I don’t want to get an erection

It is most often associated with the following problems:

Erectile dysfunction (penis erection disorder)

What is erectile dysfunction and how do we diagnose it? ?
Erectile dysfunction is insufficient or completely absent erection of the penis, which makes sexual intercourse difficult or impossible. Erectile dysfunction can be caused by a disease or has a psychogenic origin. Male hormones are also needed to achieve a good erection. Any disease that damages the nervous and vascular system can damage the ability to erect the penis. The most common are diabetes, high blood pressure, atherosclerosis, conditions after colon and prostate surgeries and depression.

Erectile dysfunction can be damaged by smoking, alcohol consumption and narcotics. In diagnostics, we focus on a comprehensive assessment of the man’s health with a focus on excluding the aforementioned diseases. We will examine the testosterone level and the vascular system of the penis.

How do we treat erectile dysfunction?
The first line of treatment for erectile dysfunction is medication. These are in the form of tablets or gels. They contain sildenafil, tadalafil, vardenafil, avanafil or prostaglandins. In case of weak effect, second-line medications are used.

In the second line, we approach the injection treatment of erectile dysfunction. In this phase, injectable preparations are injected into the penis. These are medications that ensure sufficient blood supply to the penile corpora cavernosa. During the patient’s visit, we will teach them exactly how to administer the injection.

A new treatment method is shockwave therapy (LSTC – Linear Shockwave Tissue Coverage). At our clinic, we most often treat erectile dysfunction with shockwaves. This treatment method is suitable for most patients.

The last option for treating erectile dysfunction is the implantation of penile prostheses.

Complications of diabetes

Inflammation of the foreskin and subsequent narrowing of the foreskin and the development of diabetic phimosis or diabetic chronic balanitis is one of the frequent complications of diabetes. It occurs as a result of hyperglycemia and its metabolic consequences, leading mainly to yeast but also bacterial or mixed inflammation of the foreskin. Long-term inflammation of the foreskin leads to scarring, thickening and subsequent inability to pull it over the glans. An excellent solution is circumcision, which will ensure the solution of the problem.

Another urogenital complication of diabetes is erectile dysfunction, which is also a consequence of hyperglycemia and its metabolic consequences on the vessels and nervous system of the penis. Diabetics experience impaired blood flow to the penis and impaired innervation of the penis.

Painful erection

Pain during erection is a symptom of many diseases, such as prostate cancer, urinary tract infections, and prostatitis. The most common cause of pain during erection without other symptoms is Peyronie’s disease (Induratio penis plastica). Other common causes of pain during erection, usually associated with other local symptoms, are a short frenulum, a narrowed foreskin, an inflamed foreskin, a fracture of the penis, penile tumors, or priapism (prolonged erection of the penis). Painful erection requires a urological examination. A urologist will determine the cause of the pain and take treatment measures.