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Although it is often caused by psychological factors, impotence can also be an early warning sign of more serious physical health conditions. We have the skills and expertise to be sensitive to patient privacy and treat you as an individual. Our expert consultants and experienced multi-disciplinary care teams can help diagnose the causes of your impotence and work with you in agreeing appropriate treatment.

Some of the tests we offer will establish whether your impotence is related to risk factors associated with vascular (blood vessels such as veins and arteries) or cardiac disease.

Knowing the underlying cause(s) of your condition gives you the chance to work with your doctors on putting it right.

This might include certain treatments such as artery stenting or penile implants. Recognising the complex factors at play, we’ll draw on the expertise of experienced and caring clinicians from a range of backgrounds and use a variety of tests to identify the causes of your impotence. Working in modern, well-equipped hospitals, they are dedicated to your wellbeing. Your treatment will be tailored around you, with your choice of location and timing. We pride ourselves on our clinical excellence, you'll be looked after by an experienced multi-disciplinary care team. A fixed price for this treatment may be available on enquiry and following an initial consultation.

Spire Healthcare can provide you with a single, fixed price so there are no surprises.

Please read Spire Healthcare's terms and conditions for full details of what’s included and excluded in your fixed price when paying for yourself.

Finance options are available through our partner Omni Capital Retail Finance Ltd , 10 Norwich Street, London, EC4A 1BD. Our patients are at the heart of what we do and we want you to be in control of your care.

To us, that means you can choose the consultant you want to see, and when you want. All of our consultants are of the highest calibre and benefit from working in our modern, well-equipped hospitals.

Our consultants have high standards to meet, often holding specialist NHS posts and delivering expertise in complex sub-specialty surgeries.

Many of our consultants have international reputations for their research in their specialised field.

You will have a formal consultation with a healthcare professional. During this time

you

We will also discuss with you whether any further diagnostic tests, such as scans or blood tests, are needed. Any additional costs will be discussed before further tests are carried out.

We've tried to make your experience with us as easy and relaxed as possible. For more information on visiting hours, our food, what to pack if you're staying with us, parking and all those other important practicalities, please visit our patient information pages. Our dedicated team will also give you tailored advice to follow in the run up to your visit. We understand that having any medical tests and procedures, particularly those of a highly personal medical condition, can cause anxiety.

Our professional and caring medical staff will be there to reassure you throughout.

Depending on your clinical history, you may require a blood test or ECG (echocardiogram) both of which are relatively straightforward procedures. If you have previously been unresponsive to standard therapies then you and your consultant may also consider requesting a doppler ultrasound and pelvic angiogram. Your consultant will discuss the results with you and determine the best course of treatment for you - such as penile stenting or penile implants. Both the penile stenting and the penile implants will require a hospital stay as a day case patient.

You will be admitted to your private room with en-suite facilities where your privacy will be maximised throughout you stay.

The operation for penile stenting is normally performed under local anaesthetic which means you'll be awake but won't feel any pain.

One of our nurses will be with you to provide reassurance and you may be offered sedation to help ensure that you are relaxed and comfortable. The first part of the operation, when your consultant uses X-ray control to guide a catheter to the affected artery, is very much like an angiogram.

The catheter, a small, thin tube will be inserted through a small cut made in your groin or your wrist. The small balloon is attached to a thin wire which your surgeon will guide to the fatty deposits in the artery with the help of the catheter.

They'll then inflate the tiny balloon to push the fatty deposits against the artery wall so blood can flow more freely.

The catheter might also be used to insert a stent (a short wire tube) into the artery to help blood flow freely through

the

You and your doctor can also discuss appropriate treatment or next steps and we will provide with you any advice and information relevant to your particular circumstances.

We will talk to you about the possible risks and complications of having this procedure and how they apply to you.

If you have any questions or concerns, we’re ready to help.

The treatment described on this page may be adapted to meet your individual needs, so it's important to follow your healthcare professional's advice

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3D Models (0) Audios (0) Calculators (0) Images (1) Lab Test (0) Sidebars (1) Tables (2) Videos (0) Every man occasionally has a problem achieving an erection, and such occurrences are considered normal.

Achieves erection briefly but not long enough for intercourse.

ED is called primary if the man has never been able to attain or sustain an erection. ED is called secondary if it is acquired later in life by a man who was previously able to attain erections. In the United States, about 50% of men aged 40 to 70 are affected somewhat, and the percentage increases with aging. However, ED is not considered a normal part of aging and can be successfully treated at any age.

To achieve an erection, the penis needs an adequate amount of blood flowing in, a slowing of blood flowing out, proper function of nerves leading to and from the penis, adequate amounts of the male sex hormone testosterone , and sufficient sex drive (libido), so a disorder of any of these systems may lead to erectile dysfunction (ED). Most cases of ED are caused by abnormalities of the blood vessels or nerves of the penis.

Other possible causes include hormonal disorders, structural disorders of the penis, use of certain drugs, and psychologic problems (see table Common Causes and Features of Erectile Dysfunction). Hardening of the arteries (atherosclerosis) that affects the arteries to the penis. Certain drugs such as those used to treat high blood pressure or an enlarged prostate and those that act on the central nervous system, such as drugs used to treat depression.

Occasional inability to achieve an erection is normal and does not mean that a man has erectile dysfunction.

Almost half of men older than 65 and some men older than 80 can usually have erections adequate for penetration.

Low levels of testosterone tend to decrease sex drive rather than cause erectile dysfunction.

Combinations of drugs injected into the penis and devices that constrict or apply suction to the penis are highly effective and lack some of the side effects of oral drugs.

Sexual counseling can help even when erectile dysfunction has a physical cause.

For example, a man with a slight decrease in erectile function caused by diabetes or peripheral vascular disease can develop severe ED after starting a new drug or if stress increases. Atherosclerosis may partially block blood flow to the legs (peripheral vascular disease).

Usually, arteries to the penis are also blocked, decreasing the amount of blood flow to the penis and causing ED.

Diabetes, high cholesterol levels, high blood pressure, and smoking contribute to atherosclerosis and therefore to ED. Sometimes blood leaks out of the veins in the penis too fast, decreasing blood pressure in the penis and thus interfering with achieving or maintaining an erection (called veno-occlusive dysfunction). If the nerves sending messages to the penis are damaged, ED can occur. In addition to causing atherosclerosis, diabetes can also affect the nerves that supply the penis. Because nerves to the penis run along the prostate gland, prostate surgery (such as for cancer or an enlarged prostate) often causes ED.

Less common nerve disorders that cause ED include spinal cord injury, multiple sclerosis, and stroke.

Also, prolonged pressure on the nerves in the buttocks and genital area (the so-called saddle area), as may occur during long-distance bicycle riding, can cause temporary ED.

Hormonal disturbances (such as abnormally low levels of testosterone ) tend to decrease sex drive but can also result in ED.

In Peyronie disease, scar tissue develops inside the penis, resulting in curved and often painful erections and causing ED. In Peyronie disease, inflammation inside the penis causes scar tissue to form.

Because the scar tissue does not enlarge during an erection, the erect penis is curved, making penetration during sexual intercourse difficult or impossible. The scar tissue may extend into the erectile tissue (corpora cavernosa), causing erectile dysfunction. Drugs, including alcohol and illicit drugs such as cocaine and amphetamines, can also cause or contribute to ED. Sometimes psychologic problems (such as performance anxiety or depression) or factors that decrease a man's energy level (such as illness, fatigue, or stress) cause or contribute to ED. Erectile dysfunction may be situational, involving a particular place, time, or partner.

Prolonged, painful erection (priapism) may damage the erectile tissue of the penis, leading to ED. An occasional episode of erectile dysfunction (ED) is not uncommon, but men who are consistently unable to achieve or maintain an erection should see their doctor because ED may be a sign of a serious health problem, such as atherosclerosis or a nerve disorder. The following information can help men know when to see a doctor and what to expect during the evaluation. In men with ED, certain symptoms and characteristics are cause for concern.

Absence of erections during the night or upon awakening in the morning. Numbness in the area between and around the buttocks and genital area (called the saddle area) Painful cramping in the muscles of the legs that occurs during physical activity but is relieved promptly by rest (claudication) When to see a doctor.

Although ED may diminish a man's quality of life, it is not itself a dangerous condition.

However, ED may be a symptom of a serious medical disorder. Because numbness in the groin or leg can be a sign of spinal cord damage, men who suddenly develop such numbness should see a doctor right away.

Men who have other warning signs should call their doctor and ask how soon they need to be seen and examined. Doctors first ask

questions

What they find during the history and physical examination often suggests a cause for ED and additional tests that may need to be done (see table Common Causes and Features of Erectile Dysfunction).