for maintaining a stable erection but also for the proper functioning of the male genitals, the indications for treatment can be expanded. Urologists often recommend LOD therapy for premature ejaculation, priapism, Peyronie's disease, and penile deformities.

Contraindications

The scientifically proven effectiveness and positive reviews of LOD therapy do not preclude the possibility of restrictions. The doctor will not be able to perform the procedure if the man has the following contraindications:

  • Acute inflammatory diseases (prostatitis, vesiculitis, orchitis, epididymitis)
  • Sexually transmitted infections
  • Phimosis and paraphimosis
  • Varicocele, hydrocele
  • Inguinal hernias
  • Hemophilia and other blood diseases
  • Severe atherosclerosis of the heart and brain vessels
  • Mental disorders

Before undergoing LOD therapy, an appointment with a qualified doctor is required. A urologist will determine the causes of erectile dysfunction and identify indications and contraindications for hardware treatments. Additional diagnostics may be required, including instrumental examinations (ultrasound, endoscopy, CT), blood and urine tests.

How is the procedure performed?

The treatment is performed without any special preparation. Before visiting the medical center, standard genital hygiene is sufficient. It is advisable to remove hair from the groin area to prevent it from interfering with the application of the device.

During your first visit, you must sign a contract for the paid service and a consent form for the use of your personal data. This process takes 5-10 minutes. The procedure itself is performed in the doctor's office and includes the following steps:

  1. Applying a condom to the penis
  2. Placing the penis in a cylindrical cup with a hole (the scrotum remains outside)
  3. Connecting the cup to the LOD device, which creates negative pressure
  4. Adjusting the device settings for cyclical stimulation of the penis: achieving a stable erection, reducing the pressure to allow blood to flow out, and repeating the entire program from the beginning

The procedure lasts no more than 15-20 minutes. For good results, approximately 20 sessions, performed 2-3 times a week, are required.

To allay any fears and concerns, you can watch a video about LOD therapy in urology before your doctor's appointment. A demonstration of the device and a schematic model of its operating principles will help a man prepare psychologically for the upcoming session.

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LOD therapy at the K+31 clinic

Urology is one of the medical center's core services. Patients can receive qualified care from an initial consultation to a comprehensive therapeutic program. Doctors successfully treat prostatitis, prostate adenoma, sexual dysfunction, and other conditions with medication, hardware, and surgery.

The K+31 Clinic offers patients hardware therapy for impotence in a comfortable environment. We use modern LOD therapy equipment, and the procedure is performed by highly experienced urologists. Our doctors understand the sensitivity of the situation and patient concerns, strictly adhere to medical ethics, and strive to create a trusting atmosphere during the appointment.

To find out prices, schedule a urologist appointment, and phallodecompression, please submit an online request or contact us by phone.

LOD therapy at the K+31 clinic

Make an appointment at a convenient time on the nearest date

Reviews

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 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.
My father suffered for a long time from prostate adenoma. Finally, we were fortunate enough to see Nikolai Ivanovich. The doctor explained the procedure and rehabilitation process. As a result, my father is now undergoing rehabilitation after laser enucleation of the prostate. If anyone has the same problem, I highly recommend Sorokin!
05.12.2025
Nina
I went to see Darya Yuryevna for an inflammation. The doctor examined me, took swabs, and told me what tests I needed to do. Based on the results, she prescribed a course of medication. After several months of treatment, the pain really did stop. I highly recommend her!
05.12.2025
Konstantin
I went to see Igor Igorevich after cancer treatment. I was immediately impressed by his politeness and tact. I'm quite old, but I've never met such a pleasant doctor. He listened to all my concerns and answered all my fears. He then removed a stent from my ureter and prescribed medications to mitigate the effects. Afterwards, we monitored my kidney function for several weeks. Thank God, everything is fine, and I don't regret trusting such a wonderful specialist.
05.12.2025
Olga Nikolaevna

About doctor:

Survillo Igor Igorevich

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