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If this occurs, the veins that drain the penis may be tied off.

This type of dysfunction is often called Corporal Veno-Occlusive Dysfunction (CVOD). Penile arterial reconstructive surgery, also called penile revascularization, is a method used in younger men who have injuries that affect blood flow to the penis.

During surgery, a portion of a blood vessel from elsewhere in the abdomen is used to bypass the damaged portion of artery that supplies blood to the penis. Penile prostheses for the treatment of ED have been available for more than 30 years in the US.

A key discovery sildenafil overnight shipping in the field of penile

prosthetics

(Garber, 2005) The used implants can be divided into three main categories: Semi-rigid rods, which consists of two bendable rods, with the outer surface of each being silicone and the inner component being silver or stainless steel wires or interlocking plastic joints held together with a cable.

Once implanted, the penis can be manually bent up or down as required by the user. The rods can be implanted as an outpatient procedure using local anaesthetic. The major disadvantage is that the penis has to be well hidden under clothing since it is permanently stiff, even when bent down.

Self-contained devices, where two cylinders are placed inside the penis, each one containing a pump, fluid and a release valve.

A squeeze to the head of the penis forces fluid to transfer and cause rigidity. Conversely, bending the penis forces the fluid back to the storage area. Multi-component inflatable implants, consisting of two or three components.

Inflatable cylinders placed in the corpora cavernosa, a fluid reservoir implanted in the abdomen or lower pelvis and a small pump placed in the scrotum.

The user squeezes the pump and fluid moves from the reservoir into the cylinders to create an erection.

A further squeeze of the pump reverses the process. Numerous studies show that

penile

According to European Association of Urology (EAU), the overall satisfaction rate is as high as 70-87 %.

The dominating implant is sildenafil overnight shipping the multi-component with three components (see Figure 4), which accounts for sildenafil overnight shipping 75 % of all implants (HBS 2007).

The most commonly mentioned problems with the inflatable 3-piece implants are unwanted erections due to mechanical pump functionality, unnatural appearance of scrotum (pump is placed there), and the lack of spontaneity due to the manual pump.

It is difficult to estimate the costs for society that are related to erectile dysfunction. However, there are some studies in the area that make an effort to quantify that

very

A prevalence-based cost of illness study was performed from the perspective of the sildenafil overnight shipping UK National Health Service (NHS), to evaluate the annual direct cost of managing Erectile

Dysfunction

By extrapolating the UK cost to the European and the US population, we estimate the total direct cost for society of managing ED in these geographic areas at USD 2 billion.

Quality of life and affect on mental health parameters should not be underestimated. Erectile dysfunction (ED) — also known as male impotence — is a condition which prevents a man from having or sustaining an erection to finish having sex.

Our experts offer patients ED treatments, including hormone therapy and specially designed penile implants to improve function. Causes of Erectile Dysfunction Erectile dysfunction is not typical of aging, though getting older can affect ability to achieve and sustain an erection.

It can be caused by different factors, including: Diabetes High blood pressure (hypertension) Atherosclerosis (artery hardening) Stress, anxiety or depression Alcohol and tobacco use Some prescription medicines Fatigue Brain or spinal cord injuries Hypogonadism (the body doesn't produce enough testosterone) Multiple sclerosis Parkinson's disease Radiation therapy to the testicles Stroke Prior prostate or bladder surgery Trauma.

Treatment for Erectile Dysfunction Treatment depends on what causes your ED.

ED may go away once the condition causing it, such as hypertension or diabetes, is diagnosed and controlled.

Other approaches also can help, including: Lifestyle changes Sex therapy Medicines Penile implants.

Lifestyle changes Your physician may recommend lifestyle changes if ED cannot be linked to a medical condition. Quitting smoking, eating a healthy diet, increasing exercise and reducing stress could improve erectile function.

Sex Therapy Your doctor may recommend you make an appointment with a sex therapist may help you if you can achieve erection during sleep, but not for sex.

The therapist may suggest reading about sexuality, trying performance anxiety reduction exercises and strengthening sexual communication skills. Medicines Your physician may prescribe medicines such as sildenafil (Viagra), tadalafil (Cialis) or vardenafil (Levitra or Staxyn) if your ED is not caused by a medical condition. These drugs intensify the effects of nitric oxide, a natural chemical the body produces that relaxes penis muscles and increases blood flow, allowing for an erection in response to sexual stimulation. Hormone Therapy A man’s testosterone level is key to sex drive and erections. Men have the highest testosterone levels during their early 20s.

Men lose 1 percent of testosterone every year as they age.

As testosterone levels drop, men notice sex drive and erectile function decline. Testosterone replacement improves ED and libido in many men.

Penile Implants A penile implant, also called a penile prosthesis, may be an option if less invasive ED treatments are ineffective.

This surgically implanted device enables you to have an erection using a pump (inflatable implant) or manual mechanism (malleable implant). Penile implant surgery can take as long as an hour, during which you’ll be under general or local anesthesia.

Most men resume normal activities about six weeks after surgery. We prefer the term “ erectile dysfunction ”, which does not only refer to impotence, but also includes other problems such as a reduced sex drive (libido), short erections, a curved penis, etc.

Erectile dysfunction is certainly a very common problem . The 1994 Massachusetts Male Ageing Study (MMAS) was carried out on a large-scale and is often referred to in this respect.

50% of all men suffer light to serious erectile dysfunction.

We also know that quite a few types of medication can cause erectile dysfunction, e.g.

diuretics (which promote the excretion of fluids), agents that lower blood pressure (hypotensives), heart medication, tranquillisers, antidepressants, H2 antagonists (stomach medication), hormonal preparations etc.