Conversation: The conversation between human and AI assistant.
[|Human|] hi doctor when i was 17 i got mumps and one of my testcles swelled and after i got well it swrank back smaller than before  then when i was 37 it turned painful a uroligist removed it because he said it was dying now i have erection problems which gets more bad as i get older doctors have told me my tosterone level is fine i have tried viagria and other drugs nothing works
[|AI|]  HelloThanks for query. The problem of Erectile dysfunction needs to be investigated to find out the cause of ED. With normal Testosterone levels and unresponsive to Viagra, the cause of E. D is most likely to be Vasculogenic. Consult qualified Urologist for clinical examination and get Color Doppler Scan of the Penis done to confirm /rule out arterial insufficiency or venous leak as a cause of your ED. If proved to be due to arterial insufficiency it can be treated with newer modality called Extra Corporeal Shock Wave Therapy (EST)to penis. This helps to develop collateral vessels and thereby increase blood circulations to the erectile tissue to achieve hard erection. Chat Doctor.