Erectile Dysfunction Treatment Options
Erectile dysfunction treatment varies greatly from person to person. Using information gathered during diagnosis, as well as taking into account the patient’s lifestyle and preferences, the Advanced Urology team may recommend one or more of the following treatment options.
If low levels of testosterone are contributing to E.D., replacement therapies including intramuscular injection of testosterone or topical gels may be used. Oral testosterone is not effectively absorbed in the intestine and may cause liver damage.
Viagra, Levitra and Cialis all belong to the class of drugs called posphodiaesterase inhibitors. Taken at least an hour prior to sexual activity, these drugs enhance the effects of nitric oxide within the penis that allows increased blood blow to the penis with stimulation. Men who have serious heart conditions requiring them to take nitrate based drugs such as nitroglycerin or isosorbide should never take these medications because of a potential sudden drop of blood pressure.
Vacuum Therapy (also known as vacuum erection devices)
These devices create an erection by drawing blood into the penis with the application of negative pressure or suction. An elastic band or rubber ring is placed at the base of the penis to maintain the erection after the cylinder is removed and during intercourse by preventing blood from flowing back into the body.
For patients with the unsatisfactory results from oral drug therapy or vacuum therapy, a strong erection may be obtained by direct injection of arterial dilating medicine directly into the penis via a tiny syringe and needle. These medications allow blood flow into the penis.
Placement of a Penile Prosthesis
This option provides an excellent permanent solution to E.D. designed for patients who are unresponsive to oral drug therapy, or who do not respond well to injection therapy or vacuum therapy. This procedure is performed in the OR and a small opening is made in the scrotum is used to place hydraulic cylinders placed inside the penis which expands for an erection by transferring fluid to and from a small reservoir and pump that are placed within the scrotum at the same time. Two companies manufacture the devices: The AMS 700 series and the Coloplast Titan Series.