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Erectile dysfunction treatment in New Delhi, India

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Erectile dysfunction treatment in New Delhi, India

Erectile Dysfunction is a widespread health issue.

Erectile Dysfunction (also Known as Impotence) is the inability to keep erection firm for sexual intercourse.

1 out of every 2 men of the age 40 years or above suffers from ED, Most Men are not aware that this problem can be cured.

There are many erectile dysfunction doctors in the world. If you are thinking to consult erectile dysfunction doctors near me, then go to Dr Ashish Sabharwal, as he is available all seven days of the week, including Sunday, in south Delhi as well as North Delhi. Dr Ashish is the best erectile dysfunction doctor near me. He is the best erectile dysfunction doctor in Delhi and NCR including Gurgaon. Patients from various parts of India including Punjab, Haryana, UP, Rajasthan, Maharashtra, Bihar, Calcutta, Chennai as well as patients from other countries of the world like Afghanistan, Iraq, Nigeria, Kenya, Uganda, Tanzania, Ghana, Bangladesh, United States, London have come to Dr Ashish Sabharwal for Penile Implant surgery in Delhi. Because of the treatment outcomes, Dr Ashish Sabharwal is considered the best erectile dysfunction doctor in India by his patients. Because of all this Dr Sabherwal is considered one of the best erectile dysfunction doctors and the top erectile dysfunction doctors.

Get the best Erectile dysfunction treatment at Blue Ribbon Prostate clinic, New Delhi, India. We offer the best Penile Implant surgery in Delhi, India. This is a specialised Penile Implant clinic. We do all types of implant the Indian malleable, American malleable Titan Coloplast Genesis, American 2pc inflatable ( AMS Ambicor) American three piece inflatable ( Titan touch, AMS Cx, AMS LGX ). Treatment is done by Dr Ashish Sabharwal who is the most experienced and the best Penile Implant surgeon in Delhi, India. He has done more than 500 Penile Implant in Delhi.

If you are looking for erectile dysfunction treatment doctor, you should understand that there are many MBBS doctors who do this treatment or non-allopathic homoeopathic doctors and Ayurvedic doctors as well. But they do not have standardised treatment and they are not specialists. Do not search for any erectile dysfunction treatment near me. Search for Urologist Erectile dysfunction treatment. Urology and andrology are learnt during urology super specialist training. So, it is always good to go to the erectile dysfunction treatment Centres Near me where a urologist is treating your problem. Urologist is the best erectile dysfunction treatment doctor. Dr. Ashish Sabharwal is the specialist urologist surgeon who provides erectile dysfunction treatment in Delhi.

Erectile dysfunction treatment in New Delhi India is available at blue ribbon prostate clinic, New Delhi. Here, all types of ED treatment is provided including medicines, vacuum therapy and Penile Implant.

Erectile dysfunction treatment near me is available at Blue Ribbon Prostate Clinic, New Delhi . This is a erectile dysfunction treatment centre near me which is open all seven days including sunday and Dr Ashish Sabharwal is available till late evening from morning 8 AM to 8 PM.

Erectile dysfunction is a condition in which the male is not able to have satisfactory intercourse with his wife due to week erections. So in this we give treatment to the male patient so that he is able to get good directions, that are strong enough for adequate intercourse.

There are many treatments for ED including medicines, vacuum therapy, injections and Penile Implant surgery.

Medicines are usually the first line for therapy. If the medicines do not work or they have side-effects or they are contraindicated due to some medical problem , In those cases we go for other options like vacuum therapy or injections or Penile Implant surgery. The problem with vacuum therapy is that not many people like to use it because they find it inconvenient or uncomfortable. Injections are also not very acceptable because they are painful to use and over long-term the penis becomes fibrosed due to repeated injection. So in patients who are not benefited by medicines, the best treatment is Penile Implant surgery. It is one-time treatment, There is high satisfaction rate in patients who undergo the penile implant because of the quality of erections and the ease of use of Penile implants.

When patient is having high blood pressure, They are taking many medicines to lower the BP and these medicines can sometimes cause ED. The treatment of ED in patients with high BP should be done carefully as the ED medicines can cause reactions with the BP medicines. ED medicines can also cause chest pain and sudden fall in BP.

The best treatment in high BP patients specially if medicines are contraindicated is Penile Implant. Penile implant is one-time permanent treatment and it has no side-effects with the heart or blood vessels.

The medicines for erectile dysfunction or not covered by insurance but the Penile Implant surgery is covered partly by insurance. What this means is that the cost of the Penile Implant is not covered by insurance but the cost of the hospital admission, room rent, medicines after admission are covered by some insurances.

The cost depends on the severity of the problem. First of all, we do Penile Doppler Ultrasound testing for the severity of erectile dysfunction. Penile Doppler ultrasound cost is about Rs 5000/-

After this test, treatment can be either by medicines or vacuum therapy or penile implant.

Diabetic patients of commonly suffer from ED. The reason for ED in diabetic patients is the deposition of sugar in the small blood vessels of the corpora.Due to this deposition, the blood vessels become blocked and blood does not flow into the penis at the time of stimulation. So the erection does not take place, at time of sexual stimulation.

All the standard treatments for ED are used with diabetes patients but I will need more severe therapy because of the more severe problem. Commonly diabetes patients need multiple medicines and most of the times medicines dont work and patient ultimately needs Penile implant surgery treatment to cure his ED.

These patients frequently have hyperlipidaemia, increased cholesterol and diabetes. This causes the blood vessels of the penis to get blocked and therefore blood does not flow into the penis. Thus, these patients suffers from ED.

The medicines used for ED treatment are not safe in cardiac patients. Those medicines can cause sudden fall in BP or palpitations or chest pain in heart patients. So the medicine should be taken with caution in these patients. Specially in heart patients who are on organic nitrates.

Vacuum therapy or Penile Implants are very effective in heart patients who are suffering from ED.

The piezowave 2 or the shockwave ultrasound machine is a good modality of treatment for ED. The principle of treatment is that low frequency ultrasound waves are applied to the blood vessels of the penis. The ultrasound waves promote dissolution of the blockages as well as promote new blood vessel formation in that area. This promotes erectile function and treats the ED.

Vacuum therapy is a procedure in which negative pressure is created over the penis which sucks in blood from the body into the penis to give a good erection.

This is commonly used in patients after radical prostatectomy as part of Penile rehabilitation or In diabetic patients where only medicines do not work and patient needs additional therapy. It is also beneficial in cardiac patients in which medicines are contraindicated.

The problem with vacuum therapy is that not many people like to use it because they find it inconvenient or uncomfortable.

Injections are not very acceptable because they are painful to use and over long-term the penis becomes fibrosed due to repeated injection.

If the medicines are not working in that case the best treatment is to go directly for Penile Implant surgery.

One of the causes for erectile dysfunction is Venus league. In this problem the blood after flowing into the penis does not stay there and flows back into the body very soon even before the orgasm. Thus, the penis looses erections even before orgasm. In the minor cases, it can be treated with medicines. Some people recommend Venous leak repair surgery but in my personal experience, it is not very successful, the venous leak persists and the ED is not treated. The best treatment of severe cases of venous leak is Penile Implant surgery.

Erectile dysfunction dysfunction treatment is done by Dr Ashish Sabharwal, He is a senior consultant urologist and andrologist. He trained in erectile dysfunction treatment and penile implant surgery for treatment of ED at University of Miami, USA. Urology is a field of medicine which deals with the treatment of the urinary tract and penis. Do not get the use erectile dysfunction treatment by quacks or plain MBBS or homoeopathic or Ayurvedic doctors.

Platelet rich plasma or PRP injections Are given inside the penis. The principal behind this therapy is that the PRP Therapy helps in the regeneration of nerves and blood vessels in the area of the penis. This improves the sensitivity and blood supply to the penis. Thus, the erections are improved.

The notes for elections are very close to the prostate. Thus these knows maybe damaged at the time of radical prostatectomy. We do not sparing robotic radical prostatectomy for prostate cancer. This not only cures Prostate cancer but also preserves the erectile function in the patient.

Immediately after the surgery, we have a very strong penile rehabilitation regimen. This includes medicines and vacuum therapy. This therapy is continued for as long as six months. The erectile function returns in more than 50% of the cases after six months to 1 year. If the erectile function does not to return even after two years and the patient is still desirous to get his function back, the best treatment is Penile Implant surgery.

There are many medicines for erectile dysfunction treatment available in the market. They are basically helping in increasing the blood flow into the penis so that the person can get a strong direction. They work by dilating the blood vessels and increasing the blood flow into the penis. When they cause vasodilation, this is not limited only to the penis. They dilate blood vessels of the whole body. dilation of blood Vessels of the brain causes headaches, dilation of the blood vessels of the eyes and face cause flushing of face and blue green colour vision, dilatation of the blood vessels the heart cause lowering of BP and palpitation, dilation of the blood vessels of the stomach cause indigestion and gastritis , dilation of the blood vessels of the leg muscles causes calf pain. Sometimes, they can also cause prolong erection that is called priapism.

These medicines can cause chest pain and severe side-effects with some medicines specially heart patients were taking organic nitrates for chest pain. If both the nitrates and these medicines are taken together they can cause severe lowering of the blood pressure and heart attack.

Erectile dysfunction can be psychological or it can be due to underlying medical problem. This type of ED problems are reversible if we are able to find out the exact cause of this problem. The features of a psychological ADR it is sudden onset that means that patient was absolutely fine about one month ago and now suddenly he has developed ED. Patients with psychological ED usually have good early morning erections. The ED in these patients might be selective that means that they have ED with one particular partner and have normal erections and sexual relationship with another partner.

Patients with psychological ED should consult a doctor and with adequate psycho counselling and with the help of a few medicines their ED can be reversed.

Symptoms

  •  Erections are not enough firm for sexual intercourse.
  •  Erections are for short duration for sexual intercourse.
  •  Inability to achieve erections for Sex.

Risk Factors

As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection.

Various risk factors can contribute to erectile dysfunction, including:

  • Medical conditions, particularly diabetes or heart conditions
  • Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead to erectile dysfunction
  • Being overweight, especially if you're obese
  • Certain medical treatments, such as prostate surgery or radiation treatment for cancer
  • Injuries, particularly if they damage the nerves or arteries that control erections
  • Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions
  • Psychological conditions, such as stress, anxiety or depression
  • Drug and alcohol use, especially if you're a long-term drug user or heavy drinker

Complications

Complications resulting from erectile dysfunction can include:

  • An unsatisfactory sex life
  • Stress or anxiety
  • Embarrassment or low self-esteem
  • Relationship problems
  • The inability to get your partner pregnant

Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.

Physical causes of Erectile Dysfunction

Common causes include:

  • Heart disease
  • Clogged blood vessels (atherosclerosis)
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
  • Parkinson's disease
  • Multiple sclerosis
  • Certain prescription medications
  • Tobacco use
  • Peyronie's disease — development of scar tissue inside the penis
  • Alcoholism and other forms of substance abuse
  • Sleep disorders
  • Treatments for prostate cancer or enlarged prostate
  • Surgeries or injuries that affect the pelvic area or spinal cord

Psychological causes of Erectile Dysfunction

The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:

  • Depression, anxiety or other mental health conditions
  • Stress
  • Relationship problems due to stress, poor communication or other concerns

The various treatment options include --- 

  • Lifestyle changes, 
  • Drug therapy, 
  • Vacuum therapy or getting a penile implant

Lifestyle Changes

Changing lifestyle and adopting certain healthy habitshelps in treating your ED:

  • Reducing stress
  • Exercising regularly
  • Quitting smoking
  • Reducing alcohol consumption
  • Losing weight

When bringing changes in one’s lifestyle alone doesn’t work, One should consult the doctor for drug therapy, the next step of treating ED

Drug Therapy

Drugs known as PDE-5 inhibitors relax muscle cells in the penis and increase blood flow. They are Sildenafil or tadalafil are oral prescribed and the most commonly prescribed therapy for ED, but they may have side effects or may treat the Erectile Dysfunction completely.

The common side effects are headaches, back pain, upset stomach, or muscle tenderness, redness of face or eyes.

In few rare cases, sildenafil can cause blue-green shading of vision that lasts for a short time. If you are taking nitrates for your heart, you should consult your doctor before using a PDE-5 inhibitor to learn how it might affect your health.

Drug therapy is safe but it has its own side effects, its your healthcare provider who can guide you about using these drugs  and also provide your doctor with a complete list of medications you’re taking, specially heart problems and blood pressure medications, that can cause a harmful interaction.

Other Medication for treating ED

If oral drugs don’t work, another drug, alprostadil, is used in men with ED. This drug can be used in two forms, which your doctor will decide on how it is to be used:

  • Self-Injection Therapy
  • Medical Injections for Impotence

The drug is injected into the side of penis with a very fine needle. The success rate of this medication for getting an erection firm enough to have sex is as high as 85%.

  • Intraurethral Therapy

In this drug which is tiny medicated pellet is directly placed in the urethra (the tube that carries urine out of your body). With Intrauretheral therapy you save yourself from having to give yourself ainjection shot, but also makes it less likely to work.

  • Urethral Suppository or MUSE (alprostadil) is also used to treat ED. Common side effects with this are penis or testicle pain, urethral bleeding, and burning in the urethral opening.

 The most common side effects of alprostadildrug are - burning feeling in the penis, and an erection that can last for over four hours and need medical attention to make it go down.

Another form of Treating ED is through:

When medication alone don’t work then your specialist will suggest you with other form of treating ED which is Penile Implant or Vacuum Therapy.

Penile Pump / Vacuum Therapy Device

This device has a penile cylinder that is placed over the penis, on pressing a button , negative pressure is created that  draws  blood from the body into the penis. This vacuum creates an erection.

This type of device may be used just prior to sexual intercourse.

Vacuum erection devices are a way of producing an erection, if medicines are not working or if medicines are contraindicated.

Pumps can be either hand-operated or run on batteries. To avoid any sort of accidental injury to the penis, the penile pump should contain a “quick release” feature that allows for a rapid release of the vacuum.

There are two basic types of Penile Implants :

  • Malleable Penile Prosthesis
  • 3 piece inflatable Penile Prosthesis

Both implant types are custom fitted to your body and allow you to have a satisfactory erection for sexual intercourse. Your sensitivity and ability to ejaculate are not affected. The primary difference between the two penile prosthesis types is that flexible malleable implants produce a permanently firm penis, while the 3 piece inflatable penile prosthesis produce a more natural erection.

Malleable penile prosthesis

Unique features:

The malleable implant consists of 2 rods that are placed in the corpora cavernosa. There are no further parts to this implant. To have an erection, you only need to hold the penis and move it to the erect position. When you are finished with the intercourse, you return the penis to the non-erect position.

3 piece inflatable penile prosthesis

The inflatable penile prosthesis is a self-contained, fluid-filled system made from Bioflex and silicone. As the only penile prosthesis with a true lockout valve located at the base of the reservoir, the penile implant is designed to mimic the look and performance of a natural erection.

With the 3 piece inflatable penile implant, cylinders are lying flaccid in the corpora; patient inflates the cylinders by pressing the pump bulb in the scrotum.

One can control the firmness by pumping until he is satisfied with the erection.

Unique Features:

Maximized Girth and Rigidity – ensures better erections by providing maximized girth and rigidity compared to other cylinders on the market. Sizes range from 11 cm to 28 cm.

  • Natural Appearance – The non-bulky, low-profile pump design ensures a natural appearance when the penis is flaccid.
  • Confident Operation – Easy to locate inflation and deflation pads in the scrotum help you confidently operate the device when you’re ready for sexual activity. This ease of use also decreases the need for repeated physician visits for prosthesis training.
  • Easy one-handed deflation – The pump allows for easy one-handed deflation of the device, while the unique Lock-out™ valve is designed to prevent auto-inflation.
  • Innovative cloverleaf reservoir design allows for surgical placement with a smaller footprint, while the implants hydrophilic coating promotes easier device implantation.
  • Superior Mechanical Reliability Rates: Recent studies have shown mechanical reliability rates of 97.5% after five years on first-time implants.
  • Lifetime Replacement Policy: these implants provide a lifetime replacement policy with all of its penile implants. The inflatable implant, or any component, can be replaced for any reason during your lifetime.

 

Titan Touch Inflate/Deflate animation

http://www.coloplastmenshealth.com/wp-content/uploads/2014/11/titan-touch-animation-2014.mp4

Actual Titan Touch Penile Implant Inflate/Deflate Patient Demonstration

http://www.coloplastmenshealth.com/wp-content/uploads/2017/04/Coloplast-Patient-Demonstration-Video.mp4

Erectile Dysfunction is not an inevitable part of aging, like the appearance of a few gray hairs or developing a need for reading glasses. It’s a highly treatable medical condition that you don’t have to suffer with it. With help, you can get back to enjoying a satisfying sexual relationship with your partner.

Consultant a Qualified Doctor Who Specializes in Erectile Dysfunction at the BLUE RIBBON PROSTATE, UROLOGY AND ANDROLOGY CLINIC

When you meet us, here are some questions you can ask:

  • How many penile implant procedures have you done over the course of your career?
  • What are the advantages of the penile implant?
  • Am I an ideal candidate for a penile implant? Why or why not?
  • Are there any additional diagnostic tests that you would recommend before the procedure?
  • What happens during the surgery?
  • What are the risks?
  • What can I expect during the recovery process?
  • How long should I wait before resuming intercourse?

Talk to Someone Who’s Been There

We can give you information about the technical aspects of having a penile implant, but there are some questions that can only be answered by someone who actually has a penile prosthesis. Connect with our previous patients to learn more about what daily life is like with a penile implant, including if the operation will affect your sensitivity and ability to ejaculate.

How to Support a Partner with E.D.

As women, we can sometimes feel as though we’re responsible for the wellbeing of our loved ones. If your partner regularly cannot get or keep an erection, your first instinct may be to blame yourself. Don’t. 

Your partner’s ED is not caused by anything you’ve done.

ED can’t be cured by sexy new lingerie or more variety in the bedroom, because it isn’t related to your guy’s attraction to you. His inability to “perform” is a physical condition that is most often linked to medical problems such as diabetes, high cholesterol, or early-stage heart conditions.

This might sound worrisome too, but it’s news with a silver lining. Having a medical cause for ED means help is available. With treatment, your partner can get back to sweeping you off your feet.

Support for Spouses and Partners

If you don’t feel comfortable discussing your spouse’s or partner’s ED with a girlfriend, Blue Ribbon Prostate, Urology and Andrology Clinic can help. We’ve provided a partner support network to help you connect with other women struggling with the same issues. 

Having a sympathetic listener in your corner can help you address your concerns without making your loved one feel as though you’re unhappy with him or are divulging his very personal secrets to just anyone.

Opening the Lines of Communication

Dealing with ED is stressful for any man, even when he’s nowhere near the bedroom. Since erections are often portrayed in popular culture as a sign of masculinity, it’s no surprise that ED can him lead to feelings of shame, isolation, anxiety, and depression.

If you’ve noticed that your sweetheart is hesitant to hug, kiss, or show any affection, he’s probably worried about what will happen if things turn physical and he’s unable to satisfy you. No man wants to feel like he’s disappointing the woman he loves.

Minimizing the problem might seem helpful, but telling your partner his erectile dysfunction doesn’t matter makes it sound like you don’t miss sexual intimacy. This message is ultimately hurtful and will only cause him to withdraw even further.

To show your support, arrange a time to talk where you both feel relaxed. You want to be far away from the bedroom when this conversation occurs. Try having the discussion after you’ve enjoyed a meal or watched a funny movie together. Share the ED information you’ve uncovered. Let him know that you care about his health and happiness, and gently encourage him to see his doctor. You can offer to join him at his appointment, but he might be more comfortable having a private conversation with his physician. He will know what feels right.

Important Safety Information

What are the risks of penile implant surgery?

With any surgery, there are some risks to consider. Please discuss the benefits and risks with your physician.

Risks associated with penile prosthesis implant include:

  • A penile implant, also called a penile prosthesis, is concealed entirely within the body to address erectile dysfunction (impotence). The implant requires some degree of manipulation before and after intercourse to make the penis erect or flaccid.
  • Penile implants are surgical solutions requiring a healing period that have risks associated with surgery such as pain, anesthesia reactions, repeat surgery due to infections, or mechanical problems with the device. 
  • The implant eliminates the possibility of a natural erection. 
  • Considerations in choosing a penile implant may include your medical condition, lifestyle, personal preference and cost.

This treatment is prescribed by your physician. Although many patients benefit from the use of this device, results may vary. 

Discuss the treatment options with your physician to understand the risks and benefits of the various options to determine if a penile implant is right for you.

Penile Implant - Patient Experience


Penile Prosthesis implantation for Erectile Dysfunction


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