Erectile dysfunction is also referred to as male impotence and can be a demoralising condition for men. It is defined as the inability to obtain a satisfactory erection for sexual activity.
There are many reasons that this can happen, from physical health problems to psychological problems such as stress or relationship issues. Whilst it is more common among men over 65, it can affect men of all ages.
There are various treatments available, from natural supplements and lifestyle advice to some surgical options. In a confidential consultation with one of our specialists, the cause of the problem can be identified and suitable options discussed with each patient.
Vasectomy
Sperm are made inside the tubules of the testes. These tubules join together to form approximately 20 ducts that drain from the testis into the epididymis (the soft area behind the testis); from there the sperm pass to the vas deferens. The vas deferens carries the sperm to the pipe in the penis where they are released during ejaculation.
Vasectomy involves dividing and blocking the vas deferens on each side of the scrotum, just above the testes, with the intent of preventing passage of sperm. The operation is most commonly done under local anaesthetic; this involves an injection into the scrotal skin and around the vas (without sedation). There is no need to fast prior to the procedure. After the operation you will have a stitch on each side of the scrotum that will dissolve on its own, usually within 2 weeks. Semen specimens are required a few weeks after the procedure to ensure sperm are no longer present.
How can we help you today?
Your Specialists
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Mr Laurence H Stewart
Urological Surgeon (Specialist in Female Urology, Pelvic Floor Surgery and Urinary Incontinence)
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Mr Ammar Alhasso
Urological Surgeon (Specialist in Female Urology, Pelvic Floor Surgery and Urinary Incontinence)
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Mr Paul Hughes MB, ChB, BSc, MSc, FRCS
Consultant Urologist
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James Allan FRCS Eng, FRCS Urol , MBBS
Consultant Urologist
Delivering high quality, patient focused, contemporary urological clinical care from a compassionate and caring British trained Consultant Urologist. "
Mr Paul Hughes MB, ChB, BSc, MSc, FRCS
Consultant Urologist
Areas of expertise
Prostate and urological cancer diagnostics, Male urinary issues (including benign prostatic hyperplasia), renal stone disease, female urinary symptoms, recurrent urinary tract infections, erectile dysfunction and penile-scrotal conditions.
Education and professional training
UK trained Consultant Urologist - Registrar training in the South Thames region (Guy's & St Thomas's Hospitals, Brighton University Hospitals) - Laparoscopic and Endourology fellowship at Leeds University Hospitals. - Consultant urologist working at Mid Yorkshire NHS Hospitals specialising in Endourology and Laparoscopic renal surgeon and clinical lead for urological cancer in the trust.
Professional Qualifications, Associations & Accomplishments
- FRCS (Urology), Royal College of Surgeons of England - 2012 - Masters in Urology (MSc) - University College London - 2011 - Medical degree (MBChB) - Leicester and Warwick Universities - 2005 - Human Genetics (BSc) - Nottingham University - 2000
Professional experience
Building upon my NHS clinical experience, I now work as a Consultant Urologist at the Gibraltar Health Authority.
Languages spoken
English
Interests
The move to Gibraltar for my family and I has been a fantastic opportunity to reconnect and pursue sporting activities in a sunnier climate. I'm involved with the Gibraltar Rugby Union, both as a youth team coach and with a recent return to playing after a 20 year hiatus. Keen cyclist and working on my sea swimming and running with the intention to participate in Triathlons.
though they were your parent, brother, sister, son or daughter!"
James Allan FRCS Eng, FRCS Urol , MBBS
Consultant Urologist
Areas of expertise
Prostate cancer, bladder cancer, mens urinary problems, urinary tract infections, kidney stones, bloody urine or haematuria, incontinence for men and women, erectile dysfunction, male andropause and testosterone, vasectomy and reversal, urogenital pain, scrotal problems Urolift and minimally invasive prostate surgery.
Education and professional training
t Thomas's Hospital Medical School University of London World Endourology Fellow The Cleveland Clinic , Ohio, USA
Professional Qualifications, Associations & Accomplishments
MBBS, FRCS Eng, FRCS Urol, World Endourology Fellowship
Professional experience
Consultant Urologist with over 20 years experience as an NHS Consultant. Specialist in complex stone disease and Endourology Laparoscopic Renal surgeon. Specialist in minimally Invasive Prostate Surgery
Languages spoken
English
Interests
Gibraltar's fine climate has allowed my weary joints to flirt again with cricket, golf and maybe rugby. I am delighted to be involved with Gibraltar sport and would hope to fully involved in developing the marriage between sport and health. I have two teenage daughters to try and keep up with and a Labrador Daisy who always fancies a walk.
