Treatment of erectile dysfunction

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Treatment of erectile dysfunction

Erectile dysfunction, also known as impotence, is the inability to achieve or maintain an erection strong enough to have satisfactory sexual intercourse. Erectile dysfunction can occur at any age of man's life, but is more likely to affect older people or those with health problems.

Erectile dysfunction can occur due to a number of factors, which are strongly linked to age.

  • The most common cause of erectile dysfunction among adolescents and young men are psychological problems.They are associated with complexes, fear of unwanted pregnancy or inexperience in the sexual sphere. For patients of this age, we recommend starting the diagnosis with internal medicine and sexology consultation with prof. dr hab. n. med. Józef Haczyński.
  • In men aged 35+impotence mostly occurs due to stress, exhaustion and problems with personal relationships. Organic causes such as early hypertension, coronary artery disease, atherosclerosis or diabetes are also becoming increasingly important. Patients of this age are recommended to benefit from Comprehensive Erectile Dysfunction Diagnostic Package. Diagnostic package developed by the Vedi Clinic medical team consists of a series of specialist consultations as well as laboratory, physical and imaging tests to diagnose the possible causes of the patient's erectile dysfunction problem.
  • In the majority of patients aged 45+the organic component of erectile dysfunction is present. Patients of this age are recommended to start the diagnosis with a urology and andrology consultation with Dr Piotr Dzigowski or Dr Paweł Pudełko. It is important to remember that erectile dysfunction is the end result of a complex process that depends on vascular, hormonal, neurological and psychological factors.

Diagnosis of erectile dysfunction in the VEDI CLINIC begins with blood and urine laboratory tests. They allow the detection of co-morbidities (e.g. diabetes, atherosclerosis or liver disease) and the exclusion of abnormal functioning of the body's basic systems - factors that can have a negative impact on erection quality.

To start treating erectile dysfunction resulting from abnormalities at the level of the main blood vessels supplying the penis with blood, the doctors at VEDI CLINIC perform an advanced and highly reliable examination called Penile Doppler ultrasound. During a Doppler ultrasound examination, both the condition of the vessels supplying and draining blood from the penis are assessed, and in addition, the speed of blood flow in these blood vessels is also measured. The Doppler ultrasound examination also makes it possible to assess the function of the endothelium and the condition of the smooth muscle, which play an important role in the process of achieving an erection.

Erectile dysfunction - a barometer of male health

The causes of erectile dysfunction can be manifold and related to coexisting chronic diseases, or it can be the first and for a long time the only symptom of serious diseases, such as heart disease, vascular atherosclerosis, diabetes and pre-diabetes, hypertension, sleep apnoea, prostate disease, trauma or surgery in the perineal and/or spinal region. Disorders of penis stiffness can be also caused by endocrine disruptors, emotional and psychogenic problems, such as stress, especially chronic stress, depression, anxiety, disturbances in the quality and quantity of sleep or relationship problems.

Treatment methods

The choice of appropriate treatment for erectile dysfunction depends on the severity and cause of the condition. Treatment is often multistage and begins with identifying the source of the condition.

  • These may be psychological factors ( impotence psychogenic), which most often include depression, anxiety, permanent severe stress, complexes (especially the small penis complex), low self-esteem, emotional problems, religious conditioning and unconscious homosexual needs. Psychogenic impotence can also be related to an unsatisfactory relationship, an unsuitable partner, loss of desire or monotony. Psychogenic impotence is the most common cause of sexual dysfunction among young men.
  • In the case of erectile dysfunction, which is caused by physical factors (organic impotence), we are dealing with a dysfunction caused by hormonal disorders (decreased testosterone levels) or coexisting chronic diseases. These can be caused, for example, by heart disease, arteriosclerosis, diabetes and prediabetes, but also by hypertension, sleep apnoea, prostate disease, trauma or surgery in the perineal and/or spinal region. 

Erectile improvement can be achieved inter aliathrough:

    1. Appropriate pharmacological treatment to increase blood flow to the penis
    2. Application of Shockwave Therapy
    3. Hormone replacement therapy with testosterone
    4. Individual and partner therapy
    5. Injection into the penile corpora cavernosa
    6. Lifestyle modification: diet and avoidance of stimulants, increasing physical activity, reducing stress

Start treatment at the VEDI CLINIC Men's Clinic

It is important to overcome unnecessary embarrassment and talk to a doctor about problems with penis stiffness (sexologist, andrologist, urologist). Erectile dysfunction not only negatively affects the quality of life and can lead to the end of a relationship, but, above all, it can be the first and even the only symptom of many serious medical conditions. Professional medical advice can help to identify the cause of the problem and treat it effectively.

Erectile Dysfunction Diagnostic Package in 1 day!

Accurate and multi-specialist diagnosis of potency problems is the basis for planning an individually tailored and effective treatment process for this problem. In VEDI CLINIC, treatment of erectile dysfunction is carried out on the basis of Comprehensive Diagnostic Packageperformed during the patient's several-hour stay in the clinic. The diagnostic package developed by the VEDI CLINIC medical team consists of a number of specialist consultations as well as laboratory, physical and imaging examinations to diagnose the possible causes of the patient's problem.

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What is the diagnosis of erectile dysfunction?

The diagnostic package includes the following medical procedures:

Comprehensive laboratory tests

(analysis of blood and urine samples)

Pressure measurement


ECG examination


Internal medicine and sexology consultation

including a comprehensive medical history and physical examination

Urological consultation


Ultrasound examination

performed during a consultation by a specialist in urology and andrology, covering the male reproductive organs, including a Doppler examination to assess blood flow in the vessels.

As a result of the above procedures, we obtain a substantial body of information on the basis of which our specialists can make a diagnosis and plan further diagnostic (if necessary) or therapeutic procedures, such as pharmacological treatment or recommendations for lifestyle changes.

Price-list

Consultation with a sexologist390 PLN
Consultation with an urologist/andrologist350 PLN
Comprehensive Erectile Dysfunction Diagnostic Package2 500 PLN
Qualifying consultation for LSWT therapy350 PLN
Urinary tract ultrasound with evaluation of backflow260 PLN
Ultrasound of the testicles/ scrotum260 PLN
Tissue-structure ultrasound of the penis350 PLN
Transrectal urological ultrasound260 PLN
STORZ therapy – 1 treatment700 PLN
STORZ therapy – a package of 4 treatments2 400 PLN
RENOVA therapy – treatment of impotence – 1 treatment800 PLN
RENOVA therapy – treatment of impotence – a package of 4 treatments2 800 PLN

Patients' opinions

Q&A

The erectile mechanism works through the cooperation of the nervous system and the circulatory system. For an erection to occur, arousal is necessary, which can come directly from the brain through imagination or sensory stimuli, or from the sensory nerves through tactile stimuli.

A key element of an erection is the proper functioning of the corpora cavernosa. During arousal, blood vessels supply the corpora cavernosa with blood, resulting in an erection. Erection is essential for sexual intercourse, so chronic lack of erection can lead to potency disorders.

Erectile dysfunction is becoming a pressing problem for many men. As many as 22% men under the age of 40, and almost half of men in their 70s, have erection problems. Lack of erection can cause frustration and lack of satisfaction with sexual intercourse. The stress associated with this can lead to chronic erectile dysfunction dragging on for years. This only reinforces the fear and anxiety associated with not having an erection, having sexual intercourse or starting new relationships.

Erectile problems should not be taken lightly, as they can be a symptom of other serious diseases. Diabetes, cardiovascular disease or urological problems can cause erection problems and be one of the first symptoms of undiagnosed abnormalities.

The problem of erectile dysfunction can affect anyone. Erectile dysfunction in its simplest terms can be understood as a lack of erection. Despite the desire for intercourse and the potential excitement, the man is unable to get erect. Erectile dysfunction happens to everyone, but if the problem is persistent you should see a specialist.

There are various erectile dysfunctions. Some are psychogenic - for example, fear of intercourse, stress about a new partner, or fear of being judged. Other times, erectile dysfunction can be caused by a problem with the circulatory system, the vessels of the corpora cavernosa, or a problem of a urological nature.

Many men occasionally have erectile dysfunction - it is obvious that one may not always be ready for intercourse. However, if the problem is frequent, circulatory abnormalities, e.g. correct filling of the corpora cavernosa, or psychological problems should be ruled out.

Not having an erection when a man wants to have intercourse can cause frustration. Sometimes a man has erectile dysfunction related to stress or fatigue, but if erectile dysfunction is causing problems that affect quality of life, it is worth considering what causes erectile dysfunction and how to deal with it. 

It is important that the man feels comfortable and relaxed before intercourse. A good atmosphere, foreplay and trust between partners is important. If stress is very high, a minimal amount of alcohol can be consumed before intercourse to relax. 

It is also possible that erectile dysfunction is caused by negative interactions between drugs used by the patient to treat other diseases. If a man has erectile dysfunction and is being treated for other ailments at the same time, the internal medicine specialist should select the drugs in such a way that they do not create erectile dysfunction.

Doppler ultrasound performed by an angiologist or radiologist is a key diagnostic tool to visualise the patient's individual anatomy, assess the condition of the penile vascular system and exclude vascular pathologies such as venous leakage or other malformations.

During a Doppler ultrasound examination, both the condition of the vessels supplying and draining blood from the penis are assessed; in addition, the speed of blood flow in these blood vessels is also measured. The Doppler ultrasound examination also makes it possible to assess the function of the endothelium and the condition of the smooth muscle tissue, which play an important role in the process of achieving an erection. To begin treatment of erectile dysfunction resulting from abnormalities at the level of the main blood vessels supplying the penis with blood, performing a Doppler ultrasound examination is essential.

Erectile problems can also arise due to urological complaints or abnormalities. During the consultation, the urologist carries out, in addition to a medical history, a physical examination of the patient to exclude anatomical abnormalities.

The urological physical examination is divided into a genital examination, during which the doctor assesses the appearance and function of the genital organs (including the urethral orifice, frenulum, foreskin and testicles). The second stage of the physical examination is a per rectum examination to rule out prostatic hyperplasia. The urologist is the doctor who qualifies the patient for shockwave treatment and hormonal treatment.

During the insternistic-sexologic consultation, the doctor, in addition to taking a medical history and physical examination, discusses with the patient the question of pharmacological treatment. The specialist analyses the information obtained in order to find the cause of the problem, whether it lies in the psychological sphere or among the symptoms of somatic diseases. During the consultation, the doctor rules out possible interactions between drugs used by the patient to treat other diseases, determines the risk of erectile dysfunction due to taking pharmacological agents, and adjusts the dose and type of drug used to treat erectile dysfunction on an ad hoc basis.

The medical consultation is complemented by a psychological-sexological consultation, carried out by a clinical psychologist-sexologist based on specially selected tests concerning sexual dysfunctions. The clinical psychologist-sexologist also carries out a detailed history of the patient's sexual activity, with particular emphasis on psychological and environmental aspects. Further treatment of erectile dysfunction of psychogenic origin is based on the opinion of the clinical psychologist.

  • Accurate and multifaceted diagnosis of potency problems.
  • Laboratory diagnostics, ultrasound (Doppler) imaging and urology, sexology and psychology in one place.
  • We respect your time - we perform the entire erectile dysfunction diagnostic package in 1 day!

During the summary of all the procedures carried out as part of the VEDI diagnostic package, the patient is given recommendations concerning e.g. lifestyle or dietary changes and/or medical recommendations, including prescriptions for medication. The first effects of the introduced changes and/or the application of the treatment should already be visible after 2-4 weeks, which is why we invite the patient for a FREE consultation with the VEDI Package Coordinator, Prof. Haczynski, after one month from the date of the diagnostic procedure. The aim of this consultation is to analyse the current situation together with the patient and assess how the treatment is going, as well as to modify the recommendations if necessary.

Why is it worth to sign up for a consultation at Vedi Clinic?

  • Accurate and multifaceted diagnosis of potency problems.
  • Laboratory diagnosis, ultrasound (Doppler) imaging and consultation by a urologist/andrologist, sexologist and psychologist in one place.
  • We respect your time - we implement this comprehensive solution in 1 day!

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