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The persistent or recurrent inability to achieve or maintain an erection good enough to complete your chosen sexual activity satisfactorily, whether that's masturbation, oral sex or vaginal or anal intercourse.

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Use the links below to find information relating to various urological procedures.
Figure 1. 55-year old man with erectile dysfunction due to veno-occlusive disease. Patient is non-responder to PDE-5-inhibitor and Caverject. (A) Contrast enhanced CT cavernosography (coronal maximum intensity projection) demonstrates bilateral venous leaks via pudendal veins (arrows) draining into iliohypogastric veins (arrowheads). (B,C) Contrast enhanced CT cavernosography (volume rendering in coronal (B) and sagittal (C) views) demonstrating bilateral venous leaks via pudendal veins (arrows) draining into iliohypogastric veins (arrowheads). .

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Erectile dysfunction can be a difficult problem to discuss with your partner or even your doctor. However, it needn't be because erectile dysfunction, which causes sexual performance issues for men, is a very common and highly treatable condition.
Erectile dysfunction is common and becomes increasingly more so with age. Complete impotence occurs in 5% of men aged 40 years and 15% of men aged 70 years old. Milder forms of impotence can affect 50% of men aged 50 years old, increasing to 70% of men over 70 years old.

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Erectile dysfunction itself may be treated with both medical and non-medical treatments.
Your doctor might perform a combination of different exams to determine if you have erectile dysfunction (ED).

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men taking erythromycin or ketoconazole should not take more than 5 mg of vardenafil in a 24-hour period;men taking high doses of ketoconazole (Nizoral) should not take more than 2.5 mg of vardenafil in a 24-hour period;men with moderately severe liver disease also should not take more than a 5 mg dose of vardenafil in a 24-hour period;men taking the protease inhibitor (for the treatment of HIV/AIDS) indinavir (Crixivan) should not take more than 2.5 mg of vardenafil in a 24-hour period; andmen taking another protease inhibitor ritonavir (Norvir), erythromycin, or ketoconazole, should not take more than 2.5 mg of vardenafil every 72 hours.

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Several medications can interfere with the chemical processing of PDE5i medications by the liver. These can include ketoconazole (an antifungal medication known by the brand name Nizoral), erythromycin (an antibiotic), and cimetidine (also known as Tagamet, for reducing stomach acid). A lower dose of PDE5i medications should be used if one is taking any of these medications.

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    About Contact Events News Search Menu Students Teachers Patients Browse About Contact Events News Topical issues Practical Information You and Your Hormones Search Home Topical issues Erectile dysfunction Erectile dysfunction (ED) is the inability to have or maintain an erection for sexual intercourse. Hormones and fetal growth In vitro fertilisation treatment (IVF) Glossary All Topical issues Resources for Topical issues

    Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. 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. Althof, S.E., E.W. Corty, S.B. Levine, et al. "EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction." Urology 53.4 April 1999: 793-799. American Foundation for Urologic Disease. American Foundation for Urologic Disease. American Urological Association. "Erectile Dysfunction." 2011. . Andersson, K.E., and G. Wagner. "Physiology of Penile Erection." Physiol Rev 75.1 January 1995: 191-236. Cheitlin, M.D., A.M. Hutter Jr., R.G. Brindis, et al. "ACC/AHA Expert Consensus Document. Use of Sildenafil (Viagra) in Patients With Cardiovascular Disease. American College of Cardiology/American Heart Association." J Am Coll Cardiol 33.1 January 1999: 273-282. The European Alprostadil Study Group. "The Long-Term Safety of Alprostadil (Prostaglandin-E1) in Patients With Erectile Dysfunction. Br J Urol 82.4 October 1998: 538-543. Feldman, H.A., I. Goldstein, D.G. Hatzichristou, et al. "Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study." J Urol 151.1 January 1994: 54-61. Laumann, E.O., A. Paik, and R.C. Rosen. "Sexual Dysfunction in the United States: Prevalence and Predictors." JAMA 281.6 Feb. 10, 1999: 537-544. National Kidney and Urologic Diseases Clearinghouse. National Kidney and Urologic Diseases Clearinghouse. Available at http://kidney.niddk.nih.gov/. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA 270.1 July 7, 1993: 83-90. The Process of Care Consensus Panel. "The Process of Care Model for Evaluation and Treatment of Erectile Dysfunction." Int J Impot Res 11.2 April 1999: 59-70; discussion 70-74. Segraves, R.T., M. Bari, K. Segraves, and P. Spirnak. "Effect of Apomorphine on Penile Tumescence in Men With Psychogenic Impotence." J Urol 145.6 June 1991: 1174-1175. United States. FDA Center for Drug Evaluation and Research. FDA Center for Drug Evaluation and Research. Available at http://www.fda.gov/cder/.
    But the main risk for having ED is age. Yes, unfortunately, the older you are, the more likely you are to have ED. You cannot be 67 and have a 21-year-old penis.

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    Global Nav Otevřít nabídku Global Nav Zavřít nabídku Apple Apple Store Mac iPad iPhone Watch AirPods TV a Domácnost Jen u Apple Doplňky Podpora Exercise Erectile Dysfunction 17+ BuiltByDoctors Designed for iPad Free Screenshots iPad iPhone

    If you have symptoms like needing to pee more often, you may also need to have an examination of your prostate. Treatment for erection problems depends on the cause
    Currently, there are several different types of penile prostheses. The simplest is the malleable penile prosthesis and the most complex, the three-piece inflatable penile prosthesis.

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    There are lifestyle changes that you can make to help with ED including pelvic floor muscle exercises that are evidenced to help in idiopathic ED. Consider buying a special saddle that reduces perineal pressure If you are overweight, consider reducing it If you do not take regular exercise, consider getting fitter Talking to a counsellor is often useful. Your GP or physiotherapist can recommend a specialist psychosexual counsellor or in many regions you can self-refer for talking therapy If you are a smoker, consider smoking cessation If you drink alcohol regularly, consider reducing the number of units you have per week or you may feel you need support to help you reduce your input: If you use recreational drugs, consider reducing these Where to go to next Speak to your GP who may wish to refer you for investigations You can also ask your GP if there is a specialist Men’s Health physiotherapy service that he/she can refer you to. If this isn’t available in your area or there is a long waiting list and you would like to find a specialist private physiotherapist, use the link below: A specialist men’s health physiotherapist can help you to strengthen your pelvic floor muscles, particularly the small pelvic floor muscles called the bulbocavernosus and the ischiocavernosus. If your pelvic floor muscles are tight, treatment will targeted at down training them. The physiotherapist will advise on lifestyle changes and support you in gradually adopting these new strategies. Your physiotherapist will discuss whether or not you feel there is a psychological component to your ED and will be able to sign post you to psychological help/talking therapy if you agree that this would be useful/ appropriate. Pelvic Health Physiotherapy: Managing complex female pelvic pain and pelvic floor dysfunction - advancing your practice : Stockport Explore Further Events Designed & Developed by LightMedia Cookie Policy Privacy Policy Retention Policy Login ‹ › × × Previous Next

    Penile injections and urethral suppositories are options for some men with erectile dysfunction; however, success and satisfaction rates for these treatments tend to be lower than with other ED treatments.
    Using Smart Phones to Understand the Link Between Social and Geographical Context and HIV Risk Behavior Among MSM (GPS and Health) [510,43]{"namedChunks":["modules-factsheet-details-components-FactSheetDetails-factSheetDetails"]} [6126,43]{"namedChunks":["modules-factsheet-details-components-FactSheetDetails-factSheetDetails"]} Billing & Insurance MyChart Search Menu Request an Appointment Refer a Patient Request an Appointment Refer a Patient What Is Erectile Dysfunction? Quick Links + Erectile Dysfunction (ED) Injections: Trimix Penile Implant Vacuum Erection Device (VED) Shockwave Therapy for ED

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    The occasional inability to achieve a satisfactory erection doesn't normally constitute a problem. What's the risk? Most men will experience an erection problem at least once. This could be due to stress, exhaustion, too much alcohol or simply not feeling like sex. Persistent erectile dysfunction (ED) is estimated to affect about 10% of men at any one time. Although age itself isn't a cause of erectile dysfunction (ED), the risk nevertheless increases as you get older: 18% of 50—59 year olds have trouble with their erections compared with 7% of 18—29 year olds. What causes it?

    A wide range of ED rates have been reported, even in men who haven’t had surgery. But for the most part, the younger a man is, the more likely he is to regain full erections after surgery. Men under 60, and especially those under 50, are more likely to recover their erections than older men.
    Erectile dysfunction (ED) is the inability to achieve or maintain an erection to satisfactorily engage in sexual intercourse. It is estimated that around 18 million American men experience erectile dysfunction, with prevalence increasing as age increases. One in three men will experience some form of ED in their lifetime.

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Yes, the vacuum device is effective. In fact, with use of the vacuum device, 88% of men will have an erection that is satisfactory for completion of sexual activity. The vacuum device may be the only therapy that is effective after the removal of a penile prosthesis. Patients also use vacuum devices as part of penile rehabilitation after radical prostatectomy to help preserve the tissue of the penis and prevent scarring within the penis and loss of penile length. Its use, however, is limited by the mechanical nature of it and the time taken to pump the device and apply the band. Sex partners may complain of the penis being cool to touch.

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If a person fails or feels difficult to achieve and maintain a strong erection during sexual activities, he said to be affected by erectile dysfunction. It is sex-related men’s disease and common in old age people. It has different causes and different treatments which are suggested by doctors after examining the patients.

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This information was updated by the EAU Patient Information Working Group, July 2021.

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ED can be stressful for men and their partners, and depression can develop from relationship conflict. The man with ED might worry that he is not meeting his partner’s needs and feel that he is inadequate or less masculine. His partner might worry about being attractive enough or suspect that the man is having an affair. If these feelings aren’t brought out into the open, the situation can worsen, with both partners withdrawing, avoiding each other, or missing the intimacy that they once shared.

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