Erectile Dysfunction Treatment
Erectile dysfunction is the inability to achieve or maintain sufficient erection. Treatment options include medication, PRP, shockwave therapy, and penile prosthesis.
What is Erectile Dysfunction?
Erectile dysfunction (ED) is the inability to achieve or maintain a sufficient erection for sexual intercourse. This condition affects approximately 40% of men over 40 and increases in frequency with age.
ED is not just a sexual problem — it can also be an early warning sign of cardiovascular disease, diabetes, and psychological issues.
Causes of Erectile Dysfunction
Organic causes (70-80%):
- Vascular causes: atherosclerosis, hypertension, high cholesterol
- Diabetes
- Hormonal disorders: low testosterone
- Neurological diseases
- Medication side effects
- Peyronie's disease
- Post-surgical complications
Psychological causes (20-30%):
- Performance anxiety
- Stress and depression
- Relationship problems
Diagnosis
- Detailed sexual history
- Physical examination
- Blood tests: testosterone, blood sugar, lipid profile
- IIEF Score questionnaire
- Penile Doppler ultrasound
Treatment Methods
1. Lifestyle Changes
Regular exercise, healthy diet, smoking cessation, weight control, and stress management.
2. Oral Medications (PDE5 Inhibitors)
Sildenafil, tadalafil, vardenafil, and avanafil. Must not be used with nitrate heart medications.
3. Penile PRP Therapy
Platelet-rich plasma from the patient's own blood is injected into the penis to promote tissue regeneration and vascularization.
4. Low-Intensity Shockwave Therapy (Li-ESWT)
Low-intensity sound waves stimulate new blood vessel formation. Painless, side-effect-free treatment.
5. Penile Prosthesis Surgery
When all other treatments are insufficient, inflatable or semi-rigid penile prosthesis is implanted. Patient and partner satisfaction exceeds 90%.
Erectile Dysfunction Treatment in Izmir
Prof. Dr. Orçun Çelik performs all modern ED treatment methods at Izmir Bazekol Hospital with personalized treatment plans and strict patient confidentiality.
