Scott, F. B., Byrd, G. J. & Karacan, I. (1979) Erectile impotence treated with an implantable inflatable prosthesis: five years of clinical experience. Journal of the American Medical Association, 241, 2609–2612.CrossRefGoogle ScholarPubMed
After three months, the intervention group showed significant improvement in their condition when compared to the control. .
GAINSWave works by using high-frequency acoustic waves to open existing blood vessels in the penis, stimulate the growth of new blood vessels, and eliminate micro-plaque. The result is increased blood in the penis resulting in stronger, harder, and more sustainable erections.
Penile implant surgery can be very effective, provided that precautions are taken to avoid infection. Prosthesis surgery is contraindicated if systemic cutaneous or urinary infection is present. Antibiotics should be provided pre-operatively, and the surgical site should be shaved immediately prior to surgery. We use both Mentor and AMS penile implants with specialized antibiotic coats. Patients are hospitalized overnight for closed suction drainage, and sent home on seven days of post-operative antibiotics. Using these and other precautions, our implant infection rate is comparable to national averages (2-4%, 1-2% for antibiotic coated implants). Vascular surgery is recommended only in healthy individuals with recently acquired erectile dysfunction due to a focal arterial narrowing (usually related to trauma) and in the absence of generalized vascular disease. Sign up for Email Updates Click here Support Urology
What is the role of testosterone therapy in the treatment of erectile dysfunction?
Erectile dysfunction, also known as impotence or ED, is the inability to achieve or maintain an erection sufficient for sexual intercourse. Almost all cases of erectile dysfunction are treatable, says Dr. Honig.
It has already been proven by many surveys that have taken place regarding these exercises that they are extremely successful. One survey reports up to 40% of men that did these exercises before using medication did not need any further help in treating their erectile dysfunction problems.
There are several areas of the brain involved in sexual behavior and erections. In psychogenic ED, the brain may send messages that prevent (inhibit) erections or psychogenic ED may be related to the body's response to stressors and the release of chemicals (catecholamines) that tighten the penile muscles, preventing them from relaxing.
Coronary Artery DiseaseCoronary artery disease (CAD) and ED frequently occur concomitantly due to mutual risk factors such as diabetes, hypertension, and hyperlipidemia. In men with CAD, the incidence of ED is estimated to be 42% to 57%. Because the primary cause of ED is vasculogenic, ED can precede CAD, stroke, and peripheral artery disease by an average of 3 years.27,28 The package insert for PDE5Is cautions providers about using these agents in patients with uncontrolled hypertension (>170/100 mmHg), CAD with unstable angina, or a history of myocardial infarction (MI), stroke, or life-threatening arrhythmia within the past 6 months.8-11 The primary concern with using PDE5Is in these patients is that the physical demands of intercourse could provoke a CV event.
20. Mulhall JP, Trost LW, Brannigan RE, et al. Evaluation and management of testosterone deficiency: AUA guideline. J Urol. 2018;200(2):423-432.
While both psychological and biological factors can cause erectile dysfunction, in reality the mind and body work together in sexual arousal, so most men have both factors in varying proportions.
CRED’s Freedom Fest 2022 is now live: Don’t miss out on curated rewards, deals, and offers
When there is angina or heart failure, the doctor may need to determine whether the heart has enough reserve to carry out the work necessary for sexual activity by performing cardiac treadmill stress testing. What precautions should patients take when using vardenafil (Levitra, Staxyn)?
East Midlands East of England Irish Republic Kent, Surrey & Sussex London North London South North East North West Northern Ireland Scotland East Scotland West South Central South West Wales West Midlands Yorkshire & Humber
Gessa, G. L., Paglietti, E. & Pellegrini-Quarantotti, B. (1979) Induction of copulatory behaviour in sexually inactive rats by naloxone. Science, 204, 203–205.CrossRefGoogle Scholar
Did you know that diabetes can contribute to erectile dysfunction and other men’s health conditions? Find out more about why treating your diabetes is important. Get more education on diabetes awareness.