Erection problems and loss of libido

Our department tries to offer the most effective and scientifically based treatment possible through a personalised approach, so that sexuality is once more possible.

During your first consultation:

• a confidential conversation takes place, based on your general condition, your normal sexual functioning and your expectations for the future
• a blood test (typically) is performed
• personalised treatment is proposed
• (If an underlying disease is diagnosed) a referral to the appropriate specialist in internal medicine is made

In exceptional cases, the erectile dysfunction is due to a hormonal disorder: if this is the case, you will be referred to the uro-endocrinology unit, where both a urologist and an endocrinologist will address the problem.

Erection problems are very common. They are present to a greater or lesser extent in 52% of men between the ages of 40 and 70 years old. They may involve a loss of libido, but this is not always the case.

Often, erection problems are the result of the ageing process, sometimes of a particular underlying disease. Psychological or emotional stress (e.g. fear of failure) is often a contributing factor. Often, erectile dysfunction is a side effect of certain medications, such as high blood-pressure medication.

The following are typical causes of erectile dysfunction:

• diabetes
• smoking
• cardiovascular problems and high cholesterol (blocked blood vessels)
• hypertension (high blood pressure)
• Enlarged prostate
• hormonal issues
• a prior history of lower abdominal surgery
• a prior history of prostate cancer treatment

Other sexual problems that can occur and that are investigated on our unit include premature ejaculation, impossibility of ejaculation or painful ejaculation.

In most cases, men with an erectile dysfunction are adequately helped by medication.

If, after examination, it appears that too low a testosterone level is present as a cause (hypogonadism), this will in many cases have to be treated with medication.

If this approach proves ineffective, alternatives will be discussed. Treatment using a vacuum pump or with injections into the penis is also safe and effective. Your urologist will advise you on their use and administration.

If these remedies prove insufficient, an erection prosthesis can be implanted.

Over the years, our department has acquired a great deal of experience with this problem, both among young patients and elderly men.

If you feel uncomfortable about taking the first step: please know that every patient will be treated respectfully and with complete confidentiality.

• Urology
  
• Ulrike De Taeye (sexologist)