How to treat impotence?

How to treat impotence?  Photo from www.sciencephoto.com

Now experts are convinced that in most cases of impotence are purely organic (ie psychological) causes. All methods of treating impotence is divided intoconservative andoperational.

By conservative treatments include impotence drug therapy or the use of vacuum-constrictor devices (Vacuum pumps).

Drug therapy

Until recently, the main drug used to treat impotence was Yohimbine. Its efficiency does not exceed 10 percent. The need for long-term use of the drug (about one year) and low efficiency of the treatment, a large number of adverse reactions make this method of treatment barely acceptable.

Currently, anti-impotence drugs have been used successfully "Viagra" (sildenafil), "Levitra" (vardenafil) and 'Cialis' (tadalafil). Efficacy is beyond doubt, but they can cause a lot of side effects.

Modern medical drugs (so-called sexual dope) used in clinical practice, can achieve higher efficiency of treatment, which reaches 70-80 %. These drugs are distinguished by the presence of side effects such as slight headache, sudden reddening of the face and neck, nasal congestion, changes in color vision and visual acuity.

Method intracavernous injection of vasoactive drugs

The method involves microinjections of vasoactive drugs directly intosexual member prior to sexual intercourse. The method of intracavernous injection of vasoactive drugs was the most common and most effective methods of conservative treatment of erectile dysfunction. For the treatment of prostaglandin alprostadil used as a monotherapy or in various combinations.

The combination of drugs used to reduce the side effects of each of them by reducing the concentration. An integrated policy approach to the appointment of the intracavernous therapy can make use of this method effective and safe.

Intraurethral therapy impotence

For using different applications intraurethral drugs, such as alprostadil. Of the urethra preparation absorbed through the bloodstream and enters the corpora cavernosa, where reactions occur, causing an erection. This method is similar to the previous one, but eliminates the injection into the penis.

Currently, this therapy is not widely used because of the high cost of medications and adverse reactions (burning sensation in the urethra), and the need for mandatory condom use.

Vacuum-constrictor treatment of impotence

The essence of the method consists in creating a negative pressure in the cavernous bodies of the penis using a vacuum pump and the cylinder, which causes the flow of blood and an erection retained by applying the base of the penis ring special compression limiting venous outflow. Thus, it is possible to have intercourse, lasting no more than 30 minutes.

The effectiveness of the method is 40-50 %. The disadvantages are the practical use of the device (you can not hide from your partner, etc.), painful ejaculation (ejaculation) caused a contraction ring, bleeding on the penis, penile numbness, etc.

Surgical treatment of impotence

Surgical intervention has been recently used less frequently because of high efficiency of drug therapy. Surgical techniques used in extreme cases, when conservative treatment does not give the desired results and for certain indications.

Surgical treatment of venous insufficiency of the penis is performed in case of defeat venozapiratelnogo mechanism of the penis. Although this method is the great age, its efficiency is about 50%. However, even at relatively low results of venous surgery penis is still used in clinical practice as surplus to the other methods listed above, allowing you to achieve great results.

Surgical treatment is indicated in the case of inadequate arterial blood flow in genital member. Microvascular arterial bypass surgery is carried out, the effectiveness of which varies from 30 to 50%. This operation shows high efficiency in young patients.

Penile implants is currently the main method of recovery of penile rigidity. Implantation of prosthetic devices is the final stage of the treatment of impotence, when all previous methods of treatment have failed.

Psychotherapeutic methods

In the matter of the treatment of impotence scientific medical advice sounded in unison some chapters "Kama Sutra. " Main role is a three-stage technique of focusing sensuality. This methodology advises during sexual intercourse more attention given to meeting a partner.

In the first stage partners deliver mutual pleasure without contact with the genitals. In the second stage partners concerning sexual organs and erogenous zones partner, but do not engage in sexual intercourse. It was only in the third stage, the sexual intercourse.

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