Men who do not respond to oral medications might benefit from penile injections or surgically implantable penile prostheses. Infection is the only risk associated with these ED treatment options and occurs less than 2 percent of the time.
Oral Medications
Erectile dysfunction (ED) is a common, debilitating sexual problem that affects the health of men and their relationships.fildena 150 reviews can be a symptom of serious physical problems, such as vascular disease or metabolic conditions, and it may be a cause of depression and anxiety. ED can also lead to sex withdrawal or avoidance.
The first line of treatment for ED is a pill called a PDE5 inhibitor. aurogra 100 mg are most effective in people with mild to moderate ED, but they don't work for everyone. People with severe ED usually need other treatment options.
Liquid sex therapy (LiSWT) delivers liquid medicine directly into the penis. It enhances the effects of nitric oxide, which relaxes muscles in the penis and increases blood flow. It can be used for ED caused by aging, nerve damage, neurological disorders, vascular diseases or radiation or surgical treatments for prostate cancer.
Commercials for drugs that improve "low T" or testosterone often appear on television. Although this can increase desire, it doesn't help with the mechanical issues that make ED difficult to treat. If medications and other treatments don't provide a solution, two types of surgical implants can give patients the ability to engage in sex again. One implant pumps fluid through cylinders inside the penis to create an erection, while the other is malleable and works like a gooseneck lamp to guide an erection.
Penile Injections
Men suffering from erectile dysfunction due to prostate cancer, surgery or radiation can experience an erection that lasts up to 4 hours with penile injections. These injections work even when the nerves that cause an erection are damaged. The medication increases blood flow to the penis, which causes the blood vessels to dilate and increase in size.
Men who use penile injections need to be aware that they can experience pain at the injection site. However, a quick thrust improves or eliminates this pain. The injection is administered just behind the circular ridge (corona) that forms the head of the penis. It is important to avoid the glans and the under surface of the penis where large veins are located.
Wipe the injection site with an alcohol swab, then carefully place the needle into the erectile tissue. The needle should be inserted at about a 90-degree angle, and you should feel a distinct "give" as it penetrates the skin. After inserting the needle, apply pressure to the injection site for a few minutes. This prevents bruising and helps spread the medicine. Gently massaging the penis with thumb and finger a few times also spreads the medicine. A man should stand up after the injection and sexual foreplay usually helps the erection develop. Most people can get an erection within 30 to 20 minutes after the injection, and it should last long enough for sex.
Vacuum Erection Device
Vacuum pump devices, or penis pumps, are a treatment option for men who cannot or choose not to take oral medications. The device consists of a hollow plastic tube (cylinder) with a manual or battery-operated pump that is placed over the penis. As the air is pumped out of the cylinder, it creates a vacuum that draws blood into the shaft of the penis and causes it to enlarge. When an erection is achieved, an elastic tension ring is placed around the base of the penis to help maintain it.
This penis pump method works well for about 75 percent of people with erectile dysfunction. It can also be used in conjunction with other treatments such as oral medications and penile injections. However, it is important to note that this type of device can block ejaculation. This can interfere with the sensation of orgasm and can cause some men to feel numb, weak, or uncomfortable during sexual intercourse. The retaining ring should be removed immediately after sexual intercourse is complete.
Before using a vacuum erection device, it is recommended that you apply a small amount of water-based personal lubricant to the skin around your penis and the opening of the tube. Using this lubricant can help the device to slip on more easily and comfortably. It is recommended that the retaining ring not be left in place for more than 30 minutes, since limiting blood flow to the penis can cut off the erection and lead to bleeding or injury.
Penile Implants
Your doctor may suggest penile implants if other treatments don't work, or if you have severe scarring in your penis (Peyronie's disease). The surgery involves placing two inflatable cylinders into your penis. A pump sits in the scrotum, and a release valve is on the bottom of the implant. Pressing on the pump sends saline to the cylinders, and they inflate, creating a firm erection. Pressing on the deflation valve at the base of the pump sends saline back to the reservoir, and the cylinders deflate, returning your penis to their flaccid state.
Before your surgery, your doctor will review your medical history. He or she will also do a physical exam, including a complete urologic exam. You might need blood tests or a urine sample to check for diabetes and other health conditions that can cause problems with erectile function.
Your doctor might also order an ultrasound test to see if your blood vessels in the penis are working properly. He or she will use a wand like device that creates a video image of your blood flow. Talk therapy may be recommended, especially if you think your erectile dysfunction is the result of a psychological problem. Talk therapy can help you cope with depression or other emotional issues. But it isn't guaranteed to cure your ED.
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