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ED Treatment Options

An occasional loss of erection is nothing to worry about. But if it happens consistently, you should see a physician specialist in this area, either an internist specializing in erectile dysfunction, or an urologist. Only an urologist can treat all forms of ED severity, but the good news is; all forms of ED are treatable.

Various treatment options are available for men with Erectile Dysfunction and a proper evaluation should be done before prior to starting any therapy.

Typically, the first goal in treating ED is to get your blood sugar level or blood pressure under control.  If you smoke cigarettes, it is strongly recommended that you stop, as tobacco causes blood vessels to narrow.

Next, I would recommend oral Drugs - you may also be prescribed one of the three oral PDE5 Inhibitors - Cialis, Levitra or Viagra.


Medication

  • Medication therapy is extremely effective in augmenting the quality of man’s erection such that he is able to have satisfactory intercourse. Indeed medications referred to as phospho-diesterase inhibitors such as Cialis, Viagra, Levitra and Stendra work in 65% of men suffering from erectile dysfunction. Cialis is currently the preferred drug since it is the only one that may be taking on a full stomach and lasts for 36 hours. This favors a more romantic and natural sexual interaction. Planning kills the mood!

    However, studies have shown that fewer then 50% of men with ED and Diabetes respond to oral medicines. Also,fewer than 35% of men with ED after prostate cancer surgery respond to oral medicines. For these men the Internal Penile Implant is currently the best option. The Penile Implant is an approved medical option that has been used for over 30 years. During the course of a 45-minute outpatient procedure, the pump is inserted through a small one-inch opening in the scrotal sac. By squeezing the pump, fluid is pumped, resulting in a long lasting erection. Once inserted, there is no maintenance required for the pump and can remain in place for a lifetime. 

External Devices

  • Other treatment options such as penile self-injection therapy, external vacuum pumps and the medicated urethral system for erection are in rare occasions an effective long-term treatment. Only a very small percentage of men will continue with these treatments as evidenced by a very high drop out rate and a very low refill rate. These treatments require extensive planning which interferes with spontaneity. This may be the reason why the refill rate is so low and the drop out of treatment so high.  

Internal Penile Pump (Penile Implant)

  • Men who do not respond or tolerate oral medications are best treated with an internal penile pump (IPP) commonly known as an inflatable implant. The Internal Penile Pump is an inflatable, water-filled device. During the course of a 45-minute outpatient procedure, the pump is inserted through a one-inch opening in the scrotal sac. By squeezing the pump, (which is contained completely within the scrotum), for approximately a minute, fluid is pumped into the penis, resulting in a long lasting erection. To return the penis to its flaccid state, simply press and hold down the pump. Once inserted, there is no maintenance required for the pump, which can remain in place for a lifetime. Couples are once again able to have spontaneous sex. Normal sensation including orgasm and ejaculation are not affected.

    As one patient described it: "The control and quality that you want, the pleasure your partner will appreciate! I feel like myself again!"

    penile implants compared to other methods


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