Treatments of ED
For some patient the problems are solved just by making some life style change like quitting smoking, increasing the physical activity and losing excess weight. And by this they regain their sexual function. Many experienced doctor have suggested that medications proceed from least to most invasive.
Changing the drug which is having harmful side effect is one of the next thing by which erectyl dysfunction is cured like wise if the man is taking diabetes drug and if he is having side effect from that then he must tell his doctor to change the medicine for diabetes and like this he will not face the side effect from that drug further
In some selected patient psychotherapy and behavior modification is taken next if indicated followed by locally injected drugs and by oral medication, surgical implanted devices and vacuum devices, in very rare cases surgery involving arteries may be considered
Psychotherapy: -
a well experienced doctor treats psychologically based Erectyl dysfunction with different techniques by which anxiety associated with intercourse decreases. The partner of the patient can help with different techniques, which includes development of intimacy and stimulation. This type of techniques helps the ED patient to relieve from anxiety when physical cause ED is treated.
Drug Therapy: -
Medication for treating Erectyl Dysfunction can be injected directly in penis or can be taken orally and can also insert into urethra at the tip of organ. There are three most drug for oral medication Viagra, Levitra (vardenafil hydrochloride) and Cialis (tadalafil). This all medicines are FDA approved.
Cialis (tadalafil) levitra and Viagra belongs to phosphodiesterase class of drugs. This all medicine is taken before some hours of sexual activity. This all drugs enhance the effects of nitric oxide; this is one chemical of body which relaxes smooth muscles in the organ during sexual stimulation and allows increased flow of blood.
Injections triggers automatic erection while an oral medicine improves the response to sexual stimulation. There are different dose for medicine like wise recommended dose for Viagra is fifty mg but doctor can adjust it to twenty five mg of hundred mg. like wise recommended dose of cialis is ten mg but doctor can adjust it to twenty mg as per requirement. Levitra is available in 2.5 mg dose. Like this different dosage are adjusted by the doctor as per requirement.
Person who is taking nitrate bases drugs must not take such medicines because combination of this will make sudden drop in blood pressure so you must inform your doctor regarding this. You must also inform your doctor if you are taking any alpha blockers. Which are used for high blood pressure, So that your doctor can adjust your erectyl dysfunction prescription, taking this type of medicine within 4 hour can cause a sudden drop in blood pressure and this is advisable to inform your doctor before taking such medicines.
Many men have achieved a stronger erection after using the injectible drugs. Drugs such as papaverine hydrochloride phentolamine and alprostadil which are marketed as Caverject widen blood vessels. Unwanted side effect can also be created by these drugs. Some times erection can be enhanced by rubbing muscle relaxant on penis such as nitroglycerin.
Vacuum Devices: -
By creating a partial vacuum by mechanical vacuum device erection takes place, mechanical vacuum device draws blood into the penis expanding and engorging it. This device has 3 parts.
1 A pump: - pump draws air out of the cylinder
2 An elastic band: - An elastic band is placed on the base of penis to maintain the erection after the cylinder is removed and stops the blood from flowing back during the process
3 Plastic cylinder: - In which the Penis is placed.
For mmore see the Figure Below.
Figure Showing Vacuum Pump.
By Surgery.
Surgery has most three goals: -
1)To implant a device by which penis becomes erect
2)To increase the blood flow in penis by reconstruction of arteries
3)To block the veins that leaks the blood from the penile tissues
The device which is implanted is known as prostheses. This device restores erection in many patients of ED. Problems which are possible in this device are, mechanical breakdown and infection. Most of mechanical problems are decreased in recent years because of latest technologies.
Generally malleable implants consist of two rods. These rods are inserted surgically into corpora cavernosa. The position of penis is manually adjusted by user and therefore rods. This adjustment will not affect length or width of penis.
There are two cylinders in inflatable implants, this are also surgically inserted inside the penis. And by pressurized fluid it can be expanded. Tubes which are surgically implanted connect the cylinder to a fluid reservoir and a pump. A small pump is pressed by the patient, that pump is located under the skin in the scrotum that inflates the cylinders. Length and width of penis is little bit expanded by that inflatable implants. The penis is leaved in more natural star when it is not inflated.
For more see the figure Below.
Figure Showing implant.