Mr Katz was recently invited to write the latest update on Erectile Dysfunction management for a journal/magazine targeted at GPs and urologists click here to read it
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Erectile dysfunction, or ED, can refer to a total inability to achieve erection, firm enough for sexual intercourse, an inconsistent ability to do so, or a tendency to sustain only brief erections. It may also be related to problems such as premature ejaculation.
ED is treatable and in many cases curable, irrespective of the age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatment of ED.
Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence of events includes generation of nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues as well as vasculature in and around the corpora cavernosa. Causes of ED include the following:
The diagnosis of erectile dysfunction (ED) involves the following steps:
Erectile dysfunction (ED) can be treated by employing non-surgical methods and surgical methods. Conservative treatment measures to treat erectile dysfunction are always considered before invasive measures such as surgery.
Some conservative treatment measures include the following:
Lifestyle Changes : For some men, making a few healthy lifestyle changes may solve the problem. Abstinence from smoking, weight loss, and increased physical activity may help some men regain sexual function.
Medication Changes : The next step is cutting back on any drugs with harmful side effects. For example, drugs for high blood pressure work in different ways. If you think a particular drug is causing problems with erection, tell your doctor and ask whether you can try a different class of antihypertensive medicine.
Drug Therapy : Drugs for treating ED can be taken orally or injected directly into the penis with a very small needle. Your doctor will discuss the pros and cons of each of these treatments to see if they are suitable.
Click here to get more information on Penile Injection Therapy.
Vacuum Devices : Mechanical vacuum devices cause erection by creating a partial vacuum, which draws blood into the penis, engorging and expanding it. The devices have three components: a plastic cylinder, into which the penis is placed; a pump, which draws air out of the cylinder; and an elastic band, which is placed around the base of the penis to maintain the erection after the cylinder is removed and during intercourse by preventing blood from flowing back into the body. One variation of the vacuum device involves a semi rigid rubber sheath that is placed on the penis and remains there after erection is attained and during intercourse.
Surgical Therapy : The most common surgery performed for ED is Penile Implant surgery. Implanted devices, known as prostheses, can restore erections in many men with severe ED.
For more information about surgical therapy, please click here.