Do I Need to See a Urologist for Erectile Dysfunction?

Reviewed on 7/29/2021

Some men experience erectile dysfunction (ED), which is the inability to get or maintain an erection. When they want to seek medical help in this area, they can see a urologist. Urologists are specialists in disorders of the urinary tract and the male reproductive system, and they can treat erectile dysfunction.
Some men experience erectile dysfunction (ED), which is the inability to get or maintain an erection. When they want to seek medical help in this area, they can see a urologist. Urologists are specialists in disorders of the urinary tract and the male reproductive system, and they can treat erectile dysfunction.

Erectile dysfunction (ED, or impotence) describes a condition in which men cannot acquire or maintain an erection.

Urologists are doctors who specialize in disorders of the urinary tract and the male reproductive system, and they can treat erectile dysfunction

How Is Erectile Dysfunction Diagnosed?

Erectile dysfunction is diagnosed with a sexual history, a physical examination, and blood tests to determine if there are other underlying medical conditions such as diabetes or low testosterone levels. 

Tests to diagnose erectile dysfunction include: 

  • Blood tests
  • Other tests
    • Ultrasonography (penile Doppler) to check blood flow
    • A shot into the penis with a vascular stimulant to cause an erection
    • Nocturnal penile tumescence (NPT), an overnight test to check for sleep erection
    • Urine tests

How Is Erectile Dysfunction Usually Treated?

Treatment for erectile dysfunction is aimed at enabling a man to achieve and maintain an erection for sexual intercourse. If erectile dysfunction is the result of an underlying medical condition, treating that condition often reverses the ED

If the cause of erectile dysfunction from limited blood flow to the penis due to lifestyle habits such as smoking, obesity, or high blood pressure (hypertension), lifestyle modifications to treat ED may include:

  • Weight loss in men who are obese
  • Exercise regularly
  • Eat a healthy, balanced diet 
  • Don’t smoke
  • Limit or avoid alcohol
  • Pelvic floor exercises for men who have diabetes
  • Talk to your doctor about using different medications to treat hypertension and pain
    • Do not stop taking any prescribed medication without first talking to your doctor

Medications used to treat erectile dysfunction may include:

  • Phosphodiesterase-5 inhibitors 
  • Testosterone replacement therapy 
    • Used when man's testes do not make enough of the hormone testosterone
    • Does not work to improve sexual function in men who produce normal amounts of testosterone
    • May be used alone or in combination with a PDE5 inhibitor

If erectile dysfunction is caused by depression or anxiety, treatment that may help cure ED includes: 

Medical treatments used to treat erectile dysfunction may include:

  • Penile self-injection in which a man injects a medication (alprostadil or papaverine) into the two chambers of the penis that are filled with spongy tissue and blood (corpora cavernosa) to cause an erection by allowing the blood vessels within the penis to expand so the penis swells and stiffens to create a fully rigid erection 
  • Intraurethral alprostadil (MUSE) uses the same medication (alprostadil) as penile self-injection but instead a man inserts a device with an alprostadil pellet (suppository) into the urethra to create an erection
  • Vacuum-assisted erection devices involve placing the penis in a plastic cylinder and creating a vacuum around the penis to increase blood flow into the penis. A rigid ring is placed at the base of the penis to hold the blood inside the penis, keeping it erect. 
  • Penile prostheses are surgically implanted devices that inflate to allow the penis to become erect
  • Revascularization is a surgical procedure used for young men who have experienced pelvic trauma

QUESTION

Testosterone is a chemical found only in men. See Answer

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Reviewed on 7/29/2021
References
https://www.uptodate.com/contents/sexual-problems-in-men-beyond-the-basics?search=Erectile%20Dysfunction&source=search_result&selectedTitle=5~150&usage_type=default&display_rank=5

https://www.uptodate.com/contents/overview-of-male-sexual-dysfunction?search=Erectile%20Dysfunction&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H2095608

https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes

https://pubmed.ncbi.nlm.nih.gov/20522020/

https://www.urologyhealth.org/urology-a-z/e/erectile-dysfunction-(ed)