Impotence Treatment | Health Information Encyclopedia


	HEALTH INFORMATION ENCYCLOPEDIA Health Medicine Information Child Health Pediatric Surgery Cardiology Heart Health Cardiovascular Surgery Dental Health Dentistry Diagnostic Radiology Emergency Medicine General Surgery Infectious Diseases Internal Medicine Neurosurgery Obstetrics & Gynecology Online Pharmacy Drugs Ophthalmology Orthopedic Surgery Otorhinolaryngology Plastic Surgery Thoracic Surgery Urology Herbal Medicine


	HEALTH INFORMATION ENCYCLOPEDIA Patient Rights Patient Confidentiality Patient Controlled Analgesia Patent Urachus Repair Burns In Children Parotidectomy Removal Of Parotid Gland Parathyroidectomy Parathyroid Glands Paracentesis Pancreatectomy Removal Of The Pancreas Pancreas Transplantation Pallidotomy Globus Pallidus Internus Pain Management Pacemakers Oxygen Therapy Acute Myocardial Infarction Diagnosis Acute Myocardial Infarction Pathophysiology Acute Myocardial Infarction Hyperbaric Oxygen Therapy Outpatient Surgery Ambulatory Surgery Otoplasty Reconstructive Surgery Aftercare Otoplasty Reconstructive Surgery Orthopedic Surgery Operations Orchiopexy Cryptorchidism Testicular Torsion Orchiopexy Orchidopexy Undescended Testicle Orchiectomy Surgical Removal Of Testes Orchiectomy Surgical Removal Of Testicles Ophthalmologic Surgery Operating Room Surgery Center Open Prostatectomy Retropubic Suprapubic Open Prostatectomy Oophorectomy Ovariectomy Aftercare Risks Oophorectomy Ovariectomy Omphalocele Repair Obstetric And Gynecologic Surgery Nonsteroidal Antiinflammatory Drugs Neurosurgery Central Nervous System Spine Brain Hemorrhage Intracranial Hemorrhage Nephrostomy Kidney Percutaneous Nephrolithotomy Results Percutaneous Nephrolithotomy Pcnl


	HEALTH INFORMATION ENCYCLOPEDIA Neonatal Resuscitation Fetal Pulmonary Acute Abdomen Radiological Imaging Kidney Transplant Diagnosis Preparation Fatty Liver Disease Imaging Imperforate Anus Extracorporeal Lithotripsy ESWL Obstructive Jaundice Biliary Duct Dilatation Inguinal Hernia Repair Hernioplasty Hydrocelectomy Hydrocele Repair Mitral Valve Repair Diagnosis Results Hydrops Fetalis Cardiac Causes Intraoperative Ultrasound Imaging Choledochal Cysts Cholangitis Autonomic Dysreflexia Hyperreflexia Congenital Epigastric Defects Hemoperfusion Treatment Technique Operating Room Surgery Center Duodenal Malformations Breastfeeding Risk Factors In The Infant Birth Trauma Birth Injury Breast Disorders In Children Radical External Beam Radiotherapy Bronchopulmonary Dysplasia Vesicoureteric Reflux In Adults Laparoscopic Ultrasound Imaging Radical Prostatectomy Pancreas Ultrasound Techniques

IMPOTENCE TREATMENT
Category: Urology
Abstract : Impotence treatment Psychosexual therapy : Aims to understand and address underlying psychological issues, and provides information and treatment in the form of sex education, instruction on improving partner communication skills, cognitive therapy, and behavioural therapy (programmed re-learning of couple's sexual relationship). Oral medication : - Phosphodiesterase type-

Impotence treatment
Psychosexual therapy :
Aims to understand and address underlying psychological issues, and provides information and treatment in the form of sex education, instruction on improving partner communication skills, cognitive therapy, and behavioural therapy (programmed re-learning of couple's sexual relationship).

Oral medication :
- Phosphodiesterase type-5 (PDE5) inhibitors: sildenafil (Viagra); tadalafil (Cialis); vardenafil (Levitra). PDE5 inhibitors enhance cavernosal smooth muscle relaxation and erection by blocking the breakdown of cGMP. Sexual stimulus is still required to initiate events. Side-effects: headache; flushing; visual disturbance. Contraindications: patients taking nitrates; recent myocardial infarction; recent stroke; hypotension; unstable angina.

- Dopamine receptor agonist: apomorphine (Uprima). Apomorphine is administered sublingually, and acts centrally on dopaminergic receptors in the paraventricular nucleus of the hypothalamus to enhance and co-ordinate the effect of sexual stimuli. Adverse effects: nausea; headache; dizziness.

Androgen replacement therapy
testosterone replacement is indicated for hypogonadism. It is available in oral, intramuscular, pellet, patch, and gel forms. In older men, it is recommended that PSA is checked before and during treatment.

Intraurethral therapy
alprostadil (MUSE). Synthetic prostaglandin E1 (PGE1) pellet administered into the urethra via a specialized applicator. Once inserted, the penis is gently rolled to encourage the pellet to dissolve into the urethral mucosa, from where it enters the corpora. Side-effects: penile pain; priapism; local reactions.

Intracavernosal therapy
alprostadil/Caverjet (synthetic PGE1); papaverine (smooth muscle relaxant) ± phentolamine (α-adrenoceptor agonist). Training of technique and first dose is given by health professional. Needle is inserted at right angles into the corpus cavernosum on the lateral aspects of mid-penile shaft. Adverse effects: pain; priapism; haematoma.

Vacuum erection device
it contains 3 components: vacuum chamber, pump, and constriction band. The penis is placed in the chamber and the vacuum created by the pump increases blood flow to the corpora cavernosa to induce an erection. The constriction band is placed onto the base of the penis to retain blood in the corpora and maintain rigidity. Adverse effects: penile coldness; bruising.

Penile prosthesis
semi-rigid, malleable, and inflatable penile prostheses are available for surgical implantation into the corpora to provide penile rigidity and sufficient erectile size for sexual intercourse. Side-effects: mechanical failure; erosions; infections.

Hit: 1130 times

Related Articles in Urology :