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Our urological specialists at University of Utah Health understand your sensitivities related to ED. We develop treatment plans customized for your needs to help you get your sexual function back. Causes of ED

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Oral drugs such as Viagra, Cialis, Levitra, or StendraTestosterone therapyPenis injectionsVacuum erection pumpsIntraurethral medicationPenile implants such as semi-rigid implants or inflatable implantsSurgery to repair artery damage after trauma to the penis
Men with diabetes, radical prostatectomy, and other complicating factors may still benefit from treatment with a phosphodiesterase type-5 inhibitor such as Viagra. Patients who fail a trial of PDE5 inhibitor should be informed of the benefits and risks of other therapies. This of a different PDE5 inhibitor is unlikely to have a profound effect on sexual function and someone who fails a first drug trial, but should be considered in selected cases. Second-line therapies include intra-urethral suppositories, intra-cavernous drug injection, vacuum-constriction devices, and penile prosthesis. Medicated Urethral System for Erection (MUSE). MUSE is an intra-urethral suppository of alprostadil, of vaso-active drug that relaxes smooth muscle in the penis and induces penile erection. Although not as effective as intra-cavernosal penile injection, MUSE is a less invasive treatment option. An initial trial dose of intra-urethral alprostadil should be administered under healthcare provider supervision due to the risk of fainting. The cost of intra-urethral suppositories is high with respect to the overall success and therefore should be used judiciously. .

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The duration of ED depends on what causes it and how you respond to your treatment. Many men notice an immediate improvement when they start on medication or another form of treatment.
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Sildenafil (Viagra) may affect another phosphodiesterase enzyme in the eye causing transient abnormal vision (seeing a bluish hue or brightness).
Erectile Dysfunction Early SignsFrequent erection failures while having sex.Not having a pleasurable time with their partnerNot having a firm erection required for sexual intercourse.Erectile Dysfunction Symptoms Age

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Footnotes*Note: Coverage of injectable medications is subject to the terms of the member’s benefit plan. Please check benefit plan descriptions for details.

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There are several different types of injection therapy ranging from injection of a single chemical (monotherapy) to a combination of chemicals, Bimix and Trimix. The selection of which therapy to use will vary with the severity of your erectile dysfunction and whether or not you tried and had pain with MUSE.

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    Implantable penile prostheses are considered experimental and investigational for other indications because their effectiveness for indications other than the one listed above has not been established.

    Most people who get shockwave therapy for ED will often see benefits within one to three months. The initial results (within the first several weeks) can be dramatic. There is still not enough long-term research and data to say how long the treatment might last, whether the effects of the treatment could wear off, or whether you will need additional treatment at a later time. Schedule a Consult with Our Specialists
    Checking the penis for sensitivity determines any nervous system origins. Inspection of penile appearance helps rule out Peyronie's disease. A blood pressure check rules out circulation problems by checking wrist and ankle pulse.

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    It’s well known that there are medicines available to treat E.D. However men with this condition may be unaware that there are specific exercises which may offer effective Erectile Dysfunction treatment, and could make all the difference in the bedroom. Kegel exercises for men can help to improve sexual function, as well as urinary and bowel incontinence, by strengthening the pelvic floor. Erectile Dysfunction treatment with Kegel Exercises: Find the right muscles by stopping urination midstream, or tightening the muscles which stop you from passing wind Perform some reps – hold the muscles for 5 seconds then relax. Slowly build up the number of reps until you can repeat this 10 or 20 times, 2 to 3 times per day. Start by doing them lying down, and then progress to doing while sitting, standing or walking

    Get the most from your doctor’s visit Cancer survivorship An improved approach to prostate cancer Anxiety and Depression Sexual health European Code Against Cancer PRESS RELEASE: Alarmingly Low Awareness of Urology Across Europe
    Problems faced by urologists at all stages when returning to surgery after a prolonged absence

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    The prostate gland is located just below the bladder and is surrounded by nerves and blood vessels. These nerves and blood vessels are needed to achieve a normal erection. Much research has been done to understand where these nerves are located and how to prevent them from getting damaged during surgery or other treatments.

    Erectile problems can be extremely frustrating. There is no doubt about it. It can also be the underlying cause of separation and divorce. However, it is not something that cannot be treated. You need to look out for a safe and effective solution. andyramirez March 28, 2013
    Certain behaviors also can cause ED or make it worse. These include smoking, heavy drinking, recreational drug use, and physical inactivity. According to Dr. Baumgarten, “Smoking doubles your risk of erectile dysfunction, because it can impair the smooth muscle relaxation of the blood vessels in the penis.”

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    Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.

    Where erectile dysfunction is predominantly due to a physical cause, patients may describe a gradual onset of symptoms, which may occur across a variety of settings and different stimuli. Where the psychological component is the main factor, patients may describe a sudden onset in symptoms with erectile dysfunction varying dependent on the situation.
    Various studies have shown that around 11 percent of men experience mild symptoms of ED in their early 30s. And by doing proper exercises and yogas, one can overcome those symptoms to get over their problem before touching their 40s.

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* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary. Toggle navigation Urologic Surgery UC Davis HealthUrologic Surgery Erectile Dysfunction

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One of the most important causes for ED is vascular disease; examples include diabetes (Types I and II), high blood-pressure, high cholesterol/lipids, tobacco use, obesity, and lack of exercise. All of these conditions can lead to impaired response of the blood vessels responsible for controlling penile erection. There is evidence that men who have vascular disease and make healthy lifestyle changes (e.g. increasing exercise, losing weight, quitting smoking) may experience improvement in erectile function. It is important to remember that whatever is good for the heart is also good for the penis.

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L-citrulline can be converted to L-arginine in the body. L-arginine widens blood vessels, increasing blood flow.

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If you think any medicine you are taking may be causing erection problems, talk with your provider. You may need to lower the dose or change to another drug. DO NOT change or stop taking any medicine without first talking to your provider.

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