Are you looking for information on a possible erectile dysfunction treatment in London? In this insight, you will find the explanations of one of the most important scholars of erectile dysfunction disorder, Dr Fabio Castiglione, winner of the prestigious Award of Excellence 2022 of the European Society for Sexual Medicine!
Erectile dysfunction treatment in London, what options do you have? Let’s talk about it with Dr Castiglione!
Dr. Fabio Castiglione is both an Andrologist and Urologist. He graduated in Medicine and Surgery and subsequently completed his training in Urology at the Vita Salute San Raffaele University in Milan. He holds a PhD in stem cells and erectile dysfunction from the Katholieke Universiteit Leuven (Belgium). He is a member of the European Committee of Sexual Medicine (FECSM), of the European Urology Board (FEBU) and member of the scientific committee of the Andrological Guidelines of the International Sexual Medicine Society (ISSM), of the European Society of Urology (UAE) and of the European Society for Sexual Medicine (ESSM). Dr. Castiglione also holds the qualifications as Full Professor in Urology in Italy and Consult Urologist at the King’s College Hospital in London.
Scientist and researcher
Dr. Castiglione is the author of over 90 publications in international journals and is the creator of P-Shocks® www.p-shotlondon.com, the most advanced treatment for Peyronie’s disease and erectile dysfunction, for which he was awarded with Excellence Award 2022 by the European Society for Sexual Medicine and from the international Society for Sexual Medicine (ISSM)
Let us define the problem, erectile dysfunction!
What is erectile dysfunction or male impotence and How may it cause sexual issues, often breaking couples and developing psychological problems? Modern man attaches great importance to a harmonious intimate life which is the foundation of a strong and healthy relationship between a man and his partner. One of the problems that can compromise the couple relationship is erectile dysfunction. Erectile dysfunction (ED) or male impotence is defined as a man’s persistent inability to achieve and maintain sufficient rigidity on the penis for normal sexual intercourse. When this disorder gets worse, it makes sexual intercourse almost impossible, which becomes the cause of infertility, loneliness, depression, up to deep depression. In USA, the number of men over the age of 40 with some form of erectile dysfunction is estimated to reach 150 million. Obviously, it poses a huge medical and social problem.
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How do we notice this problem?
The topic in question is very delicate and important and often represents a real taboo for most men. Not being able to maintain an erection is a difficult topic to discuss with a partner, with friends and, for most men, even with a doctor. However there is a substantial difference, a doctor can show you the way to solve the disorder, your partner or friend can’t! Having said that, from the description given above, the answer seems obvious but it is not. It’s one thing to have an episode of erectile dysfunction, it’s another to have a condition.
Keep in mind
Having an episode of erectile dysfunction can happen to anyone! We must be realistic, because for various reasons, it is possible to run into episodes of erectile dysfunction that we can define as occasional. These are not and do not cause a problem! To give a benchmark and be more specific, less than 1 time every 5 sexual intercourses. These episodes should absolutely not cause concern because they very often occur on particular occasions such as: abuse of alcohol, drugs or physical tiredness.
N.B. Experience shows that even these single episodes can have psychological implications that create stress and performance anxiety which, in turn, trigger further episodes of erectile dysfunction, giving rise to a vicious cycle that feeds on itself. Conversely, in conjunction with heart problems, it is a sign that should not be underestimated and it is therefore necessary to investigate with an Andrologist.
Are you looking for erectile dysfunction treatment in London? THERE IS NO single treatment that solves your problems! First of all you need to know exactly what problem you will have to face!
The diagnosis of male impotence
Diagnostic measures for erectile dysfunction are aimed at establishing the cause of its development and the degree of changes, which in turn allows for rational planning of treatment. The stage of the patient’s medical history is critical, as the doctor attempts to determine how the sickness began and what might have caused it. Particular attention is paid to the individual characteristics of sexual life, “habitual” sexual intercourse, the presence and quality of night and morning erections. After a general medical examination, an examination of the genitals is performed. The focus is on secondary sexual characteristics, the hair growth distribution, structural changes in the penis and testicles as well as the shape and consistency of the prostate gland, which are assessed by rectal examination.
Other investigations
- The hormone levels
It is important to determine the levels of testosterone, prolactin, gonadotropin, estradiol, follicle-stimulating and luteinizing hormones in the blood. This allows the andrologist to identify the concomitant pathology. A biochemical blood test for sugar, cholesterol, etc. is also performed. Sometimes, for differential diagnosis, a drug test is performed with the injection of papaverine or alprostadil into the corpora cavernous for getting an artificial erection.
- The ultrasound examination
Of great importance in the diagnosis of prostate diseases ( prostatitis, etc.), which can cause erectile dysfunction. Using Doppler ultrasound, blood flow in the cavernous bodies of the penis and the amount of venous outflow are evaluated. The technique allows to identify signs of vascular atherosclerosis, fibrotic alterations or calcifications of the cavernous tissue; which is important from the point of view of prognosis.
- MRI
An even more detailed study of the morphology and blood flow in the corpora cavernous can be done using magnetic resonance imaging of the penis and cavernous tissue biopsy.
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The importance of prevention and accurate diagnosis!
There are two fundamental aspects that it is important to understand in order to counteract this disorder. Diagnosis of the causes and prompt access to a specialist. Both are important factors in determining the appropriate therapy for each individual case.
The main symptoms of erectile dysfunction are:
- Decreased of the sex drive.
- Weakness or absence of nocturnal and morning erections.
- An increase in the time between making love and getting an erection.
- Premature ejaculation and decrease in the amount of sperm secreted.
- Decreased or loss of sensation of a orgasm.
- Long recovery between erections, inability to perform a second intercourse.
- The inability to achieve and maintain sufficient rigidity of the penis for penetration.
In advanced cases, complete impotence develops.
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What treatments are available to combat ED
It should be considered that an underlying condition such as poorly managed diabetes, certain medications such as selective serotonin reuptake inhibitors (SSRIs), low testosterone (hypogonadism), smoking, binge drinking and/or obesity; are often the main causes of erectile dysfunction. It is essential to understand that before embarking on a treatment, it is essential to address the etiology or the causes. This may involve changes in diabetes management, a change in medication, testosterone replacement therapy, or altering your lifestyle by stopping smoking or gaining weight.
There are many treatments available to counteract or resolve erectile dysfunction, the most typical forms of treatment are listed below:
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Psychosexual counseling
Erectile dysfunction can be caused by psychological factors, this implies that psychological elements such as thoughts, feelings, and interpersonal dynamics may be to blame. Psychosexual treatment is most likely the best solution in these circumstances. Men who struggle with erectile dysfunction may still benefit from sex therapy or counseling even if their erectile dysfunction is not psychogenic because it often has an impact on their mental health.
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PDE5 blockers
PDE5 inhibitors are a class of drugs that includes oral erectile dysfunction treatments such as: sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra). These drugs might have modest adverse effects such as headaches, nausea, and hot flashes, but are typically useful for treating erectile dysfunction. PDE5 drugs also have a lower risk of priapism, which is an erection that lasts longer than four hours.
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Vacuum device
A cylindrical device called a vacuum erection device is placed over the penis and sucks out all the air, allowing blood to enter the penis to produce an erection. A ring or band placed at the base of the penis can then be used to maintain this erection and maintain blood flow to the organ. While useful, some men find the device uncomfortable.
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Penile injections
Intracavernous injections are a treatment option for erectile dysfunction for some men. For this method, men are instructed in how to administer erectile dysfunction medicine using a tiny needle and syringe directly into the penis to achieve an erection.
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P-shock®
Erectile dysfunction and Peyronie’s disease are both conditions that can be treated with The P-Shocks®, a revolutionary regenerative treatment procedure, developed by Dr Castiglione himself. Shockwave sessions, medications, dietary supplements, vacuum pump therapy, and platelet-rich plasma are all components of the P-Shocks® Treatment
Protocol (PRP). P-Shocks® treatment is individualized for each patient based on the severity of the patient’s impotence or penile deformity.
For more information, please visit our website at https://www.p-shotlondon.com
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Surgery to implant a penile prosthesis
Penile implant surgery is an option for chronic erectile dysfunction that doesn’t improve with standard therapies. A prosthesis or penile implant is inserted into a man’s penis during this procedure to provide him with the ability to get erections whenever he wants. Penile implants come in two varieties: inflated implants and semi-rigid shaft implants. An erection is produced by pumping fluid from a connected reservoir into an inflatable implant, as the name suggests. On the other hand, semi-rigid shafts only need to be placed outside the body to cause an erection.
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Conclusions
Regardless of the form and stage of erectile dysfunction, this condition requires professional medical attention. Always consult an Andrologist or Urologist, who can establish the exact causes and provide the right erectile dysfunction treatment in London for you! If you are looking for an Andrologist in London you have just discovered the best professional and center available in the city! Dr Castiglione can be found at Holistic Andrology at +447830398165 or you can send an email with your requests to: info@holisticandrology.com.