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In most cases there is an underlying physical condition that causes ED. John Hettiarachchi is a board-certified urologist with over 20 years of experience in helping men overcome ED and sexual dysfunction. Once the condition has been identified and treated, men are usually able to have a satisfying sex life. Hettiarachchi provides care for men in surrounding areas of Hickory, Boone, Statesville, and Winston-Salem. Hettiarachchi has helped thousands of men with ED throughout the years. Learn about ED, your treatment options, and schedule your appointment at Piedmont Urology today. There are a variety of methods for treating erectile dysfunction (ED). Your doctor can discuss all of these options with you in more detail. All decisions regarding your best option for treating ED should be made between you and your physician, with consideration given to your individual needs and the risks and benefits of each treatment option. The treatment options include: Drug Therapy Non-drug Treatment Options Penile Implants Other. Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly known drugs on the market today are Viagra®, Cialis® and Levitra®. There are several prescription medications that claim to help patients. These pills may help achieve erections in response to sexual stimulation: Pills can help you achieve an erection quickly and may have an effect on sexual intimacy. Do not provide automatic erections like injection drugs Not effective in approximately 30% of cases 1 Must take at least ? hour to one hour before anticipated sexual activity 2. Some patients may experience side effects, including: Headaches Facial blushing Upset stomach Mild and temporary visual effects. Some men may be able to gain an erection by self-injecting drugs into their penis, causing it to become engorged with blood. Potential side effects of injection therapy include fibrosis (scarring) and long-lasting painful erections. Advantages of injection therapy: It can easily be self-administered On-set of erection within 5-20 minutes 3 Injections are shown to have a long-term dropout rate of 37% – 76%. Reasons for dropping out of drug therapy include: Desire for a permanent treatment alternative Inadequate response Fear of needles Side effects. Penile Pumps (Vacuum Devices) Also called vacuum constriction devices, penile pumps are devices that are placed over the penis to draw blood into the shaft. Once the vacuum creates an erection, the retaining band is slid down to the lower end of the penis and the pump is removed. Erection is not warm to the touch Learning curve Delayed ejaculation. A penile implant is a device that is placed into a man’s body and is designed to help him get an erection. A penile implant is a long-term treatment, that is covered by many insurance plans, which allows an erection as often as you like, for as long as you wish. Easy to use Totally concealed in the body Erections when desired. Surgical Procedure No longer able to get natural erections. Your doctor can provide you with specific details about the pros and cons of each of the following treatments: Lifestyle changes like stopping smoking, losing weight and eating healthier Oral testosterone Intraurethral suppositories (ex. Oral sildenafil in the treatment of erectile dysfunction. 1998 May 14;338(20):1397-404 http://uspl.lilly.com/cialis/cialis.html#ppi downloaded 2/14/17 http://www.caverject.com/faqs, downloaded 2/13/17 Rajpurkar A, et al. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. Cialis®, Levitra®, Viagra®, MUSE® are trademarks of their respective companies. If you are looking for treatment of erectile dysfunction near Hickory, Boone, Statesville, and Winston-Salem, then contact our office today. Factors associated with discontinuation of erectile dysfunction treatment. The factors generic viagra for women associated with men ending treatment for erectile dysfunction have been reviewed in a study published in IJIR: Your Sexual Medicine Journal . The most influential factors reported were treatment ineffectiveness, side effects, the generic viagra for women quality of one's intimate relationship and cost of treatment. The review also highlights the importance of men's beliefs with regards to erectile dysfunction and its treatment and suggests that these beliefs are potentially modifiable. Erectile dysfunction, the persistent inability to develop or maintain a penile erection during sexual activity, is thought to affect up to 10% of men under 40 years and 70% of men over 70 years. Where these fail or are contraindicated, treatments are available which are administered via injection, or via suppositories. Finally, penile implants are available where all other treatments have failed. The lead author; Mr Paul Williams said: "Erectile dysfunction can have a negative effect on men's quality of life. However, this can potentially be improved with successful treatment for the condition. The findings from our research buy generic viagra online without prescription indicate that rates of discontinuation for treatment are high. Understanding the reasons for discontinuation of treatment is essential with regards to improving treatment use and subsequently quality of life in this patient population". Reviewing data on 14, 371 men from 50 previous studies, researchers at City, University of London and East London NHS Foundation Trust, UK assessed the rates of discontinuation of erectile dysfunction treatment and the factors associated with it. Results indicated that discontinuation rates varied across treatments and that adherence to erectile dysfunction treatment is suboptimal. The authors found that 12.1% of men taking oral medication, 15.2% of men taking injected medication and 31.5% of men taking suppositories reported inadequate or inconsistent erectile responses as their reason for discontinuing treatment. 2.5% of men taking oral medication, 8.1% of men injecting medication and 15% of men taking suppositories stated that they stopped treatment due to side effects including headaches, Peyronie's disease (a build-up of scar tissue in the penis) or urethral pain. Regarding the quality of sexual relationships, the most commonly reported factors influencing whether men continued with erectile dysfunction treatment were loss of interest in a sexual relationship. This was reported by 6.6% of men taking oral medication, 8.8% of injecting medication, 8.9% of men taking suppositories and 6.9% of men with penile implants. 5.5% of men taking oral medication reported stopping treatment due their partner's perceived lack of interest in the sexual relationship, 5.5% of men described not being emotionally ready for sexual activity and 4.1% discontinued treatment because of conflict within their relationship.
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