Erectile Dysfunction

At Spire Healthcare we understand that suffering with erectile dysfunction (impotence) can be distressing. However, we have the skills and expertise to be sensitive to patient privacy and treat you as an individual.

Recent research has enabled us to adopt a  multi-disciplinary approach to treating erectile dysfunction. Whilst once thought to have predominately psychological causes, new evidence suggest that physiological causes play a major role, in particular poor blood flow to the penis. 1

Erectile dysfunction (ED) is a common problem, thought to affect 30-45% of 40-70 year old men to some degree1. A common cause of erectile dysfunction is reduced blood flow in the penis, called vasculogenic ED. 

Risk factors for erectile dysfunction (impotence)

There may be many or singular risk factors and can include the following:

  • Smoking
  • Diabetes
  • Age – over 40 years
  • Existing vascular disease
  • Some types of medication- including most treatment for blood pressure
  • Obesity
  • High Cholesterol



To establish whether your erectile dysfunction may be related to risk factors associated with vascular disease, our consultant will undertake a full medical history. You may also require the following tests depending on your clinical history.

If you have previously been unresponsive to standard therapies then you and your consultant may also consider undertaking the following additional diagnostic tests.

Your consultant will discuss this with you during your consultation and you can decide which course of diagnostic tests and treatment is right for you.


1  Does low intensity extracorporeal shock wave therapy have a physiological effect on erectile function? Short-term results of a randomized, double-blind, sham controlled study. Vardi Y, Appel B, Kilchevsky A, Gruenwald I. J Urol. 2012 May;187(5):1769-75.

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© Spire Healthcare Group plc (2016)