Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his or his partner’s sexual needs. Most men experience this at some point in their lives, usually by the age of 40, and are not psychologically affected by it.
Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. There are several ways that erectile dysfunction is analyzed:
A phosphodiesterase type 5 inhibitor often shortened to PDE5 inhibitor, is a drug used to block the degradative action of phosphodiesterase type 5 on cyclic GMP in the smooth muscle cells lining the blood vessels supplying the corpus cavernosum of the penis. These drugs are used in the treatment of erectile dysfunction, and were the first effective oral treatment available for the condition. Because PDE5 is also present in the arterial wall smooth muscle within the lungs, PDE5 inhibitors have also been explored for the treatment of pulmonary hypertension, a disease in which blood vessels in the lungs become overloaded with fluid, usually as a result of failure of the left ventricle of the heart.
Prostaglandin E1 (PGE1), known pharmaceutically as alprostadil, is a prostaglandin. It is a drug used in the treatment of erectile dysfunction and has vasodilatory properties. Alprostadil is sold as urethral suppositories and in injectable form. The suppositories are sold under the brand name MUSE (Medicated Urethral Suppository for Erection). The injectable forms are Edex and Caverject. Muse delivers alprostadil as a penile suppository, inserted into the urethra, at least ten minutes before the erection will be needed. Caverject and Edex are similarly fast-acting, but instead are injected by syringe directly into the corpus cavernosum of the penis.
Vacuum erection devices, also known as vacuum constriction devices have been utilized for improving erectile rigidity for over a century. A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection. The VCD consists of an acrylic cylinder with a pump that may be attached directly to the end of the penis. A constriction ring or band is placed on the cylinder at the other end, which is applied to the body. The cylinder and pump are used to create a vacuum to help the penis become erect; the band or constriction ring is used to help maintain the erection.
Penile prostheses are devices that are implanted completely within the body. They produce an erection-like state that enables the man who has one of these implants to have normal sexual intercourse. Neither the operation to implant prosthesis nor the device itself will interfere with sensation, orgasm, ejaculation or urination. Penile prostheses are usually implanted under anesthesia. Usually one small surgical cut is made either above the penis where it joins the abdomen or under the penis where it joins the scrotum. No tissue is removed; blood loss is small and blood transfusion is almost never required.
Dr Mahendra Jain is an eminent and an extremely experienced Urologist ...Read More
I had undergone treatment for my prostate in Germany 5 years back. Now I developed urethral stricture, I had lot of problem passing urine.
Mr Alexis is aged 72 yrs from East Africa was treated for his long standing urinary problem with a complex surgery. Now he is back in his country