Erectile dysfunction
Effective solutions at every stage
Dr. Davy Benarroche offers a full range of medical, regenerative and surgical treatments for erectile dysfunction.
Understanding erectile dysfunction
Erectile dysfunction (ED) , also called impotence , is defined as a persistent inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse. It is a common condition, affecting nearly one in three men over the age of 40, but is often underdiagnosed, even though effective solutions exist. The causes can be:
- Vascular : decreased blood flow to the penis, often linked to hypertension, diabetes, cholesterol or smoking.
- Neurological : damage to the nerves responsible for erection, particularly after pelvic surgery (such as prostate removal) or in cases of diabetic neuropathy.
- Hormonal : decreased testosterone levels or hormonal imbalances can impair desire and the quality of erections.
- Psychogenic : stress, performance anxiety, depression or couple tensions leading to a reflex inhibition of the erectile mechanism.
- Drug-related : some treatments (antihypertensives, antidepressants, etc.) can impair erectile function.
Often, several mechanisms combine, hence the importance of a personalized assessment .
Available treatments
First-line medical treatments
Phosphodiesterase type 5 inhibitors (PDE5 inhibitors) : such as sildenafil, tadalafil, or vardenafil. They enhance the natural erectile response by increasing blood flow to the corpora cavernosa. Intracavernosal injections (Edex®, Caverject®) : used when tablets are ineffective. They produce a rapid and controlled erection. Mechanical devices : vacuum pump or penile ring, in some cases.
Specialist consultation
During a urology consultation dedicated to erectile dysfunction , Dr. Davy Benarroche , a urologist and andrologist, conducts a comprehensive evaluation : A detailed interview is performed , including the context of onset, intensity, aggravating factors, and any cardiovascular or hormonal history. A clinical examination is conducted to identify any hormonal, vascular, or penile abnormalities. Additional personalized tests are performed, including hormone level testing, penile Doppler ultrasound, and endothelial function assessment. The goal is to pinpoint the precise cause of the disorder in order to offer targeted, rather than merely symptomatic, treatment.
What if medical treatments fail?
If drug or regenerative treatments fail, penile prosthesis surgery may be considered. Inflatable prostheses now offer very natural results, with a satisfaction rate exceeding 90% among couples.
Innovative and regenerative approaches
Dr. Davy Benarroche offers the latest scientifically validated treatments, addressing the root cause of the problem: PRP (Platelet-Rich Plasma) injections : improve microcirculation and tissue regeneration in the corpora cavernosa. Intracavernosal botulinum toxin injections (Botox®) : relax the smooth muscles of the penis to improve arterial filling. Low-intensity penile shockwave therapy : stimulates neo-angiogenesis (the formation of new blood vessels). These treatments can restore natural erectile function in the long term, particularly in early vascular forms. Benefit from cutting-edge treatments : Dr. Davy Benarroche uses personalized protocols based on the latest international scientific data.
Expertise
Erectile dysfunction
Dr. Benarroche treats erectile dysfunction through a precise evaluation of its causes and the implementation of medical or surgical treatments adapted to each situation.
In summary
Erectile dysfunction is a multifactorial condition , often indicative of an underlying vascular disorder. Specialized care can determine the cause and tailor the treatment, from the simplest to the most innovative, to restore a fulfilling sex life .
Erectile dysfunction: consult a specialist
Needs
Expertise
Experience
Academic background
Dr. Benarroche offers care focused on men’s health , combining a medical and surgical approach, tailored to the needs of each patient.
Dr. Davy Benarroche's expertise
Dr. Davy Benarroche, a urologist and andrologist , is trained in all medical, regenerative, and surgical techniques for treating Peyronie’s disease. He always favors a progressive, conservative, and personalized approach.
FAQ – Frequently Asked Questions
At what point do we start talking about erectile dysfunction?
When difficulty achieving or maintaining an erection sufficient for satisfactory intercourse persists for more than 3 months. An isolated episode, linked to fatigue or stress, is not pathological.
What are the main causes?
Vascular causes predominate (tobacco, diabetes, hypertension, cholesterol), followed by hormonal (low testosterone), neurological, drug-induced, and psychogenic causes. In the same patient, several factors are often associated.
Why consult a doctor rather than buying treatments online?
First, because erectile dysfunction can be the first sign of silent cardiovascular disease. Second, because over-the-counter products are often counterfeit and dangerous. An evaluation allows for effective, safe treatment tailored to the underlying cause.
What are the solutions if the tablets don't work?
There is a real therapeutic scale: optimization of oral treatment, shock waves, PRP or Botox injections, intracavernous injections, vacuum, and as a last resort the penile implant, which permanently restores erections with a satisfaction rate of over 90%.
Is erectile dysfunction always psychological in origin?
No. In most cases, there is an underlying organic cause (vascular, hormonal, or neurological). A urological assessment allows for differentiation and appropriate treatment.
Is it possible to permanently cure erectile dysfunction?
Yes, in many cases. When the cause is identified and treated (hormonal imbalance, early-stage vascular problem, occasional stress, etc.), erectile function can return to normal. Even in chronic cases, regenerative treatments such as PRP, shockwave therapy, or Botox® often provide lasting improvement.
Is this a sign of cardiovascular disease?
Often, yes. The arteries of the penis are very sensitive: erectile dysfunction can reveal an early sign of vascular disease. A urological consultation is therefore also an opportunity to screen for and prevent cardiovascular risks.
When should you consult a doctor?
When symptoms persist for more than three months, or when they impact self-confidence or relationships, early diagnosis can prevent worsening and optimize the response to treatment.
How does the consultation proceed?
Dr. Benarroche conducts a thorough interview, a clinical examination, and, if necessary, hormonal or vascular assessments (penile Doppler ultrasound). The goal is to identify the exact cause of the disorder in order to propose a targeted treatment.
Are medications like Viagra® or Cialis® dangerous?
They are very effective and safe when prescribed under medical supervision. However, self-medication is not recommended, especially in cases of heart disease or when taking nitrates.
What if the medication doesn't work?
Other solutions exist: intracavernosal injections, shockwave therapy, PRP, Botox®, or even penile prosthesis in some cases. The choice depends on the cause and the patient’s profile.
Erectile dysfunction: there are solutions.