What are the available treatments?
First, it is necessary to establish the cause (or causes) of the erectile difficulties. The problem could be psychological or physical, and the treatment will be chosen accordingly. Psychotherapy can be beneficial in the absence of physical causes.
There are different treatment strategies to deal with erectile dysfunction, each of which have their benefits and inconveniences.
There are prescription medications in tablet format to be taken as needed before sexual activity. They work at the level of blood vessels to facilitate the inflow of blood to allow an erection to occur.
This mechanism is made up of a pump, a plastic cylinder and a tension ring. The penis is placed in the cylinder in which a vacuum is created to help draw blood into the penis to bring about an erection. A tension ring is then applied at the base of the penis to maintain the erection.
The transurethral treatment consists in inserting a minuscule suppository or cream into the urethra using an applicator. The medication absorbed in this manner brings about the relaxation of the muscles of the penis, increasing the inflow of blood to the erectile tissue.
This form of treatment consists in injecting a medication in the penis with a fine needle before sexual intercourse. The medication acts the same way as the ones delivered by transurethral administration (see above).
Penile implants replace the erectile tissue of the penis. There are two types of implants: the semi-rigid (malleable) prosthesis and the inflatable mechanisms (hydraulic). These two types of implants require surgery and are used as a last resort.
Vascular surgery is generally available for men whose blood circulation in the pelvic area is partly cut off because of an injury. The intervention aims to restore blood flow to allow erections to occur naturally.