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  • Writer's pictureFabio Castiglione

Erectile Dysfunction Clinic in London: A Comprehensive Guide to Treatment and Care

Erectile Dysfunction in London: A Path to Recovery!

Today, we will discuss the erectile dysfunction service in London provided by Dr. Fabio Castiglione, a specialist in Urology and Andrology, and the director of the Advanced Urology Centre in London.

Erectile dysfunction (ED) is a disorder, not a disease. It can affect all men, particularly those between the ages of 50 and 60, but young people are not exempt, even if the causes often seem to be more psychological than physical. Young people between 18 and 25 years old can suffer from ED mainly due to lifestyle factors.

The propensity for smoking, drug and alcohol use, combined with psychological factors such as fear, performance anxiety, and low self-esteem, can result in ED. Erectile dysfunction is defined as the persistent inability to achieve and/or maintain an erection sufficient for satisfactory sexual intercourse! As we have said, ED is not a disease but rather a symptom that can indicate the presence of other diseases such as cardiovascular disorders, endocrine-metabolic problems, diabetes, and neurological diseases. Let's now see what the most common causes of ED are.

The most common causes of erectile dysfunction are:

  • Vascular diseases such as atherosclerosis (thickening of the arteries) or endothelial dysfunction

  • Psychological factors (stress, performance anxiety, depression)

  • Trauma or injuries to the penis

  • Use of certain medications

  • Peyronie's disease (presence of calcified plaques in the penis)

As we have seen, the causes that contribute to this disorder are of various types, and it is very important to establish the real reason with an accurate diagnosis.

The Andrological Visit, Why It's Better Than DIY Remedies!

Erectile dysfunction can occur for various reasons, but due to men's difficulty in discussing it with a doctor, and the ease with which the famous "blue pills" can be found, it has been estimated that out of 3-5 million men suffering from this disorder in Italy, only a small part turns to a specialist.

Approaching the problem correctly means identifying the causes with certainty and embarking on a path to resolve the disorder in a lasting way. The difference is precisely this, while pills can "plug" the situation temporarily, a targeted cure can definitively resolve the disorder.

Do you want to discuss your case with Dr. Fabio Castiglione? Call +447830398165 to book a visit!

How to Treat Erectile Dysfunction Correctly!

Erectile Dysfunction in Young People, Psychological Causes

Viagra, Cialis, Levitra, or Spedra are drugs that are part of a pharmacological therapy used to obtain erections as needed. However, without an adequate investigation into the causes of the dysfunction, the triggering factors of the disorder are not resolved, but only the symptom, in a transitory way. The first important step towards an effective cure is therefore to formulate a correct diagnosis and identify the causes of the problem.

Let's Put Embarrassment Aside!

No one disputes that it is embarrassing to deal with this topic, but without the intervention of a professional, satisfactory and lasting results cannot be obtained. Dr. Fabio Castiglione's goal is to identify and if possible treat the causes that lead to this disorder, aiming to achieve a significant improvement in patients' sexual quality of life.

The Meeting with the Specialist!

The visit from the Andrologist is not very different from most specialist visits. It is characterized by a first phase of Anamnesis in which information about the disorder, previous medical history, and the patient'slifestyle are collected. Diet, smoking habits, alcohol consumption, physical activity, chronic diseases, and pharmacological therapies taken are investigated. The second part consists of the evaluation (the actual visit), represented by the examination of the shape, size, and appearance of the testicles and penis. The specialist may prescribe further investigations through laboratory tests such as blood glucose, hepato-renal function, lipid profile, and various hormone dosages.

The Andrologist's Diagnostic Tools

  • Urine test

  • Urine culture

  • Sperm culture

  • Blood tests with hormonal dosages

  • Transrectal prostatic ultrasound

  • Drug-induced erection test

  • Seminal fluid examination

  • Testicular color Doppler ultrasound

  • Dynamic penile color Doppler ultrasound

  • Regiscan test or nocturnal penile tumescence (NPT)

Book a specialist visit with Dr. Castiglione at +447830398165!

The Erectile Dysfunction London service in Dr. Castiglione's Advanced Care centers is based on:

Dr. Fabio Castiglione

  • Setting up a personalized therapy that will allow the patient to achieve more vigorous erections and continue to have satisfying sexual activity.

  • Choosing tailor-made treatments that correct the various causes of erectile dysfunction.

The following list shows the available treatments, classified based on the desired therapeutic result.

On-demand solutions, i.e., allow patients to achieve erections before and during sexual intercourse:

  • Oral medications (belonging to the category of PDE-5 inhibitors) such as Viagra®, Cialis®, Levitra®, and Spedra®

  • Topical action drugs such as:

  • Penile injections

  • Intraurethral pellets of Alprostadil (MUSE®)

  • Alprostadil cream (Vitaros®)

  • Penile prostheses

  • Rejuvenation and penile physiotherapy

These are treatments that allow to invigorate and rejuvenate tissues, helping to improve the erection mechanism.

  • Low-intensity shockwave therapy

  • Vacuum device (vacuum pump)

  • Psychotherapy (psychosexual therapy)

In general, ED is a multifactorial process and is the result of the interaction of biological, cognitive, emotional, and relational factors that contribute to its onset. For this reason, psychotherapy, combined with other treatments, can represent a valid aid to improve the patient's sexual function.

Lifestyle Changes

Despite the existence of medical conditions that can contribute to erectile dysfunction, often the responsibility is to be attributed to unhealthy lifestyle habits: changing your lifestyle can make a real difference. The most common risk factors are:

  • Poor diet

  • Smoking

  • Sedentary lifestyle

  • Excessive alcohol consumption

  • Stress

Dr. Castiglione's Erectile Dysfunction London service uses a therapeutic approach based on the latest clinical studies, on the guidelines of international scientific societies of sexual medicine.

Call now to book your visit +447830398165 or send an email to

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