Andrology & Erectile Dysfunction

By Mr Sarp Keskin, Consultant Urological Surgeon Tablets such as sildenafil (Viagra) and tadalafil (Cialis) help many men, but around one in three do not get a good enough result – especially men with diabetes, after prostate cancer surgery, or with more severe blood vessel disease. Others cannot take tablets because of heart medicines, or simply dislike the side effects. If this sounds like you, it is important to know that tablets failing does not mean you have run out of o

By Mr Sarp Keskin, Consultant Urological Surgeon Low-intensity shockwave therapy (Li-ESWT) is one of the most talked-about treatments for erectile dysfunction. It is widely advertised – sometimes with bold claims of a "cure". This guide sets out what the treatment involves, who it may help, and – just as important – who it is unlikely to help, so you can make an informed decision. What is shockwave therapy for ED? Shockwave therapy uses gentle, low-energy sound (acoustic) wav

What is premature ejaculation? Premature ejaculation (PE) means ejaculating sooner than you or your partner would like, with little control over the timing, and feeling distressed or frustrated by it. It is the most common sexual problem in men – more common than erectile dysfunction – and it can happen at any age. Yet very few men ask for help, often because of embarrassment or a belief that nothing can be done. In fact, PE is very treatable. What counts as "premature"? Ther

How is erectile dysfunction diagnosed? The aim of the assessment is to answer three questions: What is the main cause of your erection problem? Is there an underlying health issue, such as diabetes, heart disease or low testosterone, that needs attention in its own right? Which treatment is most likely to work for you? For most men, the diagnosis is made from a careful conversation, a short examination and a few blood tests. More specialised tests are only needed in selected

Erection problems are very common – around half of men between 40 and 70 have some difficulty at some point – yet many men wait years before asking for help. The good news is that almost every man with erectile dysfunction (ED) can be helped, and in most cases without any operation. At OX Urology, Mr Sarp Keskin offers private, consultant-led andrology clinics in Oxford and Banbury, with a strong focus on finding the cause and getting you the right treatment quickly. Is this

Can erectile dysfunction be treated? Yes. Almost every man with ED can be helped. Treatment is usually given step by step, starting with the simplest options and moving on only if needed. Most men find a solution without any operation. Step 1 – Treating the cause and your general health Before, or alongside, any erection treatment: Stopping smoking – smoking damages the small blood vessels in the penis Regular exercise – around 150 minutes of brisk activity a week has been sh

What is erectile dysfunction? Erectile dysfunction (ED), sometimes called impotence, means having repeated difficulty getting or keeping an erection that is firm enough for satisfying sex. Almost every man has the occasional "off night" – after too much alcohol, when tired, stressed or unwell. That is normal and is not ED. Doctors usually talk about ED when the problem happens on most occasions, or has been going on for several months. ED is very common: Around half of men ag