Erectile dysfunction in Medellín: specialist urologist
Confidential diagnosis and step-by-step treatment, from medication to a penile prosthesis
Erectile dysfunction can be treated in almost every case, and it nearly always has a physical cause worth investigating. MDE Care is not a clinic: we coordinate, in complete confidence, your assessment with the specialist urologist, the tests, the treatment and your stay in Medellín.
In complete confidence
from the first message to the follow-up
Which treatment is usually recommended in your case?
Answer the five questions of the internationally validated IIEF-5 questionnaire and a few health details. We will show you your score, the grade and the treatment step that is usually considered. Your answers are neither stored nor sent.
Over the past 6 months
1. How do you rate your confidence that you could get and keep an erection?
2. When you had erections with sexual stimulation, how often were your erections hard enough for penetration?
3. During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?
4. During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
5. When you attempted sexual intercourse, how often was it satisfactory for you?
6. Health history (you may select several)
7. Which treatments have you tried?
Your guidance
Question 1 of 7
Answer all the questions to see your score and the treatment route.
* IIEF-5 questionnaire (Rosen et al., 1999) and recommendations of the European (EAU 2026) and American (AUA 2018) erectile dysfunction guidelines. This is guidance and does not replace an assessment by the urologist. An erection lasting more than 4 hours requires emergency care.
How much does erectile dysfunction treatment cost in Medellín?
Choose the treatment route and the tests you do not have yet. We will show you the price of each part and the estimated total.
Treatment route
Included
Laboratory tests
Select those you do not have yet.
Tests and treatment
Estimated total
Assessment and oral treatment
COP 220,000 to COP 300,000
* Estimated market prices in Medellín and Colombia, confirmed in the formal quote. The prosthesis is shown with its "from" reference price; the quote details the implant, the fees, anesthesia and the operating room. Medication is used only with a prescription from the urologist.
What is erectile dysfunction and why does it happen?
It is the persistent difficulty in achieving or maintaining an erection sufficient for satisfactory sexual intercourse. An occasional bad night is not erectile dysfunction; it is when it recurs and affects your sex life or your peace of mind.
Most cases have a physical cause, often in the arteries, the nerves or the hormones. Emotional causes, such as anxiety or depression, are more common in younger men and often add to a physical cause. If your concern is infertility, low testosterone or premature ejaculation, see the andrology page.
Common causes and factors
- Diabetes, high blood pressure, high cholesterol and heart disease
- Smoking, alcohol and other substances
- Blood pressure medication and antidepressants
- Low testosterone
- Nerve damage after prostate surgery or a spinal injury
- Anxiety, depression or relationship difficulties
A common problem, and a warning sign for the heart
It is nothing to be embarrassed about: it is one of the most common reasons for a urology consultation, and its assessment can reveal a cardiovascular problem in time.
Men aged 40 to 70
52%
Have some degree of erectile dysfunction, from minimal to complete (Massachusetts Male Aging Study).
Complete dysfunction
5% to 15%
Triples between the ages of 40 and 70 in the same study.
Cardiovascular risk
1.45 times
Risk of cardiovascular events in men with erectile dysfunction, similar to that of smoking (JAMA, 2005).
How the urologist assesses erectile dysfunction
The right treatment depends on the right diagnosis. Most patients only need the consultation and a few laboratory tests.
Private consultation
Medical history, medications, the IIEF-5 questionnaire and a brief physical examination.
COP 220,000 to 300,000 (US$55 to US$75)
Laboratory tests
Morning total testosterone while fasting, glucose or glycated hemoglobin, and a lipid profile.
Testosterone about COP 48,000 (US$12)
Cardiovascular risk
Blood pressure and, if there are risk factors, an assessment with your physician or a cardiologist before treatment.
Depending on your case
Penile Doppler
Ultrasound during an erection induced with medication; requested in selected cases and before a prosthesis.
COP 300,000 to 350,000 (US$75 to US$88)
Erectile dysfunction treatments, step by step
Treatment starts with the least invasive option and moves forward if the response is not sufficient. None is indicated without a diagnosis, and in all of them habits and risk factors are corrected at the same time.
First line
Oral medication
Sildenafil, tadalafil and similar drugs make it easier to get an erection with sexual stimulation. They are taken with a prescription and never together with nitrates.
European sexual health guideline (EAU 2026). Reference pharmacy price.
Selected cases
Low-intensity shockwave therapy
Office sessions for mild vascular causes, or when pills are not enough or cannot be used.
Weak recommendation in the European guideline; the American guideline (AUA 2018) considers it experimental.
If pills do not work
Intracavernosal injections
In the office, the patient learns to inject alprostadil into the penis, a medication that produces an erection directly.
European guideline (EAU 2026). Reference pharmacy price, per ampoule.
When others are not enough
Penile prosthesis
An implant inside the penis that allows an erection whenever the patient decides. It is the step with the highest satisfaction, and it is irreversible.
European guideline (EAU 2026). Market reference price in Colombia.
See penile prosthesisPenile prosthesis in Medellín
A penile prosthesis is an implant placed inside the corpora cavernosa that allows an erection whenever the patient decides. The European guideline recommends it when other treatments fail or if the patient prefers it, after complete information.
It is a permanent decision: although the implant can be removed, the penis no longer responds reliably to other treatments. That is why the prior assessment, ideally as a couple, is decisive.
Three-piece inflatable prosthesis
Reference price
From COP 18,000,000 (US$4,500)
Implant only
Two cylinders in the penis, a pump in the scrotum and a reservoir in the abdomen. Pressing the pump fills the cylinders and produces the erection; releasing the valve returns the penis to a flaccid state.
Market reference price in Colombia, implant only. The complete surgery with an inflatable prosthesis is about COP 28,000,000 (US$7,000).
Malleable or semi-rigid prosthesis
Reference price
From COP 10,000,000 (US$2,500)
Two flexible cylinders that keep the penis firm at all times; they are bent upward for intercourse and downward the rest of the day. It is simpler to use and to place.
Market reference price in Colombia, complete surgery.
No trials have directly compared satisfaction with the two types; the inflatable prosthesis is usually preferred for its more natural erection. The urologist recommends the type based on your manual dexterity, your anatomy and your expectations.
Who is a candidate
- Men with erectile dysfunction who did not respond to pills or injections, or who do not tolerate them
- Dysfunction of organic origin, for example due to long-standing diabetes or after prostate surgery
- Those who, well informed, prefer a definitive solution from the start
Before deciding
- Confirm the diagnosis with the consultation and, if indicated, a penile Doppler ultrasound
- Control glucose in diabetes and treat any urinary or skin infection
- Understand that it is irreversible and discuss expectations, ideally as a couple
Penile prosthesis results
Figures from the European sexual health guideline (EAU 2026), which brings together series and meta-analyses of implanted patients.
Patient satisfaction
92% to 100%
One of the erectile dysfunction treatments with the highest satisfaction, with adequate information.
Partner satisfaction
91% to 95%
Partners also report high satisfaction.
Working at 5 years
87.2%
Implant durability in a meta-analysis cited by the guideline.
Working at 10 years
76.8%
If a part fails, the implant is revised in a new surgery.
Recovery after the prosthesis
By phase
Day of surgery
60 to 90 minute surgery
It is usually outpatient; the urologist decides whether a night of observation is advisable.
First days
Discomfort, swelling and bruising
These are expected; walking short distances helps circulation.
First week
Limited activity
No strenuous effort or heavy lifting; wound care as instructed by the urologist.
Weeks 4 to 6
Learning to use it
At the follow-up visit, the urologist teaches you to inflate and deflate the inflatable prosthesis.
Week 4 onward
Sex life
With clearance from the urologist; in one study, all patients were told to wait 4 weeks and most resumed between weeks 4 and 6.
If you are coming from abroad
It is advisable to stay in Medellín until the first wound check; learning to use the device can be arranged on a second visit.
Returning to work
The urologist tells you when to return to work and exercise based on your recovery and your type of activity.
Follow-up
We coordinate the follow-up visits and communication with the urologist if you have questions once you are back home.
Risks of a penile prosthesis
It is a safe surgery in experienced hands, but it is not free of complications. These are the ones the European guideline describes with figures.
Effects and complications
- Implant infection, first surgery2% to 3%
- With an antibiotic-coated implant1% to 2%
- Implant working at 5 years87.2%
- Implant working at 10 years76.8%
1% to 2%
Infection with a coated implant
That is why glucose is controlled before surgery and coated implants are preferred.
Irreversible
There is no going back
If it is removed, the penis no longer responds reliably to other treatments.
Mechanical
Failure of a part
Over the years, a part may fail and require another surgery.
Your assessment in Medellín, step by step and in confidence
We coordinate the schedule so that the consultation, tests and treatment take as few days as possible. If you have surgery, you can stay at a recovery house for COP 759,900 (US$190) per night in a standard room.
Step 1
Discreet contact
Write to us on WhatsApp with a neutral message; you can send us your score from the guide and your test results.
Step 2
Case review
The urologist reviews your history and proposes the treatment step that is usually indicated.
Step 3
Consultation and tests
Private consultation, laboratory tests and, if indicated, a penile Doppler ultrasound, within a few days.
Step 4
Formal quote
With details of what is included, in Colombian pesos or US dollars.
Step 5
Treatment
Medication, a test injection, shockwave sessions or surgery, depending on your route.
Step 6
Follow-up and return
A check-up before you travel and remote follow-up with the urologist.
What MDE Care does for you
We are not a clinic or a directory. We support you from your first question to the results consultation.
Initial guidance
We review your medical order or reason for consultation before scheduling.
The right specialist
We connect you with the urologist who performs the test you need.
Clear prices
You know the price and what it includes before booking.
Appointments and tests
We coordinate the schedule, the preparation and the timing of each step.
Logistical support
Accommodation and transportation if you are coming from another city or country.
Follow-up
We coordinate the results consultation and follow-up visits.
About erectile dysfunction and penile prostheses
What specialist treats erectile dysfunction?
How much do the consultation and treatment for erectile dysfunction cost in Medellín?
How much does a penile prosthesis cost in Colombia?
How much does a penile Doppler ultrasound cost?
Does shockwave therapy work for erectile dysfunction?
Is it safe to take sildenafil or tadalafil?
Can erectile dysfunction be a sign of a heart problem?
Is a penile prosthesis noticeable, and is it reversible?
When can sexual activity be resumed after a prosthesis?
Is the consultation confidential?
Other urology pages
Request your assessment in complete confidence
Write to us with a neutral message. We will tell you the treatment usually considered in your case and the price before scheduling.