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Treatment of Erectile dysfunction

Treating erectile dysfunction depends much on the diagnostic tests and the psychological condition of the patient. Some of the medications available are drugs such as sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra), Surgical treatments, Vacuum constrictive devices, Penile prostheses, Hormonal therapy, Psychotherapy, injecting medications into the urethra and the Corpora Cavernosa, and making some improvements in the lifestyle (regular workout, Balanced diet, Quitting smoking and alcohol, combating stress, having a positive outlook most of the time).

Let us look at some of the surgical procedures available today. Penile implants like prosthetic devices were effective for men with organic ED. Men with implants have 100% satisfaction; part of it being the failure of other therapies. These days it is not preferred, still it remains a reliable one. A semirigid and a multi-component inflatable system are two types of devices available. With the semirigid device, two matching cylinders are implanted into the penis. Other kinds of implants are the malleable rod implants, fully inflatable implants, self-contained inflatable unitary implants. Sometimes a vascular reconstructive surgery can also be done without any implants.

Though all the implants are aimed at correcting the problem, some are more effective in treating than others. The semirigid devices provide enough solidity for penetration and rarely break. Inflated devices can be functional for 10 years before replacement is needed. Malleable rod implants are highly effective, least expensive and with relatively less complicated with no moving parts. Fully inflatable and self-contained inflatable implants are user-controlled, gives natural appearance; imitate natural process, increases width. Vascular reconstructive surgery though moderately effective doesn’t need any implant, gives natural look, gives natural erection if successful, and doesn’t interfere with any other treatment if unsuccessful.

Drawbacks for these implants are, with the semirigid device appearance of the penis becomes cosmetic, disruption of the natural mechanism of erection, and the need for a surgery. Multi-component inflatable implants have very minute problems of infections, erection, device malfunction, erosion through the skin. Malleable rods are hard to conceal, permanently alter erection bodies, infectious, erodes through skin or urethra and may interfere with other treatments if unsuccessful. Fully inflatable implants and Self-contained unitary implants are very expensive, possible mechanical breakdowns, prone to infection and long term results are not guaranteed. Vascular reconstructive surgery is very expensive, applicable only to selected men, most complicated and technically difficult surgery, extensive testing required, may cause shortness or numbness of the penis and long term results not available.

Other treatments for erectile dysfunction include, specially designed vacuum devices for manually directing blood into the penis to prompt an erection. A typical vacuum device consists of a plastic cylinder placed over the penis, tension rings of different sizes and a small hand pump. Using the hand pump, air is pumped out creating a vacuum and thereby an erection. The tension rings at the base of the penis sustain the erection. It works for 80% of men.

Hormone therapy like testosterone therapy can be useful sometimes. Testosterone can be injected every two weeks or taken through pills. It can be used in combination with other treatments. A testosterone level below 300 is considered low and hormone therapy can be used safely.

Injection therapy can be used by injecting an alpha blocker called papaverine that produces vasodilatation (widening of the blood vessels). Intraurethral therapy has been devised into a small suppository which can be inserted into the urethra. Herbal products like yohimbine have been for years but not found to be more effective than a placebo, but works well in combination with sildenafil. Apomorphine (Uprima) works directly on the hypothalamus, which is the organ involved in erections.

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Jury Davidov is the author of this article on Buy Viagra. Find more information about Buy Cialis here.

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