1. Oral Medications
There are now three
FDA approved medications for erectile dysfunction. These
medications are VIAGRA - also known
as SILDENAFIL, LEVITRA
- also known as VARDENAFIL, and
CIALIS - also known as
TADALAFIL. Erection occurs after arousal.
2. Utheral Inserts
Urethral Insert: Prostaglandin E-1/Alprostadil (Muse) is a
new FDA approved intraurethral insert that provides an erection.
The Muse is a tiny insert that fits into the urethral opening
of the penis. The Muse contains the drug Prostaglandin E-1.
The success rate is about 60-70%
3. Vaccuum Devices
Vacuum Erection Device: an external device that is used to
get an erection.
A penile pump is a vacuum erection device that is manually
operated by the patient. A pump creates a vacuum which in turn
makes a penis hard. A special constricting ring is then placed
at the base of the penis and this keeps it hard. These devices
may be useful in men with impotence of almost any cause. This
device has a success rate of 40 - 65%.
4. Penile Injections
Intracavernosal Pharmacologic Agents: a painless self-injection
into the penis of one or a combination of Papavarine, Phentolamine,
Prostaglandin E-1 just before an erection is desired.
5. Hormone Therapy
Hormone Therapy: topical patches or injectable treatment for
a hormonal condition.
1. Penile Implants:
Penile Implant: an internal device that is permanent and makes
the penis hard enough for penetration. There are several types
with different features. With the currently available state-of-the-art
implants, a success rate of almost 95% may be expected.
PENILE IMPLANT SURGERY
This requires the placement of two implants in the penis; one
in the left erectile chamber and one in the right. The implants
and the pump which fills the implants are totally concealed
inside the body and give excellent cosmetic and functional results
in most patients.
The success rate is from 80 to 90% in terms of patient and
partner acceptance, and almost 95% in terms of patient satisfaction.
The implants are FDA approved.
There are two categories of implants: - the non-inflatable
rods which are bendable and can be manipulated to give an erection,
and inflatable implants which contain fluid to give a more natural
erection. This fluid is transferred within or to cylinders in
the penis to give hardness.
While less than 5% of patients choose this form of treatment
initially, the final choice of treatment is a penile implant
in 10% of patients. In U.S.A., approximately 20,000 implants
are performed each year.
2. Penile Arterialization: Rerouting blood to the penis.
3. Venous Ligation: Tying off leaky veins.
Treatment for Psychogenic Dysfunction
- Individuals and Couples
1.Marital and Family Therapy
5.Intraurethral Insert (Muse)
6.Prostaglandin E-1 (Caverject)
7.Sildenafil (Viagra), Vardenafil (Levitra), and
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The content, illustrations and references to male
sexual dysfunction, Viagra, penile
implants and penis enlargement including
penis straightening, in this website are for informational
purposes only. The content is not intended to be
a substitute for professional medical advice, diagnosis
or treatment. To schedule a male sexual dysfunction consultation
or a penile enlargement consultation with
Dr. Whitehead, a noted phalloplasty surgeon, call