Treatment pathway
Evidence status: IndividualisedErectile Dysfunction Treatment: A Cause-Based Plan
How is erectile dysfunction treated?
ED treatment starts with finding the likely cause. Lifestyle changes and tablets such as sildenafil or tadalafil are first-line for many men. If they are unsuitable or not enough, a urologist may discuss devices, injections, shockwave therapy, regenerative options or surgery. The most appropriate treatment depends on the underlying cause.
Key fact: PDE5 inhibitors are guideline-supported first-line therapy for many men with erectile dysfunction, unless contraindicated. (European Association of Urology, 2026; page updated )
At UZ Clinic Antalya, Dr. Niyazi Umut Özdemir, a urological surgeon and erectile dysfunction specialist, assesses your case first and then explains which options may be relevant to you.
Private & confidential enquiry. You do not need to call.
Key takeaways
- Assessment comes before treatment, so the plan fits the cause of your ED.
- Established treatments are discussed first. Emerging and experimental options are clearly labelled.
- International patients can start with a remote review of their case.
From enquiry to treatment plan
You send your case
Complete the confidential form or message the clinic on WhatsApp. You do not need to know which treatment you need.
The clinic reviews your information
Your answers are sent for confidential review by the clinic team, who may ask for further details or reports.
A patient coordinator contacts you
The coordinator explains the next steps and arranges a consultation. Medical suitability is decided by the doctor, not by the form.
Specialist assessment
The urologist reviews your history and examines you. Tests such as blood tests or penile Doppler ultrasound are used when they are clinically useful.
Personalised options
If treatment is appropriate, the doctor explains the options that may be relevant, the evidence, the risks and the alternatives, in writing, before you decide.
Treatments the clinic may discuss
Which of these is relevant depends on your assessment. No treatment can be guaranteed to work for every man, and suitability and expected benefit vary between patients.
P-Shot (PRP)
Experimental. Platelet-rich plasma from your own blood is injected into penile tissue.
Learn more →Shockwave therapy (EdSWT)
Emerging. Non-invasive sessions, mainly for vasculogenic ED.
Learn more →Stem cell therapy
Experimental. Cell-based preparations injected into penile tissue.
Learn more →Exosome therapy
Experimental. Investigational, with very limited human evidence.
Learn more →Penile rehabilitation
An individual plan, for example after prostate surgery.
Learn more →Established options
Lifestyle changes, PDE5 tablets, injections, vacuum devices and implants, discussed when appropriate.
Learn more →Who may be suitable? A quick self-check
Two quick questions to show what the doctor may discuss with you. This is not a diagnosis.
Send my case with these answersCompare the main ED treatments
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.
International patients
Travelling to Antalya for ED Treatment
The medical question comes first. You can be assessed remotely before deciding whether to travel.
- Consultation process
- Start online. A coordinator contacts you.
- Assessment before travelling
- Remote review of your history and reports.
- What to send
- History, medicines, any blood test or Doppler results.
- Treatment planning
- Evidence, risks and options explained first.
- Travel timing
- Planned around your treatment plan.
- Clinic location
- Antalya, Turkey.
- Follow-up
- Written aftercare and a contact after you return home.
- Patient coordination
- One coordinator for questions and logistics.
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
Which ED treatment is best?
There is no single best treatment. The most appropriate option depends on the cause of ED, your health, your medicines and your preferences.
Do I need to stop my tablets first?
Do not stop or change prescribed medicines because of a website. The doctor will advise at assessment.
Can I be assessed before I travel?
Yes. You can send your case first. Some tests or an in-person examination are still needed before treatment is planned.
Is treatment guaranteed to work?
No treatment can be guaranteed to work for every man, and suitability and expected benefit vary between patients.
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.