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Treatment of Impotence

04/03/2025
in News
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This article is available in: Русский & ქართული

Treatment of Impotence – Impotence, also known as sexual dysfunction, is a condition where a man cannot engage in sexual activity. Impotence significantly impacts a man’s mental health and affects the quality of life with his partner. In such cases, most men find it difficult to acknowledge the problem, leading to frequent self-medication with various ointments and drugs. However, these treatments often fail to provide real results, and without consulting a doctor, such methods may cause more harm than good.

There are psychogenic, neurogenic, vascular, endocrine, and organic causes of impotence

Psychogenic erectile dysfunction is usually seen in inexperienced men who lack confidence during sexual activity. Causes of psychogenic impotence may include drug addiction, alcoholism, stress, and depression.

Organic problems stem from urological diseases such as Peyronie’s disease, chronic pelvic pain syndrome, phimosis, and prostatitis.

  • Peyronie’s disease is an acquired and usually progressive condition of the penis. Most men notice the disease when they feel hardened plaques under the skin of the penis, which may cause pain with or without an erection. During an erection, the penis curves, making sexual intercourse difficult or impossible.
  • Chronic pelvic pain syndrome is characterized by pelvic pain and urinary problems. Erectile dysfunction can be a cause. In such cases, shockwave therapy is applied to the prostate and lower pelvic area.
  • Prostatitis is the inflammation of the prostate gland. The prostate plays a role in liquefying sperm, aiding fertilization, participating in urination, and in the process of ejaculation.
  • Phimosis is a pathological condition where the foreskin cannot be retracted over the head of the penis. This condition prevents normal cleaning and leads to the accumulation of smegma, a substance secreted by glands under the foreskin.

Endocrine problems include diabetes, adrenal and thyroid dysfunctions, prolactinoma, and low testosterone levels.

Neurogenic problems include Parkinson’s disease, multiple sclerosis, and brain and spinal cord diseases.

Vascular problems include impaired microcirculation in the penis, damage to the penile vascular system, and venous leakage.

One of the key factors in the development of impotence is high blood pressure. Many studies have confirmed that hypertension can itself lead to impotence. For example, in atherosclerosis, which is a risk factor for arterial hypertension, there is the development of atheromatous plaques, including in the arteries of the pelvis and the bifurcation (branching) of the aorta.

The penile arteries arise from these large arteries, and due to pathological processes, the lumen of the arteries narrows, disrupting blood flow.

Impotence is diagnosed through the following methods:

  • Ultrasound of the penis
  • Laboratory tests
  • Endocrinological tests
  • Neurological tests

Impotence treatment at the “Karazanashvili Robotic Center” uses ultra-modern innovative equipment.

Shockwave therapy provides simple and effective treatment. By applying the device to specific areas of the body, you feel light pressure and a slight tingling sensation, lasting a few minutes. As a result of the shockwaves, a new vascular system develops in the penis, which leads to improved erections.

Shockwave therapy is one of the most effective therapeutic and rehabilitative methods in modern medicine. With its delicate mechanism of action on tissues, it has no equivalent today.

The generation and focusing of shockwave impulses by the device have been tested through 30 years of practice and confirmed by numerous scientific studies.

Shockwave therapy is widely used in various fields of medicine, including traumatology, orthopedics, physiotherapy, sports medicine, andrology, urology, neurology, aesthetic medicine, and dermatology.

In addition to shockwave therapy, the clinic is focused on conducting complex diagnostics through the involvement of qualified doctors to identify and treat the causes of dysfunction. Comprehensive diagnostics include consultations with urologists, endocrinologists, cardiologists, sexologists, and neurologists.

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პროფესორი გურამ ქარაზანაშვილი ევროპის უროლოგთა ასოციაციის (EAU) მე-40 ყოველწლიურ კონგრესზე (EAU25)
News

Professor Guram Karazanashvili at the 40th Annual Congress of the European Association of Urology (EAU25)

ქალებში შარდის შეუკავებლობა, როგორია პრობლემის მოგვარების მეთოდი რობოტული ოპერაციით?
Gynaecological Hub

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მორიგი კონფერენცია საქართველოსა და კავკასიის მასშტაბით “პროსტატის კიბოს თანამედროვე მართვა”
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მორიგი კონფერენცია საქართველოსა და კავკასიის მასშტაბით “პროსტატის კიბოს თანამედროვე მართვა”
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