Erectile Dysfunction

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Causes of erectile dysfunction?

There are many known causes of erectile dysfunction. 

According to the causes, erectile dysfunction can be subdivided in the psychogenic and organic types. In patients with psychogenic erectile dysfunction it is not possible to identify a physical problem or disease. Typically psychogenic erectile dysfunction is found in younger men. 

In patients with organic erectile dysfunction, a physical problem or disease can be identified. 

Organic erectile dysfunction is by far more common than its psychogenic counterpart and in the majority of cases the underlying causes can be easily identified and treated. 

The cause of organic erectile dysfunction can be usually traced to an injury (to the brain, spinal cord, peripheral nerves or arteries), a metabolic condition (diabetes, high blood pressure or high cholesterol), a surgical procedure (prostate gland removal, urinary bladder removal, surgery to the rectum) and substance abuse (tobacco, drugs, alcohol and some medications).

Why Choose Giulio

Giulio is a veteran surgeon with 15 years of experience in the field of Andrology and Reconstruction. He is also one of the largest penile prosthesis implanters in Europe, as well as the surgeon who performs the largest number of procedures for the correction of complex cases of Peyronie's disease. He has been invited to lecture and perform surgery in 21 different countries, in 6 different continents.


Penile prosthesis implants last year


Complex Andrological procedures every year


Phalloplasties over his career