Erectile dysfunction (or impotence) affects many men, particularly as they age.
In some cases it has psychological roots but it can also be an early indication of other conditions, particularly those relating to blood flow (vascular disease) and the heart. We offer expert diagnostic advice, rapid access to a range of tests that can help identify the cause. We also use ED-1000, an ultrasound procedure to help treat the underlying cause and let you return to a happy and full sex life.
Erectile dysfunction (or impotence) affects many men – particularly those over 40. Research suggests that up to 45% of men aged between 40 and 70 have some difficulty getting or maintaining an erection (source: Journal of Urology 2012 May).
We understand that suffering with erectile dysfunction can be distressing. It can undermine your self-confidence and self-esteem and prevent you having a full relationship with your partner.
Although it is often caused by psychological factors, impotence can also be an early warning sign of more serious physical health conditions. We have the skills and expertise to be sensitive to patient privacy and treat you as an individual.
Our expert consultants and experienced multi-disciplinary care teams can help diagnose the causes of your impotence and work with you in agreeing appropriate treatment.
Some of the tests we offer will establish whether your impotence is related to risk factors associated with vascular (blood vessels such as veins and arteries) or cardiac disease. Knowing the underlying cause(s) of your condition gives you the chance to work with your doctors on putting it right. This might include certain treatments such as ED-1000 which we offer, or penile implants, which we currently don't offer.
ED-1000 is an innovative and painless new treatment that uses low-intensity shockwaves to stimulate new blood flow to the penis. Patients with vasculogenic impotence or diabetes are the best candidates for ED-1000 treatment.
Recognising the complex factors at play, we’ll draw on the expertise of experienced and caring clinicians from a range of backgrounds and use a variety of tests to identify the causes of your impotence.
If you decide to have your treatment with us, you will be looked after by an experienced multi-disciplinary care team.
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Our patients are at the heart of what we do and we want you to be in control of your care. To us, that means you can choose the consultant you want to see, and when you want. They'll be with you every step of the way.
All of our consultants are of the highest calibre and benefit from working in our modern, well-equipped hospitals.
Our consultants have high standards to meet, often holding specialist NHS posts and delivering expertise in complex sub-specialty surgeries. Many of our consultants have international reputations for their research in their specialised field.
You will have a formal consultation with a healthcare professional. During this time you will be able to explain your medical history, symptoms and raise any concerns that you might have.
We will also discuss with you whether any further diagnostic tests, such as scans or blood tests, are needed. Any additional costs will be discussed before further tests are carried out.
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Our dedicated team will also give you tailored advice to follow in the run up to your visit.
We understand that having any medical tests and procedures, particularly those of a highly personal medical condition, can cause anxiety. Our professional and caring medical staff will be there to reassure you throughout.
Depending on your clinical history, you may require a blood test or ECG (echocardiograph) both of which are relatively straightforward procedures. During an ECG your doctor will move a sensor across your chest. This can be uncomfortable but it is not usually painful. The sensor monitors your heart rhythm for irregularities and the results are recorded during the 30 minute test for later analysis.
If you have previously been unresponsive to standard therapies then you and your consultant may also consider having a doppler ultrasound and pelvic angiogram.
Your consultant will discuss the results within you and determine the best course of treatment for you - such as penile implants or ED-1000. While we don't currently offer penile implants, your consultant will discuss with you how to pursue this treatment pathway.
ED-1000 treatment is designed specifically for the treatment of erectile dysfunction and involves low-intensity shockwaves (similar to ultrasound waves). The shockwaves created by the ED-1000 machine are focused onto the treatment area, stimulating the treated tissues to grow new micro blood vessels. Research suggests that the improved micro vessel network increases the blood supply to the erectile tissue, resulting in improved erection quality.
ED-1000 is given as an out-patient treatment in a series of 12 short treatment sessions over nine weeks. The treatment is given twice weekly during weeks one to three, followed by a break of three weeks (weeks four to six) and then a further three weeks with twice weekly treatments (weeks seven to nine).
The initial treatment will usually be given by the consultant and the subsequent treatments by a fully trained nurse. Each session will be scheduled for 25 to 30 minutes, with the actual treatment taking 15 minutes to apply. The consultant will be supervising your overall treatment. There will usually be two consultant follow-up visits, one during and one after treatment has been completed. Following the treatment longer term routine follow up is offered.
There are no reported side effects of ED-1000 and treatment can be effective for up to two years. Patients can return to normal activities immediately after treatment.
You and your doctor can also discuss appropriate treatment or next steps and we will provide with you any advice and information relevant to your particular circumstances.
Your consultant will talk to you about the possible risks and complications of having this procedure and how they apply to you.
But everyone is different. If you have any questions or concerns, we’re ready to help.
The treatment described on this page may be adapted to meet your individual needs, so it's important to follow your healthcare professional's advice and raise any questions that you may have with them.