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Goldman Urology AI curation background image Goldman Urology AI curation background image
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AI CURATION

Briefly describe your symptoms
to the smart Goldman AI.

Enter your question.
  • e.g. I urinate frequently and always feel residual urine
  • e.g. I feel a burning pain when I urinate
  • e.g. Itchy, stinging blisters on my genitals

Erectile Dysfunction

The barometer of men's health!We treat the root cause of erectile dysfunction, restoring body and mind.

The confidence you lost to erectile dysfunction,
Goldman will help you get it back for good.

From an accurate diagnosis of the cause to tailored non-surgical treatment.
Goldman looks at the structure before the symptoms.

SINCE 2002, the hub of AI smart healthcare

SINCE 2002, the hub of AI smart healthcare

SINCE 2002, the hub of AI smart healthcare

SINCE 2002, the hub of AI smart healthcare

What is erectile dysfunction?

Erectile dysfunction (ED) is when an erection is not firm enough, or does not last long enough, for satisfying sex.
It becomes more common with age and can lead to lost confidence or conflict with a partner, so if symptoms persist for more than 3 months it is best to seek treatment.

Prevalence of mild or greater erectile dysfunction by age

100%
80%
60%
40%
20%
0
23%
30s
34%
40s
64%
50s
86%
60 and older

Erectile dysfunction: why does it happen?

Erectile dysfunction (ED) can stem from psychological factors, medical conditions, surgery or trauma, and environmental factors. In the past, psychological factors were emphasized,
so it was regarded as an embarrassing condition, but as research into disease-related causes has grown, it is now recognized as part of men's health.
  • Man under stress

    Psychological Factors

    Emotional factors such as stress, anxiety, and depression overstimulate the sympathetic nervous system,
    constricting blood vessels and preventing the corpora cavernosa from relaxing, which can cause erectile dysfunction.
  • Illustration of arteriosclerosis

    Medical conditions

    Chronic conditions such as atherosclerosis, high blood pressure, and heart disease raise the risk of erectile dysfunction by 2 to 4 times.
    Obesity, smoking, and drinking in particular act as risk factors for erectile dysfunction, so they are best avoided.
  • Surgical instruments

    Surgery and trauma

    Prostatectomy or surgery within the pelvic cavity
    can damage the nerves and blood vessels involved in erection,
    which can cause erectile dysfunction.
  • Alcohol and cigarettes

    Environmental factors

    Smoking and heavy drinking bring on chronic disease and
    sexual dysfunction, raising the risk of erectile dysfunction.
    Aging and a stressful environment are also among the major causes.
  • Man going through andropause

    Male menopause (andropause)

    Andropause is a change that appears mainly after the age of 40, as male hormone levels decline, and because of it erectile dysfunction can occur along with reduced libido, fatigue, and low mood.
Motif image

Early symptoms of erectile dysfunction:
how do they show up?

The typical symptom of erectile dysfunction (ED) is difficulty with intercourse because the penis does not become firm enough or the erection cannot be maintained for long.
It may be temporary fatigue or stress, but if these symptoms keep recurring, they could be an early sign of erectile dysfunction.
  • Difficulty getting an erection

    No proper erection even with stimulation.
  • Reduced firmness

    The penis is not firm enough during an erection, making sexual intercourse difficult.
  • Delayed erection

    Erection takes a long time after sexual stimulation.
  • Decreased libido

    Sexual interest and desire are lower than before.
  • Lower self-esteem and increased depression

    Sexual confidence drops and you withdraw psychologically.
  • Reduced sexual satisfaction

    Intercourse is less satisfying because the erection is hard to keep.

Could my symptoms be erectile dysfunction too?

Don't leave even mild symptoms unattended.
You can check your health with a 1-minute self-assessment.

Diagnosing erectile dysfunction:
what methods are available?

If erectile dysfunction (ED) is suspected, a treatment plan based on an accurate diagnosis is needed.
At Goldman, we identify the cause of ED through a range of methods, from a medical interview to blood tests and vascular function tests.
Medical staff taking a patient history

Medical interview and physical examination

Using the international standard questionnaire (IIEF), we review your medications, conditions, and surgical history for an accurate diagnosis.
Image representing clinical testing

Laboratory tests

Blood, urine, and biochemistry tests screen for sugar, lipid, and hormone problems that affect erectile function.
Illustration of an erection test

Audiovisual sexual stimulation (AVSS) erection test

Erectile response is measured non-invasively in conditions like actual sexual activity, giving an objective diagnosis.
Illustration of a neurological examination

Neurological testing

Penile sensation, reflexes, vibration sense, stimulus response, and brain waves are checked to find neurogenic causes.
Penile duplex Doppler ultrasound examination screenED: abnormal findingED: normal finding Penile duplex Doppler ultrasound examination screenED: abnormal findingED: normal finding

Penile duplex Doppler ultrasound

After an erection-inducing injection, blood flow velocity and vessel structure are checked live to diagnose vasculogenic erectile dysfunction.

Erectile dysfunction treatment:
what options are available?

Goldman tailors treatment to your erectile dysfunction symptoms.In particular, through our in-house HIM Treatment Program, We restore hormonal, immune, and metabolic function, helping men regain confidence and vitality through extracorporeal shock wave therapy, implant surgery, and photon therapy.
Smiling man
What Is HIM Treatment?
Goldman's HIM Treatment Program is a customized combination therapy focused on restoring the balance of hormonal, immune, and metabolic function.It addresses the root causes of erectile dysfunction — low testosterone, weakened immunity, and metabolic syndrome — to restore male vitality and confidence.Going beyond simply relieving symptoms, it supports long-term health and improved sexual function through systematic functional recovery.
Who HIM Treatment Is For
  • Hormonal Imbalance
    · Loss of masculine strength
    · Increased inflammation in the body
    · Accelerated aging
  • Weakened Immune Function
    · Reduced defense against disease and inflammation
    · Decline in physical function
    · Onset of immune system disorders
  • Reduced Metabolic Function
    · Nutritional deficiency and imbalance
    · Onset of cardiovascular disease
    · Triggers various lifestyle-related diseases
HIM Treatment Program
Hormone
Immune
Metabolism
Hormone Balance Therapy
Hormonal imbalance can cause erectile dysfunction, osteoporosis, low libido, aging, and memory decline. Left untreated, these symptoms can bring on psychological effects such as increased stress, loss of motivation, and depression, as well as physical effects such as reduced metabolic function and an imbalanced immune system.
Immune Stabilization Therapy
After the age of 40, inflammation, stress, and poor blood flow weaken communication between cells and lower immune function.
Weakened immunity can cause various diseases and may also lead to erectile dysfunction (ED).
Metabolic Activation Therapy
With age, toxins accumulate in the body, lowering metabolic function and potentially leading to metabolic syndrome such as high blood pressure, diabetes, and hyperlipidemia.
This is a direct cause of erectile dysfunction (ED), and it also affects the hormonal and immune systems, reducing overall health and vitality.
Testing

Hormone level tests to assess hormonal balance

· Testosterone, growth hormone, leptin, insulin, and stress hormones

Treatment

Treatment to restore hormonal balance and cellular nutrition

· High-concentration nutrient injections

· Hormone injection therapy

Testing

Tests to find the degree and cause of inflammation

· IgG (chronic allergy) and IgE (acute allergy) tests

· CRP test (to check the level of inflammation)

· Antioxidant test (measuring free radicals)

Treatment

Combination therapy to stabilize the immune system

· Removing triggers of acute and chronic inflammation and lowering inflammation levels

· Reducing the stress and poor diet that generate free radicals

· Supplying zinc, probiotics, prebiotics, unsaturated fats, and specialized dietary fiber

Testing

Tests of your physical vitality and metabolic function

· Biological age testing (body measurements, blood and specialized tests)

· Energy metabolism test

· Hair mineral and heavy metal analysis

Treatment

Combined metabolic activation therapy to boost physical vitality

· Removing causes of metabolic dysfunction

· Supplying amino acids, vitamins, and minerals that help the gut and liver flush out toxins

· Body composition management through diet and exercise prescriptions

  • Medication
    Oral Medication Therapy
    Effective oral drugs like Viagra and Cialis improve erectile dysfunction.
  • Image representing hormone replacement
    Hormone Replacement Therapy
    Restores male vitality by supplementing testosterone and growth hormone.
  • Image representing extracorporeal shock wave therapy
    Low-Intensity Extracorporeal Shockwave Therapy
    A vascular-nerve treatment that regenerates erectile tissue for natural erectile function.
  • Illustration of penile implant surgery
    Penile Implant Surgery
    Patient-tailored implants give a definitive result for erectile dysfunction.
  • Blood cells
    Photon Therapy
    A new-technology treatment that raises blood cell activity to help improve erectile strength.
  • Nutritional supplements
    Nutritional Supplement Prescription
    We prescribe customized supplements to boost male vitality.
  • IVNT injection
    IVNT Prescription
    High-concentration nutrient injections activate cells to strengthen erections.
  • Illustration of the penis
    Local Injection Therapy
    A direct injection that rapidly improves penile rigidity.
Low-intensity extracorporeal shock wave therapy device
What is low-intensity extracorporeal shockwave therapy?
Low-intensity extracorporeal shockwave therapy uses the ED-1000 system to promote regeneration of penile blood vessels and nerve tissue — a safe vascular-nerve treatment that supports natural erections.It triggers vascular endothelial growth factor (VEGF) release to form new blood vessels, and it is approved by the Korean Ministry of Food and Drug Safety (MFDS), so you can trust it.
Who low-intensity extracorporeal shockwave therapy is for
  • Medication
    If getting a prescription
    every time is inconvenient
  • Man looking fearful
    If you feel fear or
    reluctance toward surgery
  • Man experiencing discomfort in the penis
    If you want a fundamental cure
    rather than a temporary fix
  • Medical staff consulting with a patient
    If you want to recover
    natural erectile function
Benefits of Low-Intensity Extracorporeal Shockwave Therapy
Low-intensity shock waves directly stimulate the penis to promote the regeneration of vascular tissue, and they also induce vasodilation through nitric oxide (NO) released from the corpora cavernosa, improving blood flow within the penis.
Above all, the procedure causes almost no pain and requires no separate recovery time, so you can return to daily life right away, making it a suitable treatment even for busy working professionals.

01 Drug-Free Treatment

02 Non-Surgical Treatment

03 Pain-Free Treatment

04 Root-Cause Treatment

1.2.3 Treatment Program
Treatment is given twice a week for three weeks, then a three-week rest, then another three weeks of treatment. Each session takes about 20 minutes; the number and spacing of sessions vary with the severity of erectile dysfunction.Medication can be added when needed to speed recovery further.
  • Illustration of treatment of the lower corpus cavernosum of the penis
    STEP 01
    Treatment of the lower corpus cavernosum
  • Illustration of treatment of the middle corpus cavernosum of the penis
    STEP 02
    Treatment of the mid corpus cavernosum
  • Illustration of treatment of the upper corpus cavernosum of the penis
    STEP 03
    Treatment of the upper corpus cavernosum
  • Illustration of shock waves
    STEP 04
    Shockwaves delivered to the blood vessels
  • Erectile tissue regeneration in muscle and nerve
    STEP 05
    Regeneration of erectile tissue in muscle and nerve
  • Illustration of blood vessels
    STEP 06
    Formation of new blood vessels
3D illustration of a penile implant
What is penile implant surgery?
A method that restores erection by placing an implant in the penis's erectile tissue — among erectile dysfunction treatments, it is the most definitive surgical treatment.Because penile sensation and ejaculatory function are unchanged after surgery, it is well suited to patients with severe erectile dysfunction.However, because the erectile (corporal) tissue is permanently altered to place the implant, it should be carefully considered as a final option, only when all other treatments have failed.
Who Penile Implant Surgery Is For
  • When erectile dysfunction does not improve with oral medication or injections
  • When medication side effects and inconvenience make treatment difficult
  • When atherosclerosis or heart and vascular disease prevents natural erection
  • When erection is difficult due to diabetic complications or spinal or nerve damage
  • When severe penile curvature hinders penetration or causes ongoing pain
  • When erectile dysfunction after cancer surgery, such as for prostate cancer, resists treatment
Types of Implants and Surgical Methods
Implants fall into two broad types: non-inflatable and inflatable. Non-inflatable implants include malleable, semi-rigid, and articulated types, while inflatable implants come in 1-piece, 2-piece, and 3-piece designs.
Surgery most commonly uses either the malleable non-inflatable implant or the 3-piece inflatable implant.
  • Non-Inflatable Malleable Implant
    Non-Inflatable Malleable Implant
  • Three-Piece Inflatable Implant
    Three-Piece Inflatable Implant
Malleable Penile Implant (Non-Inflatable) Three-Piece Penile Implant (Inflatable)
Features
Illustration of a malleable penile implant
The malleable type places bendable cylinders inside the corpora cavernosa; they are kept bent in daily life and straightened during intercourse to maintain an erection.
The three-piece implant is the most advanced type available, allowing natural erection and detumescence, so patient satisfaction after surgery is very high.Recent models are antibiotic-coated, which has further reduced the risk of infection.
Anesthesia Regional or spinal anesthesia Regional or spinal anesthesia
Procedure time About 1 hour About 1 hour
Advantages

· Can improve even a short or underdeveloped penis

· Simple and easy to operate

· Adjustable to the angle you want

· Relatively low surgical cost

· Short surgery, quick return to daily life

· Can be used semi-permanently

· Natural look, almost identical to a natural erection

· Instant erection whenever you want

· Stronger rigidity when erect, with improved girth

· Erection lasts after ejaculation; penile sensation unaffected

· Ergonomic design minimizes pain caused by the implant

· Can be used semi-permanently

Key Points for Care After Penile Implant Surgery at Goldman
  • All necessary preoperative tests are done thoroughly before surgery.
  • Stop antithrombotic drugs such as aspirin or warfarin at least 3–7 days before surgery.
  • Tell your doctor in advance about high blood pressure, diabetes, or any other condition.
  • Stitches come out after 1–2 weeks; begin operating the implant as your doctor instructs.
  • Intercourse is possible about 4–6 weeks after surgery.
Image representing what photon therapy is
What Is Photon Therapy?
Photon Therapy, also known as photoquantum therapy, is a treatment that exposes the patient's own blood to ultraviolet C (UV-C) and returns it to the body.This process suppresses cellular aging and promotes blood circulation and metabolism, helping to restore immune balance.More recently, its blood-flow benefits have made it an adjunct therapy for erectile dysfunction.
Color graphic of blood

Unhealthy blood

Blood color

Healthy blood

How Photon Therapy Works and How It Is Performed
Sunlight is essential not only for plants but also for activating the functions of our body.
Photon Therapy irradiates the blood with ultraviolet C to remove damaged cells and stimulate healthy ones, making it an effective cell-activation treatment suited to the busy lives of modern people.

Treatment Time Per session About 30 minutes

Number of Sessions Once a week At least 4 sessions recommended

Aftercare Plenty of water, fruits, and vegetables
along with rest are recommended

Photon Therapy Treatment Effects
  • Illustration of red blood cells before treatment
    Red blood cells before treatment
    Red blood cells clump together and overlap,
    and as the cells tangle, blood circulation becomes impaired.
  • Illustration of red blood cells after treatment
    Red blood cells after treatment
    The elasticity of red blood cell membranes improves, so the cells no longer clump
    or overlap and move more actively through the capillaries.
  • Point
    Improved Blood Quality

    · Activates red and white blood cells

    · Improves blood viscosity and red blood cell aggregation, normalizes platelet function

  • Point
    Improved Blood Circulation

    · More elastic cell membranes improve capillary circulation

    · Greater oxygen-carrying capacity strengthens oxygen supply to tissues

  • Point
    Prevention of Metabolic Syndrome and Cardiovascular Disease

    · Lowers blood pressure and cholesterol, improves glucose tolerance

    · Restores immune, metabolic, and hormonal balance

  • Point
    Prevention and Improvement of Erectile Dysfunction Anti-Aging and Cardiovascular Disease Prevention

    · Helps prevent high blood pressure, diabetes, and cardiovascular disease — key risk factors for erectile dysfunction

    · Restores immune, metabolic, and hormonal balance for male vitality and anti-aging

Questions about erectile dysfunction? Get answers now.

Goldman's know-how gives clear answers to patients' questions.
  • Testosterone injection costs vary by medication type and injection schedule.

    In general:

    Cost per injection: Approximately KRW 30,000 – 100,000

    Long-acting injections: approximately KRW 200,000-400,000

    Costs vary by medication and treatment plan.

  • Most erectile dysfunction treatments fall under non-covered items not eligible for national health insurance.However, some tests to identify the cause (such as blood tests) may be covered, depending on the circumstances.

    Details are available at your consultation.

  • The cost varies by treatment method.

    In general, treatment is provided within the following cost ranges.

    ED medication prescription: Approximately KRW 2,000 – 15,000 per tablet

    Self-injection therapy: Approximately KRW 10,000 – 30,000 per session

    Extracorporeal shock wave therapy (ESWT): Approximately KRW 100,000 – 300,000 per session

    Erectile dysfunction surgery (penile implant): Approximately KRW 7 million – 15 million or more

    The method depends on the cause, vascular condition, and underlying diseases, so the exact cost is given after a consultation.

  • Incidence rises with age, but not everyone experiences it.With consistent management and treatment, meaningful improvement is possible.

  • Yes.Goldman Urology aims for fundamental improvement through the HIM combination therapy program, which restores hormonal, immune, and metabolic function.

  • Yes.Erectile dysfunction can be an early sign of metabolic syndrome or cardiovascular disease, so early diagnosis matters.

  • Even mild symptoms can turn chronic if they recur, so get diagnosed early and find the cause.

Real treatment stories
as told by patients and medical staff

From the start of treatment to recovery!Real stories build trust.

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