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Erectile Dysfunction Treatment Talk With The Living Center's Top Urologist

Erectile Dysfunction Treatment Talk With Urologist Dr Sivapraksam The Living Center is excited to offer an exclusive talk with Dr. Sivapraksam on treating erectile dysfunction. This is a rare opportunity to get personal one-on-one advice from a top urologist. Register now to reserve your spot.

Erectile Dysfunction Treatment Talk With Urologist Dr Sivapraksam | The Living Center

Erectile Dysfunction (ED) is the inability to achieve or sustain an erection sufficient for satisfactory sexual performance. It is also known as impotence. Although it is more common in older men, ED affects men of all ages. ED occurs when there is an interruption in the blood supply to the penis or in the nerve impulses going to the penis. This interruption can be due to psychological problems, physical problems, or a combination of both. ED is not a normal part of aging.

Causes

The exact cause of your ED will be determined by your doctor. The most common physical causes are related to blood flow and blood vessel problems. These include:
  • Atherosclerosis (hardening of the arteries)
  • High blood pressure
  • High cholesterol
  • Diabetes
  • Obesity
  • Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
  • Parkinson’s disease
  • Multiple sclerosis
  • Peyronie’s disease — development of scar tissue inside the penis
  • Sleep disorders

Psychological causes

Psychological causes of ED can include:
  • Anxiety
  • Depression
  • Guilt
  • Low self-esteem
  • Relationship problems due to stress, poor communication or other concerns

Risk factors

Several factors increase your risk of erectile dysfunction. These include:
  • Older age
  • Smoking
  • Alcoholism
  • Substance abuse, such as use of cocaine, heroin or marijuana
  • Certain prescription medications, such as antidepressants, antipsychotics and blood pressure medications
  • Treatments for prostate cancer or an enlarged prostate, such as a radical prostatectomy, radiation therapy or prostate-reduction surgery
  • Injuries or surgeries that affect the spinal cord or pelvic area
  • Conditions that affect blood flow, such as hardening of the arteries, high or low blood pressure and diabetes

Complications

Erectile dysfunction can have both physical and psychological causes. Often, a combination of these factors contributes to erectile dysfunction. Complications associated with erectile dysfunction include:
  • An unsatisfactory sex life
  • Stress or anxiety
  • Embarrassment or low self-esteem
  • Relationship problems

Prevention

You may be able to reduce your risk of erectile dysfunction by making lifestyle choices that help keep your blood vessels healthy and help prevent conditions that lead to erectile dysfunction. These include:
  • Eating a healthy diet
  • Exercising regularly
  • Quitting smoking
  • Limiting or avoiding alcohol
  • Staying at a healthy weight
  • Managing chronic health conditions, such as diabetes or heart disease
Erectile Dysfunction is nothing to be ashamed of!

Plenty of men experience this obstacle in their life and  should feel comfortable with expressing their concerns!

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Video transcription:

Hi, my name is dr and I’m a registered medical doctor here in malaysia, and today with me, I have dr shiva prakasam civil income, who is a simulation board, certified consultant neurologist and a general surgeon today we’re going to be discussing about an invasive method of treatment of erectile dysfunction. So what is rectal dysfunction? It is essentially defined as inability to obtain or maintain an erection satisfactory for an intercourse, so doctors siva, what are the possible treatments that we have today, which is non-invasive or non-pharmacological treatment of rectal dysfunction? Okay, when we are talking about treatment, modalities that fall under that category, what is available at the moment is basically two, the first one being low intensity, shockwave, lithotripsy treatment and the second one being a vacu erection device. Just a quick question: are these two devices medical grid devices scientifically proven and safe to be used? Absolutely both these two treatment modalities have undergone the rigors of randomized clinical trials, so the efficacy has been proven in a clinical setting and they are safe to use, as they’ve already been registered, with the appropriate, credentialing and registering bodies. So I understand the first device is to be used in the clinic and the second device is to be used to quickly discuss with us. What is the first device or what is the science behind the device or what is it called? The first place is l-I-s-w-t right. If I’m not mistaken here, yeah hello, swt stands for low-intensity shockwave lithography. Now this is the device that is typically rendered as an outpatient treatment in medical practitioners clinic and it uses focused acoustic energy to help improve the blood flow to the penis and also to regenerate the corpora cavanosa, which is a portion of the venus which holds blood during erection, so which means I can say it is actually essentially promoting angiogenesis for the penis correct, absolutely and the second device is to be used at home, which is actually a vacu pump. I think, is it? Is it something like a penile, rehab or penile physio to be done at home? Yes, the treatment using a vacu erection device can be used on its own as a solo therapy, but we actually recommend most of our patients coming for low intensity, shockwave, lithotripsy to also use the vacu aid device as a form of penile physiotherapy for them at home, whilst undergoing the outpatient treatment with liswt. So it’s a combination, treatment to be used both clinic as well as at home. So this for these two treatments are relatively safe. There isn’t any side effect, they will both a medically approved device and it’s scientifically proven to give results to the patient. Yes, absolutely that’s it for today. Please do let us know if you do have any questions. Thank you. You.

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