Methods Of Treatment Of Impotence.

Posted on Sep 07, 2010 under Uncategorized | No Comment

Endoprosthesis of the penis. The surgeon places a small, saline-filled device that raises erectile function. The prosthesis delivers fluid to the penis when you need an erection. This device is completely hidden. This procedure is applied under the condition when no other method is effective. The effectiveness of the method is more than 90%. Contraindications are the obliteration of the cavernous bodies, urethral cavernous fistula, mental illnesses.

Vascular surgery on the penis. Operations are conducted on the vessels of the penis. They are aimed at enhancing the flow of arterial blood to the penis and difficulty of venous outflow.

Psychotherapy. If you have any reasons for erectile dysfunction, a man need consult the sexologist. He must learn to cope with anxiety before sexual intercourse.

Drugs for treatment of impotence.

Intra urethral introduction of suppositories. The man puts before 20 minutes to sex the soft tablet into the urethra. His penis absorbs the medication. Blood flow increases, as a result an erection comes.

Intra cavernous introduction of drugs. Before the proximity a man produces injection of vasodilator drugs in the corpus cavernous of the penis. The result is high quality and long-lasting erection. In papaverine hydrochloride it was first detected the ability to improve erection. However, the use of this drug is limited to high risk of priapism and development with regular use the progressive multiple sclerosis of cavernous.

Alprostadil is more effective. It is a synthetic analogue of prostaglandin E1. Its efficacy is 40 – 70%. The drug has a-adrenoceptor blocking and direct muscle relaxing effect on the tissue of the corpora cavernosa, increases clearance sinusoids and cavernous arteries, thus contributing to increased blood flow. The advantages of the method are high efficiency, ease of use, low risk of priapism, the minimum number of side effects. The disadvantages are the introduction of invasiveness, pain at the injection site, the fear of the patient before the injection into the penis.

Oral drugs. Currently physicians have effective oral medications for the correction of erectile dysfunction.

Phosphodiesterase inhibitors. They cure erectile dysfunction by increasing blood flow to the penis. The brain responds to sexual stimulation by sending nerve signals. In response to these signals substance nitric oxide is released, which relaxes the muscles of the penis and this increases the blood flow to the penis. The body also contains the enzyme phosphodiesterase, which blocks the release of nitric oxide, thereby reducing erections. Preparations of this group inhibit phosphodiesterase.

Yohimbine hydrochloride.

Iohimbine is an alkaloid of the bark Coryanthe Yohimbe, which grows in West Africa. It was isolated in 1896 by the German scientist Spiegel, who gave that name. Yohimbine hydrochloride is a selective a2-adrenoceptor blocker. The drug increases the flow of sympathetic impulses from the CNS and the release of norepinephrine from nerve endings. When the application of yohimbine hydrochloride, it occurs removal of spasm (relaxation), the pelvic arteries that leads to a sharp increase in blood flow to the cavernous bodies of the penis. The drug normalizes sexual function and ability to coitus, weakened by stress, removes the inhibition of erection.

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