Some men will have issues with erections (erectile dysfunction or ED) within a few years of external beam radiation for prostate cancer. Some of these men may have erections that allow penetration, but only a small portion report their erections are as good as they were before treatment.
To reduce your risk of erectile dysfunction, exercise and maintain a healthy weight, stop smoking, avoid alcohol and substance abuse, and keep your diabetes under control, if you have it. .
A hollow tube is placed over the penis and the air inside the tube is vacuumed out (manually or battery operated) using a pump. The vacuum pulls blood into the penis, leading to an erection. Once the erection is achieved, a tension ring is placed at the base of the penis to keep the blood in the penis to maintain and erection.
Erectile dysfunction (ED) is a common condition. Although it is not life-threatening, it can negatively affect your quality of life. Because it can be related to other conditions, such as heart disease, it is important that you get the right treatment. There are various treatment options for ED, discuss with your doctor which option is best for your individual situation.
Track your health with the At-Home Health MOT: a home blood test that measures key health indicators (such as your sexual function, long-term health, and organ function) to help you monitor your health over time. Each At-Home Health MOT comes with a free review from a UK clinician who can offer personalised health advice based on the outcome of your test. What’s more, we’ll also send you a new Health MOT every 3 months so you can chart your progress with greater ease.
Surgery provides the only true cure, but men typically want to explore other, less invasive options first.
ED is a complex condition that can be caused by a variety of factors. Often, there’s more than one issue that’s responsible for ED.
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Penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. In addition, hormones and emotions are at work. Problems in any of these may result in an inability to get or maintain an erection during sexual activity. This disorder is known as erectile dysfunction. Erectile dysfunction may be caused by several reasons. Major causes may differ in different age groups. Causes of erectile dysfunction may be broadly divided as follows. Psychological issues such as depression, anxiety or stress Underlying health conditions such as diabetes or cardiovascular disease Medications such as antiandrogens, appetite suppressants and antidepressants Trauma due to an injury or a surgery Lifestyle factors such as lack of exercise or addictions such as smoking
Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38
Monitoring erections that occur during sleep (nocturnal penile tumescence) can help you and your doctor to understand if the erectile dysfunction is due to psychological or physical causes. The nocturnal penile tumescence test is a study to evaluate erections at night. Normally men have three to five erections per eight hours of sleep. The test can be performed at home or in a sleep lab. The most accurate way to perform the test involves a special device that is connected to two rings. The rings are placed around the penis, one at the tip of the penis and the other at the bottom (base) of the penis. The device records how many erections occur, how long they last, and how rigid they are. The test is limited in that it does not assess the ability to penetrate.
Use the links below to find information relating to various urological procedures.
"For men who are unwilling or unable to self-inject alprostadil, the FDA has approved this dissolvable pellet that can be inserted directly into the urethra, the opening of the penis," says Dr. Feloney. MUSE, with an inspiring name that actually stands for medicated urethral system for erection, will trigger an erection in about 10 minutes that may last as long as an hour. Using MUSE to treat ED can result in somewhat unpleasant side effects, however — including an aching sensation, burning, redness, and minor bleeding.
The severity of ED has been correlated with the extent of CVD. Banks et al reported that the risk of future CV events increased progressively according to ED severity.28 This was shown in both men with and without known CVD at baseline and after controlling for confounders. Solomon and colleagues found an inverse correlation between international index of erectile function (IIEF) scores and plaque burden seen on coronary angiography.29 In addition, Yaman et al demonstrated a significant correlation between ED severity on IIEF questionnaires and coronary artery calcification.30
Stress, anxiety, depression and other mental health conditions can also lead to or worsen erectile dysfunction.
Vacuum Erection Device is one such external device that is FDA approved and is easy and safe to use. At IASH, we explain step by step procedure for the safe and competent use of this device.