Erectile Dysfunction Treatments 2026 Cost and Procedure Guide

Erectile dysfunction, commonly known as impotence, is the inability to attain or sustain an erection firm enough for sexual intercourse, matching the Cleveland Clinic definition of ED. While occasional difficulty is typical, frequent issues may indicate underlying cardiovascular or psychological conditions.

At HayatMed Clinic in Istanbul, our urology team provides discreet evaluation and treatment options, including oral medications and penile implants such as the AMS 700.

Executive Summary of Treatment Options

Patients travelling to our clinic often save up to 60 per cent on premium treatments compared to clinics in the US or UK.

• Erectile dysfunction is a common condition with several management options available.
• Oral PDE5 inhibitors, such as sildenafil and tadalafil, are typically the first-line treatment alongside lifestyle changes under European Association of Urology guidance.
• Advanced therapies, including shockwave therapy and penile implants, offer alternatives for those who do not respond to medication.
• Medical tourism packages include treatment, accommodation, and airport transfers to ensure a smooth process.

Recognising Erectile Dysfunction Symptoms

A medical evaluation is recommended if symptoms persist for more than 3 months.

An erection involves a complex sequence of events involving the brain, hormones, nerves, muscles, and blood circulation. When this process is interrupted, dysfunction may occur. You may want to consult a specialist if you continuously experience:

• Trouble getting an erection
• Difficulty maintaining an erection during intercourse
• Noticeably decreased sexual desire.
• Related issues such as premature ejaculation, delayed ejaculation, or an inability to achieve orgasm

Common Causes of Erectile Dysfunction

According to the American Urological Association, physical issues account for the majority of chronic cases affecting men over age 40.

Causes are generally grouped into physical and psychological factors, per federal guidance on symptoms and causes, and often involve a combination of both.

Physical causes may include:

• Cardiovascular disease and clogged arteries
• Diabetes, which can affect nerves and blood vessels
• High blood pressure and high cholesterol
• Obesity and metabolic syndrome
• Enlarged prostate or treatments for prostate cancer
• Medication side effects, including certain antidepressants or blood pressure drugs

Psychological causes may include:

• Chronic stress and performance anxiety
• Depression and other mental health conditions
• Low self-esteem or relationship difficulties

Diagnostic Process for International Patients

Diagnosis typically involves 4 standard steps to identify the root cause of the condition. You can request a remote urology assessment before travelling to Istanbul.

Proper management starts with an accurate assessment. During a visit to our urology department, your doctor will usually:

• Review your medical history, including current medications and emotional well-being
• Perform a physical examination to check blood pressure, pulse, and genital health
• Conduct laboratory tests, such as blood and urine analysis, to screen for hidden conditions like diabetes or low testosterone
• Recommend advanced imaging, like an ultrasound, to evaluate blood flow to the penis if necessary

Comprehensive Treatment Options and Therapies

Oral medications can achieve a success rate of around 70 per cent in mild-to-moderate cases.

We offer a tiered approach to managing erectile dysfunction, starting with non-invasive therapies and progressing to surgical solutions when necessary.

Oral Medications and Non-Surgical Therapies

Medications typically take between 15 and 120 minutes to work.

Oral PDE5 inhibitors work by enhancing nitric oxide signalling, which relaxes muscles and may increase blood flow. These require sexual stimulation to take effect and must be approved by a doctor, as they can interact with heart medications.

Numbers snapshot: Medications typically take 15-120 minutes to take effect, with results lasting 4-36 hours, depending on the specific active ingredient.

If pills are ineffective or cause unwanted side effects, other non-surgical options include:

• Shockwave Therapy: Uses targeted acoustic waves to break up microplaque and stimulate blood vessel growth.
• PRP Therapy: Platelet-rich plasma from your blood is injected to promote tissue regeneration.
• Injection Therapy: Medication is injected directly into the penis, usually producing an erection within 5 to 20 minutes.
• Vacuum Devices: A hollow tube and a pump create a vacuum to draw blood into the tissue, which is maintained by a tension ring, as described in Mayo Clinic guidance.

Penile Implant Surgery Procedures

For severe cases, surgical penile implants can offer satisfaction rates between 90 and 95 per cent.

When non-invasive treatments are ineffective, a penile prosthesis may provide a permanent solution. Our board-certified surgeons frequently use 3-piece inflatable implants, such as the AMS 700 or Coloplast Titan. These devices allow patients to control exactly when and how long an erection lasts, remaining completely flaccid and natural-looking when not in use.

Surgery Costs and Medical Tourism Packages

The cost of an AMS 700 implant in Istanbul ranges from $15,000 to $16,000, offering substantial savings.

Many international patients travel to Turkey for urological care to access experienced specialists at a lower price point. Our inclusive packages cover surgical fees, hospital stays, luxury hotel accommodation, VIP airport transfers, and translation services.

• AMS 700 Penile Implant: $15,000 to $16,000 in Turkey, compared to estimates of $25,000 to $35,000 in the US or UK.
• Shockwave Therapy Course: Pricing varies by package in Turkey, compared to $3,000 to $5,000 in the US or UK.
• Potential savings: International patients typically save up to 60 per cent overall without compromising on the quality of medical devices used.