Erectile dysfunction, premature ejaculation, penile implants, penile fillers and male infertility are assessed in Denizli through a private consultation built on examination and test findings.
Detailed information pages have been prepared for the five topics we are asked about most. The remaining subjects are summarised in the topic list below.
The vascular, hormonal, neurological and psychological causes of erectile dysfunction, the examination and tests involved, and the treatment options.
Detailed information →The penile implant considered in persistent erectile dysfunction: the types available, who it is considered for, and what happens after surgery.
Detailed information →What the procedure covers, how long it lasts, the risks involved and how expectations are managed.
Detailed information →Assessment and treatment steps in male infertility, including semen analysis, varicocele, azoospermia and micro-TESE.
Detailed information →When the complaint began, how long it has lasted and how it affects daily life. Consultation records are protected under data protection law; messages sent to the appointment line are not shared with third parties.
Alongside a general urological examination, hormone profile, blood glucose and lipid values may be requested, and where indicated a penile colour Doppler ultrasound or a semen analysis.
Once vascular, hormonal, neurological, medication-related and psychological causes have been separated, the way forward is planned individually. No method is offered with a guarantee of results.
The topics below are assessed in the light of examination findings, test results and individual needs. Tap a heading to see a short explanation.
Erectile dysfunction means not being able to achieve or maintain an erection. The cause may be vascular, hormonal, neurological, medication-related or psychological.
Erectile dysfunction treatment →
Not being able to achieve or maintain an erection sufficient for intercourse. How long it has lasted, how often it happens and whether morning erections are still present all guide the assessment.
Treatment is not a single method: lifestyle changes, control of accompanying conditions, medication, shockwave therapy, injections and surgical options are each weighed against the cause.
Where intense stress, lack of sleep, alcohol or a period of anxiety is behind it, the complaint does not persist. A detailed history is taken to tell the two apart.
Performance anxiety, difficulties within a relationship or depression can all contribute. This possibility is considered where onset was sudden and morning erections are preserved.
Pictures related to reduced blood flow into the penis or blood leaking away (venous leak). Where indicated, this is investigated with a penile colour Doppler ultrasound.
Because diabetes can affect both blood vessels and nerves, it is among the common causes. Blood glucose control is an inseparable part of the treatment plan.
Frequency rises with age, but age alone is not considered a cause. Accompanying cardiovascular disease and hormonal changes are assessed alongside it.
Oral medicines for erections (PDE5 inhibitors) are prescription-only. Because they can interact with heart medication, they should not be used without a physician’s assessment.
This group includes oral medicines for erections. The medicines in the group differ in duration of action and the way they are taken; the choice is made by the physician.
Where there is no response, whether the medicine has been used correctly, the testosterone level and vascular causes are all reassessed; other options are then discussed.
A penile implant is a surgical option considered for persistent erectile dysfunction that has not benefited from other treatments.
A medical implant placed inside the erectile tissue of the penis and not visible from outside. Malleable and inflatable types exist.
It is considered for people who have not had an adequate response to medication, injections and other methods, and who have persistent erectile dysfunction due to causes such as diabetes, radical prostate surgery or Peyronie’s disease.
Malleable and three-piece inflatable implants have different characteristics in use. The choice is made through anatomy, manual dexterity, accompanying conditions and a conversation about expectations.
Recovery, follow-up appointments and training in how to use the implant are planned by the physician. As with any surgical procedure, the risks are explained in detail.
Penile filler, girth enhancement and genital aesthetic procedures are addressed only after an anatomical assessment and a frank conversation about expectations.
Penile filler →Enlargement and genital aesthetics →
A procedure using filler materials, usually containing hyaluronic acid, aimed at a temporary increase in girth. It is not permanent and may need repeating.
The type of product, the area treated and the amount are planned according to tissue thickness and expectations. The procedure must be performed by a physician under sterile conditions.
Besides fillers, methods such as fat grafting may also be considered. Each differs in how long it lasts, the risk of irregularity and the follow-up it requires.
Surgical procedures such as release of the suspensory ligament aim at a limited change in visible length. Keeping expectations realistic matters.
A buried appearance caused by weight gain or fat in the pubic area, and congenital or acquired shape irregularities, are assessed separately.
Premature ejaculation is among the most common sexual function problems in men. Lifelong and acquired forms are handled differently.
Premature ejaculation treatment →
Ejaculation occurring much earlier than wanted and beyond control. The distress experienced by the person and their partner counts in the diagnosis as much as the time does.
Prescription options aimed at extending the time to ejaculation are assessed by the physician. How and for how long they are used is planned individually.
Techniques such as stop-start and squeeze, along with sex therapy approaches, come into play particularly where the anxiety component is dominant.
Ejaculation that is greatly delayed or does not occur also warrants assessment. Medication use, hormonal and neurological causes are investigated.
Low desire in men can be related to hormonal causes, chronic illness, side effects of medication, sleep disorders and psychosocial factors.
When the reduction in desire began, whether it is persistent and what other complaints accompany it are the starting point of the assessment.
Low testosterone may be one cause of reduced desire, but not every case is hormonal. Blood tests are arranged for the morning.
Thyroid disease, raised prolactin and other hormonal pictures can affect sexual function. The hormone profile judged necessary is requested.
Hormonal changes that develop with age are assessed together with fatigue, loss of muscle, and changes in sleep and mood.
Hormone levels are interpreted only through laboratory measurement and a physician’s assessment. Unsupervised hormone use can have serious consequences, infertility among them.
Total testosterone and any other hormone values judged necessary are assessed by repeated measurement at the appropriate time and under the right conditions.
Reduced desire, fatigue, loss of muscle mass, mood changes and sleep problems are among the reported signs; none of them establishes a diagnosis on its own.
Athletic supplements and hormones taken from outside can suppress the body’s own production and lead to lasting problems; this is assessed separately.
A male factor plays a part in roughly half of the couples unable to conceive. Assessment begins with a semen analysis and a urological examination.
Where pregnancy has not occurred within a year despite regular unprotected intercourse, the male partner is assessed as well. The process is planned together as a couple.
It gives information on sperm count, motility and shape. Results are interpreted not from a single test but from measurements repeated at appropriate intervals.
Where no sperm is found in the semen, investigation is directed at the cause; in selected cases microsurgical sperm retrieval (micro-TESE) may be considered.
Investigating correctable causes on the male side before assisted reproduction begins contributes to how the process is planned.
Varicocele, an enlargement of the veins of the testis, is among the leading causes that can affect sperm parameters and be corrected surgically.
An enlargement of the network of veins surrounding the testis. It is most often seen on the left; it is graded by examination and, where needed, ultrasound.
Not every varicocele needs treatment. Findings such as deterioration in sperm parameters, reduction in testicular size or pain are weighed in the decision.
Varicocelectomy performed with the aid of a microscope is an approach that aims to preserve arteries and lymphatic structures. Suitability is assessed by the physician.
Sperm parameters are reassessed at set intervals after surgery; the outcome varies from person to person.
Findings such as pain, swelling, curvature or a palpable lump should be assessed without delay; some of them may need emergency care.
It can run with curvature and pain caused by plaques of hardened tissue in the erectile tissue. Depending on the stage, observation, medication or surgical options are considered.
Sudden severe testicular pain requires emergency assessment. In long-standing pain, infection, varicocele and other causes are investigated.
Where a firmness or lump can be felt, a urological examination and ultrasound are advised without losing time.
Fluid collecting around the testis (hydrocele) and an undescended testis are conditions that require separate follow-up and treatment approaches.
Treatments such as low-intensity shockwave (Li-ESWT) and PRP are considered in selected cases; the level of scientific evidence and the expectations must be discussed openly.
A method delivered in sessions that may be considered in mild to moderate vascular erectile dysfunction. It is not suitable for everyone.
The application of platelet-rich plasma obtained from a person’s own blood. The level of evidence is limited; managing expectations and giving clear information are essential.
In cases that do not respond to oral medication, injection treatments into the penis may be raised by the physician; the first administration takes place in a controlled setting.
Work in this field is still at the research stage. Presenting it as a routine treatment would not be correct; information is given within that frame.
Regular review can help pick up sexual function problems early, and may also contribute to the early detection of cardiovascular and metabolic disease.
A general assessment covering history, examination and any blood tests judged necessary. What it contains is determined by age and risk factors.
It covers assessment of the urinary tract, the prostate and the genital area. Regular review is advised beyond certain ages even without complaints.
Anxiety can be both a consequence and a cause. Alongside medical assessment, psychological support is brought into the process where needed.
Testing is arranged for complaints such as discharge, burning or a rash, or after a risky contact; the process is conducted in confidence.
Men’s sexual health concerns are often raised late. At Dr Otgen Clinic they are addressed without judgement, within a medical framework, and with the information a person needs in order to make their own decision.
Appointment requests, telephone calls and WhatsApp messages are seen only by the relevant clinical team; patient information is never used for promotion.
Regulation prohibits before-and-after images, patient testimonials and price information for male genital procedures. The content on these pages is for information only.
Erectile dysfunction can be the first sign of diabetes, high blood pressure, raised cholesterol or cardiovascular disease. For that reason the assessment is not limited to sexual function.
You can arrange an appointment for men’s health topics at our clinic in Merkezefendi, Denizli. Consultation days can be planned for visitors travelling from Pamukkale, Uşak, Burdur, Muğla, Aydın and Afyonkarahisar.
Erectile dysfunction falls to urology and andrology. The first consultation covers how long the complaint has lasted, any accompanying conditions and the medication you take; examination and the tests judged necessary then guide an assessment aimed at the cause.
Yes. Appointment requests, telephone calls and WhatsApp messages are seen only by the relevant clinical team. Personal health data is processed under data protection law and is never used for promotion.
Age is a risk factor but does not explain it on its own. Diabetes, high blood pressure, raised cholesterol, smoking, disturbed sleep, certain medicines and psychological factors can all contribute. Distinguishing a temporary picture from a persistent one is done by examination.
Where oral medication does not give an adequate response, whether it has been used correctly is checked and hormonal and vascular causes are reassessed. After that review your physician may raise options such as shockwave therapy, injection treatments or a penile implant.
Usually a semen analysis and a urological examination. Depending on the result, hormone tests, assessment for varicocele and any further investigations that are indicated are planned.
No. Under the regulations governing the promotion of healthcare services, prices, campaigns and patient testimonials are not published on the website. Information about the process and the plan is given by the physician after an examination.
Your consultation is arranged on the basis of confidentiality. A short description of your concern is enough for us to agree a suitable appointment day.
Request an appointmentThe information on this page is for general guidance only; it does not replace diagnosis or treatment and contains no promise of results. Every patient is different, and the method to be used is determined after a physician’s examination.