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We left very happy with the doctor-patient relationship
At ROC, a Urology clinic in Madrid, we offer different personalized options for the treatment of erectile dysfunction.
Experiencing occasional erection problems is not necessarily a cause for concern. However, if it persists over time, it can cause stress, affect self-confidence, and contribute to relationship problems.
Erectile dysfunction is the inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse. This has a significant impact on a man's sex life and, consequently, on his partner's.
Impotence is a fairly common problem in men. Approximately one in three men experience erectile problems by age 40, one in two by age 50, and nearly three out of four by age 70.
Experiencing occasional erection problems is not necessarily a cause for concern. However, if it persists over time, it can cause stress, affect self-confidence, and contribute to relationship problems.
Erectile dysfunction was historically considered to have a psychological origin. However, it has been shown that more than 85% of cases are due to organic reasons such as high blood pressure, diabetes mellitus, lipid profile abnormalities, obesity, sedentary lifestyle, neurological diseases, or hormonal disorders, among others.
For this reason, it is important that men who suffer from erectile dysfunction see a specialist for a thorough medical history, examination, and additional tests in order to detect the underlying cause.
The sexual sphere, and therefore its problems and solutions, remains a taboo subject in our society. For this reason, many men with long-standing problems avoid asking questions, thus denying themselves the possibility of resolving the issue of erectile dysfunction.
It is important to create an environment of trust and understanding so that men with problems in the sexual sphere can express their situation, their fears and doubts, since that is the first step to identifying the problem and being able to solve it.
One of the first changes observed in men with erectile problems is a decrease in the duration of intercourse. In fact, patients with erectile dysfunction sometimes seek medical help for what they perceive as premature ejaculation, known as secondary premature ejaculation.
As the problem progresses, men often develop a degree of sexual detachment, consciously or unconsciously inhibiting their level of sexual desire. This leads to a decrease in sexual satisfaction for both men and women whose partners experience erectile dysfunction.
At ROC, a Urology clinic in Madrid, we offer different personalized options for the treatment of erectile dysfunction.
Some of the most common symptoms of erection problems are:
Some men exhibit typical symptoms or behaviors produced by the emotional response to erectile dysfunction, such as decreased sexual desire, anticipatory anxiety, or the phenomenon of self-observation.
It is necessary to establish an atmosphere of trust and open communication to allow each man to express himself freely and understand his symptoms. Furthermore, given the variety of terms and idioms used in sex-related language, it is important to fully grasp the narrative and establish a clear clinical diagnosis, avoiding confusion and defining the problem as precisely as possible.
Identifying the cause of erection problems is vital to choosing the best treatment for a quick and effective solution to erectile dysfunction. There are six main causes of erection problems:
It is important not only to understand the root of the problem but also its impact on the sex life and quality of life of the man and his partner. Likewise, the urologist should be aware of each person's preferences and the types of treatments they would prefer to avoid.
Only in this way will it be possible to attack the root of the problem in an efficient and sustainable way over time, improving the quality of sexual life with a treatment that suits that person and their scale of values.
Establishing a good diagnosis is the first step in helping a man with erectile dysfunction. Since the effectiveness of treatment varies greatly depending on the cause of the problem, it is very important to accurately determine its origin.
Other tests such as cavernosography, cavernosometry, pelvic arteriography or assessment by mental health experts are not usually necessary in most men with erection problems, although they may be in selected cases.
After identifying the cause of erectile dysfunction and understanding the patient's desires and expectations, the most appropriate treatment will be applied to fit their sex life in order to achieve positive, effective and lasting results.
The main treatments for erectile dysfunction are:
This is especially important in cases of arterial vascular erectile dysfunction and erectile dysfunction due to low testosterone. A proper diet, regular exercise, and weight loss can normalize many erection problems. In some studies, particularly with men who are obese or diabetic, diet and exercise, and even occasionally bariatric surgery (surgery designed to help obese people lose weight), have normalized erectile function without medication. If vascular problems—such as arteriosclerosis—or hormonal imbalances are present, lifestyle modification is essential to prevent erection problems from worsening.
It is a regenerative treatment, indicated for mild to moderate vascular erectile dysfunction, that promotes blood vessel growth. This erectile dysfunction treatment is performed in the office, without the need for hospitalization or anesthesia, with a very low probability of complications (the most common being a minor bruise). Several sessions (4-8) are usually needed to achieve results. Its effectiveness is approximately 70%, but it loses effectiveness in other types of erection problems or if the problem is not vascular.
This is the most widely used alternative, as it improves erections regardless of the underlying cause. Chemically known as phosphodiesterase-5 inhibitors, commercially known as Viagra, they are usually used on demand (with some exceptions). They are very safe, with an efficacy rate of up to 70%, although some men respond less well if they have diabetes, venous leak, or erectile dysfunction following a prostatectomy. Currently, four medications of this type are available: sildenafil, vardenafil, tadalafil, and avanafil. They can be classified as short-acting phosphodiesterase-5 inhibitors (sildenafil, vardenafil, and avanafil), with an onset of action between 30 and 60 minutes and a duration of 6 to 10 hours; and long-acting (tadalafil), which requires taking the medication 1 to 2 hours before sexual intercourse and has an effect that lasts up to 36 hours.
A vasodilator drug that is applied directly to the penis in various ways. In Spain, there are three presentations of this product, with an efficacy ranging from 50% to 90% of cases depending on the treatment strategy and the type of erectile dysfunction.
It is the most effective treatment for erectile dysfunction caused by hypogonadism (a disorder affecting the testicles and ovaries). This treatment can be combined with other medications. It is a very safe and effective supplement, but results may take months to appear. There are two testosterone formulations:
Indicated for men with psychological erectile dysfunction. It also helps many men with long-standing organic problems who have developed a negative emotional response as a result. Its effectiveness in treating psychological erectile dysfunction reaches 95%.
This involves the placement of a penile implant, a device implanted inside the corpora cavernosa to give the penis the ability to achieve and maintain an erection. It is indicated in some cases of severe erectile dysfunction or when other treatments have failed. It is a very effective and safe surgery, and patient satisfaction is very high.
We treat our patients at the ROC Chamberí clinic and in the HM Hospitals network of centers in Madrid: Sanchinarro, Montepríncipe, Madrid Río, Rivas, Puerta del Sur, Nuevo Belén, Policlínico HM Moraleja and Nuevo Norte.
Coming soon
We treat our patients at the ROC Chamberí clinic and in the HM Hospitals network of centers in Madrid: Sanchinarro, Montepríncipe, Madrid Río, Rivas, Puerta del Sur, Nuevo Belén, Policlínico HM Moraleja and Nuevo Norte.
Coming soon
We left very happy with the doctor-patient relationship
Our patients' trust reflects our commitment to providing excellent, personalized, and attentive urological care. Every experience motivates us to continue improving and offering the care and support each patient needs.
Excellent urological clinic due to the professionals who work there.
A highly professional clinic, with a very high scientific level and advanced technology. They helped me solve my urological problem.
I can only say one thing, the urology girls are the best you can find in this...
I want to express my gratitude to the Roc team, especially Dr. David Carracedo, for their professionalism, the...
Excellent care, both from Dr. Rojo and Dr. Espinales on a medical level and from the staff of...
Top 100 deal
I've been coming to the Urology department at HM Monteprincipe for a long time and I'm very happy with the care I receive from...
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