There are multiple options for treating patients with impotence. Below are some of the treatment choices available.
Sexual Counseling: Treatment by way of counseling or therapy can be an effective way to treat those patients suffering only minor dysfunction, particularly if the issues are based on psychological issues.
Oral Medication: Since March 1998, when Viagra was launched on the market, a revolution of oral treatment for impotence arose. Following very close on the heels of the Viagra launch was the release of Levitra and Cialis. More potent drugs are planned for release very soon.
Effective oral medication has re-written the management of ED and is effective in nearly 70 – 75 % of cases. There are numerous internet resources offering in-depth information regarding these medications, so they won’t be discussed further within this article. For additional idea, you can possibly look into Erectile dysfunction clinic.
Hormone Replacement Therapy: The male hormone responsible for men’s sexual characteristics such as deep voice and body hair is testosterone. The amount of testosterone in a man’s body decreases with age, which can negatively affect sexual performance. In proven cases of andropause, testosterone preparations may enhance potency and improve sex drive. However, it’s important this treatment is taken under medical supervision due to the potential risk of side effects.
Some other problems that may cause reduced testosterone levels will require the patient to seek expert endocrinologist advice.Going under the knife can be a problem for several men. Have you ever heard of viagra online. These can be bought from UK govt regulated online doctor services.
External Vacuum Devices: Therapy for erectile dysfunction is available using external vacuum devices, plus the use of tension rings. Patients who have been treated with this therapy report a 90% success rate. Most patients are easily able to master the use of the treatment in under 24 hours, and have found it’s capable of helping to achieve and maintain an erection for up to half an hour.
Side effects, include petechiae (reddish, pinpoint-size dots) and ecchymoses (bruising). These conditions are not painful or serious and generally occur only during an initial learning period. Penile temperature may decrease 1-2 degrees during use. In most cases, the vacuum devices are preferred by older patients treating impotence.
Penile Injections: This form of impotence treatment has declined significantly since the release of oral medications such as viagra. Patients would inject a combination of medications, such as papaverine, phentolamine and prostaglandin, into the penis using a very fine needle. Men must first be taught the procedure in the physician’s office. The reported success rate for this type of treatment is around 75-85% of patients achieving good erections. Some patients combine this method with the use of an external vacuum device. The use of injections is not common these days.
Patients who use penile injections can obtain an erection that lasts for around 30-60 minutes and may remain hard even after achieving orgasm, which could be an inconvenience for some patients. Injecting too much medication to the point of overdose can result in a painful erection that will need to be tended with medical assistance. Scar tissue may also form in the penis after prolonged use, which can create other complications.
Penile Implants: A penile prosthesis (implant) is a fixed or mechanical device surgically implanted within the two corpora cavernosa of the penis, allowing erection as often as desired. Penile prosthetic implantation surgery gives good results and high satisfaction ratios with low complication rates when performed at centers of excellence. There is a very low incidence of side effects for this treatment. Penile prostheses are available in semi-rigid, self-contained 2-piece inflatable, and 3-piece inflatable models. Newer advances in implant design have reduced the complication rates and increased satisfaction rates further.
Microsurgery: Penile revascularisation and venous ligation are microsurgical procedures similar in technical complexity to a heart by-pass operation although they clearly do not carry anywhere near the same risk to the life of the patient. However, the need for microsurgery is declining as more patients turn to oral medications to treat impotence. There are patients who have a preference for microsurgery for their impotence, rather than an implanted silastic device. They would prefer that implantable penile prostheses be tried only as a last resort.
