Depending on the cause of erectile dysfunction, the choice of treatment may be different. Drugs include the use of phosphodiesterase inhibitors 5 (which is by far the most common and most effective method of treating, although caution is required in cardiovascular patients), hormone replacement therapy (or some other form of treatment that can correct the hormonal imbalance if the problem is not low in testosterone than in for example elevated prolactin values), intracavernosal injection of alprostadil, vacuum pump, or the use of one of the methods of surgical treatment.

Sometimes it is possible to regain erectile dysfunction by altering the simultaneous therapy of other diseases since erectile dysfunction may be androgenic (therefore it may be caused by certain antihypertensive, hormonal preparations, antiepileptics, antidepressants, antihistamines and the like). It should be emphasized that there is still no clear evidence that the use of drugs for the treatment of erectile dysfunction positively affects the reduction of cardiovascular risk. However, there are reports indicating that there is systematic hormonal replacement therapy in low-level testosterone males (as well as in the use of phosphodiesterase inhibitors 5 in diabetics) associated with lowering some cardiovascular risk factors but also prolonging life expectancy.

The definitive confirmation of these findings should only be expected, but it should be noted that treatment of erectile dysfunction combined with standard treatment of hypertension, diabetes mellitus and hyperlipoproteinemia, body weight regulation and smoking cessation can lead to significant positive health outcomes.

Finally, it should be said that erectile dysfunction is a disorder that deeply affects all aspects of men’s life and that treatment is of great benefit if multidisciplinary approach (an important role of urologist, endocrinologist, psychiatrist, psychologist) and it is certainly important to include a partner.

Therapy Possibilities

Non Invasive Treatments:

  • Consultation
  • Medications / Psychotherapy
  • Vacuum Equipment and Aids

Invasive Treatments

  • Transurethral application of drugs
  • Intracavernosal injection
  • Application of dentures – penile implants
  • Surgical reconstruction of arteries and veins

Medicines

Medications for the treatment of erectile dysfunction include sildenafil, apomorphine, phentolamine and testosterone. The most well-known remedy for treating erectile dysfunction is sildenafil. The medicine is taken 1 hour before sexual intercourse. Its effectiveness is related to sexual stimulation, enabling the erection and maintenance of erections, and in itself is not the originator of the erection nor can it result in unwanted and prolonged erections. The drug is effective up to 4 hours after taking.

Injections: This method consists in injecting alprostadil, a synthetic version of the prostaglandin E hormone, directly into the male sex limb tissue.Although small needles are used, this way of treating the patient may be very uncomfortable.

Hormones: Testosterone is a hormone producing testicles, responsible for the normal development of male sexual characteristics. Additionally, testosterone improves circulation and regulates the expansion of blood vessels. This mode of treatment is applied to men who have been shown to have reduced testosterone levels in the blood.

Prosthesis and Surgical Procedures: It is about introducing fluid-inflamed tubes, or surgical procedure on the male veins of the male sexual harness.

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