Introduction
Erectile dysfunction (ED) is a significant health concern for men, particularly in India, where the prevalence of conditions like diabetes and hypertension contribute to a higher incidence of sexual disorders. Dr. Vijayant Govinda Gupta, a leading andrologist in New Delhi and one of India’s foremost experts in penile implant surgery, sheds light on new treatment modalities that go beyond conventional medications like sildenafil (Viagra) and tadalafil. This article explores these advanced treatment options, their efficacy, and why early diagnosis and intervention are crucial for improving men’s health.
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Understanding Erectile Dysfunction in India
Erectile dysfunction is more common than most people realize. In India, the diabetes capital of the world, nearly 77 million people are affected by diabetes—a major cause of ED . Hypertension, obesity, depression, and stress further exacerbate this condition. According to Dr. Vijayant Govinda Gupta, while statistics suggest that 10-15% of men suffer from ED, clinical observations indicate that the actual number may be closer to 40-50%. This discrepancy arises because many men either ignore their symptoms or are unaware of the available treatments.
Importance of Men’s Health in Clinical Practice
Men’s health, particularly sexual health, often goes unaddressed due to societal stigma and a lack of awareness among both patients and healthcare providers . Dr. Gupta emphasizes that a significant number of men visiting clinics for various ailments may also be experiencing some form of sexual dysfunction, whether it’s low libido, premature ejaculation, or erectile dysfunction. However, due to the inhibitions surrounding these topics, many cases go undiagnosed and untreated. Early intervention, even with mild symptoms, can lead to significant improvements, especially when combined with lifestyle changes and appropriate medication.
Beyond Traditional Medication: New Treatment Modalities
Platelet-Rich Plasma (PRP) Therapy (P-Shot)
What is PRP?
Platelet-Rich Plasma (PRP) therapy, commonly known as the P-Shot, is gaining traction as a viable treatment for erectile dysfunction. PRP involves drawing the patient’s blood, filtering out red and white blood cells, and concentrating the platelets in the plasma. This platelet-rich plasma is then injected into the penile tissue, promoting growth factors that enhance blood flow and tissue regeneration .
Effectiveness
Studies show that PRP therapy can help 30-40% of men who do not respond to oral medications like tadalafil or sildenafil . It is particularly beneficial for diabetic patients and those with early-stage ED, making them more responsive to traditional ED medications.
Clinical Evidence
While PRP therapy is still considered investigational by some, organizations like the European Association of Urology (EAU) and the International Society for Sexual Medicine (ISSM) recognize its potential benefits, with numerous research papers supporting its use in combination with other treatments like shockwave therapy .
Low-Intensity Shockwave Therapy (LISWT)
What is LISWT?
Low-Intensity Shockwave Therapy (LISWT) uses focused shockwaves to stimulate the penile vasculature, promoting blood flow and aiding in the treatment of conditions like Peyronie’s disease and erectile dysfunction. The shockwaves cause micro-trauma in the penile tissue, which induces the body’s natural healing process, leading to the formation of new blood vessels .
Types of Shockwaves
There are two types of shockwaves used—focused and radial. Focused shockwaves concentrate energy at specific points, making them more effective for treating erectile dysfunction compared to radial shockwaves, which are typically used for physiotherapy .
Clinical Outcomes
Research indicates that LISWT can lead to a 30-40% improvement in erectile function . It helps patients achieve harder erections, sustain them longer, and reduces their dependency on higher doses of medications. For many, it offers a viable alternative or complement to traditional drug therapy.
The Role of Hormonal and Psychological Factors
While vascular issues are the most common cause of erectile dysfunction, hormonal imbalances and psychological factors also play a significant role. Low testosterone levels, particularly in older men, can contribute to ED . Dr. Gupta highlights that even when testosterone levels fall within the normal range, some patients may benefit from testosterone supplementation to improve their symptoms. Moreover, while psychological ED is often overdiagnosed, it is essential to consider it as a factor, especially when younger men do not respond to medications.
Conclusion
Erectile dysfunction is a multifaceted condition that requires a comprehensive approach to treatment. Beyond conventional medications, therapies like PRP and LISWT offer new hope to patients who have not responded to traditional treatments. As awareness grows and more research is conducted, these innovative treatments are becoming integral to the management of ED.
About Dr. Vijayant Govinda Gupta
Dr. Vijayant Govinda Gupta is a renowned urologist and andrologist based in New Delhi, India. With a special focus on men’s health and sexual wellness, Dr. Gupta is recognized as India’s leading expert in penile implant surgery. He is also a pioneer in introducing advanced treatments for erectile dysfunction, such as PRP therapy and low-intensity shockwave therapy. Dr. Gupta’s dedication to patient education and early intervention has made him a trusted name in the field of men’s health.
Erectile Dysfunction Treatment Costs at Dr. Govinda’s Clinic in New Delhi, India
P-Shot Therapy
- Cost: ₹8,000 per session
- Overview: The P-Shot (Platelet-Rich Plasma Therapy) uses your own blood to enhance erectile function by promoting tissue regeneration. This innovative treatment is available at ₹8,000 per session, with the number of sessions determined based on your specific condition.
Low-Intensity Shockwave Therapy (LISWT)
- Cost: ₹4,000 per session
- Overview: LISWT is a non-invasive procedure that stimulates blood flow and repairs penile tissue using focused shockwaves. At Dr. Govinda’s clinic, each session is priced at ₹4,000, with the total number of sessions varying depending on individual treatment needs.
Testosterone Replacement Therapy (TRT)
- Cost: ₹15,000 per month
- Overview: For men with low testosterone levels, TRT is an effective hormonal treatment that can alleviate symptoms of erectile dysfunction. The cost of this therapy at Dr. Govinda’s clinic is ₹15,000 per month, which includes ongoing monitoring and adjustments to ensure optimal results.
References
- India’s Diabetes Burden and Erectile Dysfunction – Source: International Diabetes Federation
- The Stigma of Men’s Sexual Health in India – Source: The Hindu
- PRP Therapy for Erectile Dysfunction: A Review – Source: Journal of Sexual Medicine
- Efficacy of PRP Therapy in Erectile Dysfunction – Source: National Institutes of Health (NIH)
- Latest Guidelines on PRP Therapy – Source: European Association of Urology (EAU)
- Understanding Low-Intensity Shockwave Therapy – Source: Mayo Clinic
- Clinical Applications of Shockwave Therapy in ED – Source: British Journal of Urology (BJU)
- Outcomes of LISWT in Erectile Dysfunction – Source: American Urological Association (AUA)
- Testosterone and Erectile Dysfunction – Source: Endocrine Society
