Erectile Dysfunction
Erectile dysfunction affects up 50% of men over the age of 40 with 1 in 4 men under the age of 40 reporting erectile dysfunction. It can affect men at all stages of life. It is difficulty achieving or maintaining an erection sufficient for sexual activity, and can have a significant impact on confidence, relationships, and quality of life.
Erectile dysfunction is now recognised as more than a sexual health concern. High quality evidence from leading medical journals have shown that it is often an early indicator of underlying cardiovascular disease and reduced overall health. Studies have demonstrated symptoms may precede the diagnosis of heart disease or stroke by several years.
At the London Urology Collective, we take a comprehensive and discreet approach to erectile dysfunction as part of a broader focus on men’s health. Our expertise also includes conditions such as male fertility concerns and scrotal pain and swelling, ensuring care is addressed across all aspects of andrology and urology.
Our consultants are leaders in the evidence based management of erectile dysfunction, with published research in highly reputed international peer reviewed journals reflecting their expertise in this field
Causes of erectile dysfunction
Erectile dysfunction is commonly due to a combination of factors, including:
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Vascular disease affecting blood flow
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Diabetes
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Hormonal imbalance, particularly low testosterone
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Psychological factors such as stress or performance anxiety
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Medication related side effects
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Lifestyle factors including smoking, alcohol use, and obesity
What to expect
Your consultation is designed to be thorough, efficient, and discreet, and will include:
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A detailed medical and sexual history
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Assessment of cardiovascular and metabolic health
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Targeted physical examination of testes, penis and general features
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Blood tests including hormones, glucose levels, PSA and cholesterol
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Discussion of lifestyle factors including exercise, weight, sleep, smoking and alcohol
If hormonal issues are identified, these are managed alongside our testosterone and men’s health services to ensure a coordinated approach.
Erectile dysfunction and long term health
Erectile dysfunction is increasingly recognized as an early marker of cardiovascular disease and a valuable opportunity to assess overall health.
Research has demonstrated that men with erectile dysfunction are at increased risk of:
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Heart attack and coronary artery disease
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Stroke
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Peripheral vascular disease
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Reduced life expectancy
This association reflects underlying dysfunction of the blood vessels. The penile arteries are smaller than those supplying the heart, which results in symptoms often develop earlier. As a result, erectile dysfunction can act as an early warning sign of more widespread vascular disease.
A specialist assessment therefore offers an opportunity not only to improve sexual function, but also to identify and modify risk factors, supporting better long term health outcomes. This may include optimization of cardiovascular risk factors and coordination with other specialists.
Treatment options
Treatment is individualised and may include:
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Optimization of lifestyle factors including weight, exercise, and smoking cessation
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Management of underlying medical conditions
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Medications to improve erectile function in the form of tablets, topical creams or penile injections, vacuum erection devices.
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Surgery in the form a penile prosthesis
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Testosterone replacement therapy where indicated
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Psychosexual therapy where appropriate
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Advanced treatments for more complex cases
For men exploring future fertility, treatment can also be aligned with our male fertility services to ensure that both sexual function and reproductive goals are considered together.
We will guide you through all available options and develop a treatment plan tailored to your goals and expectations.
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.
Consultant led care throughout
Subspecialist expertise
Rapid access to care
Clear and transparent fees
Convenient London locations
Why Choose The London Urology collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.
Consultant led care throughout
Subspecialist expertise
Rapid access to care
Clear and transparent fees
Convenient London locations
Evidence based treatment
When to Seek Specialist Advice
You may benefit from a consultation if you experience:
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Persistent urinary symptoms
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Blood in the urine
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Recurrent infections
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Pain in the kidney, bladder, or testicular region
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Changes in urinary flow or control
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Concerns relating to prostate or men’s health
Early assessment can provide reassurance and allow timely treatment where needed.