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FAQ to erectile dysfunction and impotence

What is erectile dysfunction? Where can I find help with erectile dysfunction? What treatment options are there? What are the chances of success? Or: How long does a stent implantation for erectile dysfunction take? Here you find the answers to frequently asked questions on the diagnosis and treatment of erectile dysfunction and impotence.

General questions on erectile dysfunction and impotence

What is erectile dysfunction?

Erectile dysfunction is the medical term for impotence. In common usage, erectile dysfunction is also referred to as potency disorder. Another technical term for erectile dysfunction is impotentia coeundi. This term is derived from the Latin words for inability (Impotentia) and converge (coeundi). Coeundi is the origin of the term coitus as an intimate sexual intercourse. Further information: What is erectile dysfunction?

What is the definition of impotence?

Impotence is no strictly defined medical term. Therefore, physicians speak of erectile disorder or erectile dysfunction when referring to impotence of men in the narrower sense. In common parlance, impotence describes the inability of men to have or maintain an erection sufficient for sexual intercourse (Impotentia coeundi). More general terms relating to impotence are impotentia generandi (infertility or sterility) and impotentia ejaculandi (inability for ejaculation). Also see: What is erectile dysfunction?

Is erectile dysfunction curable?

Erectile dysfunction respectively impotence can be successfully treated in many cases. About 50 percent of all men respond to drug therapies for impotence. Stent implantation for erectile dysfunction or shock wave therapy for erectile dysfunction are very good options for men who don’t respond to medication. If blood vessels or nerves are too severely damaged (for example by injuries, neurological diseases or diabetes), aids such as vacuum pumps or injection treatments can be an alternative. Also see: Stent implantation for erectile dysfunction.

ICD 10: Erectile dysfunction and impotence

The general definition is most easily derived from the World Health Organization's International Disease Catalog. ICD stands for “International Statistical Classification of Diseases and Related Health Problems”. In the 10th edition, ICD 10, impotence is referred to under the number N 48.4 as “impotence of organic origin. Erectile dysfunction due to an arterial occlusive disease of the penis can additionally be coded in the ICD as 170.8 as “atherosclerosis of other arteries”. Also see: What is erectile dysfunction?

FAQ: Reasons for erectile dysfunction / signs for impotence

What are serious signs for erectile dysfunction?

Signs for erectile dysfunction or impotence are given when erections are repeatedly or regularly not possible despite sexual arousal or if they do not last long enough or are not hard enough. Occasional erectile problems, however, are not necessarily signs for impotence. Whether erectile dysfunction requires treatment can only be said after an examination. Indications for serious erectile dysfunction can be checked in advance with the test: Do you suffer from pathological erectile dysfunction?

What causes erectile dysfunction?

Circulatory disorders are the most common cause for erectile dysfunction. A harden penis is a penis full of blood. This being the case, it is easy to understand that the majority of all erectile dysfunctions are the result of circulatory disorders. In almost half of the cases, it is arterial obstruction caused by arteriosclerosis (arterial calcification). Another 30 percent of erectile problems are a result of diabetes. Medication can also cause erectile dysfunction. Overall, drug-induced erectile dysfunction accounts for about 15 percent of all cases.

Age: At what age does impotence begin?

According to “Massachusetts Male Aging Study” (MMAS) erectile dysfunction is an exception for men under the age of 40 with a share of 2 percent. In the age group between 40 and 70 though more than half (52 percent) report erectile problems. In a German study on the frequency of erectile dysfunction, almost one in five (19.2 percent) of the 4,500 participants reports erectile dysfunction. For more details: What is erectile dysfunction| Frequency of erectile dysfunction.

Impotence: Test on erectile dysfunction?

Yes we do. With a simple test you can easily find out if there are any serious indications of pathological erectile dysfunction in your body. This test is based on the so-called IIEF-score. IIEF stands for «International Index of Erectile Function». The test for erectile dysfunction includes 15 questions. Please find the test right here: Do you suffer from pathological erectile dysfunction?

Questions on stent implantation for erectile dysfunction & impotence

Is the stent implantation for erectile dysfunction suitable for all men?

Stent implantation for erectile dysfunction is only suitable if the erectile problems are caused by arterial obstruction in the pelvic and penis arteries. This applies to about 40 percent of the cases of erectile dysfunction. However, the best treatment method can only be determined after a thorough examination. In case of minor damages, shock wave therapy for erectile dysfunction can also be an option.

Is the stent implantation an operation under general anesthesia?

Stent implantation for erectile dysfunction does not require general anesthesia. It’s rather a minimal-invasive intervention. Under local anesthesia a small incision is made in the groin. Via this access, a catheter is guided over the pelvic artery to the penis arteries. Via the catheter, the obstructed artery is dilated with a balloon. Subsequently, a stent is implanted to stabilize the constriction. Read more on this: Stent implantation: Stents for erectile dysfunction.

Can a stent help erectile dysfunction?

A stent can help erectile dysfunction in many cases. The success rate of stent implantation for erectile dysfunction is very good. In a recent study (February 2019) headed by Prof. Diehm the intervention was technically successful in 97.6 percent. In 49 out of 50 men of this study, the obstructions of the arteries leading to the penis could be successfully eliminated. As a result, in two thirds of men (67 percent) the erectility improved. Even one year after the intervention more than half of the test persons (57 percent) were still able to penetrate. And 60 percent of all patients were able to maintain the erection during sexual intercourse.

The results of the study in detail: Endovascular Therapy for Erectile Dysfunction—Who Benefits Most?

Who performs the intervention?

In the Center for erectile dysfunction you are in best hands. Prof. Dr. Nicolas Diehm - pioneer and internationally recognized expert for stent implantation for erectile dysfunction - is performing all interventions personally. Prof. Diehm is one of the most internationally recognized and experienced experts for stent implantation for erectile dysfunction.

Where does the stent implantation take place?

The stent implantation is performed as an outpatient intervention at the Hirslanden-Clinic Aarau. The Hirslanden-Clinic Aarau is the biggest private clinic in the Mittelland between Bern and Zurich and is part of the internationally renowned Hirslanden-Clinic Group. The Center for erectile dysfunction is led by specialists in Urology, Vascular Medicine ad Internal Medicine. Also see: Experts for erectile dysfunction.

How long does the stent implantation for erectile dysfunction take?

The outpatient intervention for stent implantation for erectile dysfunction usually takes around 90 minutes and is technically similar to the stent implantation at the heart. Under local anesthesia a catheter is guided to the obstructed vessel. Via this catheter a stent can be implanted in order to stabilize the vessel and keep it open. You can find the detailed procedure here: Stent implantation: Stents for erectile dysfunction.