Erectile Dysfunction Treatment In London

Erectile dysfunction is otherwise known as impotence and is an issue for 1 in 2 men during their lifetime.

The condition makes it difficult to either experience an erection, or at least maintain one.

This can lead to a wide range of other complications such as psychological issues, a lack of self-confidence and, essentially, the inability to have sexual intercourse.

As erectile dysfunction can affect men in so many different ways, the treatment of it really does require specialist advice and guidance to diagnose and treat correctly.

Causes of erectile dysfunction

The process of achieving an erection involves an intricate process involving signals from the brain to the muscles and blood vessels located within the penis.

When this process works properly an erection occurs, but in some cases men can’t achieve or sustain an erection.

Physical causes of erectile dysfunction include:

  • Vascular disease
  • Diabetes mellitus
  • Hormone abnormalities such as hyperprolactinaemia
  • Certain prescribed drugs
  • Hypercholesterolemia (high cholesterol)
  • Diseases affecting the erectile tissue of the penis
  • Neurological diseases
  • Severe chronic diseases such as kidney and liver failure
  • Alcoholism and drug abuse
  • Surgery (especially radical prostate and bladder surgery)
  • Injury to the penis, spinal cord, pelvis, prostate or bladder
  • Heavy smoking
  • Being overweight

Drug induced causes of erectile dysfunction include:

  • Alcohol
  • Antihypertensives (medication for high blood pressure) e.g. diuretics, beta blockers, methyldopa
  • Cimetidine
  • Marijuana, heroin, methadone
  • Major tranquillisers
  • Tricyclic antidepressants
  • Digoxin
  • Glucocorticosteroids
  • Oestrogen, anti-androgens

And psychological causes of erectile dysfunction:

  • Stress and anxiety from work or home
  • Relationship conflicts and dissatisfaction
  • Depression and other psychiatric conditions and their medications
  • Sexual boredom or unresolved sexual orientation

Erectile dysfunction can be linked to a number of other health issues such as diabetes or heart disease (plus many others), so ensuring you are seen by a specialist is essential.

Treatment for Erectile Dysfunction

Fortunately, erectile dysfunction is something that can be treated.

Through specialist advice and guidance provided by our team at London Andrology, something as simple as making a change to your lifestyle or through addressing workplace stress can help to resolve the problem.

However, if these changes are found to be unsuccessful then there are further options available such as injections or surgical implants.

And remember, it is always best to seek professional advice before commencing any treatment for erectile dysfunction.

This is to ensure underlying causes have been adequately investigated.



Epididymal Cysts Treatment In London

Epidydymal cysts are fluid-filled sacs that develop in the epididymis (a small tube located near to the upper testicle.

They’re often caused by sperm collecting in the epididymis and develop for no apparent medical reason.

They are more common than you might realise in that, during a man’s lifetime, 30% of men will suffer from them.

And commonly, men between the ages of 20 and 50 are more likely to develop them.

The Symptoms of epididymal cysts

In the majority of cases, epididymal cysts are painless, which means often there might not be any apparent symptoms at all.

However, most will come across the lump if and when they examine their testicles.

If the cyst increases in size then it is common to feel a heaviness in the testicle and you might also notice a mass or swelling too.

Diagnosis of epididymal cysts

Mr Suks Minhas will carry out a few tests to ensure that you have a cyst and not a tumour.

This will begin with a physical examination, usually followed by a transillumination or an ultrasound.

The transillumination test will help further in determining whether the mass is a cyst rather than a tumour.

If no fluid is detected, you will be sent for an ultrasound.

Treatment for epididymal cysts

In many cases, there is no need for treatment and any pain or discomfort can be managed with painkillers (if an infection is present then patients are prescribed antibiotics).

If the pain and pressure cause further discomfort then the procedure of aspiration could be carried out whereby a needle is inserted to remove some of the fluid.

Should the cysts refill, then a procedure known as sclerotherapy could also be carried out.

In rare cases and if the cyst is affecting everyday life then surgery may be necessary.

In this alternative, the surgeon will make an incision and remove the growth.



Congenital Penis Curvature Treatment In London

Congenital curvature of the penis is a condition that men have from birth (congenital).

As described, the condition’s feature is a curvature of the penis, during erection.

Often noticed from an early age, the condition does not alter or change over time.

It is estimated that less than 1% of men experience penile curvature.

It differs from Peyrione’s disease because of its congenital nature.

Diagnosis of congenital penis curvature

To diagnose congenital penis curvature, Mr Suks Minhas will talk through your medical and sexual history with you.

This is often enough to determine a diagnosis of the condition.

In some cases, an examination will be required while the penis is erect.

This is achieved through an injection of vasoactive drugs to cause the erection.

Symptoms of congenital penis curvature

The most noticeable symptom is a curve in the shape of the penis during an erection.

This feature of your penis will be as presentable as long as you have remembered as it will have affected you your whole life.

Often realised during puberty or, sometimes, early adulthood, in some cases it causes pain.

But is can most certainly cause problems relating to sexual intercourse, hence the common need for medical attention to the matter.

Treatment forcongenital penis curvature

In many cases, the condition can be left untreated if that is what the patient decides.

However, treatment is often required when the patient finds that the degree of curvature prevents them from having sexual intercourse.

As this is a very common aspect to overall life enjoyment, it is obviously not unusual for a man to seek help when they are living with congenital penis curvature.

When this is the case, surgical correction is required so that normal function and the form of the penis is established for the first time in the patient’s life.

The reconstructive procedure to treat congenital curvature of the penis involves exposing the penis.

This is done to shorten the side of the penis opposite the curvature so that it is symmetrical to the other side.

Once the procedure has been carried out, the penis will be straighter when erect.

And the patient can now enjoy a sex life without the pre-existing problem.

The treatment is commonly carried out as a day case.



Vasoepididymostomy Surgery In London

Vasoepididymostomy surgery is the reversal procedure for a vasectomy.

The surgery involves reattaching the vas deferens and the epididymis, and is a more complex procedure than a typical vasectomy reversal.

Vasoepididymostomy surgery is also facilitated to eliminate a blockage in the tubules or abdomen.

The operation is completed with the use of a microscope and fine stitches are used to seal the reattached vas deferens and epididymis.

Preparation for vasoepididymostomy surgery

All patients need to be examined prior to vasoepididymostomy surgery.

The surgeon will take into consideration the patient’s medical history and determine if they are a well enough candidate for the operation.

He will also perform a highly positive blood anti-sperm antibody test to confirm sperm production.

All patients must be able to produce sperm for the procedure to be undertaken.

If highly positive blood anti-sperm antibody test confirms sperm can be produced, patients won’t have to undergo a testis biopsy to confirm there is an obstruction.

A testes biopsy will only be used to confirm sperm production if the highly positive blood anti-sperm antibody test is unable to find sperm.

The surgeon will also search for any obstruction that may be causing a blockage.

What does the procedure involve?

During the procedure, the vas deferens is opened and vasal fluid is sampled.

The presence of sperm means proximal vasal or ejaculatory duct obstruction and a vasogram is completed.

If no sperm is located in the vasal fluid it means there is an epididymal obstruction which must be removed.

Vasoepididymostomy surgery can take between three and five hours to complete and is performed under general anaesthetic.

Recovery from vasoepididymostomy surgery

Patients who undergo vasoepididymostomy surgery can often return to work as early as three days following their surgery.

However, men who work in strenuous physical jobs – or perform regular physical activity such as jogging or working out – need to wait one month before resuming these activities.

All patients should attend follow-up appointments with the surgeon.

He will inspect the incisions and healing of the process, and a semen specimen would need to be analysed.

He will also analyse the semen for the presence of sperm.

Often sperm is present in the first sample following a successful vasoepididymostomy surgery.