What is Urology?

Urology: Urinary & Reproductive Disease Diagnosis & Treatment

Urology treats urinary tract diseases in all genders and male reproductive issues, covering the kidneys, bladder, prostate, urethra, from infections to complex cancers.

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Medical Treatment Options

Treatment for Erectile Dysfunction (ED) is customized based on the underlying cause (blood flow, nerve, or hormone issue). Treatment typically starts with simple, non-invasive medical options.

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Oral Medications (Pills)

The most common initial treatment involves medications that are taken by mouth. These pills work by relaxing the smooth muscles in the penis, which increases blood flow and helps achieve an erection.

  • How They Work: They enhance the natural signals your body sends during arousal. They are effective for most men with mild to moderate blood flow problems.
  • Hormone Therapy: If blood tests show low testosterone, the urologist may prescribe testosterone replacement (gels, patches, or injections) to restore sex drive and improve the response to oral ED medications.
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Non-Oral Therapies

If oral medications are ineffective, the urologist may recommend advanced medical treatments:

  • Vacuum Erection Devices (VED): A non-surgical option where a clear plastic cylinder is placed over the penis. A pump creates a vacuum that draws blood into the penis. A tension ring is then placed at the base to trap the blood and maintain the erection.
  • Injection Therapy (Intracavernosal): Medications are injected directly into the side of the penis, which causes a powerful, reliable erection within minutes. This is a highly effective treatment often taught and managed by LIV Hospital urology specialists.

Minimally Invasive Procedures

Minimally invasive options are typically reserved for patients whose ED is caused by a specific, correctable vascular issue or who cannot tolerate medication.

Vascular Procedures

For carefully selected, often younger men with specific, localized vascular injuries (like those sustained from trauma or certain diseases), a specialist may attempt surgery to repair the blood vessels.

  • Arterial Reconstruction: A rare procedure to repair or open a damaged artery supplying blood to the penis.
  • Vein Ligation: A procedure to tie off (ligate) veins that are prematurely draining blood from the penis (venous leak), making it difficult to maintain firmness. These procedures require specialized training and thorough pre-operative testing to ensure the best possible success rates.

Why Choose LIV Hospital for ED Treatment

LIV Hospital specializes in treating complex ED cases, including cases that fail standard oral medication. We integrate advanced diagnostics and offer all tiers of treatment, from sophisticated injection therapies to the latest surgical implant techniques, providing a comprehensive solution focused on restoring function and confidence.

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Surgical Treatments for Erectile Dysfunction

For men with severe ED that does not respond to pills, injections, or vacuum devices, surgical intervention with a penile implant is the most effective and permanent treatment option.

Penile Implant Surgery (Prosthesis)

A penile implant is a medical device placed entirely inside the body to restore the ability to have an erection. This is considered the final and most reliable treatment option.

  • Inflatable Implants: The most common type. The device consists of two cylinders placed in the penis, a fluid reservoir placed in the abdomen, and a pump placed in the scrotum. The patient squeezes the pump to transfer fluid and achieve an erection when desired.
  • Malleable Implants: Simpler, non-hydraulic devices that keep the penis firm but flexible. The patient manually positions the penis up for intercourse or down for concealment.

Procedure and Recovery

The surgery is performed by an Andrologist (a urology subspecialist) and typically requires a 1-night hospital stay. LIV Hospital surgeons utilize techniques focused on minimizing trauma and optimizing functional results, contributing to high patient satisfaction.

Rehabilitation and Recovery

Recovery is crucial for the success of any treatment, especially for surgical implants. Rehabilitation programs focus on a safe return to normal activities and maximizing functional results.

Post-Procedure Expectations

  • Surgical Recovery: Following implant surgery, patients can expect swelling and bruising for several weeks. Rest and strict adherence to wound care are mandatory for 4–6 weeks.
  • Medication/Injection Recovery: Recovery is minimal (minutes to hours). Follow-up involves training sessions with a urology nurse or specialist to teach the proper, safe injection technique for effective home use.

Long-term Management and Follow-up

  • Implant Activation: The implant is usually not used for 4–6 weeks after surgery. The surgeon at LIV Hospital will schedule an activation appointment to instruct the patient on how to use the pump and initiate the device safely. 
  • Lifestyle Monitoring: Long-term success depends on managing underlying risk factors. Follow-up includes continued monitoring of blood pressure, cholesterol, and diabetes to prevent further vascular damage. Continued care with LIV Hospital urology ensures the best long-term outcome.

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FREQUENTLY ASKED QUESTIONS

What are the treatment options for erectile dysfunction?

Treatment options range from oral medications (like Viagra or Cialis) and non-surgical vacuum devices to self-injection therapies and permanent solutions like penile implant surgery.

Oral medication works immediately. Surgical recovery takes 4 to 6 weeks before the implant can be activated. Long-term management of underlying diseases (like diabetes) is ongoing.

Only if less invasive options (pills, vacuum, injections) fail. Penile implant surgery is typically reserved as the last option but offers the highest rate of patient satisfaction for severe, permanent ED.

Medications include oral PDE5 inhibitors (like Sildenafil or Tadalafil) to increase blood flow, and testosterone replacement for men with low hormone levels.

After surgery, expect pain, swelling, and a period of restriction from sexual activity and heavy lifting (4–6 weeks). The long-term expectation is restoration of reliable erectile function.

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