{"id":1519,"date":"2025-04-30T16:50:00","date_gmt":"2025-04-30T13:50:00","guid":{"rendered":"https:\/\/bisdasmd.gr\/?p=1519"},"modified":"2026-01-07T15:43:30","modified_gmt":"2026-01-07T12:43:30","slug":"stytiki-dysleitourgia-antipetwpisi","status":"publish","type":"post","link":"https:\/\/bisdasmd.gr\/en\/stytiki-dysleitourgia-antipetwpisi\/","title":{"rendered":"Erectile dysfunction: How can a Vascular Surgeon help to you?"},"content":{"rendered":"<p>\u0397 <a href=\"https:\/\/bisdasmd.gr\/en\/stytiki-dysleitoyrgia\/\">Erectile dysfunction<\/a> (ED) is one of the most common <strong>conditions affecting the penis <\/strong>and can significantly impact a man\u2019s quality of life. Although it remains a \u201ctaboo\u201d topic for many, early diagnosis and identifying the underlying cause greatly increase the chances of successful treatment.<\/p>\n<p>&nbsp;<\/p>\n<h2>What is Erectile dysfunction?<\/h2>\n<p>\u0397 <strong>\u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae<\/strong> <strong>Chronic ED<\/strong> is defined as the inability to achieve or maintain an erection sufficient for sexual activity. An <strong>erection<\/strong> is a complex process that requires the proper function of the nervous, vascular, and hormonal systems. If any of these systems are impaired, erectile dysfunction may occur.<\/p>\n<p>Occasional ED due to stress or fatigue differs from <strong>\u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae<\/strong> <strong>Chronic ED<\/strong> , which persists for more than three months.<\/p>\n<h2>Causes of erectile dysfunction<\/h2>\n<p>Common causes include:<\/p>\n<ul>\n<li><strong>Of vascular origin<\/strong>60\u201380% of cases, often related to atherosclerosis of penile arteries in the context of hypertension, smoking, and diabetes.<\/li>\n<li><strong>Of neurological nature:<\/strong> 10\u201320% of cases, e.g., multiple sclerosis.<\/li>\n<li><strong>Of pharmaceutical origin:<\/strong> 5\u201310% of cases; certain medications (including some antidepressants) may contribute.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>An important clinical point: approximately 50% of men experience ED before developing clinically apparent coronary artery disease. Therefore, early evaluation of ED can serve as a valuable early warning sign for cardiovascular disease.<\/p>\n<p>&nbsp;<\/p>\n<h2>Erectile dysfunction in the 50s and 60s<\/h2>\n<p>Erectile dysfunction in men increases at the age of 50 to 60 years. In the <strong>\u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 \u03c3\u03c4\u03b1 50<\/strong> 50s it is often associated with metabolic and hormonal changes, while in the 60s it becomes even more prevalent due to vascular wear and chronic disease. However, it is not a \u201cnormal\u201d part of aging and <strong>should not be ignored.<\/strong>.<\/p>\n<p>Common symptoms include:<\/p>\n<ul>\n<li>Of reduced erection firmness<\/li>\n<li>Short duration of erection<\/li>\n<li>Reduced or absent morning erection<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Treatment of erectile dysfunction<\/h2>\n<p>\u0397 <strong>Treatment<\/strong> is tailored to the cause and severity and is determined by the treating andrologist\/urologist. When ED is due to <strong>vascular<\/strong> <strong>dysfunction<\/strong>, medical therapy is typically initiated (with or without intracavernosal injections and shockwave therapy). If there is no meaningful improvement within 3\u20136 months, referral to a vascular surgeon may be recommended for further evaluation with <strong>diagnostic angiography<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h3>Vascular management \u2013 angioplasty<\/h3>\n<p>\u039f <a href=\"https:\/\/bisdasmd.gr\/en\/bio\/\">\u0391\u03b3\u03b3\u03b5\u03b9\u03bf\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03cc\u03c2<\/a> During angiography, the vascular surgeon can both diagnose and treat the underlying vascular cause. If a narrowing or occlusion is found, <strong>angioplasty<\/strong> may be performed using a specialized drug-coated balloon. A drug-eluting stent may be placed if the angioplasty result is not satisfactory.<\/p>\n<p>The placement of a drug-coated <strong>endograft<\/strong> \u00a0(<strong>stent<\/strong>) is performed if the result of the angioplasty is not satisfactory.<\/p>\n<p>Particularly important is angiography using carbon dioxide (CO\u2082) to assess perfusion of the corpora cavernosa. Due to its low viscosity, CO\u2082 can penetrate the microcirculation when no vascular disease is present. In patients with diabetes and microcirculatory impairment, CO\u2082 may not diffuse adequately into the corpora cavernosa\u2014highlighting severe vascular dysfunction. In such cases, patients should not be subjected to ineffective treatments; penile prosthesis implantation by an experienced andrologist may be the only effective option<\/p>\n<h2><\/h2>\n<h2>What is the \u201cbest pill\u201d for erectile dysfunction?<\/h2>\n<p>There is no single \u201cbest\u201d pill for everyone. The <strong>optimal<\/strong> choice depends on medical history, the desired duration of action, and individual response. An andrologist is best placed to recommend the most appropriate medication.ED can affect men of any age. With correct diagnosis and individualized treatment, most men can restore sexual function. Because ED is often vascular in origin, the role of an experienced vascular surgeon can be decisive<\/p>\n<p>\u0397 <strong>Erectile dysfunction<\/strong> that can affect every man, regardless of age. With the correct diagnosis and individualized treatment, most men can restore their sexual function. Because erectile dysfunction most often has vascular dysfunction, the contribution of a specialized Vascular Surgeon is of decisive importance. <a href=\"https:\/\/bisdasmd.gr\/en\/contact\/\">Contact<\/a> with <a href=\"https:\/\/bisdasmd.gr\/en\/bio\/\">Dr. Theodosio Bisda,<\/a> Professor of Vascular Surgery and Director of the Vascular Surgery Clinic at Athens Medical Center, for expert consultation.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u0397 \u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u03c0\u03b9\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03c0\u03ad\u03bf\u03c5\u03c2 \u03c0\u03bf\u03c5 \u03b4\u03cd\u03bd\u03b1\u03c4\u03b1\u03b9 \u03bd\u03b1 \u03b5\u03c0\u03b7\u03c1\u03b5\u03ac\u03c3\u03b5\u03b9 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac \u03c4\u03b7\u03bd \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b6\u03c9\u03ae\u03c2 \u03b5\u03bd\u03cc\u03c2 \u03ac\u03bd\u03b4\u03c1\u03b1. \u0395\u03ac\u03bd \u03ba\u03b1\u03b9 \u03b7 \u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af \u03b8\u03ad\u03bc\u03b1 \u00ab\u03c4\u03b1\u03bc\u03c0\u03bf\u03cd\u00bb \u03b3\u03b9\u03b1 \u03c0\u03bf\u03bb\u03bb\u03bf\u03cd\u03c2 \u03ac\u03bd\u03b4\u03c1\u03b5\u03c2, \u03b7 \u03ad\u03b3\u03ba\u03b1\u03b9\u03c1\u03b7 \u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03c0\u03ac\u03b8\u03b7\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03bf \u03c0\u03c1\u03bf\u03c3\u03b4\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03cc\u03c2 \u03c4\u03b7\u03c2 \u03b1\u03b9\u03c4\u03af\u03b1\u03c2, \u03b1\u03c5\u03be\u03ac\u03bd\u03b5\u03b9 \u03c4\u03b9\u03c2 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b5\u03c2 \u03b5\u03c0\u03b9\u03c4\u03c5\u03c7\u03bf\u03cd\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7\u03c2. &nbsp; \u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03c3\u03c4\u03c5\u03c4\u03b9\u03ba\u03ae \u03b4\u03c5\u03c3\u03bb\u03b5\u03b9\u03c4\u03bf\u03c5\u03c1\u03b3\u03af\u03b1; \u0397 [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":1525,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[16],"tags":[],"class_list":["post-1519","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"_links":{"self":[{"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/posts\/1519","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/comments?post=1519"}],"version-history":[{"count":4,"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/posts\/1519\/revisions"}],"predecessor-version":[{"id":1527,"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/posts\/1519\/revisions\/1527"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/media\/1525"}],"wp:attachment":[{"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/media?parent=1519"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/categories?post=1519"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bisdasmd.gr\/en\/wp-json\/wp\/v2\/tags?post=1519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}