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Therapeutic options comprise risk factor modification, pharmacotherapy, surgical treatment, and endovascular treatment (9). Especially endovascular treatment options have recently increased in popularity including transcatheter embolization procedures for veno-occlusive dysfunction. This chapter outlines diagnosis and endovascular treatment of erectile dysfunction due to venous leakage including study results eliding a systematic analysis.

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A common misconception is that erectile dysfunction only occurs in older men. While that is mostly true, it doesn’t mean that ED isn’t common among younger men. Lifestyle choices among younger men has led to a sharp increase in the number of young men suffering from erectile dysfunction. A 2013 study published by the Journal of Sexual Medicine found that 1 in every 4 men who were newly diagnosed with ED were below the age of 40, and roughly 50% of them were suffering from severe ED. Causes of Erectile Dysfunction Obesity Fatigue Excessive smokingAlcoholism Substance abuse Diabetes Prostate cancer Cardiovascular disease Treatment for Erectile Dysfunction
Erectile dysfunction is more likely to be related to an emotional problem if you experience symptoms only occasionally. For example, when you get an erection in the mornings but not during sexual activity. .

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Many conditions are closely related to ED and may contribute to symptoms, including the following:

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When possible, “nerve-sparing” methods are used in radical prostatectomy, radical cystectomy, AP resection, or TME. In nerve-sparing surgery, doctors carefully try to avoid these nerves. When the size and location of a tumor allow for nerve-sparing surgery, more men recover erections than with other techniques. But even if the surgeon is able to spare these nerves, they might still be injured during the operation and need time to heal.
Researchers have known for a long time that when a man has too much to drink, he can struggle to perform sexually. What few people realize is that heavy drinking has a long-term impact on a man’s ability to achieve erections, not just on the night in which he over-imbibes.

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There are a variety of methods for treating erectile dysfunction. Your doctor can discuss all of these options with you in more detail. All decisions regarding your best option for treating E.D. should be made between you and your physician, with consideration given to your individual needs and the pros and cons of each treatment options.

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This procedure is performed in an exam room and does not require anesthesia. You do not need to prepare anything in advance for your appointment.

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    As with most other organ system in the human body, changes and loss of function is normal consequence of the ageing process. This is also true of the endocrine system, specifically the levels of testosterone production from the Leydig cells of the testicle. Accompanying the decrease in testosterone is a decrease in erections which also has a component in decrease in the blood supply to the penis making erection not as frequent and not as rigid compared with a young man’s erectile function. Although these changes are in itself not life threatening, they can impact a man’s relationship with his partner, and also ED may be a harbinger of other undiagnosed conditions such as coronary artery disease (CAD), hypercholesterolaemia or diabetes mellitus.6

    Guide For Naturally Erectile Dysfunction Exercises : How They Work?HomeMens HealthGuide For Naturally Erectile Dysfunction Exercises : How They Work?
    Andrology and Genito-Urethral Surgery Endourology Female, Neurological and Urodynamic Urology Oncology

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    Chrichton-Stuart, C. (2018). “Do erectile dysfunction exercises help?” Medical News Today. Retrieved from: http://www.medicalnewstoday.com/articles/322600.php

    Sildenafil treats erectile dysfunction of either physical or psychological cause. It is effective in treating erectile dysfunction in men with coronary artery disease, diabetes mellitus, hypertension, depression, coronary artery bypass grafting (CABG), and men who are taking antidepressants and several classes of antihypertensives.
    Sex is considered the supreme factor on which a couple’s relationship and compatibility depend to an extent. Apart from that, the emotional and physical benefits like better self-esteem, reduced- heart disease risks, and many others are responsible because of satisfying physical contact. But relations can be flurry if partners don’t enjoy physical intimacy. And one of the possible reasons can be Erectile Dysfunction(ED).

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    Due to the fact that ED and CVD share many of the same risk factors, it is not surprising that there is a high incidence of ED in men who present with CVD. A study by Montorsi et al found that ED was present in roughly 50% of patients with acute chest pain and confirmed CAD on angiography.21

    Picture of urethral suppository. The Medicated Urethral System for Erections (MUSE) is a small suppository that is placed into the urethra with this device. The suppository is very small, and users often question whether anything is in the device.
    While conducting a full interview, specific questions like these will probably be asked:

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    Treatment of Erectile DysfunctionShockwave Therapy for Erectile Dysfunction in Jaipur

    Figures suggest more than half of men over the age of 50 have erectile dysfunction, which gets more common with age.
    Once the treatment is complete, you will be able to return home. You should be able to safely drive yourself home. If you experience pain, your doctor will recommend over-the-counter (OTC) medications, such as acetaminophen or ibuprofen for pain relief. Most people can return to normal activity the following day after shockwave therapy, but your urologist will discuss whether you should restrict your activity for longer to recover. Shockwave Therapy Risks You may experience some side effects, but they are rare and generally mild. These may include: pain at the site during the procedure, bleeding or bruising on and around the penis, blood in the urine, skin infection on the penis, painful erection, or penile curvature that worsens.

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Research has found that doing Kegel exercises twice a day can help a man build a strong pelvic floor. The benefits of a strong pelvic floor include maintaining longer and more rigid erections.

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Pills you take by mouth, such as sildenafil (Viagra), vardenafil (Levitra, Staxyn), avanafil (Stendra), and tadalafil (Adcirca, Cialis). They work only when you are sexually aroused. They usually start to work in 15 to 45 minutes.Medicine inserted into the urethra or injected into the penis to improve blood flow. Very small needles are used and do not cause pain.Surgery to place implants in the penis. The implants may be inflatable or semi-rigid.A vacuum device. This is used to pull blood into the penis. A special rubber band is then used to keep the erection during intercourse.Testosterone replacement if your testosterone level is low. This comes in skin patches, gel, or injections into the muscle.

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First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina

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