Diagnosis and treatment of erectile dysfunction
Erectile dysfunction is diagnosed in men who have an erection for 3 months and / or a repeated erectile failure. Normal diagnosis and treatment of erectile dysfunction are possible only if there is a trusting relationship between the doctor and the patient, because the doctor should know everything.
Physical examination
The physical examination will help to identify the causes of erectile dysfunction. If the penis does not respond to tactile stimuli, then most likely the problem is an abnormality of the nervous system. Upon examination, the doctor, seeing the following signs - a small testicle size, breast augmentation, a lack of hair on the face, can assume that the patient has a hormonal problem. Feeling on the lower limbs of the arterial pulse, can conclude that the patient has atherosclerosis. The cause of impotence can be an unusual structure of the penis.
A laboratory examination of
A man suffering from erectile dysfunction must pass an urine and blood test, according to which the doctor will be able to see the concomitant diseases that could lead to erectile dysfunction.
Blood glucose test reveals diabetes mellitus. A biochemical blood test for cholesterol and lipoproteins will help to identify atherosclerosis. Also, with the help of tests, the level of hormones in the blood is determined, kidney pathology is revealed, the PSA level is a substance that is detected in the presence of a tumor of the prostate gland.
Treatment
To treat it is necessary not only erectile dysfunction, but also accompanying diseases. After all, the treatment of accompanying diseases has a positive effect on erectile dysfunction. Treatment, for example, arterial hypertension. In this case, the following drugs are used: calcium channel blockers, beta-blockers, ACE inhibitors, diuretics.
Drugs for the treatment of erectile dysfunction
Testosterone is a drug used for patients suffering from hypogonadism. Hypogonadism is a condition in which the function of the testicles decreases. And although this drug, in fact, is a male hormone, but it is not always completely effective for the treatment of such patients.
Oral inhibitors of phosphodiesterase 5, such as Levtira, Viagra, Cialis. Such drugs slow down the effect of the enzyme phosphodiesterase 5, which destroys the neurotransmitter - substances that in the penis participate in the transmission of nerve impulses. Because of what relax smooth muscles of cavernous bodies and as a result they are filled with blood.
Injections into cavernous bodies
For injections, preparations such as, phentolamine, papaverine, prostaglandin E1 are used. For better effectiveness, these drugs should be used together in small doses rather than singly.
Urethral suppositories
To achieve an erection, prescribe prostaglandin E1 suppositories. Candles are inserted into the urethra. However, this procedure did not find any special application.
Vacuum devices
Used vacuum preparations create a vacuum around the penis, thereby increasing the flow of blood, which causes the penis to increase and an erection occurs.
Surgical treatment of
For erectile dysfunction, the objective of surgical intervention is as follows:
- to introduce implants that impart an erect condition to the penis;
- to restore the arteries to strengthen the blood flow to the penis;
- block the veins, through which the blood flows from the penis.
Penile implants
Usually, flexible implants consist of paired rods, they are surgically inserted into the cavernous bodies of the penis. In this case, the man himself can regulate the position of the penis. This method does not increase the size of the penis during an artificial erection.
There are also inflatable implants, consisting of paired cylinders. These implants are inserted into the thickness of the penis, then inflate them, introducing a liquid into them. The liquid is introduced into the cylinders by means of a pump and a reservoir( also implanted).The man, pressing on the pump( under the skin of the scrotum) fills the cylinders in the penis.
