Erectile Dysfunction treatment – Common Forms

erectile dysfunction treatment

Most common clinical Erectile Dysfunction treatments

  • Clinical insertion of Prostaglandin pellets in the urethra
  • Smooth-muscle relaxants injected into the penis
  • The most common and popularly practiced methods worldwide include Penile implants & Penis pumps
  • Vascular reconstructive surgery

We have mentioned a few of the erectile dysfunction treatment characteristics.

  • Treatable clinically by specialist Sexologist
  • Can be self-diagnosed
  • Seldom required lab tests and imaging
  • Characterized as a chronic ailment or disorder
    lasting for years and sometimes, lifelong

2 ways of managing Erectile Dysfunction treatment through Pathophysiology

  • Doctors touch the penile shaft to use and
    measure the Reflex Erection
  • Psychogenic Erection triggered by erotic or
    emotional stimulation

Erectile Dysfunction Diagnosis

Steps to Diagnose Erectile

  • Based on the patient’s symptoms history,
  • Physical and laboratory investigations to rule out hypogonadism and prolactinoma
  • Segregate Psychological and Physiological ED
  • Patients suffering from occasional full erections in the night when they are asleep, known as nocturnal penile tumescence, but hardly any during the day when awake.
  • Conditions affecting the penile erection including diabetes mellitus (cause of neuropathy), weak lifestyle, dietary habits, Obesity
  • Diagnosis of cardiovascular ailments because of smoking, alcohol, dyslipidemia, hypertension, and groin hernia

4 ways to treat Erectile Dysfunction

  • Treating the underlying causes
  • Positive changes in lifestyle
  • Effective counseling treatment of psychological problems
  • Safe FDA/Medical association approved medication and drugs
  • PDE5 inhibitors sildenafil that works by dilating the blood vessels to cause increased blood flow through the spongy erectile Tissues of Penis

Detecting of Erectile Dysfunction
& underlying treatment

  • Ultrasonography – using Penile Ultrasonography
    with Doppler
  • Doctors induce erection injecting
    prostaglandin E1 in10–20 µg
  • The approved medication Phentolamine with a
    dose of 2 mg 
  • For better results, specialists use Visual and
    tactile stimulation
  • Doctors recommend oral sildenafil
    administration instead of injectable

Other Erectile Dysfunction Workup

The following are the clinical
methods for the diagnosis of Erectile Dysfunction.

Penile Nerves Function

To test the sensation in the penis, physicians use bulbocavernosus reflex tests. Doctors squeeze the glans, the head of the penis, and if the anus contracts, Sexologists will infer that the nerve in the penis functioning normally.

Nocturnal penile tumescence

NPT shows having 5-6 erections in the
night during normal sleep, especially during rapid eye movement (REM). NPT
non-occurrence may show not enough blood flow not reaching the penis or some
nerve anomalies. Snap gauge and strain gauge are the two-step method used by
Sexologists. These tests help measure the penile rigidity changes and
circumference during nocturnal penile erection. However, not having nocturnal
erections does not show erectile dysfunction either.

Penile biothesiometry

This technique is the application of
Electromagnetic vibration to measure the glans and Penis shaft sensitivity and
nerve function in them.

The other techniques are 

  • Dynamic infusion cavernosometry (DICC) 
  • Magnetic resonance angiography (MRA)

MRA is like magnetic resonance
imaging. This way the doctor can gather information about the amount of blood
supply and other vascular anomalies.

  • Medications for treating Erectile Dysfunction

The prescription drugs, such as PDE5
inhibitors sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis)
are administered via the mouth. 

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