Age-related ED
Evidence status: EstablishedErectile Dysfunction Over 60
Can erectile dysfunction be treated after 60?
Often, yes. Options depend on your general health, heart condition, medicines and what you want from treatment. After 60, safety checks matter more because other conditions and medicines, such as nitrates, can limit choices. A urologist can explain which options are safe and realistic for you.
Private & confidential enquiry. You do not need to call.
What matters most after 60
- Heart health, because sexual activity and some ED medicines need a safe cardiac profile.
- Medicines: PDE5 tablets must not be combined with nitrates.
- Prostate health and any previous surgery or radiotherapy.
- Diabetes, nerve health and testosterone.
- Realistic goals, discussed openly with your partner if you wish.
Options a urologist may discuss
The most appropriate treatment depends on the underlying cause of ED.
| Treatment | Typical candidate | Invasiveness | Number of sessions | Recovery | Primary treatment concept | Clinical assessment required |
|---|---|---|---|---|---|---|
| P-Shot (PRP) | Selected men with organic ED after assessment | Minimally invasive (injection) | Protocol varies; confirmed at assessment | Usually short; instructions given by the clinician | Injected platelet-rich plasma, proposed to support tissue repair | Yes |
| Shockwave / EdSWT | Vasculogenic ED; some partial responders to tablets | Non-invasive (no injection) | Clinic protocol: 12 sessions over about 2 to 3 months | No downtime expected for most men; confirmed by the clinic | Low-intensity shockwaves, proposed to support blood-flow pathways | Yes |
| Stem Cell | Selected men when established options were unsuitable or ineffective | Minimally invasive; may involve cell collection | Individualised; explained at assessment | Depends on the procedure; confirmed by the clinic | Cell-based preparation, proposed to support tissue repair | Yes |
| Exosome | Men asking about an investigational option | Minimally invasive if offered | Not established; confirmed only if offered | Confirmed if offered | Cell-derived vesicles, proposed to support repair signalling | Yes |
| PDE5 medication (e.g. sildenafil, tadalafil) | Many men with ED, unless contraindicated (for example with nitrates) | Non-invasive (tablet) | Ongoing, as needed or daily depending on the medicine | None | Increases the blood-flow response to sexual stimulation | Yes (prescription, with a health check) |
| Penile injections (e.g. alprostadil) | Men for whom tablets are unsuitable or ineffective | Self-injection after training | As needed before sex | None | Medicine injected into the penis to produce an erection | Yes (training and dose setting) |
| Penile implant | Severe or refractory ED after other options | Surgical | One operation | Surgical recovery; instructions given by the surgeon | A device placed in the penis that allows an erection | Yes (surgical assessment) |
A guide for discussion with your urologist, not a ranking or recommendation. Regenerative therapies are experimental or investigational for ED.
Your physician
Dr. Niyazi Umut Özdemir
Urological Surgeon, UZ Clinic Antalya
Responsible for assessment and treatment planning at the clinic, with a clinical focus on male sexual health and penile rehabilitation.
Rated 4.5 on Google (47 reviews, as of 2 Oct 2026)Qualifications
- • Medical education at Ege University
- • Specialisation in urology
- • Turkish Association of Urology board certification
- • Clinical practice in Antalya, Turkey
Clinical focus
- • Erectile dysfunction assessment and treatment planning
- • Penile rehabilitation
- • Vasculogenic (blood-flow related) erectile dysfunction
- • Shockwave therapy, PRP and regenerative approaches
Education and roles
- • Ege University Faculty of Medicine (2000); urology specialisation, Ege University (2005)
- • Head of the Antalya branch, CİSED
Professional memberships
- • Turkish Urological Association
- • Society of Urological Surgery (Ürolojik Cerrahi Derneği)
- • European Association of Urology (EAU)
- • Turkish Andrology Association
- • Aegean Urological Association (Ege Üroloji Derneği)
- • Ankara Urologists Association
Ask the urologist about your case
Send your history and the clinic will advise which options may be relevant. Suitability is decided after medical assessment.
Frequently asked questions
Is a penile implant an option?
It can be for severe ED when other options have failed, after surgical assessment.
Are regenerative treatments suitable?
They are experimental. A doctor decides after assessment, and established options are discussed first.
Sources
- EAU Guidelines on Sexual and Reproductive Health: Management of Erectile DysfunctionEuropean Association of Urology, 2026 · Guideline
- Erectile Dysfunction: AUA GuidelineAmerican Urological Association, 2018 · Guideline
Related guides
Send your case for confidential review
You do not need to know which treatment you need. Share a few details and the clinic can advise which options may be relevant to your case.
- 1. Send your caseAbout 2 minutes, private.
- 2. Coordinator contacts youBy WhatsApp, phone or email.
- 3. Doctor assessmentThe urologist decides suitability.
Private & confidential enquiry. You do not need to call.
This page provides general information and does not diagnose ED or decide whether a treatment is suitable for you. Suitability and expected benefit vary between patients and are decided after medical assessment. Treatments described as experimental or investigational are discussed with full informed consent. Seek urgent care for chest pain, new neurological symptoms, penile injury or an erection lasting more than four hours.