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antianxiety drugs and sedatives (e.g., diazepam) The pathophysiology of post-prostatectomy ED principally involves "neuropraxia" (i.e., temporary traumatic functional loss of nerve function) that may occur despite "nerve-sparing," or complete nerve function loss that occurs after cavernous transection or removal. In addition to nerve injury, concomitant injury of accessory penile vasculature and secondary structural and functional derangements of the denervated cavernosal tissue may contribute to ED.527 The pathophysiology of post-radiation therapy ED involves radiation-induced damage of the nerve and vascular supply of the penis.544
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Enter your symptoms When one is aroused the nervous system releases stimulated chemicals that include the nitric oxide. These compounds help in stimulating the arteries to the penis relax and thus increase* the flow into the penis, which causes the spaces to expand like a sponge.
475. Tas A, Ersoy A, Ersoy C et al: Efficacy of sildenafil in male dialysis patients with erectile dysfunction unresponsive to erythropoietin and/or testosterone treatments. Int J Impot Res 2006; 18: 61.
GoodRx for Doctors Thirty-six study arms reported outcomes for arterial reconstruction procedures (i.e., additional procedures such as venous ligation or embolization were not used).902-934 The most commonly used outcome measure was the percentage of men in different response categories post-surgery; however, not all studies provided the information in all categories. Complete responders were defined as men able to have intercourse without the use of oral or IU or ICI medications and without a vacuum device. Partial responders were defined as men who before surgery could not have intercourse even with the use of medications or a vacuum device but had sufficient response to medications or a device that intercourse became possible post-operatively. In most studies, partial responders were men who became responsive to ICI medications. Nonresponders were defined as men who did not improve post-surgery. Follow-up durations varied considerably (range 6 months to 73.2 months; mean 30.4 months). Some studies reported responder rates at various follow-up durations post-surgery. Typically, high response rates (complete or partial) were reported at short intervals post-surgery, with declining rates over time. Overall, there was considerable variability regarding response rates, particularly complete (range 12 to 81.6%) and partial response rates (range 7.7 to 53.3%).
Planning for Retirement PSYCHOLOGICAL Overall, the Panel interpreted the PDE5i data to indicate that erectile function rehabilitative protocols tested to date remain unproven. Psychosocial support, however, is an important strategy for penile rehabilitation. Given the impact of ED after prostate cancer treatment, particularly its suddenness and severity for many men undergoing RP, it is not surprising that men in this setting commonly experience depression, anxiety, and relationship stress.550,551 Psychotherapeutic regimens have been prescribed with reported rehabilitative benefits of such treatment.526 Clinicians should educate men regarding the sexual effects of prostate cancer treatments and set realistic expectations regarding functional recovery, including the possibility that recovery may be more challenging for men who have multiple ED risk factors. Men should be coached and monitored during and after prostate cancer treatments.552 These efforts, including combining psychosocial support and somatic erectogenic treatments, may motivate men and their partners to maintain intimacy during sexual function recovery.526,530,551
Erectile dysfunction treatment "Generic Revatio is considerably less expensive, and it is the same drug as Viagra with the same safety and effectiveness," says Bradley Anawalt, M.D., an endocrinologist and professor of medicine at the University of Washington in Seattle who chairs the Endocrine Society's Hormone Health Network.
Benign Hypertension Josef H., Chicago Can't Get Or Stay Hard? Find Out How 297. Zhao C, Kim SW, Yang DY et al: Efficacy and safety of avanafil for treating erectile dysfunction: results of a multicentre, randomized, double-blind, placebo-controlled trial. BJU Int 2012; 110: 1801.
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Duplex ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. Injecting prostaglandin, a hormone-like stimulator produced in the body, induces the erection. Ultrasound is then used to see vascular dilation and measure penile blood pressure.
Check your policy’s details. It depends on the type of treatment you’re getting and your insurance coverage. If your ED is due to a medical condition, insurance will usually cover at least some of it.
A-Z View or Print All Sections The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina; it is now mostly replaced by more precise terms, such as erectile dysfunction (ED). The study of erectile dysfunction within medicine is covered by andrology, a sub-field within urology. Research indicates that erectile dysfunction is common, and it is suggested that approximately 40% of males with erectile dysfunction or impotence, at least occasionally. The condition is also on occasion called phallic impotence. Its antonym or opposite condition is priapism.
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174. Hatzichristou D, Cuzin B, Martin-Morales A et al: Vardenafil improves satisfaction rates, depressive symptomatology, and self-confidence in a broad population of men with erectile dysfunction. J Sex Med 2005; 2: 109.
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Non-pharmaceutical alternatives may be more effective Evaluation of hormonal status (testosterone, serum hormone–binding globulin, luteinizing hormone [LH], prolactin, thyroid-stimulating hormone [TSH]) – Note that the American College of Physicians (ACP) does not recommend for or against routine use of hormonal blood tests or hormonal treatment in ED patients
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