Andrology · Diagnosis and treatment
Erectile dysfunction
A problem that affects a great many men - and one that, in most cases, can be treated effectively. I look for the cause, not just relief of the symptoms.
Book a qualification consultation(opens in a new tab)Where erectile dysfunction comes from
According to epidemiological data, erectile dysfunction may affect as many as around half of men aged 40–70. It is promoted by obesity, smoking, low physical activity, as well as untreated diabetes, high blood pressure and lipid disorders. A psychogenic background can also be significant.
An erection is a complex mechanism in which the nervous, hormonal and vascular systems work together - a disturbance in any one of them can disrupt the whole process. That is why finding the cause is so important. If the erection is painful and the penis bends into a curve, the right starting point is the page on Peyronie's disease.
What the diagnostic process looks like
I start the work-up with the medical history, a physical examination and basic blood tests; during the consultation I perform a penile ultrasound at rest - with no medication and without inducing an erection. The next steps are an assessment of glucose, the lipid profile and blood pressure, along with hormone tests that allow endocrine causes to be ruled out.
Erectile dysfunction can be the first sign of heart and vascular disease - in justified cases I refer patients for a cardiology consultation. Penile Doppler ultrasound during a pharmacologically induced erection is not a first-line test: I perform it in patients for whom drug treatment and shockwave therapy have not worked, and when we are planning surgical treatment.
Treatment options
I tailor treatment to the cause: from lifestyle modification and treatment of coexisting conditions, through pharmacotherapy, to shockwave therapy. Many patients manage to restore satisfying sexual function.
Shockwave therapy (ESWT)
Low-intensity shockwave therapy (LI-ESWT, commonly called ESWT) involves stimulating the corpora cavernosa and the neurovascular system of the penis with low-energy acoustic waves, which supports the rebuilding of the microcirculation responsible for erection. The effectiveness of the method in some patients has been confirmed in clinical studies.
The procedure takes about 15 minutes, is painless and requires no anaesthesia. I determine the number and frequency of sessions individually.
Video
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A short clip on whether and how a urologist treats erectile dysfunction (in Polish).
Erectile dysfunction treatment price in Kraków
An andrology consultation costs PLN 350; I perform an ultrasound during the visit when it is needed. Shockwave therapy (LI-ESWT) - PLN 3,500 for a course of 6 sessions.
- Andrology consultation - PLN 350, ultrasound included in the visit when needed
- Penile ultrasound at rest (without a pharmacologically induced erection) - as part of the consultation; this is an initial assessment, not a full one
- Penile Doppler ultrasound during a pharmacologically induced erection - PLN 1,200, medication included
- LI-ESWT shockwave therapy - PLN 3,500 for a course of 6 sessions
- A single LI-ESWT shockwave session - PLN 650
- Platelet-rich plasma (PRP) - PLN 1,000 for a series of injections
- Payment by cash, card, BLIK or bank transfer · invoice on request
- Private visits, not covered by the Polish NFZ
The full list is on the pricing page.
Where I treat erectile dysfunction in Kraków
Diagnostics and sessions take place at Andromeda Centrum Medyczne on ul. Mogilska 69A in Kraków - the Grzegórzki district, 31-545 Kraków. They are done on site, as outpatient visits; they require neither a hospital stay nor general anaesthesia.
- Mon
- 8–18
- Tue
- 8–17
- Wed
- 9–17
- Thu
- 8–18
- Fri
- 8–18
- Sat, Sun
- closed
Frequently asked questions
Is erectile dysfunction a "normal" part of ageing?
The problem becomes more common with age, but it is not a condition you have to accept - in most cases effective help is possible.
Does ESWT hurt?
No - the procedure is painless and requires no anaesthesia; it feels similar to an examination with an ultrasound probe.
Can an erection problem signal heart disease?
Yes - erectile dysfunction can be an early symptom of cardiovascular disease. This is one of the reasons why it is worth coming in for diagnostics rather than reaching for pills on your own.
Where should I start?
With a consultation including a medical history and basic tests. On that basis we will establish the cause and plan treatment.
Written and medically reviewed by Michał Swolkień, MD - urologist (FEBU), clinical andrologist (PTA). Last reviewed: .
Next step
Book a qualification consultation
I know this is a subject that is hard to talk about. In the office we talk plainly and without embarrassment - the goal is to find the cause and treat it effectively.
See available appointments(opens in a new tab)Andromeda Centrum Medyczne · ul. Mogilska 69A · Kraków