Erectile dysfunction is usually a vascular disease. However, other causes can also trigger erectile dysfunction (ED). These are discussed in the consultation, e.g. prostate surgery, spinal trauma, hormone imbalances. ED is often associated with coronary heart disease, high blood pressure and diabetes mellitus. That is why the consultation also includes an examination and a blood sample. Finally, the extent of ED must be determined using the IIEF (International Index of Erectile Dysfunction) to give an approximate prognosis of possible success. Treatment with shock waves and/or PRP should only be used in patients with a vascular cause. Other erectile aids are an alternative, e.g. PDE-5 inhibitors such as Viagra®, Levitra® or Cialis®, which are considered the first choice for the treatment of ED. The second option is Alprostadil®, which is contained in the products Caverject® or MUSE®. In the consultation, we discuss which treatment is right for you.
