Erectile dysfunction (ED) , also called erectile dysfunction , is defined as a persistent inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse.
It is a common disorder, affecting nearly one in three men after the age of 40, but often underdiagnosed, even though effective solutions exist.
The causes could be:
Often, several mechanisms combine, hence the importance of a personalized assessment .
During a urology consultation dedicated to erectile dysfunction , Dr. Davy Benarroche , urological and andrological surgeon, carries out a complete assessment :
✅ Detailed questioning : context of onset, intensity, aggravating factors, cardiovascular or hormonal history.
✅ Clinical examination : search for hormonal, vascular or penile abnormalities.
✅ Additional personalized assessment : hormonal dosage, penile Doppler ultrasound, evaluation of endothelial function.
📌 The goal is to identify the precise cause of the disorder in order to offer targeted treatment, not just symptomatic treatment.
Phosphodiesterase type 5 inhibitors (PDE5 inhibitors) : such as sildenafil, tadalafil, or vardenafil. They enhance the natural erectile response by facilitating blood flow into the corpora cavernosa.
Intracavernosal injections (Edex®, Caverject®) : used when tablets are ineffective. They cause a rapid and controlled erection.
Mechanical devices : vacuum pump or penile ring, in some cases.
Dr. Davy Benarroche offers the latest scientifically validated treatments, allowing treatment to address the root cause of the disorder:
💡 PRP (Platelet Rich Plasma) injection : improves microcirculation and tissue regeneration of the corpora cavernosa.
💡 Intracavernous botulinum toxin injection (Botox®) : relaxes the smooth muscles of the penis to improve arterial filling.
💡 Low-intensity penile shock waves : stimulate neo-angiogenesis (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.
If drug or regenerative treatments fail, penile prosthetic surgery may be considered.
Inflatable implants today offer very natural results, with a satisfaction rate of over 90% among couples.
Erectile dysfunction is a multifactorial pathology , often revealing an underlying vascular disorder.
Specialized care allows us to determine the cause and adapt the treatment, from the simplest to the most innovative, in order to regain a fulfilling sex life .
Dr. Benarroche treats erectile dysfunction through a precise evaluation of its causes and the implementation of medical or surgical treatments adapted to each situation.
No. In the majority of cases, there is an organic cause (vascular, hormonal, or neurological). A urological assessment can help distinguish between these and adapt treatment.
Yes, in many cases. When the cause is identified and treated (hormonal disorder, early vascular disease, occasional stress, etc.), erectile function can return to normal.
Even in chronic forms, regenerative treatments such as PRP, shock waves or Botox® often allow lasting improvement.
Often yes. The arteries of the penis are very sensitive: erectile dysfunction can reveal an early vascular disorder.
A urological consultation is therefore also an opportunity to detect and prevent cardiovascular risk.
When the problems persist for more than three months, or when they impact self-confidence or life as a couple.
Early diagnosis helps prevent worsening and optimize response to treatment.
Dr. Benarroche carries out a detailed interview, a clinical examination and, if necessary, a hormonal or vascular assessment (penile Doppler ultrasound).
The goal is to identify the exact cause of the disorder in order to offer targeted treatment.
They are very effective and safe when prescribed under medical supervision.
On the other hand, self-medication is not recommended, particularly in cases of heart disease or when taking nitrate derivatives.
Other solutions exist: intracavernous injections, shock waves, PRP, Botox®, or even penile prosthesis in certain cases.
The choice depends on the cause and the patient’s profile.
Dr. Davy Benarroche, urological and andrological surgeon , he is trained in
all medical, regenerative and surgical treatment techniques
of Peyronie’s disease.
He always favors a progressive, conservative and personalized approach.
Dr. Benarroche offers a male-focused approach to care, combining medical and surgical approaches, adapted to the needs of each patient.
