Medical therapy impotence
Until recently, the main drugs used to treat impotence, was yohimbine. The effectiveness of its use does not exceed 10%. The need for long-term use of the drug (from several months to a year) and low efficiency of treatment makes this technique maloprimenimoy. The indications for the use of yohimbine is only psychogenic impotence.
Search pathogenetic reasonable, non-invasive, highly effective treatment of impotence was a success and the creation of drugs - inhibitors of phosphodiesterase type 5. The first drug of this group was sildenafil (Viagra), but now there are new drugs - tadalafil (Cialis), verdenafil (Levitra).
Such products help advance and maintain an erection during sexual intercourse. The indications for their use are organic and psychogenic impotence genesis. Contraindications for use by the patient is receiving nitrates in any dosage form.
Effectiveness of drugs - inhibitors of phosphodiesterase type 5 in patients with psychogenic and organic forms of impotence is 75-80% according to numerous studies.
Vacuum konstriktornye device (vacuum pump)
The method is to create a negative pressure in the cavernous bodies of the penis with a vacuum cylinder and pump (vacuum pump), which causes blood flow and erection, restrained by the imposition of the base member of a special contracting ring that restricts venous outflow.
Thus, the penis remains erect position and provides the opportunity to commit the sexual act of no more than 30 minutes. Pressure achieved in the vacuum pump, should be between 100 to 225 mm Hg
Effectiveness of the method reaches 40-50%, the rate of complications (subcutaneous hemorrhage, pain) does not exceed 5%. When ineffectiveness vacuum konstriktornuyu therapy can be used in combination with drug therapy, injections of vasoactive drugs, as well as to create complementary erection after penile prosthesis implantation.
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Saturday, October 31, 2009
Thursday, October 22, 2009
Erectile Dysfunction Cause
The term erectile dysfunction (ED) urologists understand the condition in which it is impossible to achieve or maintain a degree of erection of the penis, which allows a sexual act, to satisfy the sexual activity. Thus under erectile dysfunction understand arises sporadically or constantly recurring condition.
This delicate problem can occur at any age. According to statistics, about two out of ten adult men suffer from this ailment. And in men over the age of 60 years, erectile dysfunction occurs in 30% of cases. Many people, faced with this problem, do not rush to the doctor, try to treat erectile dysfunction in their own homes, people's money that does not work, and in some cases even promotes the progression of the disease.
You should always keep in mind that modern medicine is capable of much. Occupational physicians' he Clinic is able to help in 98% of cases, patients of any age.
Manifestations of erectile dysfunction:
- Sluggish and inadequate for sexual intercourse erection;
- The sudden disappearance of erection directly during sexual intercourse;
- Complete absence of erection.
As it happens, the physiology of erectile dysfunction
The penis contains cavernous bodies representing the two cylindrical formation with cavernous (spongy) structure. When sexual excitation nerve impulses lead to multiple, compared with the resting state, increasing blood flow to the cavernous bodies. The strong inflow of blood causes the expansion of spongy tissue and, as a result, the increase in size, increasing the elasticity of the penis. Continued during intercourse arousal and sexual stimulation support the level of blood flow, creating tension.
Upon the termination of stimulation or after ejaculation (ejaculation), is the outflow of blood from the penis and it takes its normal size and shape. Tension and relaxation of the penis - is not a simple physiological process that occurs as a result of the interaction of the central nervous system (CNS), peripheral nervous system, smooth muscles of blood vessels and cavernous bodies.
Thus, any violation in the work of one or more of these mechanisms or violation of delicate balance between them leads to the development of erectile dysfunction.
Traditionally, the share psychogenic (as a result of stress, neurosis, problems in the relationship), organic erectile dysfunction (as a side effect, and as a result of complications of various somatic diseases) and mixed. Until recently, the most common cause of erectile dysfunction were considered as stress, psychological problems in men. Currently, however, proved that the main cause of these states are organic disease. Therefore, to identify the true causes of disease and the appointment of proper treatment of erectile dysfunction should always be a comprehensive examination of the patient.
The most frequent causes of erectile dysfunction:
- Diabetic neuropathy (neurological injury during prolonged current diabetes) - Erectile dysfunction affects 35 to 50% of men with diabetes
- Diseases that cause circulatory disorders in the organs of the pelvis and penis (atherosclerosis)
- Some medications (hypnotics and tranquilizers, allergy medications, antidepressants, etc.)
- Spinal injuries, as well as surgical interventions on the pelvic
- Multiple sclerosis
- Hormonal disorders
- Alcoholism and drug dependency
Also lead to erectile dysfunction such non-organic causes, such as:
Neuroses and psychological problems. Sometimes erectile dysfunction is the result of stress.
Negative premonitions. Premonitions, which are tested in relation to the sexual partner, problems in relations with a partner - for example, fear of sexual failure or loss of interest can sometimes have a negative effect on potency.
Medical aid
In any man, even the most healthy, there may be a violation of potency. But if erectile dysfunction persists for more than two months, or is repeated periodically, should consult a doctor. The medical center "ON Clinic" at the first visit, which on average lasts about half an hour, a specialist urologist with the help of modern diagnostic methods to determine the cause of violations and propose an optimal method of treatment of erectile dysfunction for your particular case.
Treatment of erectile dysfunction
Due to unique methods of treatment of erectile dysfunction used in the medical center "It Clinic, a positive result is achieved regardless of the attendant problems such as high blood pressure, diabetes or heart disease, as well as the patient's age. The effect is noticeable, usually after the first visit, and the statistics of the recovery is about 98%.
Today, everyone's hearing the names of drugs used to treat erectile dysfunction. However, you must know that these drugs are virtually helpless in the erectile violations associated with such ailments as atherosclerosis and diabetes, and are contraindicated for those who take nitratsoderzhaschie drugs.
At the International Medical Center ON CLINIC "there is no uniform for everyone, standardized methods of treatment.
For each case of disease specialists, urologists idividualno picked a course of treatment of erectile dysfunction, optimally suited for the patient, including using their own pharmacological development.
This delicate problem can occur at any age. According to statistics, about two out of ten adult men suffer from this ailment. And in men over the age of 60 years, erectile dysfunction occurs in 30% of cases. Many people, faced with this problem, do not rush to the doctor, try to treat erectile dysfunction in their own homes, people's money that does not work, and in some cases even promotes the progression of the disease.
You should always keep in mind that modern medicine is capable of much. Occupational physicians' he Clinic is able to help in 98% of cases, patients of any age.
Manifestations of erectile dysfunction:
- Sluggish and inadequate for sexual intercourse erection;
- The sudden disappearance of erection directly during sexual intercourse;
- Complete absence of erection.
As it happens, the physiology of erectile dysfunction
The penis contains cavernous bodies representing the two cylindrical formation with cavernous (spongy) structure. When sexual excitation nerve impulses lead to multiple, compared with the resting state, increasing blood flow to the cavernous bodies. The strong inflow of blood causes the expansion of spongy tissue and, as a result, the increase in size, increasing the elasticity of the penis. Continued during intercourse arousal and sexual stimulation support the level of blood flow, creating tension.
Upon the termination of stimulation or after ejaculation (ejaculation), is the outflow of blood from the penis and it takes its normal size and shape. Tension and relaxation of the penis - is not a simple physiological process that occurs as a result of the interaction of the central nervous system (CNS), peripheral nervous system, smooth muscles of blood vessels and cavernous bodies.
Thus, any violation in the work of one or more of these mechanisms or violation of delicate balance between them leads to the development of erectile dysfunction.
Traditionally, the share psychogenic (as a result of stress, neurosis, problems in the relationship), organic erectile dysfunction (as a side effect, and as a result of complications of various somatic diseases) and mixed. Until recently, the most common cause of erectile dysfunction were considered as stress, psychological problems in men. Currently, however, proved that the main cause of these states are organic disease. Therefore, to identify the true causes of disease and the appointment of proper treatment of erectile dysfunction should always be a comprehensive examination of the patient.
The most frequent causes of erectile dysfunction:
- Diabetic neuropathy (neurological injury during prolonged current diabetes) - Erectile dysfunction affects 35 to 50% of men with diabetes
- Diseases that cause circulatory disorders in the organs of the pelvis and penis (atherosclerosis)
- Some medications (hypnotics and tranquilizers, allergy medications, antidepressants, etc.)
- Spinal injuries, as well as surgical interventions on the pelvic
- Multiple sclerosis
- Hormonal disorders
- Alcoholism and drug dependency
Also lead to erectile dysfunction such non-organic causes, such as:
Neuroses and psychological problems. Sometimes erectile dysfunction is the result of stress.
Negative premonitions. Premonitions, which are tested in relation to the sexual partner, problems in relations with a partner - for example, fear of sexual failure or loss of interest can sometimes have a negative effect on potency.
Medical aid
In any man, even the most healthy, there may be a violation of potency. But if erectile dysfunction persists for more than two months, or is repeated periodically, should consult a doctor. The medical center "ON Clinic" at the first visit, which on average lasts about half an hour, a specialist urologist with the help of modern diagnostic methods to determine the cause of violations and propose an optimal method of treatment of erectile dysfunction for your particular case.
Treatment of erectile dysfunction
Due to unique methods of treatment of erectile dysfunction used in the medical center "It Clinic, a positive result is achieved regardless of the attendant problems such as high blood pressure, diabetes or heart disease, as well as the patient's age. The effect is noticeable, usually after the first visit, and the statistics of the recovery is about 98%.
Today, everyone's hearing the names of drugs used to treat erectile dysfunction. However, you must know that these drugs are virtually helpless in the erectile violations associated with such ailments as atherosclerosis and diabetes, and are contraindicated for those who take nitratsoderzhaschie drugs.
At the International Medical Center ON CLINIC "there is no uniform for everyone, standardized methods of treatment.
For each case of disease specialists, urologists idividualno picked a course of treatment of erectile dysfunction, optimally suited for the patient, including using their own pharmacological development.
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