Treatments for Impotence
Treatments for Impotence
The list of treatments mentioned in various sources
for Impotence
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Impotence: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Impotence may include:
Hidden causes of Impotence may be incorrectly diagnosed:
Impotence: Marketplace Products, Discounts & Offers
Products, offers and promotion categories available for Impotence:
Drugs and Medications used to treat Impotence:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Impotence include:
Unlabeled Drugs and Medications to treat Impotence:
Unlabelled alternative drug treatments for Impotence include:
- Yohimbine - mainly used to treat SSRI-induced sexual dysfunction
- Aphrodyne - mainly used to treat SSRI-induced sexual dysfunction
- Yocon - mainly used to treat SSRI-induced sexual dysfunction
- PMS Yohimbine - mainly used to treat SSRI-induced sexual dysfunction
Latest treatments for Impotence:
The following are some of the latest treatments for Impotence:
Hospital statistics for Impotence:
These medical statistics relate to hospitals, hospitalization and Impotence:
- 0.007% (907) of hospital consultant episodes were for sexual dysfunction not caused by organic disorders or diseases in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 100% of hospital consultant episodes for sexual dysfunction not caused by organic disorders or diseases required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 93% of hospital consultant episodes for sexual dysfunction not caused by organic disorders or diseases were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 7% of hospital consultant episodes for sexual dysfunction not caused by organic disorders or diseases were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
Hospitals & Medical Clinics: Impotence
Research quality ratings and patient incidents/safety measures
for hospitals and medical facilities in specialties related to Impotence:
Hospital & Clinic quality ratings » »
Choosing the Best Treatment Hospital:
More general information, not necessarily in relation to Impotence,
on hospital and medical facility performance and surgical care quality:
Medical news summaries about treatments for Impotence:
The following medical news items
are relevant to treatment of Impotence:
Discussion of treatments for Impotence:
Most physicians suggest that treatments for
impotence proceed along a path moving from least invasive to most
invasive. This means cutting back on any harmful drugs is considered
first. Psychotherapy and behavior modifications are considered next,
followed by vacuum devices, oral drugs, locally injected drugs, and
surgically implanted devices (and, in rare cases, surgery involving veins
or arteries).
Psychotherapy
Experts often treat psychologically based impotence
using techniques that decrease anxiety associated with intercourse. The
patient's partner can help apply the techniques, which include gradual
development of intimacy and stimulation. Such techniques also can help
relieve anxiety when physical impotence is being treated.
Drug Therapy
Drugs for treating impotence can be taken orally,
injected directly into the penis, or inserted into the urethra at the tip
of the penis. In March 1998, the Food and Drug Administration approved
sildenafil citrate (marketed as Viagra), the first oral pill to treat
impotence. Taken 1 hour before sexual activity, sildenafil works by
enhancing the effects of nitric oxide, a chemical that relaxes smooth
muscles in the penis during sexual stimulation, allowing increased blood
flow. While sildenafil improves the response to sexual stimulation, it
does not trigger an automatic erection as injection drugs do. The
recommended dose is 50 mg, and the physician may adjust this dose to 100
mg or 25 mg, depending on the needs of the patient. The drug should not be
used more than once a day.
Oral testosterone can reduce impotence in some men with low levels of
natural testosterone. Patients also have claimed effectiveness of other
oral drugs--including yohimbine hydrochloride, dopamine and serotonin
agonists, and trazodone--but no scientific studies have proved the
effectiveness of these drugs in relieving impotence. Some observed
improvements following their use may be examples of the placebo effect,
that is, a change that results simply from the patient's believing that an
improvement will occur.
Many men gain potency by injecting drugs into the penis, causing it to
become engorged with blood. Drugs such as papaverine hydrochloride,
phentolamine, and alprostadil (marked as Caverject) widen blood vessels.
These drugs may create unwanted side effects, however, including
persistent erection (known as priapism) and scarring. Nitroglycerin, a
muscle relaxant, sometimes can enhance erection when rubbed on the surface
of the penis.
A system for inserting a pellet of alprostadil into the urethra is
marketed as MUSE. The system uses a pre-filled applicator to deliver the
pellet about an inch deep into the urethra at the tip of the penis. An
erection will begin within 8 to 10 minutes and may last 30 to 60 minutes.
The most common side effects of the preparation are aching in the penis,
testicles, and area between the penis and rectum; warmth or burning
sensation in the urethra; redness of the penis due to increased blood
flow; and minor urethral bleeding or spotting.
Research on drugs for treating impotence is expanding rapidly. Patients
should ask their doctors about the latest advances.
Vacuum Devices
Mechanical vacuum devices cause erection by
creating a partial vacuum around the penis, which draws blood into the
penis, engorging it and expanding it. The devices have three components: a
plastic cylinder, in which the penis is placed; a pump, which draws air
out of the cylinder; and an elastic band, which is placed around the base
of the penis, to maintain the erection after the cylinder is removed and
during intercourse by preventing blood from flowing back into the body
(see figure 2).
One variation of the vacuum device involves a semirigid rubber
sheath that is placed on the penis and remains there after attaining
erection and during intercourse.
Surgery
Surgery usually has one of three goals:
- to implant a device that can cause the penis to become erect;
- to reconstruct arteries to increase flow of blood to the penis;
- to block off veins that allow blood to leak from the penile tissues.
Implanted devices, known as prostheses, can restore erection in
many men with impotence. Possible problems with implants include
mechanical breakdown and infection. Mechanical problems have diminished in
recent years because of technological advances.
Malleable implants usually consist of paired rods, which are inserted
surgically into the corpora cavernosa, the twin chambers running
the length of the penis. The user manually adjusts the position of the
penis and, therefore, the rods. Adjustment does not affect the width or
length of the penis.
Inflatable implants consist of paired cylinders, which are surgically
inserted inside the penis and can be expanded using pressurized fluid (see
figure 3). Tubes connect the cylinders to a fluid reservoir and pump,
which also are surgically implanted. The patient inflates the cylinders by
pressing on the small pump, located under the skin in the scrotum.
Inflatable implants can expand the length and width of the penis somewhat.
They also leave the penis in a more natural state when not inflated.
Surgery to repair arteries can reduce impotence caused by
obstructions that block the flow of blood to the penis. The best
candidates for such surgery are young men with discrete blockage of an
artery because of an injury to the crotch area or fracture of the pelvis.
The procedure is less successful in older men with widespread blockage.
Surgery to veins that allow blood to leave the penis usually involves
an opposite procedure--
intentional blockage. Blocking off veins
(ligation) can reduce the leakage of blood that diminishes rigidity of the
penis during erection. However, experts have raised questions about this
procedure's long-term effectiveness.
(Source: excerpt from Impotence: NIDDK)
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Book Excerpts: Treatment of Impotence
Treatments of Impotence: Online Medical Books
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for more information about the treatments of Impotence.
Erectile disorder:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Sex therapy, which should include both partners, may effectively cure psychogenic impotence. The course and content of such therapy depend on the specific cause of the dysfunction and the nature of the male-female relationship. Usually, therapy includes sensate focus exercises, which restrict the couple’s sexual activity and encourage them to become more attuned to the physical sensations of touching. Sex therapy also includes improving verbal communication skills, eliminating unreasonable guilt, and reevaluating attitudes toward sex and sexual roles.
Treatment of organic impotence focuses on reversing the cause if possible. If not, psychological counseling may help the couple deal realistically with their situation and explore alternatives for sexual expression. Certain patients suffering from organic impotence may benefit from surgically inserted inflatable or noninflatable penile implants. Sildenafil, a recent drug treatment for erectile dysfunction, is also effective and is an alternative to surgery in many male patients.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Impotence:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Encourage your patient to talk openly about his needs and desires, fears and anxieties, or misconceptions. Urge him to discuss these issues with his partner as well as what role both of them want sexual activity to play in their lives.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Impotence:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Ensure privacy, confirm confidentiality, and establish a rapport with the patient.
▪ Help the patient feel comfortable about discussing his sexuality.
▪ Adopt an accepting attitude about the sexual experiences and preferences of others.
▪ Prepare the patient for screening tests for hormonal irregularities, Doppler studies of penile blood pressure to rule out vascular insufficiency, voiding studies, nerve conduction tests, evaluation of nocturnal penile tumescence, and psychological screening.
▪ Discuss counseling for the patient and his sexual partner, if the patient has psychogenic impotence.
▪ Provide interventions to treat the cause, if the patient has organic impotence.
▪ Prepare the patient for other forms of treatment such as surgical revascularization, drug-induced erection, surgical repair of a venous leak, and penile prostheses.
Patient teaching
▪ Discuss the importance of maintaining follow-up appointments and therapy for underlying medical disorders.
▪ Encourage him to talk openly about his needs and desires, fears and anxieties, or misconceptions.
▪ Urge the patient to discuss his feelings with his partner as well as what role both of them want sexual activity to play in their lives.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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