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24/7 available services
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At Charak Hospital, our experienced urologists provide comprehensive, confidential treatment for erectile dysfunction. From medical therapies to surgical options, we restore sexual function and improve quality of life with personalized, evidence-based care.
Understanding the underlying cause guides appropriate treatment selection.
Atherosclerosis, hypertension, high cholesterol, and diabetes impair penile blood flow. Endothelial dysfunction reduces nitric oxide production, essential for erection. Often indicates systemic cardiovascular disease requiring preventive care.
Spinal cord injury, multiple sclerosis, Parkinson's disease, peripheral neuropathy, and post-prostate surgery nerve injury impair sexual reflexes. Diabetes causes diabetic neuropathy affecting penile sensation and blood flow.
Low testosterone (hypogonadism) reduces sexual desire and erectile capacity. Hyperprolactinemia, hypothyroidism, and adrenal insufficiency contribute. Testosterone levels should be checked in all ED patients.
Performance anxiety, depression, relationship conflict, and workplace stress trigger or worsen ED. Psychological factors often coexist with organic causes, making comprehensive evaluation essential.
Other Contributing Factors
Thorough assessment identifies all contributing factors for optimal treatment.
Detailed assessment of sexual desire, arousal, ability to achieve/maintain erection, orgasm, and satisfaction. IIEF-5 questionnaire quantifies severity (mild, moderate, severe ED). Identifies psychological vs. organic causes.
Serum testosterone, prolactin, PSA, glucose, and lipid panel. Low testosterone requires further evaluation (free T, LH, FSH). Thyroid function and fasting glucose screen for metabolic causes.
Cardiovascular assessment, genital examination for fibrosis or Peyronie's disease, testicular volume assessment, and neurological testing of penile sensation and reflexes.
Gold standard vascular assessment. Measures peak systolic velocity (PSV) and end-diastolic velocity to differentiate vascular insufficiency (low flow) from veno-occlusive dysfunction (high flow). Essential before considering invasive therapy.
Stepwise approach tailored to underlying causes and patient preferences.
Regular aerobic exercise (150 min/week), weight loss, smoking cessation, moderate alcohol, stress reduction, and improved sleep quality. Can improve ED by 40-50% alone in motivated patients.
Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra). Success rates 70-80%. Contraindicated with nitrates. Take 30-60 min before activity. Tadalafil offers flexibility (daily dosing or PRN).
Alprostadil (Caverject, Edex) directly injected into penile corpus cavernosum. Effective even with oral therapy failure. 50-80% success rate. Requires self-injection training. Risk: priapism if overdosed.
Non-invasive mechanical erection aid. Applied over penis, creates negative pressure drawing blood into corpora cavernosa. 70% effectiveness. No systemic side effects. Reusable, cost-effective option.
For confirmed hypogonadism (total T <300 ng/dL). Available as injections, gels, patches, implants. Improves libido, erectile function, and overall vitality. Requires monitoring for PSA elevation and polycythemia.
For refractory ED (failed medical therapy). Modern inflatable prostheses offer excellent rigidity control and natural appearance. Semi-rigid rods available. 90%+ satisfaction. Revision surgery possible. ₹3,00,000-₹5,00,000.
Our urologists, Dr. Kanishk Dokania and Dr. Shailendra Pratap Singh, are fellowship-trained specialists with extensive experience in ED management, diagnostic evaluation, and treatment of all severities.
Fellowship-trained urologists with extensive experience in ED management and penile implant surgery.
Duplex ultrasound, hormonal testing, and detailed history identify all causes for targeted therapy.
Private consultations in comfortable, professional environment. Sensitive, non-judgmental approach.
Oral meds, injections, devices, hormone therapy, and surgical implants. Personalized selection.
Oral meds ₹300-₹500/tablet. Injections ₹2,000-₹5,000. Implants ₹3,00,000-₹5,00,000. Insurance accepted.
All procedures meet highest safety and quality standards for patient confidence.
Sustainable strategies for lasting improvement.
📍 Charak Hospital & Research Centre, Hardoi Road, near Safaid Masjid, Dubagga, Lucknow – 226003.
Serving patients from Lucknow, Hardoi, Sitapur, Unnao, Barabanki and across Uttar Pradesh.
Specialized urology care from fellowship-trained urologists with 15+ years of experience.
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