DIAGNOSTICS

Erectile Dysfunction

What is an Erectile Dysfunction?

Erectile dysfunction is when a man is repeatedly unable to have an erection or maintain it during intercourse. On the other hand, if it happens to you in an isolated or occasional way, do not worry, this is normal and happens to most men at some point in their lives.

Erectile dysfunction (ED) is a condition that can occur in men and is characterized by an inability to achieve or maintain an erection during sexual intercourse. When this issue occurs only occasionally, there’s no cause for concern: erection problems are normal and happen to most men from time to time. However, when ED is an ongoing problem, men may benefit from professional treatment.Dr. Marois offers a variety of surgical and non-surgical erectile dysfunction treatment options at his urology clinics in Greater Montreal and Quebec City.

Whate are the signs and symptoms?
Erectile dysfunction, or impotence, is characterized by a persistent inability to achieve an erection. Specifically, this may be an inability to maintain one’s erection until orgasm or, alternatively, the inability to become firm enough to penetrate one’s partner.
What are the causes of erectile dysfunction
ED can have numerous causes, including:
  • Psychological issues, such as anxiety, stress or relationship problems.
  • Vascular problems, such as narrowing of the blood vessels. This can be caused by poor lifestyle habits or illness and is associated with smoking, diabetes, high blood pressure and high cholesterol.
  • Neurological problems, in particular, damage to the nerve endings. This is typically caused by diabetes, multiple sclerosis, a stroke, a herniated disc or another medical condition.
  • Hormonal imbalance, for example, a low testosterone level.
  • Drug side effects, in particular those caused by antidepressants, antipsychotics, steroids and recreational drugs.
  • Treatments for prostate cancer, specifically, a radical proctectomy or radiation therapy (brachytherapy).
Why is it important to consult a doctor when in doubt?
Erectile dysfunction can be caused by a number of factors and it’s generally complicated for patients to identify them on their own. A doctor will be able to isolate the factors by reviewing the patient’s medical file, performing a physical examination (examining the genitals, testing blood pressure, the heartbeat, blood sugar levels, blood cholesterol levels, etc.), conducting a neurological examination and reviewing the patient’s use of substances associated with erection problems (tobacco, drugs, certain medications, steroids, alcohol).

Note that adopting healthy lifestyle habits, such as eating well, being physically active, quitting smoking and reducing alcohol consumption, can play a major role in helping patients avoid developing the sorts of diseases that cause erection problems. If physical health is not an issue for a patient, then seeing a psychologist or sex therapist may be the best course of action. In any case, the doctor will guide the patient to the treatment that is most appropriate for him.
What medical treatments are available for erectile dysfunction?
Patients with ED rely on medical intervention to be able to perform during sex. There are several types of drug treatments:
  • Oral PDE-5 inhibitors (Viagra, Cialis, Levitra and Staxyn).
  • Intra-urethral medication (Muse)
  • Intracavernous injections of vasodilators (Caverjet or Trimix)
Erectile dysfunction drugs are usually effective, are reasonably safe and have only mild or minor side effects. Most of them are taken as needed, before the sexual act, and their effect is temporary: they don’t improve erection quality in general.

While the daily administration of Cialis at 5 mg allows for more a spontaneous sex life, it doesn’t, however, treat the cause of erectile dysfunction.
What other treatments are available for erectile dysfunction?
  • Shockwave therapy
  • Penile implant
  • Platelet-rich plasma injection
  • Penile pumps
  • Intracavernous injections
Cliniques Marois offers a variety of treatments for erectile dysfunction. In addition, we can analyze blood flow in your penis using a penile ultrasound and doppler.

Contact us for more information or to schedule an adult circumcision at a private clinic in Montreal, Laval, on the South Shore or in Quebec City.

Request an Appointment

Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

Thank you for your understanding.

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