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Erectile Dysfunction Treatment

Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image.

A number of health conditions can cause ED, including:

  • cardiovascular disease
  • diabetes
  • high blood pressure
  • high cholesterol
  • kidney disease
  • multiple sclerosis
  • Parkinson’s disease
  • metabolic syndrome

Treatment for ED may include:

  1. oral medications, such as sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra)
  2. injections into the penis, such as alprostadil (Caverject Impulse, Edex) or a combination of alprostadil and phentolamine (Caverject Injection)
  3. penis pumps, which involve drawing blood into the penis and then applying aconstriction ring to keep the blood there while the penis expands
  4. surgical options, such as penile implants or penile arterial revascularization surgery

Your doctor will likely ask you questions about your symptoms and health history. They may do tests to determine if you have an underlying health condition. You should expect a physical exam where your doctor will listen to your heart and lungs, check your blood pressure, and examine your penis and testicles.

Based on your symptoms and the results of your physical exam, your doctor may recommend a psychological exam. This is especially true if your ED has psychological causes. If you’re scheduled for a psychological exam, your doctor will ask about your:

  • symptoms
  • medical and surgical history
  • medications
  • alcohol and drug use
  • psychological history, such as any previous mental health disorders
  • relationship history
  • family history
“How does a Penile Prosthesis Implant Works? Dr Phillip Katelaris explains how a sucessful Implant works for treating erectile dysfunction.

Katelaris Urology Channel: youtube.com/channel/UC-YU…

Visit our Website for Services, The Blog and Media Appearance: katelarisurology.com.au/

Call us on: (02) 9477 7904

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Video transcription:

The modern penile implant is comprised of three sections: there’s a reservoir of fluid, which is just normal, saline saltwater. There are two erectile bodies that are placed within the penis within the erectile bodies and there’s the pump activation and deactivation mechanism that sits between the two testes in the scrot. The way it’s implanted is such that the reservoir is behind the pubic bone. Quite discreet, the pump is in the scrot and the two erectile bodies a place are filled with the two inflatable cylinders. When a man wants to make love, he feels for the scrotal pump under the skin of the scrot, and it takes about 30 seconds to transfer the fluid from the reservoir into the inflatable cylinders. Now these cylinders are measured for length and they’re tailor-made to the individual man’s penis and, of course, they expand laterally as well. That gives very good width and width, of course, is very important for female sexual satisfaction, and you can see that it’s quite a quick process and the rigidity of the implant is quite remarkable. It’s suitable for robust lovemaking in any position and it doesn’t buckle to deflate the implant after lovemaking has been completed. The little button in the scrot is compressed in this way. Squeeze the penis and the fluid returns from the cylinders into the reservoir, and once it’s completely deflated, the penis becomes quite flaccid and discreet, as you can see here,.

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