Erectile Dysfunction

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What is it?

Consistent or recurrent inability to attain and/or maintain an erection sufficient for satisfactory sexual activity.

Risk factors.

The probability of erectile dysfunction increases progressively with age and in the presence of risk factors such as diabetes mellitus, cardiovascular disease, chronic renal failure /chronic liver disease, endocrine factors, abdominal/pelvic surgery, trauma, radiotherapy, priapism, Peyronie’s disease, depression or similar pathologies, medication, and smoking


Treatment of sexual dysfunction or impotence differs between patients in accordance with the severity of the condition. Once the cause has been identified, it should be addressed if possible. Supportive treatment should be offered to the patient in the form of pharmacological treatment or assistance from a sex therapist. Specialists are able to evaluate the different medical options to identify the most effective treatment in a particular case.

All these remedies have their medical indications and contraindications but generally all are safe and can be used by most people who need them. The drugs used orally (oral tablets), contrary to what we usually hear, do not cause heart attacks and can be used safely, but some precautions, even in patients with previous cardiovascular problems medical clearance.

In case of severe erectile dysfunction, the treatments above indicated will not work as patient wishes and other more “effective” treatments will be necessary. The most indicated, in case of severe erectile dysfunction, is penile prosthesis implant that could be hydraulic or malleable. In case of malleable prosthesis implant, I can perform the intervention on an outpatient basis and under local anesthesia, saving money and increasing the patient’s privacy (I am the only one in Italy performing this kind of surgery in this way). All the information in the dedicated section.


Dr. Marco Cosentino

Andrological and Urological Treatments

I operate for years as specialized urologist and andrologist. Experience, research and international studies. I have done allows me to treat many problems, dysfunctions or diseases and urological andrology nature. Working with the aim of making each patient regain my intimate and satisfactory sex life.