Overview
Erectile dysfunction (ED), also known as impotence, is a condition that prevents a man from achieving or sustaining an erection. The condition prevents you from getting sexual gratification and can lead to dissatisfaction and poor self-esteem.
Aetiology
Erectile dysfunction may arise for several reasons, including issues with the vascular system, endocrine system, and nervous system. The following disorders may significantly contribute to the development of erectile dysfunction:
- Type 2 diabetes
- Blood vessel and cardiovascular disease
- Peyronie’s disease is a disorder whereby scar tissue develops underneath the skin of the penis. Peyronie’s disease is more likely to occur in those who have a family history of the disorder or those who have been diagnosed with diabetes and erectile dysfunction.
- Atherosclerosis occurs when plaque (fatty deposits) accumulate inside the arteries. This condition results from the natural ageing process and hardening of the arteries. The build-up of plaque restricts blood flow and hinders arterial function, increasing the risk of stroke, peripheral arterial disease, and a transient ischemic attack.
Diagnosis
Rest assured, a diagnosis of erectile dysfunction is made based on a comprehensive medical and sexual history. Dr Abdel Goad will inquire about your medical and sexual information, which determines the level of pleasure from an erection and the time in which an erection occurs. He will also inquire about a history of damage to the blood vessels or nerves in close proximity to the penis. By actively reviewing your sexual history, Dr Abdel Goad diagnoses issues with sexual desire, climax, ejaculation and erection.
Treatment
Lifestyle modifications exist to minimise or improve the effects of erectile dysfunction, such as:
- Quitting smoking and drinking
- Discontinuing illegal/toxic drug use
- Increasing the amount of exercise
- Maintaining a healthy, balanced body weight
The role of counselling is a crucial part of the treatment process for erectile dysfunction. It's designed to address the psychological and emotional issues that may be contributing to the condition, providing a holistic approach to treatment.
FAQ
- Obesity
- Excessive smoking
- Cardiovascular disease
- Elevated cholesterol levels
- Healthy lifestyle adjustments
- Counselling
- Medications
Types of surgeries include:
- Penile implant
- Vascular reconstruction
FREQUENTLY ASKED QUESTIONS
What are considered concerning urological symptoms?
- A weak urinary stream
- Signs of bladder stones
- Difficulty urinating
- Pain