How much does erectile dysfunction (ED) treatment cost in Singapore?

  • Answered1 time
  • Viewed192 times

Doctor’s Answer (1)

"Psychiatrist with over 20 years of experience"

Erectile dysfunction (ED) refers to the inability to get and keep an erection firm enough for intercourse.  Having erection trouble from time to time may not always be a cause for concern. If ED is an ongoing issue, it can cause stress, affect one’s self-confidence and contribute to issues with one’s partner. ED can also be a sign of an underlying health condition (e.g., diabetes, hypertension, hyperlipidemia) that needs treatment and a risk factor for heart disease.

 

Shockwave Therapy

The new kid on the block for treatment for ED is shockwave therapy. This form of treatment uses external, low-intensity acoustics to trigger a process that forms new blood vessels, improving blood flow to the groin area to help improve the rigidity of an erection.

Patients generally require six sessions divided over two to three weeks, costing in total between S$2,000 and S$5,000, depending on the clinic.

 

ED Drugs

Erectile dysfunction is frequently done with the prescription of ED drugs. The following table shows the 5 ED drugs that can be considered. The price of the medicine may vary from clinic to clinic.

 

DrugOnset of actionDuration of actionEffect of food intakeUnique side effects
Avanafil15-30 minutesUp to 6 hoursNot affected  
Sildenafil30-60 minutesUp to 12 hours

High-fat meals decrease efficacy

Vision abnormalities (PDE6)
Vardenafil30-60 minutesUp to 10 hours

High-fat meals decrease efficacy

Vision abnormalities (PDE6)
Tadalafil60-120 minutesUp to 36 hours

Not affected

Back pain, myalgias
Udenafil60-90 minutesUp to 24 hours ?

High-fat meals decrease efficacy

Vision abnormalities (PDE6)

 

ED medications enhance the effects of nitric oxide — a natural chemical that the body produces that relaxes muscles in the penis. This increases blood flow and allows a man to get an erection in response to sexual stimulation.

An important myth to dispel is that taking the medicine will not automatically result in an erection. Sexual stimulation is needed first to cause the release of nitric oxide from the penile nerves. These medications amplify that signal, allowing some men to function normally. The medications vary in dosage, how long they work and side effects.

Possible side effects include:

  1. flushing
  2. nasal congestion
  3. headache
  4. visual changes
  5. backache
  6. and stomach upset

ED may be due to psychological factors like:

  1. anxiety
  2. depression
  3. work stress
  4. relationship issues
  5. performance anxiety
  6. and so on

For such cases, it is best to obtain treatment from a psychiatrist who has special expertise and experience in helping these individuals and couples.

 

Vacuum Constriction Device (VCD) Treatment

Another treatment option for ED is a vacuum constriction device (VCD). This is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection. The VCD consists of an acrylic cylinder with a pump that may be attached directly to the end of the penis. A constriction ring or band is placed on the cylinder at the other end, which is applied to the body. The cylinder and pump are used to create a vacuum to help the penis become erect; the band or constriction ring is used to help maintain the erection.

Vacuum constriction devices vary in cost from $300 to $500, depending on the brand and type. The battery-powered versions tend to be more expensive, but also tend to work a little more quickly. Battery-powered devices are especially helpful for men who do not have good hand strength or coordination or who have arthritis. Bruising of the penis is a possible side effect, and ejaculation will be restricted by the band. The penis may feel cold to the touch.

 

Alprostadil Injection

Some patients also find Alprostadil self-injection useful. With this method, a man will use a fine needle to inject alprostadil (Caverject Impulse) into the base or side of his penis. Each injection is dosed to create an erection lasting no longer than an hour. Because the needle used is very fine, pain from the injection site is usually minor.

Side effects can include:

  1. mild bleeding from the injection
  2. prolonged erection (priapism)
  3. and, rarely, formation of fibrous tissue at the injection site.

 

Alprostadil intraurethral (Muse) therapy

Alprostadil intraurethral (Muse) therapy involves placing a tiny alprostadil suppository inside the penis in the penile urethra. A special applicator is used to insert the suppository into the penile urethra. The erection usually starts within 10 minutes and, when effective, lasts between 30 and 60 minutes.

Side effects can include:

  1. pain
  2. minor bleeding in the urethra
  3. and formation of fibrous tissue inside the penis.

 

Testosterone Replacement Therapy

In some men, ED is complicated by low levels of the hormone testosterone. For this problem, testosterone replacement therapy may be recommended as the first step or given in combination with other therapies.

 

Penile Implants

Penile implants involve surgically placing devices into both sides of the penis. These implants consist of either inflatable or malleable (bendable) rods. Inflatable devices allow a man to control when and how long he has an erection. The malleable rods keep the penis firm but bendable.

Penile implants are usually not recommended until other methods have been tried first. There is a risk of complications, such as infection. It will be good to call up the urologist's clinic to find out more about the cost of this surgery as the charges may vary from surgeon to surgeon.

Not the answer you're looking for? Just ask your own quesiton now FOR FREE.

Read This Next
Are You Testosterone Deficient?

In my practice, I often see men in their 30s with constantly low energy and a poor sex drive who are wondering if there is something wrong with themselves. These group of men usually attribute their symptoms to a stressful work environment.

Instead, what I commonly find is that they have low testosterone levels.

Your Essential Guide To Erectile Dysfunction Treatment In Singapore

Ever wondered about your options for treating erectile dysfunction (ED) in Singapore?

Erectile dysfunction is one of my favourite topics to talk about, and I'm here to break down the issue for you from a medical perspective. With a good understanding of the reasons behind erectile dysfunction, ensuring that your body works as it should can be simple.

Ask Dr Lee Fang Jann: Erectile dysfunction

Erectile dysfunction is the inability to get or keep a firm erection sufficient for sexual intercourse. This is a common condition that can occur at any age in men. 

People usually associate erectile dysfunction with older men. However, in recent years, a substantial proportion of men suffering from this condition are under the age of 40. 

Join Dr Lee Fang Jann as he hosts a QnA session where he answers your questions on erectile dysfunction. 

The Ultimate Guide To Dealing With Prostate Cancer By A Singaporean Urologist (2020)

"Urologist fellowship trained in Andrology & Prosthetic Urology"

Did you know that Prostate Cancer is one of the three leading causes of cancer in Singaporean males?

According to the 2015 Annual Registry Report by Singapore Cancer Registry, prostate cancer is a common type of cancer in Singapore. In fact, prostate cancer accounts for 13% of all cancers amongst the male population in Singapore. [1]

Dr Ronny Tan is a board-certified Singaporean urologist. He will share his advice on how to deal with prostate cancer. Read on to find out about how you can cope with its symptoms as well as the treatment’s side effects.

Stuffy Nose While Having Sex? A Singapore Doctor Tells You Why

"Psychiatrist with over 20 years of experience"

As pleasurable as the activity is, sex can be a complex and rather sensitive issue for many couples. An array of factors can come together and lead up to either a good time in bed or awkward situations that you would both rather forget about.

Aside from the more common culprits (such as erectile dysfunction or stress), there is another less severe but rather annoying condition that you may or may not have even heard of: a stuffy blocked nose, occurring during or after sex.

A reader on DoctorxDentist asked about why the nose can become stuffy and blocked after sex. Psychiatrist, Dr Ng Beng Yeong, responded. Here’s what he had to say.

Request Quotes From Doctors

Based on your requirements, we will recommend up to 5 expert medical doctors.

Get Treatment Quotes
Related Questions

"Psychiatrist with over 20 years of experience"

Thank you for sharing your story with us. It appears to me you may have eating disorder with co-morbid depression. Both conditions can be aggravated by stress and both need to be treated. It will be good if you can carefully recall all the treatm... Read Full Answer

"Psychiatrist with over 20 years of experience"

Thank you for highlighting such a common problem. Apart from depression, the other mental health issue that came to my mind is that of social phobia or social anxiety disorder. it will be good to consult a psychiatrist if you have mood problems a... Read Full Answer

"Psychiatrist with over 20 years of experience"

Thank you for highlighting such a common problem, which many patients at the clinic also have. Chest discomfort, tingling sensation over the limbs, aches and pains, can certainly be attributed to anxiety and depression. Nevertheless, it is import... Read Full Answer

"Urologist fellowship trained in Andrology & Prosthetic Urology"

Phimosis can range from a tight foreskin that is difficult to retract to expose the glans (head) of the penis to pinpoint phimosis where the foreskin cannot be retracted at all. Men who have never retracted their foreskin is prone to phimosis as t... Read Full Answer

"Urologist fellowship trained in Andrology & Prosthetic Urology"

Erectile dysfunction is a condition that affects not just the man involved but also his partner. It affects his self-esteem and his relationship with his partner.  The treatment of erectile dysfunction has been evolving over the past 10 year... Read Full Answer