Erectile Dysfunction

Symptoms

Erectile dysfunction (ED) is the inability to achieve or maintain an erection that is firm enough and lasts long enough for satisfactory sexual activity. The way erectile dysfunction is experienced varies from person to person. A man's subjective perception of the problem does not always correspond to the objective severity of the condition.

Because erectile dysfunction can be an early sign of more serious health conditions, such as diabetes, coronary artery disease, osteoporosis, and other illnesses, you should always consult a doctor if your erection problems are persistent or keep recurring.

Who is at risk

Most men experience some form of erectile difficulty at some point in their lives, even if only temporarily. According to the Czech Urological Society, erectile dysfunction affects more than half of men over the age of 50.

The causes of erectile dysfunction may be physical or psychological. The most common physical cause is insufficient blood flow to the penis, making it difficult to achieve or maintain an erection.

Smokers, people with diabetes, patients with atherosclerosis, and men who have undergone pelvic surgery are at increased risk of developing erectile dysfunction. Certain medications, including some used to treat high blood pressure, may also contribute to erection problems.

Diagnosis and examination

The diagnostic process begins with a thorough medical history, including your overall health, chronic conditions, and any long-term medications you are taking. We also use the International Index of Erectile Function (IIEF) questionnaire to assess erectile function.

Treatment

Treatment for erectile dysfunction is comprehensive and tailored to the underlying cause. Depending on your individual needs, it may include psychological therapy, medication, mechanical devices, shockwave therapy, or, in selected cases, surgery.

At our clinic, we offer focused shockwave therapy using the STORZ MEDICAL DUOLITH SD1 T-TOP system, one of the most advanced technologies currently available. The latest generation of this technology reduces treatment time by up to half. A single session usually takes around 10–15 minutes, and several sessions are typically required at scheduled intervals.

Before treatment begins, it is important to identify the target area. This is done either by palpation or with the applicator itself. Ultrasound gel is then applied to ensure efficient transmission of the shockwave energy and minimise energy loss. The focused shockwaves are subsequently delivered precisely to the treatment area.

Surgical treatment for erectile dysfunction may involve the implantation of a penile prosthesis or procedures designed to improve blood flow to the erectile tissue. Today, however, surgery is required only rarely, thanks to the wide availability and effectiveness of modern medications.