Erectile Dysfunction

  • We describe it as the inability to achieve or maintain an erection that is firm enough for sexual intercourse.
  • At least 1 in 5 men suffer from some degree of erectile dysfunction.
  • The cause of erectile dysfunction is often multi-factorial.
  • Dr Petrella will help find the treatment that is best for you.
Dr. Francis Pettrela is a urologist specializing in men's health and fertility based in the greater Montreal area.
01: Bladder
02: Vas deferens
03: Urethra
04: Penis
05: Testes
06: Epididymis
07: Prostate gland
08: Seminal vesicle
01: Fibrous plaque
02: Skin
03: Tunica albuginea
04: Corpus spongiosum
05: Urethra
06: Cavernosal space
07: Cavernosal artery
01: Release valve
02: Pump
03: Scrotum
04: Cylinders
05: Reservoir

What is erectile dysfunction?

  • Inability to achieve or maintain an erection for adequate sexual interactions.
  • There are varying degrees with personalized treatment for everyone.

What are the causes?

  • Vascular problems
  • Neurological problems
  • Prostate cancer treatment
  • Hormonal issues
  • Previous surgeries
  • Drug interactions
  • Psychological impact

What investigations can I expect?

  • Thorough history and physical exam to better understand your current struggles.
  • Be ready to answer questions about your difficulties, past medical history and what supplements or medications you have tried.
  • Hormonal profile
  • Cardiovascular assessment
  • Penile doppler ultrasound

Treatments options?

  • Lifestyle modifications
  • Various oral medications such as Tadalafil or Sildenafil that increase blood flow to the penis
  • Low intensity shockwave therapy in very select patients
  • Insertable gels
  • Injectable and on demand therapy
  • Penile implant

Watch the video capsules

5 treatment options

Petrella MD Logo - Urologist Specializing Oral Medication
Oral Medication
Petrella MD Logo - Urologist Specializing in Penile Injection
Penile Injections
Petrella MD Logo - Urologist Specializing ins Vacuum Erection Devices
Vacuum Erection Devices
Petrella MD Logo - Urologist Specializing in Insertable Medication
Insertable Medication
Petrella MD Logo - Urologist Specializing Penile Prothesis
Penile Prosthesis