Posts Tagged ‘penile prosthesis’

When Viagra Doesn’t Work-Other Treatment Options For Erectile Dysfunction

September 22, 2014

Viagra-type drugs should be taken only with a doctor’s advice and are not suitable for men with serious heart conditions or who are taking nitrate medicine for angina (which, in combination with Viagra-type drugs, can lower blood pressure to dangerous levels).  This blog will discuss treatment options when Viagra or other oral medications for treating ED will not work.

Men with age-related ED or diabetes who have not responded to drugs.

It might sound like a painful solution, but injections into the penis of alprostadil, a synthetic chemical that helps produce an erection, can be effective for men who have not been helped by Viagra or similar drugs. The injection occurs through a tiny diabetic needle that causes minimal pain and discomfort.

An erection usually occurs within 15 minutes and usually lasts up to an hour. It works by relaxing the muscles and the blood vessels, improving blood flow to the penis.

Alprostadil also comes as a grain of rice sized pellet that’s pushed into the end of the urethra, where it dissolves, though this is less effective than the injection. Approximatley 10 per cent of users experience a burning pain upon insertion of the pellet.

Men with who have poor response to ED drugs, and who also suffer fatigue should have their testosterone level checked.

Men’s levels of testosterone can decline with age or as a result of diabetes, heart disease, obesity and stress.

If you have a distinct drop in libido or erectile dysfunction, your doctor may give you a blood test to check your levels and prescribe replacement of the testosterone deficiency.

Testosterone can be highly effective and safe, and potentially life-changing for men and their partners.

There are studies showing people with low testosterone have higher mortality rates, but there are also studies suggesting the reverse.

When all else fails, consider surgery

Most men can be helped with medication or injections. However, when these conservative options are ineffective, there are surgical procedures that ca restore a man’s potency and sexual performance.

Performed under a general or spinal anesthetic, this involves inserting semi-rigid or inflatable silicone implants into the shaft of the penis.

The inflatable devices have cylinders connected to a tiny pump implanted inside the scrotum. Squeezing the pump transfers fluid into the cylinders for erection, which afterwards go back to the pump and a reservoir underneath the muscles of the abdomen.

Erectile dysfunction can impact many men.  Although most men can be helped with oral medications, there are men who cannot take oral medications or the medications are ineffective.  There are additional options for men where Viagra does not work.  Men don’t need to suffer the tragedy of the bedroom.

Impotence: When You Can’t Get It Up is Getting You Down

June 3, 2013

Probably nothing devastates a man more than having a failure in the bedroom. Impotence or erectile dysfunction affects nearly 33 million men in the United States. You are not alone. Help is available for nearly every man who has erectile dysfunction.
Diet
According to the Urology Channel’s “Erectile Dysfunction: Natural/Alternative Treatments,” erectile dysfunction can be treated by eating right, drinking plenty of water and avoiding sugar, dairy and caffeine. They recommend to eat whole, fresh, unrefined and unprocessed foods, including vegetables, whole grains, soy, beans, seeds, nuts, olive oil and cold-water fish such as salmon and tuna.
Taking your vitamins can also help; the Urology Channel suggests supplements such as flaxseed, and in particular vitamins C, E and the mineral zinc. These vitamins and supplements help bolster the vascular system, which is an important part of good sexual health.


Exercise
Since sexual health relies on the vascular system, a strong heart plays an important part in treating erectile dysfunction. Aerobic exercises such as power walking, running, bicycling or dancing strengthen the cardiovascular system. A stronger cardiovascular system gives stronger support to the vascular system that supports a healthy erection.
 Kegel exercises–exercises that flex the pelvic muscle– which are helpful in strengthening the ligaments that support an erection. These exercises can also increase blood flow in the pelvic area, which can aid in achieving a strong erection.



Herbs
Herbs which are used in Traditional Chinese Medicine to support healthy erectile function include ginseng, ginger and ginkgo biloba.
 Ginseng helps increase blood circulation, and is typically taken as a dried powder, often as a paste mixed with honey. Ginkgo biloba also increases blood flow in the arteries, which help support the vascular functions that enable a healthy erection.
 Another non-medical option is garlic but the treatment can be tough to take: the trick to getting the most out of garlic is to chew fresh, uncooked garlic very thoroughly. Though it is unpleasant and can be downright painful, this allows your body to absorb powerful natural nutrients through the blood vessels in the mouth. Some of the most powerful ingredients in garlic are destroyed as they travel through the digestive system, and these erectile dysfunction-fighting nutrients are only absorbed while chewing.
One out of two men over age 40 have had difficulty attaining and maintaining an erection sufficient for sexual intercourse, doctors say. And while the numbers are smaller, even some younger men may have difficulty developing an erection.
However, more than at any other time in history, erectile dysfunction is a problem with a solution. Medications and external and internal treatments have improved dramatically, allowing thousands of men to return to healthy sexual functioning. Likewise the stigma has decreased with public awareness.
Over the past 20 years, increased media attention, scores of television ads for medications like Viagra, Levitra and Cialis and starring roles in movies and television shows have moved erectile dysfunction out of the shadows and onto the list of common health concerns.
Erectile dysfunction is often caused by a lack of adequate blood flow, which can be an indicator of a potentially life-threatening health problem such as heart disease, high cholesterol, or diabetes.
Surgeries for prostate cancer, bladder and certain colorectal cancers may result in erectile dysfunction.
Regardless of age or cause, treatment options are the same, depending on the individual.

Men with heart problems and some other health conditions cannot take Viagra, Levitra, or Cialis. These drugs can be fatal for men taking nitroglycerine or any nitrates.
The next level of treatment includes injections and vacuum pumps, both of which can be effective. While the thought of injections is less than appealing to most men, the results are excellent.
If pill and external treatments are not effective, doctors say an internal prosthetic device is an option.
An implant gives the spontaneity and quality of erection that they can’t get with many of the other treatments including pills, injections or vacuum pump. Internal devices or a penile prosthesis are effective continuously on demand, which means a man and his partner can achieve a full erection on demand and within seconds that contains itself as long as they want to have sex.
While these surgeries have been performed since the 1950s improvements in surgical technique and devices are dramatic.
The 30-minute procedure is minimally invasive and usually does not require hospital admission. Men may experience some discomfort for 1-2 days after the procedure.

Men who have the prosthesis have by far the best satisfaction rate for any treatment for erection problems, up into the 99 percent range.

Bottom Line: Erectile dysfunction affections millions of American men. There are solutions both medical and surgical that can help men restore their ability to successfully engage in sexual intimacy with their partners.

Sex and The Senior Man-Help Is Available For Men With ED

January 9, 2012

It wasn’t too long ago that erectile dysfunction (ED) was believed to be a natural part of aging.  Nothing could be further from the truth.  Middle age and older men who are healthy and have an opportunity to have sexual intimacy can expect to be successful in the bedroom. 

 Once taboo, ED has emerged from the shadows, thanks in large part to the widespread media attention give to Viagra, Levitra and Cialis. However, a wide variety of treatment options are now available that provide hope for men of any age suffering from ED symptoms. There simply is no reason to suffer in silence, whatever your age.

 Approximately 30 million men in the U.S. suffer from ED. An estimated 50 percent of men at age 50 experience some ED symptoms, and the percentage jumps 10% with each decade in life.

 Most men certainly aren’t willing to accept a decline in our eyesight with age—we use glasses when needed. In much the same way, ED is more than a minor inconvenience and can seriously impact quality of life for men and their partners.

 Related Health Risks

ED is a medical condition and can be an early warning sign of a much more serious condition, such as diabetes, heart disease, elevated cholesterol levels or disease of the blood vessels to the brain, which could lead to stroke. ED symptoms can also be a manifestation of depression.  This makes it even more important to pay attention to your ED symptoms.

 Aside from these physical symptoms, ED can take a serious toll on your overall well-being and mental health, causing strain on your relationships and unnecessary anguish and stress.

 Talk to Your Doctor

Talking to your doctor about your ED symptoms can feel embarrassing or difficult, but there’s no reason to be ashamed or uncomfortable. An active sex life can be just as important to your overall health as is proper nutrition and exercise.

 When you visit the doctor, tell him/her about other medical conditions you may have so you can determine whether your ED may be the symptom of a greater problem. Make a separate appointment to discuss ED, to make sure you have enough time to discuss your concerns. Ask for a referral to a urologist, a doctor who specializes in men’s urinary and sexual health issues.

 Be sure to discuss the all the possible issues surrounding your ED, the hurdles you face in all areas of sexual function, including your ability to get and keep an erection, sensitivity and other issues that may help pinpoint the root cause.

 Treatment Options

For many men, oral medications are not only very safe, but also quite effective. Pills such as Viagra, Levitra and Cialis are effective for about 70% of men. But for those with other health factors, such as cardiac disease, diabetes, oral medication may not be an option, or they may become less effective over time. For these men, there are a number of other treatment options available, including:

  • Vacuum pump therapy, which requires the use of a small pump to mechanically enhance blood flow and create an erection. These devices are totally noninvasive, but they can be somewhat awkward to use and not conducive to spontaneity.
  • Transurethral suppositories are tiny pellets of medication inserted into the urethra opening – a minimally invasive treatment, but still somewhat uncomfortable. This also requires some advance preparation.
  • Injection therapy, while the concept is disturbing to most men at the start, involves the use of a very fine needle to inject medication to produce an erection. Because of both the psychological and physical discomfort, in spite of high levels of effectiveness, many men do not find this to be a long-term solution. About 50% of men who try injections, do not continue their use.
  • Penile prosthetic implants are surgical devices concealed within the body that restore erectile function to as near natural as possible and still allow for spontaneity. While the concept itself is nothing new, the devices and implantation procedures have evolved considerably to make the procedure quicker and easier on the patient. While implants carry the same risks associated with any surgery, implant procedures generally have extremely high success rates and provide an effective solution for many men. Implants may not be for everyone, but they are a viable option to restore erectile function for most men over the age of 50, and they carry a very high satisfaction rate among patients and partners.

 Choosing a treatment that’s right for you depends on a number of factors, including your relationship status, the importance and level of physical intimacy required, and other health issues. Ask your doctor about the success rate and risks with each option and about what you can reasonably expect in the form of results. It’s unlikely that any treatment will restore erectile function back to the way it was in your younger years, especially with advanced age, but ED treatment can allow all men to enjoy and active and satisfying sex life well into their golden years.

 No matter what your age, it’s important to take that first step and talk to your doctor about ED symptoms. It’s never “normal” at any age to not have normal sexual function. With the wide variety of treatment options available, there’s no longer any reason to ignore the problem as a fact of life.

Bottom Line: ED is not a natural consequence of aging.  Help is available and no one needs to suffer the tragedy of the bedroom.

 

Modified article by Gerald Brock. By Healthy Aging Admin Published 09/16/2010 Health News