01 Lifestyle Modifications
Essential for improving sexual function naturally. These changes improve testosterone levels, vascular health, and erection quality.
Key Changes
- Weight reduction
- Regular exercise
- Better sleep
- Reducing stress
- Limiting alcohol & quitting smoking
- Controlling diabetes, BP, cholesterol
02 Medical Management
Oral Medications (PDE5 Inhibitors)
Sildenafil, Tadalafil, and Vardenafil improve blood flow to the penis and help achieve firmer erections. Best for mild to moderate ED, stress-induced sexual problems, and early-stage vascular issues.
Hormonal Therapy
Given when hormonal imbalance is detected — includes testosterone replacement, thyroid correction, and prolactin-lowering medications.
Intra-Cavernosal Injections (ICI Therapy)
A direct injection into the penile tissue that produces an erection within 5–10 minutes. Used for severe ED, diabetes-related ED, and post-prostate surgery erectile dysfunction.
03 Psychological / Sexual Counselling
Recommended when emotional or psychological factors are involved — performance anxiety, depression, stress, or relationship conflicts. Counselling sessions improve confidence, reduce overthinking, and enhance sexual satisfaction.
04 Vacuum Erection Devices (VED)
A device that creates negative pressure to pull blood into the penis and maintain erection with a ring. Used when medications don't work or patients want a non-invasive solution.
05 Platelet-Rich Plasma (PRP) Therapy
PRP injections improve penile blood flow, nerve regeneration, and tissue healing. Helps in early ED and Peyronie's disease.
06 Low-Intensity Shockwave Therapy (LI-ESWT)
Full shockwave therapy guide →
One of the most advanced and effective treatments for vascular erectile dysfunction, used in leading international andrology centres.
Mechanism of Action
LI-ESWT uses low-intensity acoustic waves delivered to the penile tissue to regenerate blood vessels and improve natural erections. Unlike medicines, shockwave therapy works on the root cause of ED — poor blood flow and vascular degeneration.
Shockwaves stimulate neovascularisation (formation of new blood vessels), improved penile blood flow, regeneration of damaged tissues, and restoration of natural erections without medicines.
Procedure
- No anaesthesia needed
- 20-minute session
- No pain, no downtime
- 6–12 sessions depending on severity
- Resume normal activities immediately
Ideal Candidates
- Mild to moderate ED
- Vascular ED
- Men wanting to reduce ED medicines
- Non-invasive treatment seekers
- Early ED from diabetes, hypertension, smoking
Benefits
- Non-surgical
- No medications
- Long-lasting improvement
- Natural spontaneous erections
- High patient satisfaction
70–80%
Improvement in erectile function
Under 60
Works especially well in men under 60
07 Penile Implants (Penile Prosthesis Surgery)
Full penile implants guide →
Penile implants are used when all other treatments fail, diabetes has caused severe vascular ED, penile fibrosis or Peyronie's disease is present, or for post-prostate surgery ED.
Types of Penile Implants
Malleable (Semi-Rigid) Implant
Bendable rods placed inside the penis with a simple mechanism — easy to use and suitable for men with limited hand mobility. Very low mechanical failure, economical, with natural flaccid and rigid positioning.
Inflatable Penile Implant (Three-Piece)
The most natural, most advanced option. Consists of cylinders implanted inside the penis, a fluid reservoir, and a pump placed in the scrotum. Press the pump to achieve erection; press the release valve to deflate. Best for younger and sexually active men with highest partner satisfaction.
Procedure
- Spinal or general anaesthesia
- 45–60 minutes
- Small hidden incision
- Discharge in 24 hours
- Resume sex in 4–6 weeks
Benefits
- Guaranteed erection on demand
- No dependence on tablets or injections
- Spontaneous, natural sexual activity
- Long-lasting (10–15 year lifespan)
Who Should Consider
- Severe vascular ED
- Diabetes with advanced ED
- Post-prostate / pelvic surgery
- Peyronie's disease
- When shockwave + medicines fail
95–98%
Patient satisfaction rate
10–15 yrs
Implant lifespan
Permanent
Solution for medication-resistant ED
08 Treatment For Premature Ejaculation
Options
- Behavioral therapy
- Dapoxetine (short-acting medication)
- Local anesthetic gels
- Pelvic floor strengthening
- Psychological counselling
09 Treatment For Low Libido
Options
- Testosterone therapy (after hormonal evaluation)
- Thyroid correction
- Stress management
- Counselling
- Nutritional therapy
10 Treatment For Ejaculatory Disorders
By Type
- Retrograde — medications + bladder therapy
- Delayed — medication + counselling
- Painful — prostatitis treatment