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Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.
A. Most men shudder at the thought. I tell them it won't hurt, but they don't believe me until they experience it for themselves. After being coaxed into receiving a test injection in the office, most men are pleasantly surprised to learn that it really doesn't hurt.
For some, the cause is psychological, but for many others, especially older men, erectile dysfunction usually has a physical source, such as diseases including diabetes, injury or side effects of medications, according to the NKUDIC Web site.
K Sairam and T McNicholas are the principal authors. E Kulinskaya provided statistical support. D Hanbury and G Boustead edited and revised the manuscript
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Success rate of 75-85%
A. The inflatable implant has the significant advantage of allowing an instant erection. The disadvantage is the inherent complexity of a mechanical device. When a problem occurs, surgery is needed to fix it.
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It is of note that the mean frequency of intercourse in this cohort of patients is higher than that quoted in the guidelines issued by the Department of Health [9]. Fifteen patients (10.2%) (Table 3, rows 2 5) would have required specialist opinion (e.g. would have required a cardiologist, urologist or an andrologist in a tertiary referral centre to have seen them prior to starting therapy for their ED), while the rest could have been managed in primary care.
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You can begin your eMedTV erectile dysfunction experience by clicking on any of the featured erectile dysfunction links on this page. You can also begin by clicking on health topics listed to the left or by using the search box at the top of the page.
Do you have erections during sleep?
"This is the time to treat your man as your best friend -- to be warm, to be friendly, to grab his hand, to give him hugs and kisses, to let him know that you care about him, that he is desirable, that physical closeness is important," says Foley.
Physical Causes of Erectile Dysfunction
(Abbreviated DICC) technique in which fluid is pumped into the penis at a known rate and pressure. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection. To do this test, a vasodilator like prostaglandin E-1 is injected to measure the rate of infusion required to get a rigid erection and to help find how severe the venous leak is.
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Besides treating the underlying causes and psychological consequences, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor drugs (Viagra for instance or sildenafil). There are many other treatments that will be discussed on this site.
Because as many as 25 percent of cases of erectile dysfunction are due to medication side effects,4 the patient's drug therapy should be reviewed. Common pharmacologic causes of this disorder include antihypertensive drugs, most notably the centrally acting agents, beta blockers and diuretics. Antipsychotic and antidepressant drugs are also frequently implicated. Other drugs that can cause erectile dysfunction include spironolactone (Aldactone), cimetidine (Tagamet) and finasteride (Proscar).5,7 Excessive alcohol intake, heroin use and cigarette smoking are also known causes (Table 2).4,7,8
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But they said their "results indicate that there is no cumulative damage or effect of clinical significance for either 5 milligrams of tadalafil or 50 milligrams of sildenafil taken daily for six months."
HealthDay, January, 2010 by Randy Dotinga
A. This device consists of two silicone rods that can easily be bent or straightened. Once surgically implanted in the corpora cavernosa, a man will have a permanent erection. Bending the rods so that the penis is close to the body conceals it, while straightening the organ with one or two fingers immediately readies it for intercourse.
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Investigate the hypothalamic-pituitary-gonadal axis by evaluating testosterone levels (a morning serum free and total testosterone level is suggested) in most patients, especially if the patient has a history of reduced libido.
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