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The urology specialists at University Hospitals understand the sensitive nature of your concerns. We provide empathetic and professional care, along with erectile dysfunction treatment options that can restore function and ease anxiety. Please contact us to schedule an appointment at 1-866-844-2273.

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Erectile Dysfunction is not a normal part of aging and now you don't have to live with it anymore.
What Is Erectile Dysfunction (ED)? Symptoms, Causes, Diagnosis, Treatment, and Prevention .

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In addition to physical causes, mental health conditions may also be associated with impotence. These include depression, anxiety and stress, as well as relationship difficulties. Regardless of the underlying cause of erectile dysfunction, it can often have a significant impact on relationships and quality of life.
Medications such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), ritonavir (Norvir), and indinavir (Crixivan) can slow the breakdown of tadalafil. Therefore, men taking these medications should not take more than 10 mg of tadalafil and should not take tadalafil more frequently than every 72 hours.If you have kidney troubles, your doctor may recommend that you try a lower dose of tadalafil or change how often you use the tadalafil depending on your kidney function. Men with severe liver disease should not take tadalafil. Men with mild to moderate liver disease should not exceed tadalafil dose of 10 mg once daily.

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The authors stated that this study has several drawbacks, most notably the small number of studies (n = 9) involved and the lack of a clear definition of ED. A single study assessed presence of ED by means of a single question (“How would you describe your ability to get and keep an erection that is adequate for satisfactory intercourse?”). The remaining studies used validated questionnaires: in detail, 4studies used the IIEF and 4 studies used the IIEF-5. However, most studies did not report separate measurements of serum Hcy based on the degree of severity of ED. Last Review 08/23/2021 Last Review 08/23/2021 Copyright Aetna Inc. All rights reserved. Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Treating providers are solely responsible for medical advice and treatment of members. This Clinical Policy Bulletin may be updated and therefore is subject to change. Glossary Aetna Mobile App Careers Accessibility Services Terms of Use Investor Info FAQs Program Provisions Interest-Based Ads Policy Legal Notices Plan Disclosures Nondiscrimination Notice Site Map Privacy Center State Directory Language services can be provided by calling the number on your member ID card. For additional language assistance: Español 中文 Tiếng Việt 한국어 Tagalog Pусский العربية Kreyòl Français Polski Português Italiano Deutsch 日本語 فارسی Other Languages… Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Frontiers in Cardiovascular Medicine Atherosclerosis and Vascular Medicine Toggle navigation Section Article alerts This article is part of the Research Topic Erectile Dysfunction and Cardiovascular Disease: From Bench to Bedside View all Articles Articles Edited by Giuseppe Sangiorgi Reviewed by Sabine Steiner Giulia Rastrelli
Aetna considers Xiaflex as experimental and investigational for all other indications except for Dupuytren's contracture, see CPB 0800 - Dupuytren's Contracture Treatments.

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A duplex ultrasound is a diagnostic technique that uses painless, high frequency sound waves to measure blood flow in structures such as the penis.The procedure itself is painless. It is usually performed before and after injection of a smooth muscle relaxing medication into the penis, which should significantly increase the diameter of the penile arteries.A duplex ultrasound is most useful in evaluating possible penile arterial disorders. Further studies of the venous drainage system as well as arterial imaging are usually recommended if vascular reconstructive surgery is anticipated.

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Some men may be able to gain an erection by self-injecting drugs into the penis, causing it to become engorged with blood. The advantage of injection therapy that it can easily be self-administered and in most patients leads to a strong erection when given the right dose. Potential side effects of injection therapy include: fibrosis (scarring) and long-lasting painful erections. Injections are shown to have a long-term dropout rate of about 37% – 76%. Reasons for dropping out of drug therapy include: Desire for a permanent treatment alternative Inadequate response Return of spontaneous erections Fear of needles Concern over side effects

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    Heart diseaseHypertensionHigh cholesterolObesityStressPsychological factors- stress, anxiety, and depression
    The recommended starting dose of tadalafil for use as needed for most patients is 10 mg taken orally approximately one hour before sexual activity. A doctor may adjust the dose higher to 20 mg or lower to 5 mg depending on efficacy and side effects. Doctors recommended that patients take tadalafil no more frequently than once per day. Some patients can take tadalafil less frequently since the improvement in erectile function may last 36 hours. Patients may take tadalafil with or without food. Tadalafil is currently the only PDE5 inhibitor that is FDA-approved for daily use for erectile dysfunction and is available in 2.5 mg or 5 mg dosages for daily use.

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    Urology, Male Infertility & Reproductive Health, Stone Disease, Urologic Oncology
    It is likely to improve ED management and benefit a large number of men, particularly in terms of recognising ED as a sentinel of vascular disease.

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    Aetna considers the following therapies for the treatment of erectile dysfunction medically necessary:

    Erectile dysfunction or impotence is a man's inability to achieve and maintain a penile erection suitable for sexual intercourse.
    DepressionAnxietyOther mental health disordersStressFeeling self-conscious or nervous about sexRelationship problems

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    Books & Articles on the History of Urology Books & Articles on Specific Diseases & Procedures Books & Articles on People in Urology Books & Articles on Instruments

    Causes and risk factors for erectile dysfunction are as follows:StrokeObesityProstate cancerSmokingAlcohol useHigh cholesterol dietLow levels of physical activityCardiovascular disease
    On the mental and emotional side of things, anxiety, depression, and stress all play a role. Relationship issues can also be a factor.

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Our doctors, including Dr. Honig, are leaders in the field and stand at the forefront of research in men's health issues.

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The evaluation of a man who presents to our office includes an open, honest and absolutely confidential discussion about the current sexual function and overall medical health. A thorough physical exam and generalized, as well as specialized, bloodwork are often done. We also offer patients blood circulation studies of the penis to further delineate the cause of ED. At Broward Urology Center, we focus on a goal-oriented approach to erectile dysfunction treatment. The treatment options for ED include: The Priapus Shot Or P-Shot® PRP (Platelet Rich Plasma) Penile Injection

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Some chemo drugs like cisplatin, vincristine, paclitaxel, bortezomib, and thalidomide can damage parts of the nervous system, usually the small nerves of the hands and feet. (This is called peripheral neuropathy.) These drugs have not been found to directly injure the nerve bundles that allow erection. But some people have concerns because the drugs are known to affect nerve tissue, and there are many nerves involved in sexual function.

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Picture of rigid penile implant. Two rigid cylinders have been placed into the penis. This type of implant has no inflation mechanism but provides adequate rigidity to the penis to allow penetration.

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