United Knowledge, Expert Care

Erectile Dysfunction Treatment

PDE5 inhibitors
Vardenafil (Levitra), Sildenafil (Viagra) and Tadalafil (Cialis)
These are tablets that work by helping the blood vessels in the penis to relax, allowing blood to flow into it causing an erection. They have differing benefits in terms of onset and duration of action. For most ED sufferers, oral treatments are the most convenient and simple to use. All of these treatments require sexual stimulation in order to produce an erection, therefore allowing sex to occur naturally.
Patients who take nitrate-based drugs (e.g. nitroglycerine) for heart problems should not use these drugs, and those using alpha-blockers may need to take a reduced dose as the combination can cause a sudden drop in blood pressure if taken within four hours of each other.

Intracavernosal injections therapy with Alprostadil
Caverject and Viridal
These medications are self-injected into the erectile tissue of the penis causing the blood vessels feeding blood into the penis to relax, allowing the blood flow to increase.

Transurethral therapy with Alprostadil
This is a pellet which is inserted into the urethra through the tip of the penis and causes the relaxation of the blood vessels. The result is an increase in blood flow.

Vacuum devices
There are many vacuum devices available but they all work according to the same principle. The penis is inserted into the cylinder and a vacuum is created by a hand or battery pump, causing the penis to fill with blood and harden, which produces an erection. A tension band is then placed around the end of the penis to keep the erection hard and the pump is removed.

Penile implants
Implants may be semi rigid or inflatable. They are inserted surgically under a general anaesthetic.

Psychosexual counselling
This type of therapy is considered for men whose ED is thought to have a psychological cause or when there is no improvement with the above treatments.

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