Injection therapy requires the man to use a small needle to inject medication directly into the penis. The medicine relaxes the blood vessels and allows for increased blood flow into the penis, creating an erection. Injections are effective, fast-acting treatments because the medicine is delivered directly into the penis.
Injections do require training and it may be tricky to get the right dose initially. We always do the first injection in the office to show you how to do it and to give us a good idea about the proper dose. Our patients are usually anxious about injecting their penis but are almost always surprised by how painless the process is. Pros Cons Very effective (85%) Mimics normal erection Discreet Risk of prolonged erection (priapism) Risk of penile scarring Pain with injection (usually mild) Bruising or bleeding Hard to use if have tremor or poor vision or severe obesity Poor long-term satisfaction (less than 40%)
In a nutshell, erectile dysfunction (ED) or impotence, is the inability to maintain an erection. Symptoms can include trouble getting or keeping an erection as well as reduced sexual desire.
Patients could seek help from a physiotherapist who understands the disease, or sign up for a team sport such as football, which has also been shown to be particularly beneficial for health.
Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Individuals suffering from psychogenic ED may benefit from psychotherapy, treatment of the ED, or a combination of the two. Also, medications used to treat psychologic troubles may cause ED; however, it is best to consult with your physician prior to stopping any medications that you are taking. Althof, S.E., E.W. Corty, S.B. Levine, et al. "EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction." Urology 53.4 April 1999: 793-799. American Foundation for Urologic Disease. American Foundation for Urologic Disease. American Urological Association. "Erectile Dysfunction." 2011.
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These drugs work by improving blood flow to the penis during arousal and are taken 30 to 60 minutes before sexual activity. They should not be used more than once a day. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. Staxyn dissolves in the mouth. All require a doctor's prescription for safety.
A physical examination is necessary. During this examination, your doctor will pay particular attention to the genitals as well as the nervous, vascular, and urinary systems. Your blood pressure will be checked because several studies have demonstrated a connection between high blood pressure and erectile dysfunction.
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Insertion of a penile prosthesis (implant) (pictured) is an end stage solution when all other treatment options have failed. It involves a surgical procedure through a small incision in the junction between the penis and scrotum. Patients go home the following day if the procedure is uncomplicated, and the prosthesis can be used for sexual intercourse at 6 weeks following the operation. Complication rates are low in centres that conduct the surgery in large numbers. The risk of infection is <2% and over 85% of the devices are still functioning at 10 years.
A psychological component, often called "performance anxiety", is common in men with impotence. However, a purely psychological problem is seen in only 10%.
Treatments for erectile dysfunction are usually effective and the problem often goes away.
Home Archive Volume 51, Issue 19 Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis
A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection.
The role of the endothelium in ED has been noted for a number of years and the overlapping of ED and other conditions, especially coronary heart disease, CVD, affecting endothelial function/dysfunction, is clearly present. The endothelial cell is now known to affect vascular tone and impact the process of atherosclerosis, and impacting ED, CVD and peripheral vascular disease.16
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