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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