Sexual Dysfunction Therapies

include oral medication such as Viagra, Cialis and Levitra, as well as vacuum constriction devices, intracavernous injections, urethral drug insertion and prosthetic implants.


Oral Medications (PDE-5 inhibitors)
The PDE-5 inhibitors currently approved by the U.S. Food and Drug Administration (FDA) are Viagra (Sildenafil), Cialis (tadalafil) and Levitra (vardenafil). These medications increase levels of nitric oxide, a chemical produced by your body during sexual stimulation. Nitric oxide relaxes the smooth muscle around arteries in the penis to relax and open, filling with blood and creating an erection. This allows you to achieve and maintain an erection. These medications don’t automatically trigger an erection; sexual arousal is needed to start the whole process.
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Vacuum Constriction Devices
A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection. The VCD consists of an acrylic cylinder with a pump that may be attached directly to the end of the penis. A constriction ring or band is placed on the cylinder at the other end, which is applied to the body. The cylinder and pump are used to create a vacuum to help the penis become erect; the band or constriction ring is used to help maintain the erection. The pump helps the penis become erect while the band maintains the erection.
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Intracavernous Injections
Medication is injected directly into the side of the penis and produces an erection. The medication dilates the arteries of the penis and allows blood to flow in. An erection occurs anywhere from 5 to 15 minutes after injection. A patient must learn to perform a penile self-injection each time he wishes to engage in sexual activity. The erection will last 30 minutes to an hour or up to orgasm.
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Urethral Drug Insertion
For men who experience impotence after prostate cancer treatment, urethral suppositories or tablets have been shown to be successful. Patients insert pellets into the urethra through a plastic tube to deliver medication through the urethra. The inserted drug serves to enhance penile blood supply resulting in an erection. Generally a man will get an erection within 10-15 minutes of application. This can be practiced twice in any 24-hour period.
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Prosthetic Implants
Penile prosthetic implants are usually used as a last resort if all other treatments have not worked. There are two types of implants: Semirigid or Malleable Rod Implants, and Inflatable Implants. Each option has its own positives and drawbacks, so it is important to take your health and lifestyle into consideration when choosing an implant that’s right for you.
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