Erectile Dysfunction

Erectile dysfunction is a medical condition of the male genitalia characterized by lack of, ability or inability of achieving an erection required for sexual intercourse.  The condition is also referred to as impotence in common terminology. An erection is required for penetration and stimulation of male genitalia for ejaculation. As a result of erectile dysfunction, ejaculation may be difficult to achieve, and the sexual desire of both the partners may be affected. It is also known to cause anxiety, stress, problems in marital relationship, and a damaging impact on self-esteem.

Erection of the penis is controlled by signals released by the brain as a response to emotional and physical stimulation. The brain communicates with the penis to achieve an increase in blood flow, an increased heart rate, and relaxation of the blood vessels in the penis. As the blood vessels in the penis enlarge and fill with blood the penis increases in size leading to an erection and increased blood pressure maintain stiffness.

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Erectile dysfunction can be due to several reasons which may vary from patient to patient. Common physiological conditions which can cause erectile dysfunction as a side effect are diabetes, hypertension, cardiovascular diseases, hyperglycemia, and other metabolic syndromes. The condition may become more severe if not addressed in a timely manner. Some of the other common reasons for erectile dysfunction are:

  • Overweight
  • Neurological conditions and neuropathy
  • Issues pertain to metabolism
  • Intoxication, addictions, alcohol, and smoking
  • Cardiovascular disease
  • Lower levels of testosterone
  • Side effects of medicines
  • Neuropathic conditions
  • Internal scars and tissue damage in the penis
  • Depression and emotional causes
  • Side effects of surgical procedures

Diagnosis of Erectile Dysfunction

The primary diagnosis includes a physical examination in which the patient is checked for any apparent symptoms. The doctor may also carefully carry out a phycological test to understand the patient’s condition. Medical history of the patient is also an important part that helps with the diagnosis. Ultrasound may be administered to monitor the blood flow in the patient’s reproductive parts. Blood tests may be done to look for any underlying health conditions, such as low testosterone levels, cardiovascular disease, and other conditions. Another characteristic test for ED is called overnight erection test, which is used to monitor erection of the penis during the night. A urine test may also be conducted to understand the health of the patient.

Platelet-rich Plasma Treatment for Erectile Dysfunction

Platelet-rich plasma therapy can be an effective treatment for erectile dysfunction. The treatment is relatively non-invasive and is completed quickly in-office with fewer side effects and invasiveness compared to other treatment options available.  In comparison to medications for erectile dysfunction, PRP has no negative and dangerous side effects to the cardiovascular system and treatment can still be received if one has a history of heart attack or other various heart conditions.

The PRP is prepared by drawing an amount of blood from the patient’s vein, it is then spun in an Arthrex Angel centrifuge which concentrates the platelets into PRP. The PRP is then harvested and injected to the corpora cavernosa with a small amount of freezing. The PRP stimulates healing and a return to the previous healthy state. It encourages the growth of healthier tissues and new cells in the penis and helps achieve a long-lasting, more frequent and firmer erection.  It may not be a suitable option in certain cases where the underlying cause is different. We will identify how suitable the treatment is for the patient after proper diagnosis.


For an in-depth article on PRP please read more here


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