Erectile dysfunction (erectile dysfunction) is a disorder in men's ability to achieve or maintain an erection sufficient for sexual intercourse. This condition can occur due to both physical and psychological reasons. In recent years, treatment methods performed with angiography methods have been on the agenda as an important alternative, especially for vascular-induced erectile dysfunction.

Causes of Erectile Dysfunction
The causes of erectile dysfunction cover a wide range:
Physical Causes

Vascular Diseases: Conditions such as atherosclerosis, high blood pressure, and diabetes can negatively affect blood flow, leading to erectile problems. Additionally, venous leakage in the veins of the penis can also cause erectile issues.

• Hormonal Imbalances: Hormonal imbalances such as testosterone deficiency.
  Neurological Diseases: Nervous system disorders like Parkinson's disease and multiple sclerosis.
  Medication Use: Some medications may have erectile dysfunction as a side effect.

  Psychological Causes

  Stress, anxiety, and depression.
  Fears or anxieties related to sexual intercourse.

  Diagnosis of Erectile Dysfunction with Penile Doppler Ultrasound
  Penile Doppler ultrasound is a non-invasive imaging method used in the diagnosis of erectile dysfunction, which evaluates blood flow in the penile vessels. Doppler ultrasound uses sound waves to measure blood flow and helps identify issues related to blood vessels. This test is especially effective in diagnosing erectile dysfunctions caused by vascular issues.

Treatment with Angiography Method
Angiographic treatment performed within the vessel offers an effective treatment option, especially for patients with vascular-related erectile issues. In this method, narrowed or blocked vessels are targeted to increase blood flow.

Angiography Process

Diagnosis Stage:
The patient's medical history, physical examination, and necessary imaging techniques (Doppler ultrasound, angiography) are used to determine the causes of erectile dysfunction.
Preparation:
Anticoagulant medications are administered to optimize blood flow before the procedure. Additionally, the patient's overall health condition is evaluated.
Procedure:

• The angiography procedure typically begins with the insertion of a thin catheter into the blood vessel through the groin area. Using an angiography device, narrowed blood vessels are visualized.
  If arterial blockage is detected, procedures such as balloon angioplasty (widening the narrowing using a balloon catheter) or the placement of a stent may be applied. These procedures aim to improve erection ability by increasing blood flow.
  In cases of venous leakage caused by veins, the affected veins are closed using special substances inside the vessel, thus preventing venous leakage. This approach helps improve erectile function.

1. Post-Procedure Follow-up
   After the procedure, the patient is typically discharged on the same day or monitored in the hospital for one day. Follow-up tests are conducted to observe the condition of the vessels, and additional treatments are planned if necessary.

   Treatment Results
   Angiography treatment provides very positive outcomes, especially for patients with vascular-related erectile dysfunction. Studies show that this method leads to significant improvements in sexual function. Most patients experience a noticeable improvement in their sexual life after treatment.

   Side Effects
   Angiography procedures are generally low risk; however, some side effects may occur after the procedure:

   • Pain or bruising

   • Risk of infection

   • Vascular damage (rare)

   Conclusion
   Treatment of erectile dysfunction via angiography offers a promising alternative for vascular-related ED. This method helps improve sexual function while enhancing patients' quality of life. However, each patient's condition must be assessed individually, and the most appropriate treatment method should be determined. A multidisciplinary approach to erectile dysfunction treatment is important to achieve the best outcomes.

   This information is supported by verified medical details from specialist doctor İbadat Hasanov and aims to educate individuals. In every case, the treatment plan is tailored specifically to you, and this decision is carefully evaluated by your doctors.