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Erectile Dysfunction (ED) Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow provides scientifically backed and protocol-driven treatment for Erectile Dysfunction (ED), a condition affecting penile rigidity, duration or the ability to maintain an erection adequate for satisfactory sexual performance. Under the care of Dr. Aditya Sengar (Urologist), we conduct a detailed evaluation of vascular, hormonal, neurological and structural causes before recommending targeted therapies including medical management, penile Doppler-guided treatment, intracavernosal injections and penile implant surgery.
What is Erectile Dysfunction?
Erectile Dysfunction is the inability to achieve or maintain a penile erection
firm enough for
sexual intercourse. It is a medical condition — not merely psychological — and
often indicates
underlying vascular disorders such as impaired arterial inflow or venous
leakage.
ED may also result from hormonal deficiencies, neurological disorders, medication side effects or structural abnormalities of the penis. Early evaluation helps identify reversible causes and significantly improves outcomes with appropriate treatment.
ED may also result from hormonal deficiencies, neurological disorders, medication side effects or structural abnormalities of the penis. Early evaluation helps identify reversible causes and significantly improves outcomes with appropriate treatment.
Vascular Causes – Arterial Insufficiency & Venous Leak
Most cases of organic ED arise from inadequate blood flow into the penis
or failure to
trap blood within the corpora cavernosa. Penile Doppler ultrasound
identifies reduced
arterial inflow, veno-occlusive dysfunction and plaques suggestive of
Peyronie’s disease.
Hormonal Abnormalities
Low testosterone, abnormal prolactin levels and thyroid disorders can
impair libido
and erection quality. Hormonal correction restores sexual function in
many patients.
Neurogenic Erectile Dysfunction
Diabetes, spinal cord injury, pelvic surgeries, stroke and multiple
sclerosis can damage
neural pathways responsible for erections, resulting in moderate to
severe ED.
Drug-Induced & Post-Surgical ED
Certain antihypertensives, antidepressants, prostate surgery (radical
prostatectomy)
and pelvic vascular procedures may lead to ED. Proper evaluation helps
determine
whether medical reversal or surgical options are appropriate.
Causes & Risk Factors for Erectile Dysfunction
ED commonly occurs due to identifiable medical causes:
1. Vascular Disorders – Diabetes, hypertension, smoking, hyperlipidemia and atherosclerosis reduce penile arterial inflow.
2. Venous Leak – Failure to maintain penile rigidity due to cavernosal smooth muscle changes.
3. Endocrine Disorders – Low testosterone, abnormal prolactin, thyroid disease.
4. Neurological Conditions – Diabetic neuropathy, spinal injury, pelvic surgery.
5. Medication Effects – Antidepressants, beta blockers and other drugs.
6. Structural Disorders – Peyronie’s disease, penile fibrosis.
Penile Doppler, hormonal evaluation and clinical examination guide precise diagnosis and evidence-based treatment.
1. Vascular Disorders – Diabetes, hypertension, smoking, hyperlipidemia and atherosclerosis reduce penile arterial inflow.
2. Venous Leak – Failure to maintain penile rigidity due to cavernosal smooth muscle changes.
3. Endocrine Disorders – Low testosterone, abnormal prolactin, thyroid disease.
4. Neurological Conditions – Diabetic neuropathy, spinal injury, pelvic surgery.
5. Medication Effects – Antidepressants, beta blockers and other drugs.
6. Structural Disorders – Peyronie’s disease, penile fibrosis.
Penile Doppler, hormonal evaluation and clinical examination guide precise diagnosis and evidence-based treatment.
Why Choose Swastik Urology Clinic for Erectile Dysfunction Treatment?
Swastik Urology Clinic specialises in advanced ED evaluation
and management:
• Expert Urologist – Dr. Aditya Sengar
Skilled in diagnosing vascular and hormonal causes, performing penile Doppler and planning personalised ED therapy.
• Comprehensive Diagnostic Approach
Hormonal profile, penile Doppler ultrasound, cardiovascular evaluation and neurological assessment when indicated.
• Full Spectrum of Treatment Options
From oral medications to penile injections, vacuum devices and penile implant surgery.
• Evidence-Based, Stepwise Treatment
Treatment escalates logically — beginning with reversible causes and progressing to minimally invasive or surgical solutions when necessary.
• Confidential & Professional Care
Fully private evaluation and counselling with emphasis on clinical accuracy and patient comfort.
• Expert Urologist – Dr. Aditya Sengar
Skilled in diagnosing vascular and hormonal causes, performing penile Doppler and planning personalised ED therapy.
• Comprehensive Diagnostic Approach
Hormonal profile, penile Doppler ultrasound, cardiovascular evaluation and neurological assessment when indicated.
• Full Spectrum of Treatment Options
From oral medications to penile injections, vacuum devices and penile implant surgery.
• Evidence-Based, Stepwise Treatment
Treatment escalates logically — beginning with reversible causes and progressing to minimally invasive or surgical solutions when necessary.
• Confidential & Professional Care
Fully private evaluation and counselling with emphasis on clinical accuracy and patient comfort.
Erectile Dysfunction Treatment Options at Swastik Urology Clinic
ED treatment is individualized and based on diagnostic findings:
1. Medical Therapy
• PDE5 inhibitors (sildenafil, tadalafil, vardenafil)
• Hormonal correction (testosterone replacement when clinically indicated)
2. Vacuum Erection Devices
• Non-invasive negative pressure devices improving blood inflow.
3. Intracavernosal Injections
• Alprostadil or combination therapy injected into corpora cavernosa to induce a firm erection.
4. Penile Doppler-Guided Therapy
• Identifies candidates for targeted treatment such as venous leak or arterial insufficiency.
5. Penile Implant Surgery
• Inflatable or semi-rigid penile prosthesis for men with severe ED not responding to medical therapy.
6. Management of Peyronie’s Disease
• Evaluation for plaques, curvature correction and surgical options when deformity contributes to ED.
Each treatment approach is explained thoroughly, ensuring optimal outcomes with high safety standards.
1. Medical Therapy
• PDE5 inhibitors (sildenafil, tadalafil, vardenafil)
• Hormonal correction (testosterone replacement when clinically indicated)
2. Vacuum Erection Devices
• Non-invasive negative pressure devices improving blood inflow.
3. Intracavernosal Injections
• Alprostadil or combination therapy injected into corpora cavernosa to induce a firm erection.
4. Penile Doppler-Guided Therapy
• Identifies candidates for targeted treatment such as venous leak or arterial insufficiency.
5. Penile Implant Surgery
• Inflatable or semi-rigid penile prosthesis for men with severe ED not responding to medical therapy.
6. Management of Peyronie’s Disease
• Evaluation for plaques, curvature correction and surgical options when deformity contributes to ED.
Each treatment approach is explained thoroughly, ensuring optimal outcomes with high safety standards.
When should I consult a urologist for erectile dysfunction?
You should consult a urologist if you experience persistent difficulty achieving or maintaining an erection for more than 3 months, if ED occurs suddenly, in young age, after pelvic surgery, or if accompanied by reduced libido or abnormal morning erections. ED can be an early marker of cardiovascular disease, requiring timely evaluation.
Are oral medications safe for treating ED?
PDE5 inhibitors are highly effective and safe for most men. However, they must be avoided in patients taking nitrates for heart disease. Proper evaluation ensures safe usage and identifies patients who may need alternative therapies such as injections or implants.
What is the role of penile Doppler in ED evaluation?
Penile Doppler ultrasound provides real-time data on arterial inflow, veno-occlusive function and cavernosal tissue status following pharmacological erection. It is essential for diagnosing venous leak, arterial insufficiency, Peyronie’s disease and for planning advanced ED treatments including surgery.
When is penile implant surgery recommended?
Penile implant surgery is indicated for men with severe erectile dysfunction who do not respond to oral medications or injections, or in cases of significant structural deformity. Modern inflatable implants provide excellent rigidity, high satisfaction rates and long-term reliability.