The term impotence (ED) refers to the inability to achieve or maintain an erection suitable for sexual intercourse. The main causes of erectile dysfunction include diabetes, cardiovascular conditions, hormonal imbalance and neurological problems (for example, stemming from a prostatectomy). It is important to note that organic ED is not a disease by itself but rather a symptom of another existing condition. More rarely, they symptoms are psychogenic. Manor Medical Group's erectile dysfunction treatment in Israel program can restore sexual function. Treatment consists of three lines, and includes, if needed, a penile implant surgery.

First Line

  • Drug therapy
  • Treatment with vacuum penile pump devices

Second Line

  • Penile injection therapy
  • Treatment with intraurethral agents

Third Line (Penile Implant Surgery)

  • Vascular reconstructive surgery
  • Penile implant surgery (semi-rigid, 2 and 3-piece implants)


Listed below is the erectile dysfunction work-up, which will help specialists determine the optimal treatment.

Patients experiencing ED symptoms will be referred for the following investigations:

  • Extensive blood work-up (CBC, CMP, glucose levels, lipid profile, hormonal profile); patients over 40 will also have their PSA levels checked
  • US of urinary tract with post-void residual urine test
  • Urologic andrologist consultation

Depending on the results, you may be referred to one or more of the following additional tests:

  • Nocturnal penile tumescence (NPT) test to determine where the symptoms are organic or psychogenic
  • Penile Doppler ultrasound to evaluate the condition of penile blood vessels and cavernous bodies, as well as blood flow velocity
  • Intracavernous injection test to evaluate penile blood vessel function; this test may also help determine where the symptoms are organic or psychogenic
  • TRUS
  • STD urine test
  • Lumbar MRI scan

Following the aforementioned investigations your treating urologist may (if indicated) refer you to a sexopathology expert, neurologist, cardiologist and/or a psychologist.

The work-up program will take 4 business days to complete.

Operative Erectile Dysfunction Treatment: Penile Implantation Surgery

In case surgical intervention is indicated, the cost of the program will include:

  • Routine preoperative preparation including an ECG and chest X-ray
  • Operative procedure and 2 days of hospitalization at Assuta Hospital
  • Prosthesis

Erectile dysfunction treatment will take place at the state-of-the-art Assuta Medical Center in Tel Aviv, which is considered to be one of the foremost medical facilities worldwide. Please note that, at present, most penile implantation surgeries involve a three-piece inflatable prosthesis with innovative non-palpable pump mechanism.

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