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
If the problem doesn't go away, it could be an early warning sign of a more serious, larger condition. For example, the penile artery can get narrower because of coronary artery disease or diabetes. .
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Erectile dysfunction (ED) is when a man cannot get or keep an erection. The condition prevents the man from having sex or finishing sex. This condition used to be called impotence. ED can occur at any age, but it is more common in men older than 75 years of age.
Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.
Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40
Urology, Male Infertility & Reproductive Health, Stone Disease, Urologic Oncology
The various PDE5 inhibitors share several common side effects, including flushing, nasal congestion, nausea, dyspepsia (stomach discomfort/indigestion), and diarrhea. Differences exist in side effects of the different PDE5 inhibitors, and thus it is important to be familiar with the prescribing information of the PDE5 inhibitor you are prescribed.
Given that ED isn't openly spoken about, it can feel like an isolating experience but it doesn't have to be. There are simple and effective ways to treat erectile dysfunction (that's where Pilot comes in!) that will help ensure that your sex life, and in turn, you, are happy and healthy.
S.noMedicines used for treating Erectile Dysfunction early signs1.Avanafil2.Sildenafil3.Tadalafil
Conditions like vascular disease, surgery, diabetes, and medications are some of the top causes of erectile dysfunction. If you suffer from ED, schedule an evaluation with your doctor and get the help you need
As with surgery, the older you are, the more likely it is you will have problems with erections. And men with heart or blood vessel disease, diabetes, or who have smoked heavily seem to be at greater risk for erection problems. This is because their arteries may already be damaged before radiation treatment. Doctors are looking at whether early penile rehabilitation could help after radiation therapy, too. (Penile rehabilitation is discussed above, in the surgery section.)
There are several treatments for erectile dysfunction. Your doctor can advise you on the benefits and drawbacks of each.
Individuals suffering from psychogenic ED may benefit from psychotherapy, treatment of the ED, or a combination of the two. Also, medications used to treat psychologic troubles may cause ED; however, it is best to consult with your physician prior to stopping any medications that you are taking. Urology Care Foundation. How is Erectile Dysfunction (ED) Treated? June 2018. 28 December 2018 . Chesapeake Urology Erectile Dysfunction Dr. Karen Boyle Dr. Julio Davalos Dr. David Fenig Energy Wave Therapy diVa Laser Vaginal Therapy Endourology Fellowship Chesapeake Aesthetic Surgery \ Prostate Cancer Care Vasectomy Reversal of America Women's Personal Health UroLift for BPH Zero Prostate Cancer Challenge locations Patient Portal Online Bill Pay contact PUTTING THE I BACK INTO INTIMACY OUR SPECIALISTS WORK HARD TO BRING THE SPARK ERECTILE DYSFUNCTION SPECIALISTS WHO FOCUS ON YOU... ...SO YOU CAN FOCUS ON HER.
ED can have a negative effect on quality of life. Quality of life involves both physical and psychological health. It is important not only to feel healthy but also to feel free of the psychological discomfort of living with ED. Another important issue is that different people can experience the same symptoms differently. Therefore both your personal experience and your quality of life should not be underestimated: they are as important as diagnostic tests and treatment results.
Figure 2. 50-year old man with erectile dysfunction due to veno-occlusive disease. (A) Contrast enhanced CT cavernosography (coronal maximum intensity projection) demonstrates right sided venous leak via periprostatic veins (arrow). (B) Cavernosography with access via the deep dorsal vein and injection of contrast medium demonstrates right sided venous leaks predominatentely via periprostatic veins (arrow). (C) Post embolization of periprostatic veins (arrow) using N-butyl-2-cyanoacrylate mixed with Lipiodol demonstrating radiopaque intravenous embolization material (arrow).