Aashray urology institute

Male Sexual Dysfunction

Sexual dysfunction in men refers to problems experienced during sexual intercourse. At Aashray, various effective treatments are offered to help men suffering from sexual dysfunction. 
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What Is Male Sexual Dysfunction? 

Male sexual dysfunction is a physical or psychological problem that inhibits one from having a satisfactory sexual relationship. It is a common men's health problem that gets more common with the increasing age. 

Factors such as illness, medications, stress, and other psychological problems are responsible for causing sexual dysfunction in men. Experiencing difficulty in erection or ejaculation at some point in life is normal, but if the problem persists for a longer period, then it is necessary to consult your urologist as it can affect your sexual health and relationship. 

At Aashray Urology Institute, we provide various effective treatments for different types of male sexual dysfunction and help you maintain a healthy sexual life. 

What Are The Types of Male Sexual Dysfunction ?

  1. Erectile Dysfunction (ED)/ Impotence
  2. Anejaculation
  3. Ischemic Priapism

Erectile Dysfunction (ED)/ Impotence

Erectile dysfunction (ED)/Impotence is the inability to get and sustain an erection sufficient for sexual intercourse. It is a common type of male sexual dysfunction and becomes more common with age. However, it is important to understand that ED is not a natural part of the aging process. If ED persists, it can cause low self-esteem, anxiety, and stress. It may also affect the quality of an intimate relationship. 


What Are The Symptoms Of Erectile Dysfunction (ED)/ Impotence ?

Dr. Ashit Shah, the chief urologist at Aashray Urology Institute, has listed down symptoms of erectile dysfunction (ED)/ impotence. They are as follow: 

  1. Difficulty in getting an erection
  2. Difficulty in maintaining an erection 
  3. Experiencing reduced sexual desire


What Causes Erectile Dysfunction (ED)/ Impotence?

Following causes can lead to ED:

Physical causes -

  1. Diabetes
  2. High blood pressure
  3. High cholesterol
  4. Heart disease
  5. Atherosclerosis
  6. Multiple sclerosis
  7. Low testosterone
  8. Parkinson's disease
  9. Peyronie's disease 
  10. Prostate surgery
  11. Surgeries or injuries that affect the penis, prostate, pelvis, bladder, or spinal cord
  12. Sleep disorders
  13. Smoking
  14. Some prescription medications

Psychological causes -

  1. Stress
  2. Anxiety
  3. Depression
  4. Fear of non-performance 
  5. Relationship conflicts 


How Erectile Dysfunction (ED)/ Impotence Is Diagnosed? 

Penile blood flow studies by Doppler (PARKS, U.S.A.): Penile blood flow studies by Doppler, is a high-performing, non-invasive or minimally-invasive imaging modality. Functional changes in penile arterial blood inflow and venous blood outflow, and nerve dysfunctions, are the main factors that cause ED. Penile blood flow studies by Doppler allow the urologist to diagnose the cause of ED and the degree of its severity. 

Treatment Options For Erectile Dysfunction (ED)/ Impotence

Aashray Urology Institute provides safe and effective treatments for Erectile Dysfunction (ED)/ Impotence such as -

  • ICIVAD Therapy

  • Penile Prosthesis Implantation:

    The treatment involves implanting the device surgically inside the penis which allows men to get an erection. These devices are of two types - semi-rigid and inflatable. The function varies for each of these devices and has several advantages and disadvantages. Penile prosthesis implantation is recommended to men who have tried other ED treatments but did not get the desired results.

  • ESWT Therapy (STORZ Medical):

    Extracorporeal Shockwave Therapy (ESWT), also referred to as shockwave therapy, is a non-invasive and effective treatment for vascular erectile dysfunction. ESWT has the potential to improve and permanently restore erectile function by improving penile blood flow. 


Anejaculation is defined as the inability to ejaculate semen. Men with this condition can produce sperm, and they might experience a normal orgasmic sensation, but no semen gets ejaculated through the penis during sexual climax. It can be a primary anejaculation- total absence of ejaculation from the beginning of the sexual response, or secondary anejaculation - having occasional or situational ejaculation issues.  

What Causes Anejaculation?

Following are the causes that can lead to anejaculation:

  1. Spinal cord injury
  2. Parkinson's disease 
  3. Multiple sclerosis
  4. Infections
  5. Diabetes
  6. Medications such as antidepressant
  7. Pelvic surgery such as bladder, prostate, or abdomen surgery that damages pelvic nerves
  8. Ejaculatory ducts obstruction
  9. Psychological problems such as stress, depression, anxiety about performance, etc.


Treatment for Anejaculation

  1. Vibrator Therapy: An effective therapy for an-ejaculatory conditions.

Ischemic Priapism

Ischemic priapism, also termed as low flow priapism, is a persistent erection resulting from the trapped blood in the penis or erection chambers. If ischemic priapism lasts longer than 24 hours then it is considered as a case of emergency. It must be treated in a time-sensitive manner otherwise it will lead to injury or permanent erectile dysfunction (ED). 


What Are The Symptoms Of Ischemic Priapism?

Dr. Ashit Shah, the chief urologist at Aashray Urology Institute, has listed down symptoms of ischemic priapism. They are as follow: 

  1. Erection lasting for more than 4 hours 
  2. Rigid penile shaft with a soft penis (glans) tip 
  3. Penile pain that gets severe with time


Treatment for Ischemic Priapism

  1. Extended external cavernosal drainage

Book Appointment

If you have any questions or doubts about any treatment for Male Sexual Dysfunction or any other treatment available at Aashray Urology Institute, book a consultation with Urologists at Aashray and they will expertly guide you on the same.
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Dr. Ashit Shah
Dr. Ashit Shah
Meet the doctor

Dr. Ashit Shah

MB, MS, DNB(Urology), DLU(France)

Dr. Ashit Shah
Dr. Ashit Shah

Dr. Ashit Shah is a senior consultant Urologist heading Aashray Urology Institute. After completing his M.B.B.S. and M.S. in General Surgery, he was awarded Diplomate of National Board (D.N.B.) in Genito-Urinary Surgery by the National Board of Examinations, New Delhi. He earned his Diplomate in Laparoscopic Urology from Louis Pasteur University, Strasbourg, France in the year 2006. Dr. Shah has a special interest in Endo-Urology, especially Urolithiasis i.e. Urinary Stone Disease. Having spent more than 27 years in the profession of Urology, he has experience of over 75,000 urological consultations and more than 15,000 surgeries. Being counted amongst the torch bearers of ethical and transparent medical practice in the city of Vadodara, he was conferred ‘Inspiring Urologist Award’ for the year 2019 by The Economic Times.

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