Care at NUH

Services for Erectile Dysfunction

Low-intensity Extra-Corporeal Shockwave Therapy (ESWT)
​Extra-Corporeal Shockwave Therapy (ESWT) is a new non-invasive treatment for certain types of erectile dysfunctions that are vasculogenic (i.e., caused by poor blood flow). A probe is positioned over different areas of the penis to deliver low-intensity shockwaves, stimulating the growth of new blood vessels, thereby allowing more spontaneous and harder erections. Each treatment session usually lasts around 30 minutes, and a response may need six to 12 sessions, usually once a week. 
Vacuum-Assisted Erection Devices
​This involves placing the penis in a plastic cylinder and creating a vacuum around it to encourage blood flow. Once the penis is sufficiently erect, a ring is placed at its base to maintain the blood in the penis. However, ejaculation is not possible as the ring compresses the urethra. 
Intra-Cavernosal Penile Injections

This medication can be injected into the penis to induce an erection. The doctor may prescribe this if response to oral medications is sub-optimal. Patients will be instructed on how to self-administer the injection, with the first injection conducted in the clinic under the supervision of a doctor or specialist nurse. 

Some side effects include:

  • Pain
  • Bruising
  • Painful prolonged erection of more than 4 - 6 hours (priapism) even after intercourse – this requires emergency intervention 
Penile Implant Surgery

​If all other treatments prove ineffective, surgery may be considered to implant a penile prosthesis. Options include semi-rigid malleable rods or inflatable cylinders that can be pumped up to achieve an erection as required. 

Services for Erectile Dysfunction

Some complications may include:

  • Pain
  • Erosion
  • Infection, which may require another procedure to remove the implant
  • Failure of pump system
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