Urology Clinic in Gangnam

Oral Medication Erectile Dysfunction Medication

Oral medications help approximately 70% of patients with erectile dysfunction achieve and maintain an erection, regardless of the underlying cause. Several options are available in Korea; most have broadly similar effectiveness and side-effect profiles, although their duration of action may differ.

Erectile Dysfunction ESWT Therapy — ED1000

Low-intensity extracorporeal shock wave therapy (Li-ESWT) is a nonsurgical treatment for erectile dysfunction intended to promote angiogenesis in penile tissue. This may promote new blood-vessel formation and regeneration of erectile tissue, helping restore natural erectile function, with the aim of addressing an underlying vascular cause of erectile dysfunction.

Penile implant surgery places a manufactured implant within the corpora cavernosa, the erectile tissue of the penis. It may be considered for a broad range of causes of erectile dysfunction. Penile and glans sensation, ejaculation, and orgasm are generally preserved, while the implant allows an erection when desired.

Testosterone Replacement Therapy

In appropriately selected patients with testosterone deficiency and symptoms of erectile dysfunction, testosterone replacement therapy may improve libido and erectile function. It may also increase lean muscle mass, reduce abdominal fat, improve strength, and support bone health.

Injection Therapy

Injectable testosterone options include testosterone enanthate administered every two weeks and testosterone undecanoate (Nebido) administered every three months. Because Nebido has a longer dosing interval, it requires fewer injections and can maintain testosterone levels within the physiologic range more consistently, supporting stable long-term treatment.

Medication Treatment

When a bacterial infection is confirmed, an appropriate antibiotic is prescribed. Treatment may also include anti-inflammatory pain medication, muscle relaxants for pelvic floor dysfunction, medication for urinary symptoms, or supportive treatment for sexual function.

Extracorporeal Magnetic Stimulation Treatment

Extracorporeal magnetic stimulation uses low- and high-frequency stimulation, in a manner similar to electrical stimulation therapy, to activate the pelvic muscles and strengthen them. Stimulation at 10 Hz and 50 Hz is applied for 10 minutes each, once or twice a week, over approximately four to six weeks. Combining it with supportive measures such as medication, pelvic-floor exercises, and dietary changes may further improve treatment outcomes.

Prostate Massage Treatment

Periodic prostate massage may help drain prostatic fluid and open ducts obstructed by inflammation. When combined with medication, the physical stimulation may also help the medication reach prostate tissue more effectively.

Spontaneous Passage Therapy

When a stone is relatively small (under 5 mm), pain is not severe, and spontaneous passage is likely, conservative management may be attempted. Drinking 2–3 liters of water daily and doing light exercise may help the stone pass.

Extracorporeal Shock Wave Lithotripsy (ESWL) (Sonolith Praktis)

Introduced the Sonolith Praktis lithotripter from France-based EDAP Sonolith Praktis is a nonsurgical extracorporeal shock wave lithotripsy system for urinary stones. Using equipment also found at leading university hospitals in Korea, this treatment combines high-performance shock waves with precise imaging guidance to fragment urinary stones safely and effectively to facilitate natural passage. Recovery is generally rapid with a lower treatment burden and high patient satisfaction.

Malleable Implant

A malleable implant has a set degree of rigidity and does not require a complex mechanism such as a pump. It is easy to use after surgery and has few mechanical components that can fail. Penile sensation, ejaculation and orgasm generally remain unchanged.

An inflatable implant consists of three components, including a pump and cylinders, allowing the user to control the erect and flaccid states. It provides a natural postoperative appearance, and penile sensation, ejaculation, and orgasm are generally preserved.

Human Acellular Dermal Matrix Implantation

Human acellular dermal matrix grafting is a surgical option for penile augmentation. It uses processed human dermal tissue, such as AlloDerm or MegaDerm, authorized by the U.S. FDA and Korea’s MFDS. The material is designed for implantation and generally integrates with surrounding tissue with a low risk of rejection.

Filler Penile Augmentation Surgery

Filler penile augmentation injects a biocompatible substance beneath the penile skin to increase girth. It may suit patients who prefer a nonsurgical option or wish to preview an augmented appearance, and the procedure is generally quick and convenient.

Ring Implantation

Penile ring implantation places a specially shaped silicone implant beneath the penile skin. A standard ring, double ring, or T-ring is selected according to the patient's preference and penile anatomy, then inserted into the penis. This method provides a natural-looking augmentation and may improve penile stability.

Suspensory Ligament Reconstructive Surgery

If the ligaments at the base of the penis pull it too far inward, ligament reconstruction may be used to adjusts and repositions the suspensory ligament attached near the pubic bone to expose concealed penile length. exposing the concealed portion and increasing visible penile length.

Skin Tissue Release Surgery

If connective tissue between the corpora cavernosa and the surrounding skin and fascia is unusually tight or adherent and makes the penis appear shorter, skin release surgery separates connective tissue between the corpora cavernosa and the surrounding By carefully releasing firm connective tissue between the skin and fascial layers, the procedure creates room for the penis to extend outward more naturally, increasing visible length.

Gonorrhea (Gonococcal Urethritis)

Gonorrhea is an infection caused by the bacterium Neisseria gonorrhoeae and is also called gonococcal urethritis. It is transmitted primarily through sexual contact. In men, urethral infection may cause yellow or green discharge, and painful urination. In women, symptoms may be mild or absent.

Nongonococcal Urethritis

Nongonococcal urethritis is an infection of the urethra caused by organisms other than Neisseria gonorrhoeae. Chlamydia and Ureaplasma are among the common causative organisms and are transmitted primarily through sexual contact. Symptoms may resemble gonorrhea and include urethral discharge, urethral itching, painful urination, and discomfort after urination.

Skin Ulceration

A skin ulcer is a wound on the skin or mucosal surface that deepens and causes tissue loss. Even a small wound or lesion can develop into a serious ulcer, and sexually transmitted infections such as syphilis or herpes Some conditions may cause genital ulcers that are painful or painless.

Genital Warts

Genital warts are benign growths of the skin or mucous membranes caused by human papillomavirus (HPV) infection. They are a type of STI transmitted primarily through sexual contact and are commonly called condyloma. They may appear as small pink or gray bumps or have a cauliflower-like surface.

Genital Herpes

Genital herpes is most commonly transmitted through sexual contact. Multiple blisters may form at the infected site and then rupture into painful ulcers. After infection, the virus remains latent in nerve ganglia and may recur when immune defenses are reduced.

HIV/AIDS

HIV is transmitted primarily through sexual contact, transfusion of or exposure to infected blood, and from an infected mother to her baby through vertical transmission. Early HIV infection may cause flu-like symptoms, or may be asymptomatic; without treatment, HIV can cause severe immune suppression.

Itching

Itching is not a disease itself and may result from many causes. Infectious causes can include Trichomoniasis, pubic lice, scabies, and candidal vaginitis are among the common causes of severe itching. Because itching may also have causes unrelated to an STI, an accurate diagnosis is important.