Erectile Dysfunction Treatment and Its Cost in India

Erectile dysfunction affects one in two men who are over 50 years of age. ED involves having trouble in getting an erection or maintains penal firmness during sexual intercourse.

What causes Erectile Dysfunction?

It could be caused due to psychological factors or underlying diseases such as diabetes, prostate surgery, heart diseases, smoking & alcohol, etc.

What are the symptoms of Erectile Dysfunction?

• Duration of erection is not long enough to perform a sexual intercourse
• Erection does not happen when desired
• Erection does not happen at all

When should one seek a medical assistance?

When ED starts affecting the person’s sexual relationship and mental well-being.

What are the ED-related treatment options available?

1. Lifestyle changes to improve heart and blood circulation
2. Treatment of one’s emotional health
3. Oral medication includes sildenafil or tadalafil pills increases penile blood flow resulting in a strong erection in 7 out of 10 men.
4. Surgical treatment: A penile implant or penile prosthesis is a surgical treatment option available for men when conservative treatment didn’t work well. Despite being the most invasive form of medical treatment, penile implant surgery provides an advantage that helps achieving natural and high sexual satisfaction in most men.

What is a penile implant?

Surgery is needed when conservative treatment didnt work.  Penile implant is mainly of two types: (a) bendable or semi-rigid and (b) inflatable. Bendable penile implants are best suitable for patients with spinal cord injury or limited hand strength. A pair of bendable rods is surgically positioned inside the erectile chambers of the penis. This makes the penis remain in a semi-rigid position and doesn’t require the initiation of erection before sexual intercourse. However, inflatable or hydraulic penile implants are preferred by most men. The device comes in two and three pieces.

What are the advantages and disadvantages of the different types of penile implants?

What happens during the penile implant surgery?

The three-piece penile implant has two cylindrical rods, one reservoir and one pump. The surgery can be carried out during spinal or general anesthesia based on patient’s age and medical condition. Surgeon makes three incisions first at the base of patient’s penis for two reasons: (1) to reach out to the two hollow muscular chambers, known as ‘erectile chambers’, and (2) for placing the customized cylindrical rods which is connected to the reservoir through tubes. Second and third incisions are made for positioning the pump and the reservoir inside the scrotal sac and lower abdomen respectively. Hydraulic pump is also attached with a separate reservoir. Surgery takes about an hour to complete. Surgeon then locks the incisions with the stitches. In case of two-pieces device, the reservoir fits inside the scrotum along with the pump.

 How are inflatable / hydraulic penile implants used?

During sexual intercourse, patient must press the pump which releases saline water from the reservoir into the cylinders, resulting in an inflation that leads to erection. Once sex is over, patient has to press the deflating valve, which transfers saline water back to the reservoir. Thereafter, the penis returns to its normal flaccid position due to the deflation of cylinders.

What happens after erectile dysfunction treatment?

The patient will have to remain under observation in the hospital for one day after the surgery, during which they will be given antibiotics and painkillers. The penis of the patient is tied on their abdomen, pointing towards their umbilicus or bellybutton, to prevent downward curvature during the healing stage.

What are the common complications associated with penile implant surgery?

• Commonest is Infection however it can be reduced by giving antibiotics.
• Uncommon is failure or malfunctioning of implant which calls for its repair or replacement.
• In extreme conditions, the implant can come out if the penile skin gets ruptured.

How is the sexual experience with having the penal implant inside of the body?

Once erection is achieved, it would feel normal as before. Implants don’t interfere with the sexual feelings, level of satisfaction, ability to have an orgasm, ejaculation and timings of ejaculation. The only difference is that the implants don’t make the penile head hard as before.

Do I need a training to understand the proper functioning of a penile implant?

Yes, after surgery you would need to stay for a week in India to learn how to inflate and deflate the penile implant.

Do penile implants cause a decrease in the length of the penis?

Your penile implant will be customized according to the size of the penis. Implants neither increases nor decreases the size of the penis.

Does penile prosthesis result in natural erections?

Penile prosthesis gives control over erection and one can have an erection at any time they desire. However, natural or spontaneous erection is not device dependent.

Will my partner notice that I have a penile prosthesis?

Noticing a surgical scar at the bottom of the penis is the only way you partner may get to know about the penile prosthesis. The implant is placed inside the penis and looks natural in flaccid position. Semi-rigid implants may sometimes appear through clothing.

How long do patients take to recover after surgery?

Normal recovery period is 4-6 weeks. Follow the instructions given by your physician during this phase for best outcomes.

Can I do an MRI if I have a penile implant?

Yes, this prosthesis is MRI compatible.

Do these implants have a shelf life? How frequently do these implants need to be changed?

The implants may last for up to 10-15 years if used twice a week. Reports suggest that patients have functional implants that lasted for as long as 20 years. It should be noted, however, that since implants are a mechanical device after all, normal wear and tear is unavoidable, and its shelf life is subject to usage.

After penile surgery, how much average increase in penile length can be achieved?

After the surgery, the penis can increase by two inches in length and one inch in girth.

What is success rate of erectile dysfunction treatment?

Ninety percent of the men are highly satisfied with the erection and sexual experience after getting implants. Success rates of getting implants in India are at par with the world standards, however, it should be understood that every surgical procedure could have its own complications. Hence, cases with 4% mechanical failure rates could be corrected by a revision surgery.

 What is the recommended frequency of usage after the implant?

It is harmless if used two to three times a week without causing any kind of injury in blood vessels and penile tissues. However, if carefully tackled, patient can also use it daily for weeks or even months

Top doctors in India offering penile implant surgery in India 

1. Dr Anshuman Agarwal, working as senior consultant at Indraprastha Apollo Hospital New Delhi, experience 20 years.
2. Dr Rajesh Ahlawat, working as Chairman Urology & Kidney Transplant at Medanta the Medicity, experience 40 years.
3. Dr Vikram Sharma, Director Fortis Memorial Research Institute, Gurugram, experience 32 years
4. Dr Gagan Gautam Director Urology at Max Super Speciality Hospital, Experience 22 years.
5. Dr Shailesh Chandra Sahay Director Urology at Max Super Speciality Hospital, PPG, Experience 20 years.

Top hospitals in India Offering erectile dysfunction treatment

1. Indraprastha Apollo Hospital, Delhi
2. Medanta The Medicity, Gurugram
3. Artemis Hospital, Gurugram
4. Max Super Specialty Hospital, Delhi
5. Fortis Memorial Research Institute, Gurugram

Factors Affecting Erectile Dysfunction Cost in India: 

Type of Hospital you choose: The cost greatly depends on the type of hospital you choose. If the hospital is JCI accredited, located in a top-tier city in India, and offers single super specialty or multi-super specialty treatment, the cost of the treatment will be higher. The cost also depends on the hospital’s brand. 

Treatment Method: Various treatment methods are available for erectile dysfunction. The treatment methods are : 

• Oral medications
• Vacuum erection devices
• Penile implants
• Therapy

The cost will depend on the type of treatment method you choose. 

Andrologist Fee: The overall cost of the treatment also depends on the experience and skill of the doctor treating your case. 

Medication Costs: The oral medications that are used to treat erectile dysfunction, like Viagra and Cialis are costly. The frequency of medication will determine your overall cost. 

Medical Consultations: Consultation with healthcare professionals, including urologists, sexologists, and others, is needed to diagnose erectile dysfunction. The cost of these things adds to the overall cost of the treatment. 

Diagnostic Tests: Some diagnostic tests, such as hormone function tests, ultrasound, and imaging, are needed to determine the underlying cause of ED. The cost of these procedures adds to the total cost of the treatment. 

Therapy or Counseling: Psychological factors also contribute to the cost of the treatment. In cases like erectile dysfunction, you will need therapy and counseling. This will affect the cost of the treatment. 

Type of Penile Implant Used: If you go for penile implant surgery, the type and make of the penile implant used will determine the cost of the surgery. The types of penile implants used are:

• Malleable penile implants ( Indian made are cheap and best ) 
• Two – piece Inflatable penile implants ( US made is expensive ) 
• Three-piece inflatable penile implants (US-made is costly) 

Other factors affecting the cost

• The complexity of the condition
• Post operational expenses
• Follow-up care and visits
• Currency exchange rates

With Cross Border Care, your package will include: 

India Stay: 10 days 

The success rate of the surgery is 99% 

Sexual Health on a Budget: Service Cost at Cross-Border Care

Cross Border Care is the best medical consultant in India. When you contact us, we will help you with: 

• Arranging visa
• Finding the best hospital
• Surgical package negotiation on your behalf  
• Finding the best doctors
• Medicines at reasonable rates
• Affordable options to stay in India
• Over saving of 15% treatment cost through us 

To know more about our services, please write to us at info@crossborderscare.com

We will help you to find the best Erectile Dysfunction Treatment Doctors in India.