Erectile Dysfunction (ED) Erectile Dysfunction (ED)

Erectile Dysfunction (ED)

Are you consistently unable to achieve and maintain an erection that provides satisfactory sexual function?

Our experienced team is available for an assessment of your unique situation. Please contact us today to see what treatment option might benefit you.

ERECTILE DYSFUNCTION

Erectile Dysfunction (ED) is a medical condition where a man is unable to achieve and maintain an erection that allows for satisfactory sexual function. ED is also referred to as impotence.

A recent study shows that 49% of Canadian men over 40 experience symptoms of erectile dysfunction.

If you or someone you love suffers from erectile dysfunction (ED), the most important thing you need to know is this: you are not alone.

Erectile dysfunction can affect men of any age for a variety of reasons, including (but not limited to) diabetes, high blood pressure, depression, and side effects from prostate cancer therapies.

WHAT IS ERECTILE DYSFUNCTION?

When a man becomes aroused, the brain releases a neurochemical to increase the size of blood vessels carrying blood to the penis and reduce the size of the vessels that carry it out. Twin compartments that run the length of the penis, called corpora cavernosa, become flush with blood that is trapped in the shaft. This causes the penis to stiffen and become erect.

If blood flow to the penis is inhibited or the blood vessels are clogged or constricted, erection cannot be achieved or maintained. This is one of the primary causes of erectile dysfunction.

ED is a treatable medical condition that is not related to masculinity or sexual prowess.

SYMPTOMS

The common signs of erectile dysfunction are related to the inability to achieve erection:

  • Erections are less hard
  • Erections may take longer and require more stimulation
  • Erection cannot be maintained during sexual intercourse
  • Erection cannot be achieved at all.

For some men with ED, penetration may not be possible. For others, penetration can be initiated but not maintained until orgasm is reached.

Men with ED often lose confidence in their sexual ability and their overall sense of self-worth can be negatively affected. Erectile dysfunction can have an important psychological impact.

THINK YOU HAVE SYMPTOMS OF ERECTILE DYSFUNCTION?

Take a quiz on our website. Use your answers talk to your doctor about your symptoms. The quiz will assist your doctor to assess your symptoms and create a personalised management plan and and suitable treatment options.

TAKE A QUIZ

Erectile dysfunction

CAUSES

Erectile dysfunction occurs when blood flow to the penis is inhibited. Healthy arousal engorges the penis with blood causing it to stiffen and become erect. Without an influx of blood that is held in the penis until after ejaculation, erection will not be maintained.

The reasons for erectile dysfunction can be broken out into two groups: Psychological and Biological.

Psychological: The inability to perform sexually can cause further anxiety and depression, creating a downward spiral. Men who suffer from clinical depression or chronic stress may become impotent. Some of the medications that treat depression can also contribute to the problem.

Biological: Health conditions that affect circulation, structural anomalies in the penis, certain neurological conditions can cause erectile dysfunction.

RISK FACTORS

Erectile dysfunction is a common condition among older men. Aging is a key component in developing ED.

  • Men’s testosterone levels naturally decline at a rate of 1% a year, starting in a man’s thirties.
  • High cholesterol and the buildup of arterial plaque over time causes blood vessels to narrow, lessening the capability of your circulatory system.

Lifestyle choices and health conditions can also contribute to erectile dysfunction:

  • Obesity
  • Smoking
  • Diabetes
  • High blood pressure
  • Sedentary life style
  • Chronic alcohol/substance abuse

DIAGNOSIS

Your doctor will review your symptoms and do an examination of the penis, prostrate, testicles and rectum.

The following tests may also be performed in some cases:

  • Testosterone levels: blood test taken in early morning to look for testosterone deficiency.
  • Thyroid function: Blood test to determine thyroid hormone levels
  • Blood sugar levels: Glucose test to determine whether diabetes is present

The doctor may test for other conditions or indicators of poor circulation such as high cholesterol.

diagnostics

Lab Test

diagnostics

Penile Ultrasound Doppler

TREATMENTS FOR ERECTILE DYSFUNCTION

ED is a treatable condition and most men are able to return to healthy sexual function. Most men are afraid of experiencing “trouble in the bedroom” as they age. Our solutions can restore your confidence.

MEDICATION

The most common treatment is PDES inhibitors (i.e. Sildenafil or Tadalafil) that increase blood flow to the penis. Men with certain health conditions cannot take PDES inhibitors
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INJECTABLES

These medications stimulate blood flow.

Urethral suppositories or self administered injections

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LOW INTENSITY SHOCKWAVE THERAPY

The application of low-intensity shockwaves (similar to sound waves) to reopen veins and re-establish proper blood flow to the penis.
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INJECTION THERAPY FOR MEN

Using the patient’s blood, platelet rich plasma is separated and injected into the afflicted area, revitalizing muscles and tissues and improving circulatory function.
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PENILE VACUUM DEVICE

This device fits over the penis and is pumped to achieve an erection. An elastic ring around the base of the shaft holds the blood in the penis, maintaining erection.
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PENILE IMPLANTS

Protheses implanted in the penis, either as bendable rods or inflatable cylinders that are pumped up to achieve erection.
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The images and/or videos are not presented as a guarantee of result. The results may vary. Patients gave their consent for the publication of images and/or videos.

LET'S START TALKING !

At Steinberg Urology we pride ourselves on our compassionate care we offer to those facing challenges that affect their quality of life. Our urologists have years of experience and a commitment to excellence.

If you need to discuss this sensitive medical concern, schedule a consultation at our clinic in a safe confidential environment. Let us help you achieve optimal health and wellness in a professional setting.

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