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Phosphodiesterase 5 Inhibitors for Erectile Dysfunction
"Smoking, because it causes blood vessel constriction, is a very big cause of erectile dysfunction," said Dr. Larry Lipshultz, chief of male reproductive medicine at Baylor College of Medicine in Houston.
When to Contact a Medical Professional
Penile pain (11 to 32 percent) and minor urethral discomfort are the most common reported adverse effects of transurethral administration, with dizziness (2 percent) and symptomatic hypotension (3 percent) being the most serious.16 As with transcavernosal alprostadil, the transurethral form of the drug is contraindicated in patients with an abnormally formed penis, those having conditions that predispose them to priapism, those with a known hypersensitivity to alprostadil and those who have been advised for medical reasons to avoid sexual intercourse. Because it is a smooth muscle relaxant, transurethral alprostadil should not be used during sexual intercourse with a pregnant woman.16
Duplex ultrasound: This is perhaps the best test for evaluating ED. An ultrasound uses high-frequency sound waves to take "pictures" of the body's tissues. For people with ED, an ultrasound may be used to evaluate blood flow and check for signs of a venous leak, artherosclerosis or tissue scarring. This test is performed both while the penis is erect (usually induced by an injection of a drug that stimulates erection) and also while it is soft.
Erectile dysfunction is a strong warning sign that a man might be at increased risk for heart attack, stroke and other cardiovascular problems, a long-running study indicates.
Herbal Remedies: Asian ginseng and Ginkgo biloba are believed to improve erectile function in some men. However, consult a doctor before taking any herbal supplements to ensure they are safe for you to take.
The study was to be presented over the weekend at the annual meeting of the American Society of Gene Therapy, in Seattle.
ED Drug Uprima Often Ineffective: Study
Erectile dysfunction. This penile tumescence monitor is placed at the base and near the corona of the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep.
If erection problems seem to be caused by a medication you are taking for an unrelated condition, consult your doctor. You may benefit from reducing the dose of the drug or changing to another drug that has the same result but not the same side effects. DO NOT change or stop taking any medications without first talking to your doctor.
Angiography is useful if the patient is a potential candidate for some type of vascular surgery. Young men with traumatic vascular injuries resulting in ED are candidates for this study because they may qualify for a vascular reconstruction
Dynamic Infusion Cavernosometry
If an underlying medical condition has been diagnosed, treatment of that disease is appropriate; however, therapy for chronic diseases such as diabetes, hypertension and atherosclerosis does not guarantee the return of erectile function. Any evidence of hypogonadism, hypothyroidism or other endocrine causes should be thoroughly investigated and treated. As a risk factor for atherosclerosis and a common underlying cofactor, smoking should be avoided. If the patient smokes, methods of smoking cessation should be explored. Consideration should be given to changing prescription drugs that could be contributing to the problem (Table 2).
Q. What are the major differences between the two devices?
One such research area has involved the use of the angiogenic growth factor and endothelial cell mitogen, vascular endothelial growth factor (VEGF). This is produced by vascular smooth muscle, endothelial, and inflammatory cells. VEGF increases the production of nitric oxide, which improves endothelial function and blood flow in chronic ischemic disorders.
How should tadalafil (Cialis) be administered?
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