Methods of treatment of impotence

Almost all impotent men( about 90%) experience emotional difficulties because of this problem. Earlier in the early 1960s, general practitioners assigned such injections of testosterone to patients who were useless. Later, young and trained therapists sent patients to physiotherapy( since they considered this practice a sort of sorcery), which was also useless. By the mid-1970s, experts had identified more physical causes of male impotence, and the problem began 10 years ago. To date, in most cases, organic causes cause impotence, and not psychological, many experts are convinced of this. Such patients are treated with family doctors, the rest are treated by andrologists and urologists. In this article we will consider the basic methods of treating impotence.

Treatment of impotence: methods.

Such methods are divided into operative and conservative( non-invasive and invasive).Conservative treatment of "male" disease - the use of a vacuum-constrictive device or oral medication.

Drug therapy for impotence.

Yohimbine( it was considered the main drug) was used not so long ago for the treatment of impotence, however its effectiveness did not exceed 10%.Low efficiency, the need for long-term( up to a year) use of the drug, many side effects - from this it can be concluded that this method of treating impotence is not acceptable. To date, the drug "Viagra" is used to treat impotence. Despite the effectiveness of the drug, he has a lot of side effects.

Sexual doping - modern medicinal preparations used in medical practice can achieve 70-80% of the effective result. These drugs have the following side effects: sudden redness of the skin of the face and neck, minor headache, changes in visual acuity and color perception, hyperemia of the nasal cavity.

Vacuum-constrictive therapy.

The method is based on the fact that using a pump and a vacuum cylinder to create a negative pressure in the cavernous bodies of the "male" organ, which will certainly cause the blood flow to the penis, and hence the erection, which is retained by the application of a special compressive ring at the base of the penis. This ring limits venous outflow, which makes it possible to have sex for half an hour. The effectiveness of this method reaches 40-50%.Disadvantages of this therapy: practical use of the device( from the partner can not be hidden), painful ejaculation( ejaculation), caused by the constricting ring, feeling of numbness of the penis itself, hemorrhage on the "male" organ.

Intracavernous injection with vasoactive drugs.

The method is based on microinjection with the use of vasoactive drugs in the penis immediately before sexual intercourse. This method among the conservative ways of treating erectile dysfunction is the most common and effective.

For treatment in the form of monotherapy, prostaglandin is used. It is also used in other combinations, which are used to minimize the side effects of each drug by decreasing the concentration, as well as potentiating the pharmacological action. This method is effective and safe due to the integrated program approach to intracavernous therapy.

Intraurethral therapy for impotence.

In this therapy, various drugs are used, for example alprostadil. The drug is absorbed from the urethra, and enters the cavernous bodies with the bloodstream, where there are reactions that cause an erection. This method of therapy is similar to the previous one, differs only in that this method excludes injections into the penis. To date, this therapy is almost not used because of expensive drugs and because of side effects( in the urethra burning sensation), and because of the mandatory use of a condom during intercourse.

Surgical treatment of impotence.

Recently, surgical intervention is resorted to less and less, this is explained by the fact that drug therapy has a high efficiency. Operative intervention is resorted only in extreme cases, according to certain indications and when there is no result from conservative treatment.

Surgical intervention of venous insufficiency of the "male" organ is performed in the event that the venous mechanism of the penis is affected. Although this method has a large age, but its effectiveness is only 50%.Despite the low efficiency in clinical practice, venous surgery of the penis is applied in the form of an additional to the above methods, which in turn allows achieving higher results. Surgical intervention of arterial insufficiency of the penis is performed with insufficient arterial blood flow to the cavernous tissue. Arterial microvascular shunting is performed, which has an efficiency of 30-50%.Higher efficacy was achieved in young patients.

Currently, prosthetics of the penis is the main method for restoring the rigidity of the penis.

Implantation of prostheses - this is the final stage of treatment for impotence, is applied in the event that the use of previous methods did not give the desired results.

Psychotherapeutic methods of treatment.

If you seek advice on how to treat impotence in scientific medicine, the advice will sound in unison to certain heads of the "Kamasutra".Three-step technique of focusing sensuality - it is given the main role. This technique advises the focus during sexual intercourse to focus on the satisfaction of the partner. The first stage of this method is mutual pleasure without contact with the partner's sexual organs. The second stage consists in a mutual touch of the genitals, as well as the erogenous zones of the partner, but without sexual intercourse. The basis of the third stage is sexual intercourse.

According to some experts, in some cases( about 65%) to treat impotence you just need to visit a therapist. Often, even a single failure with a partner in bed can leave a deep trail in the male psyche, which causes uncertainty in the so-called "male power".In this case, the main thing is to believe in yourself, and then everything must turn out for you!