Treatment of erectile dysfunction begins after ascertaining the causes of disease. In cases where the causes have psychogenic nature, the treatment of erectile dysfunction include consulting a doctor, therapist, physical therapy techniques, according to testimony – medical therapy.
If the causes of this condition are physical illnesses, it all starts with correcting the underlying disease. It should be understood that for some chronic diseases can only be achieved improvement, not a full recovery. However, current treatments for erectile dysfunction correction allow for sexual intercourse.
For example the elimination of erectile is dysfunction using a local negative pressure. The device consists of a reservoir, which will create a negative pressure, leading to an erection. The method is painless, can take place at a certain skill, the patient alone, and allows for a sexual encounter. In addition, the applied treatment of erectile dysfunction is by injecting a special medication immediately before sexual contact in the penis.
This method allows to achieve a stable erection, but the selection of medication and injections must carry a doctor, use this method of treatment for erectile dysfunction can be no more than once a week. For these purposes the patient may be recommended by special medications, physical therapy techniques. According to testimony surgical treatment of erectile is dysfunction, including rapid recovery of blood flow to the cavernous bodies of penis, penis arthroplasty.
The general principle of ED treatment should be started step by step, by moving from noninvasive to invasive. Absolute rule of treatment is to eliminate the hazards that lead to erectile dysfunction (smoking, obesity, etc). In the first stage of treatment prescribed PDE-5 inhibitors, which are issued in the form of a tablet. These drugs are effective in 80-85% of patients with ED.
Primary and secondary hypogonadism shows the assignment of androgen therapy. In the second stage with lack of effectiveness of PDE5 inhibitors appointed second-line drugs by intracavernous PGE1 injection for 10-15 minutes before intercourse. This drug may also be applied intrauretralno. In this case, there is the risk of priapism (painful erections lasting longer than 5 hours). Therefore, this technique is applied at first only under medical supervision. The vacuum technique is LOD-therapy is reasonably safe, but its effectiveness is estimated at 20-30% of patients.
In the third stage, the ineffectiveness of these methods are used surgical treatments for erectile dysfunction. There are two principal sub-section are: vascular surgery (revascularization of the penis lower hypogastric artery ligation deep veins back of the penis. Fallout prosthesis, which used semi-rigid prostheses, constantly imitating an erection.