DEFINITION AND CAUSES
Erectile Dysfunction, otherwise known as impotence, is the inability to maintain an erection throughout sexual intercourse and affects up to half of all men, aged from 40 to 70. It can be either a short-term or long-term problem.
While it may appear occasionally at highly stressful and emotional times, when persistent, it may be a sign of other health problems, such as heart disease and diabetes.
Some of the most common causes are:
– Improper blood flow
– Heart disease
– Diabetes
– Obesity
– High blood pressure
– High cholesterol
– Kidney disease
– Parkinson’s disease
– Depression
– Stress
– Anxiety
EXAMINATION
Physical exams will be performed by your doctor, who will examine your genitals, but also blood pressure, heart and lungs. These include:
– a Doppler ultrasound: an imaging blood test that uses sound waves to show blood moving through blood vessels. It allows the doctor to examine blow flow to the genital region
– Hormonal blood testing: a blood work examination designed to check the levels of testosterone of the patient. Testosterone travels around the body in the blood. Sometimes it can flow freely without being attached to anything in high levels. This hormonal imbalance can cause impotence.
You might also be required to answer some questions relating to your mental and sexual history, as it will help to learn of the severity of your Erectile Dysfunction and facilitate treatment.
TREATMENT
You should seek treatment immediately. A healthy sex drive can improve your quality of life and is part of a healthy life overall, and erectile dysfunction can lead to depression, low- self esteem, anxiety, and loss of intimately with your partner Our renown urologists, after examination, will find the most suitable treatment for you.
There are many options, including:
ORAL MEDICATIONS:
A number of oral medications can be prescribed, that can help maintain erections, by increasing blood flow in the genital area, such as Tadalafi (Cialis), sildenafil (Viagra), Avanafil (Stendra) or Vardenafil (Levitra, Staxyn).
P-SHOT
The P-Shot is a ground-breaking procedure that uses your blood’s natural growth hormones to rejuvenate and enhance erectile function. For men who are losing function through aging, hypertension, diabetes, Peyronie’s disease, or after surgery, the P-Shot can provide long-lasting benefits in sexual performance. Additionally, it might improve the length and girth. Despite varying experiences, the majority of men mention the following advantages:
Stronger erections (patients say they “last longer” and occasionally say they can endure all night) Penis enlargement, with up to 20% reported increases.
Improved penis circulation, which results in a healthier organ. Increased feeling and enjoyment. Makes other therapies work better. Improves pleasure and feeling (helps correct the damage from diabetes)
LOW-INTENSITY SHOCKWAVE THERAPY (LISWT)
Shockwave therapy enhances blood circulation by inducing neovascularization, or the growth of new blood vessels, using the energy from sonic waves. To have better outcomes, it can also be given along with platelet rich plasma (P-Shot).
The advantages of shockwave treatment:
A man’s arteries enlarge when he gets excited, allowing blood to flow into his penis and cause an erection. A guy may experience lesser erections or may be unable to erection at all if he has circulation issues in his penis.
The fact that shockwave therapy addresses the erectile mechanism and is a more long-lasting solution than medications increases the likelihood of men getting erections on their own.
How it functions:
For a 20 minute therapy session, a doctor will touch a probe on to your penis that is coated in a special gel. Although you might feel a tingling sensation, the therapy is typically performed without anesthetic or pain medication because it is not typically uncomfortable.
INTERCAVERNOSAL INJECTIONS
Erections can be achieved by injecting a medication causing the penis to be filled with blood. Unlike oral medicines, which facilitate blood flow after taking them, penile injections lead to erections to be caused automatically.
Intercavernosal injections can be self-administered, after the first one is demonstrated by the doctor. Injections should be made 20 minutes before sexual activity, at the side of the shaft, and can be used at least 48 hours in between.
VACUUM DEVICE
A vacuum device causes erects by pulling blood to the penis, leading to an erection. It is a hand or battery-powered device. The tube part is placed over the penis and the pump part sucks air inside the tube. Once erection is achieved, a tension ring is placed around the penis to maintain the
erection.
PENILE IMPLANTS
This is a surgical procedure, that implants a prosthesis that permits to achieve erections. There are two types of prostheses inflatable, and malleable. They allow to control the duration of
an erection.
– Inflatable implants come in two-piece models, consisting of cylinders and a pump, and three-piece models, that also have a reservoir that is implanted under the abdominal wall.
– Malleable implants are devices that cannot be inflated, and once implanted, stay firm and cannot change in size. The position of the rods can be changed easily.
The patient can leave the clinic 1-2 days after the operation and use the implant 4-6 weeks after the surgery.
ARTERY RECONSTRUCTION
Surgery repairing arteries, allowing normal blood flow to the penis, which was blocked, thus causing ED.
PSYCHOLOGICAL COUNSELING
As erectile dysfunction is often caused by stress, depression or anxiety, it is recommended to visit a psychologic or counselor. In some cases, therapy can outright negate the effects of ED, and in most cases, it can act as excellent complementary therapy to physical treatment
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