Erectile dysfunction (ED)
Erectile dysfunction (ED) is the persistent or recurrent inability to achieve and maintain an erection sufficient for satisfactory sexual activity.
Figure 1. Erection Hardness Score (EHS) as a tool to assess the severity of erectile dysfunction (ED). EHS 1 = severe ED, EHS 2 = moderate-severe ED, EHS 3 = mild-moderate ED, EHS 4 = normal erection.
| Age Group (number of respondents) | Number of men with ED (%) |
| 20-29 (n = 76) | 5 (6.5%) |
| 30-39 (n = 80) | 18 (22.6%) |
| 40-49 (n = 39) | 21 (53.8%) |
| 50-59 (n = 35) | 25 (71.4%) |
| ≥60 (n = 25) | 22 (88.0%) |
| Total prevalence | 91 (35.6%) |
Figure 1. Erection Hardness Score (EHS) as a tool to assess the severity of erectile dysfunction (ED). EHS 1 = severe ED, EHS 2 = moderate-severe ED, EHS 3 = mild-moderate ED, EHS 4 = normal erection.
Table 1. Symptoms of ED
| Difficulty achieving an erection | Trouble getting or initiating an erection during sexual activity |
| Difficulty maintaining an erection | Inability to keep the erection long enough for satisfying intercourse |
| Reduced sexual desire (libido) | Lower interest in sex or decreased sexual drive |
| Anxiety or stress during sex | Worry or nervousness that interferes with sexual performance |
Risk factors of ED include:
| Age | Risk increases with age, especially after 40, due to natural changes in vascular and hormonal function. |
| Diabetes | High blood sugar damages nerves and blood vessels, which are essential for normal erection. |
| Cardiovascular disease | Conditions like atherosclerosis (narrowed arteries) reduce blood flow to the penis. |
| High blood pressure (hypertension) | Hypertension causes damage to blood vessels and reduces blood flow to the penis. |
| Obesity | Harms blood vessels and reduces nitric oxide, which is vital for achieving an erection. |
| Alcohol abuse | Excessive drinking can damage the nervous system and lower testosterone levels. |
| Sedentary lifestyle | Lack of physical activity contributes to obesity, poor circulation, and other chronic diseases. |
| Depression and anxiety | Mental health conditions can interfere with sexual desire and function. |
| Stress | Chronic stress affects hormone levels and reduces sexual performance. |
| Certain medications | Drugs for blood pressure, depression, or prostate conditions can interfere with erection. |
| Prostate surgery or pelvic trauma | Physical damage to nerves or blood vessels during surgery or injury can cause ED. |
| Low testosterone levels | Hormonal imbalance can reduce libido and make it harder to achieve erections. |
Weighing on these facts regarding ED, a common condition that affects not only performance, but also confidence, intimacy, even relationship with partner, and overall quality of life, suitable treatment approaches are of paramount importance.
At Elysium, every treatment begins with a careful evaluation by our Urology specialist, followed by tailored, holistic-approach therapies using advanced technologies for safer procedures, faster results, and longer-lasting outcomes.
1. Alpha Shockwave
Experience the latest in men’s health innovation with Piezowave²T, the next-generation shockwave system from Richard Wolf (Germany). Now available in Elysium Clinic, the proud provider of the first Piezowave²T in Indonesia, this shockwave system emits acoustic waves that target various depths inside the penis, eliciting a cascade of cellular and molecular responses that lead to:
- Improvement of blood circulation in the penis
- Stimulate the formation of new blood vessels (neoangiogenesis)
- Tissue repair and cellular regeneration
- Helps alleviating pain and discomfort in chronic prostatitis
- Management of refractory penile pain in Peyronie’s disease (formation of a hard plague/lump in the penile body that may cause erectile dysfunction)
Figure 3. Piezowave²T shockwave system by Richard Wolf (Germany)
This brand-new, leading innovation in shockwave therapy revolutionizes the treatment approach for erectile dysfunction, not only by restoring erectile function naturally but also increases sensitivity and sexual performance. With this cutting-edge technology, Piezowave²T offers faster treatment duration, greater comfort, and more reliable outcomes.
Comparison between Piezowave²T vs other Low-Intensity Extracorporeal Shockwave Generator Technologies
| Parameter |
Piezowave²T  |
Other Shockwave Generator Technologies (Electrohydraulic/Electromagnetic)  |
| Energy Source | Piezoelectric crystals create focused acoustic waves precisely | Uses spark discharge (electrohydraulic) or magnetic field (electromagnetic) |
| Focus Accuracy | Highly precise, with defined focal zones and adjustable depth | Less precise; may produce scattered energy zones |
| Patient Comfort | Minimal discomfort due to localized targeting | More discomfort due to broader energy dispersion |
| Treatment Safety | Lower risk of damaging surrounding tissues | Higher chance of energy affecting non-target tissues |
| Consistency | Produces uniform and reproducible shockwaves | Less consistent energy delivery |
| Clinical Benefit | Faster results, fewer sessions needed in many cases | May require more sessions for similar outcomes |
| Device Durability | Long lifespan, minimal maintenance (solid-state system) | Parts wear out faster (e.g., electrodes, coils) |
Conclusion: Piezowave²T technology stands out for its precision, patient comfort, and consistency, making it superior in targeted penile shockwave therapy compared to other technologies.
2. Alpha Shot: Platelet-Rich Plasma Therapy
Platelet-rich plasma (PRP) is a regenerative therapy derived from a patient’s own blood. The process begins with drawing a small amount of blood, which is then spun in a centrifuge to separate the plasma rich in platelets from red and white blood cells. This concentrated plasma contains growth factors and bioactive proteins that play a crucial role in tissue repair and regeneration.
Harnessing your body’s own healing potential, PRP injection to the penis by our Urology specialist delivers concentrated growth factors that repair tissues, stimulate blood vessels regeneration, and eventually, improves erectile function. A natural, safe, and regenerative approach for a stronger, longer, and healthier erection. PRP therapy can be done by itself or in combination with Alpha Shockwave Therapy.
3. Testosterone Therapy
Low testosterone can affect energy, mood, libido, and sexual performance. Our individually tailored testosterone therapy restores hormonal balance, improves libido, and boosts vitality — with a Urology specialist monitoring for safety and long-term results.
4. Pharmacotherapy
When medication is the right choice, we provide personalized pharmacotherapy — tailored to your condition and medical profile. Every plan is designed for optimal effectiveness, minimal side effects, and maximum confidence.
Premature ejaculation
Premature Ejaculation is one of the most common sexual health concerns for men, often leading to frustration, anxiety, and reduced intimacy. At Elysium, we provide discreet and advanced solutions to help men gain control, prolong performance, and restore confidence. Every treatment is tailored to the individual, ensuring the right approach for lasting results.
1. Alpha Kegel
Using high-intensity focused electromagnetic (HIFEM)-powered pelvic floor stimulator BTL EMSELLA (United Kingdom), Alpha Kegel strengthens the pelvic floor muscles that play a critical role in erection and ejaculation control. Patients simply sit comfortably and fully-clothed, while thousands of supramaximal pelvic floor muscle contractions are delivered in a single 28-minute session, equivalent to 11,200 Kegels.
Figure 1. Pelvic floor muscles activation using HIFEM compared to common exercise (e.g. Kegel)
2. HA filler in penis
Hyaluronic acid (HA) filler can be placed strategically in the penile shaft to reduce hypersensitivity, one of the common triggers of premature ejaculation. The procedure is minimally invasive, performed with precision, and designed to provide more control while maintaining natural sensation.
3. Pharmacotherapy
Personalized prescription medication to delay ejaculation and improve control. Treatment is carefully selected to maximize effectiveness while minimizing side effects.