Erectile Dysfunction Treatment Turkey

Understanding Erectile Dysfunction

Erectile dysfunction (ED) — the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual activity — affects an estimated 50% of men aged 40–70 to some degree, and becomes more prevalent with age. ED can be caused by vascular, neurological, hormonal, psychological or structural factors, and often involves a combination of these.

It is important to understand that ED is a medical condition, not simply a natural consequence of ageing, and that effective, evidence-based treatments exist across a spectrum of severity.

Three-Stage Treatment Pathway

First-Line Treatments (Conservative)

• Lifestyle modification: Cardiovascular exercise, weight management, smoking cessation, alcohol reduction and improved sleep can meaningfully improve erectile function
• Oral PDE5 inhibitors: Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Stendra) — effective for the majority of men with mild-to-moderate ED
• Hormonal optimisation: Testosterone replacement therapy for men with confirmed hypogonadism
• Psychological support: Sex therapy or cognitive behavioural therapy for psychogenic ED

Second-Line Treatments

• Low-intensity shockwave therapy (Li-ESWT): Acoustic wave therapy to stimulate neovascularisation (new blood vessel formation) in penile tissue. Suitable for mild-to-moderate vasculogenic ED
• Platelet-rich plasma (PRP): Growth factor therapy injected into penile tissue to promote tissue regeneration
• Intracavernosal injection (ICI): Self-administered injection of alprostadil or combination vasoactive agents directly into the penis
• Vacuum erection device (VED): Mechanical cylinder creating negative pressure to draw blood into the penis

Third-Line Treatment — Penile Prosthesis (The Definitive Solution)

For men in whom first- and second-line treatments have not produced satisfactory results, penile prosthesis surgery is the most effective, reliable and permanent solution. Published patient satisfaction data consistently show rates above 90% for both inflatable and semi-rigid prostheses — higher than for any other ED treatment. Dr. Sertkaya has performed over 2,500 such procedures at Andro Expertise, Istanbul.