"It is very important the support of the couple and the exposure of the problem to the doctor with total naturalness".
DR. JOSÉ ENRIQUE ROBLES GARCÍA
SPECIALIST. UROLOGY DEPARTMENT
Erectile dysfunction exists when the man is unable to achieve sufficient rigidity of the penis to allow complete vaginal penetration, resulting in an orgasm with ejaculation in the posterior vaginal fundus, resulting in satisfactory sexual intercourse. This incapacity must be manifested in a persistent way in order to be considered as an alteration.
Age is the most important risk factor for suffering from erectile dysfunction of any degree and the older you get, the more severe the process becomes.
The most frequent alterations are vascular and especially arteriosclerosis. In this group are people with high cholesterol, smoking, diabetics and people with high blood pressure. Also due to damage in vascularization, people who have suffered trauma in the bones of the pelvis or who have been treated with radiotherapy.
Less frequently it occurs in brain diseases, such as Parkinson's, Alzheimer's, thrombosis and stroke. Also spinal cord disorders, such as herniated discs, spinal fractures with spinal cord damage. People who have been surgically treated for prostate, colon or rectal cancer, can also suffer from erectile dysfunction.
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What are the symptoms of erectile dysfunction?
The symptom of the dysfunction is the difficulty or impossibility to achieve an erection or to maintain it before or during the sexual act.
It can occur suddenly or gradually. Some men slowly lose the firmness of their erections or the duration of their erections.
In other men, especially when it is largely due to psychological factors, the problem can occur in an unpredictable manner and can improve at any time.
Despite difficulties with erections, they may continue to have normal orgasms and ejaculations without a full erection.
The most common symptoms are:
- Difficulty or impossibility to maintain an erection.
- Difficulty or impossibility of achieving an erection.
Do you have any of these symptoms?
You may have erectile dysfunction
How is erectile dysfunction diagnosed?
In order to know the degree of erectile dysfunction or if such a situation exists, specific questionnaires are carried out that with a few questions can make it known. This can be useful for people with difficulty in oral expression and as a test to detect the dysfunction.
The doctor will take a detailed medical history and will inquire into the history search. It is also useful to know the social and family situation.
Afterwards, the doctor will perform a physical examination and will request some analyses in order to know the hormonal situation and the possible imbalances of the hepatic, renal or pancreatic function.
How is erectile dysfunction treated?
The treatment should be oriented according to the patient's expectations and wishes and with the participation of the couple in the discussion and choice of treatment.
Although most patients will benefit from a symptomatic treatment, that is to say, without relation to the cause, in some occasions the causal treatment is resorted to, as it can be the treatment of a psychologist specialized in sexology.
As a symptomatic treatment, the oral administration of a tablet containing sildenafil, vardenafil or tadalafil citrate has been shown to be effective. These drugs act, when there is sexual stimulation, increasing the blood flow of the penis.
As second line treatments, medications that the patient injects into the body of the penis are used. They have some side effects that should be avoided with a good training of the patient.
As a third line treatment, there is the placement of penile prosthesis. It is the last option because of its aggressiveness. The satisfaction rate is high, but it is not without complications.
Where do we treat it?
IN NAVARRE AND MADRID
The Department of Urology
of the Clínica Universidad de Navarra
The Department of Urology of the University of Navarra Clinic offers the patient a medical team, composed of first-rate professionals, and state-of-the-art diagnostic and therapeutic means such as the Da Vinci® robotic surgery.
The Department of Urology possesses the certificate of accreditation of the European Board of Urology, a reinforcement of the excellence of the service at the level of care, teaching and research, which in Spain only three hospital centers possess.
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- A team of top-level professionals trained in international centers.
- State-of-the-art technology for diagnosis and treatment.
- In 24-48 hours you can start the most appropriate treatment.
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