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Erectile
Dysfunction in
Aging Male
Dr Vijayant G Gupta
https://drvijayantgovinda.com/
Qualification
• Delhi Medical Council
Registered
• MBBS Delhi University
• MS Delhi University
• MCh Urology (Rank 1
All India)
https://drvijayantgovinda.com/
Andrology Training
• NUHS Seoul, Korea
• ZSR Biomed
Guangzhou China
• University of Denver
Colorado USA
• University of Mt Sinai,
New York, USA
https://drvijayantgovinda.com/
Certification
https://drvijayantgovinda.com/
Results
• More than 1000
Patients treated
monthly
• More than 100
Surgeries for Penis
done Monthly
• Lowest Cost,
Highest Results
https://drvijayantgovinda.com/
Shim SCORE
https://drvijayantgovinda.com/
Erectile Dysfunction Types
• No Erection (Worse)
• Some Erection – Not
enough to penetrate
• Loose erection –
Penetrate yes but partner
not satisfied
• Hard erection – Ends
before penetration
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
Cause of ED
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
Penile Doppler
https://drvijayantgovinda.com/
Hormone Evaluation
https://drvijayantgovinda.com/
Penile Rehab (Step 1)
• Stop Masterbation
• Stop Sexual Activity – Stop cycle of self
destruction
• Correct Hormones
• Correct Blood Sugar, Hypertension, Cardiac
conditions
• Change Toxic Medicines – BP, Antidepressants,
Valproate etc
https://drvijayantgovinda.com/
Medicines
Cialis (Tadalafil) plus (Viagra 50) SOS
https://drvijayantgovinda.com/
Healthy Habits
• Stop Smoking
• Stop Alcohol
• Healthy diet
• Healthy Exercises – Brisk Walk
• Lose Weight (5 to 10 kg)
• Lose stress
• Reduce Anxiety
https://drvijayantgovinda.com/
Exercise to Increase Pelvic Blood Flow
Dr Ankita Tandon
“Sex”ercises
• Core
• Pelvis
• Spine
• Hips
• Knee
https://drvijayantgovinda.com/
Nutrition for Healthy Sexual Life
Next Seminar
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
Post PRP Exercise
https://drvijayantgovinda.com/
PRP Current Approved Indications
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
Benefits on Penis
https://drvijayantgovinda.com/
Sessions Required
• Usually 4 to 5 sessions – 2 weeks apart
• Results start showing after 8 weeks
• Results last for 1 to 2 years
• Repeat touch up shots (1to 2) needed after 1
year
https://drvijayantgovinda.com/
Next Gen ED1000
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
Sessions Required
• 5 sessions of 3000 to 4000 shocks each
• Sessions are Combined with P Shot
• Each Session lasts 10 minutes
https://drvijayantgovinda.com/
Post LISWT
• Exact same as Post PRP
https://drvijayantgovinda.com/
https://drvijayantgovinda.com/
When Everything Fails
• Poor Flow
• No Flow
• Severe Diabetes
• Severe ED
• Failure of P Shot
• Failure of LiSWT
https://drvijayantgovinda.com/
Penile Implants
https://drvijayantgovinda.com/
SemiRigid
https://drvijayantgovinda.com/
Length
Girth
Sexual power
Normal Sensation
https://drvijayantgovinda.com/
Inflatable Implants
https://drvijayantgovinda.com/
Inflatable Implants
https://drvijayantgovinda.com/
Surgery Steps
• Surgery duration is 1 hour
• Post Surgery Hospital rest required for 1 day
• Perfect concealment
• Some rest required
https://drvijayantgovinda.com/
Costs
• P Shot – 8000 INR Per Session / 30000 for 5
Sessions (25 percent discount)
• LISWT – 18000 per session / 75000 for 5
sessions (Half of BL Kapoor Hospital) (20
percent discount)
• P Shot plus LiSWT (5 sessions) 1 Lac total (20
percent discount)
https://drvijayantgovinda.com/
Costs Implant
• Shah or Semi Rigid Penile Implant (Indian
Make) – 135000 INR (2000 US Dollar)
• Ambicor or 2 Piece penile Implant Cost –
5,20,000 INR (7450 US Dollar)
• AMS 700 or 3 Piece Inflatable Penile Implant
Cost in India – 7,75,000 INR (11000 US Dollar)
https://drvijayantgovinda.com/

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Diagnosis management and treatment for Erectile Dysfunction