In fact, the doctor must diagnose the cause of erectile dysfunction to recommend effective treatment.
While treatment usually involves medication, erectile dysfunction is sometimes a symptom of an underlying disease requiring its own treatment.
Drugs are also more effective at some causes of erectile dysfunction than others.
There are several injectable drugs that relax the penis smooth muscle tissue and allow blood to flow to the erectile tissue.
Alprostadil (Caverject, Edex) is the only drug specifically approved for the treatment of erectile dysfunction.
However, many older drugs that have been approved for other uses are also effective in erectile dysfunction.
Erectile dysfunction is sometimes a side effect of some hormonally prescribed drugs for men with prostate cancer that have spread outside the prostate.
Others, such as flutamide (eulexin) and bicalutamide (Casodex), can cause less erectile dysfunction.
Even prostate cancer itself can spread to nerves and arteries at the advanced stage necessary for an erection.
Many men with benign prostatic hyperplasia (BPH), non-cancerous enlargement of the prostate, also suffer from erectile dysfunction and ejaculation problems.
Although BPH alone does not cause this condition, some BPH treatments may do so.
However, alpha-blockers such as terazosin (hytrine), tamsulosin (flomax) and doxazosin (cardura) may alleviate BPH symptoms with a lower risk of adverse sexual effects.
Transurethral resection of the prostate gland, a surgical technique commonly used in the event of treatment failure, also leads to erectile dysfunction in a small percentage of men.
The growing interest in pelvic irradiation, including brachytherapy, as an alternative to surgery, can be partly attributed to the assumption that surgery carries a higher risk of erectile dysfunction.
Radiotherapy, on the other hand, often leads to a slight decrease in erectile function over time.
A relatively new strategy for clinical management after radical prostatectomy was born from the idea that early sexual stimulation and penile circulation perfusion can help restore natural erection and resume medically unsupported sexual activity.
Minimally invasive treatment options include oral medications, medications delivered directly to the penis, or mechanical vacuum devices that are used on the penis.
We specialize in the surgical treatment of patients with erectile dysfunction.
The spectrum of diseases that we treat includes complications of the penile prosthesis, penile vessel abnormalities, penile curvature and unusually long erections.
The cylinder can then be removed and the patient can touch the band at the base of the penis to maintain an erection.
The tape can remain on for about 30 minutes and then needs to be removed.
The erection produced by the device differs from a normal erection, probably due to the obstruction of the veins of the narrowing ligament, which causes generalized swelling of the entire penis, and the arterial tide is likely to be maintained.
Clinical studies have shown that these devices are effective and acceptable for a large number of patients with erectile dysfunction for a variety of reasons, including psychogenic erectile dysfunction.
Their absence may indicate a problem with nerve function or blood supply to the penis.
There are two methods for measuring changes in penile stiffness and penis circumference during night erections: latching and strain gauges.
However, a significant proportion of men who do not have sexual dysfunction do not have regular night erections.
In fact, penis pumps can increase their length and girth, says Paduch.
By creating a vacuum, they enlarge the penis and stretch the penis tissue.
He says that pumps sold in novelty stores are unregulated and can cause penis cracking and limb necrosis.
Regardless of how the first stage was achieved, the next part concerns the installation.
Thanks to the stimuli of the nervous system, a powerful dilator of blood vessels, nitric oxide, is released into the trabecular arteries and smooth muscles of the penis.
To keep this blood in place and keep an erection, the sciatic and spongy muscles of the penis are narrow and effectively block the veins of the penis so that the blood cannot drain.
The idea was that plaque formation reduces blood flow to the penis and makes erection more difficult.
However, experts believe that erectile dysfunction against heart problems is more often caused by dysfunction of the inner lining of blood vessels (endothelium) and smooth muscle.
Endothelial disorder leads to insufficient blood supply to the heart and impaired blood circulation in the penis and contributes to the development of atherosclerosis.
In both cases, an intact nervous system is required for successful and full erection.
The stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes relaxation of the smooth muscles of the cavernous bodies (the main erectile tissue of the penis), followed by erection of the penis.
In addition, sufficient testosterone (produced by the testes) and intact pituitary gland are required for the development of a healthy erection system.
Proper assessment includes a thorough history, physical examination and assessment of possible hormonal causes (e.g. low testosterone, high prolactin).
Because erectile dysfunction is caused by a complex set of psychosocial, neurological and vascular factors, a particular cause may remain ambiguous in the patient.
Behavioral changes, including smoking cessation, nutrition advice and optimization of over-the-counter and prescription drugs that can potentially promote erectile dysfunction should be the first line of treatment.