ERECTILE DYSFUNCTION

Erectile dysfunction or impotence is a problem that affects 1 in 2 men at some point in their life. It is an issue that makes it difficult to either experience an erection or maintain one. This can lead to a wide range of issues such as psychological issues, self-confidence and the inability to have sexual intercourse. As erectile dysfunction manifests in many different ways, it requires specialist advice and guidance to diagnose and treat correctly.

PHYSICAL CAUSES

  • Vascular disease
  • Diabetes mellitus
  • Hormone abnormalities such as hyperprolactinaemia
  • Certain prescribed drugs Hypercholesterolemia (high cholesterol)
  • Diseases affecting the erectile tissue of the penis
  • Neurological diseases
  • Severe chronic diseases such as kidney and liver failure
  • Alcoholism and drug abuse
  • Surgery (especially radical prostate and bladder surgery)
  • Injury to the penis, spinal cord, pelvis, prostate or bladder
  • Pelvic fractures
  • Heavy smoking
  • Being overweight

DRUG-INDUCED CAUSES

  • Alcohol
  • Antihypertensives (medication for high blood pressure) e.g. diuretics, beta blockers, methyldopa
  • Cimetidine
  • Marijuana, heroin, methadone
  • Major tranquillisers
  • Tricyclic antidepressants
  • Digoxin
  • Glucocorticosteroids
  • Oestrogen, anti-androgens

PSYCHOLOGICAL CAUSES

  • Stress and anxiety from work or home
  • Relationship conflicts and dissatisfaction
  • Depression and other psychiatric conditions and their medications
  • Sexual boredom or unresolved sexual orientation

SYMPTOMS

The reconstructive procedure to treat congenital curvature of the penis involves exposing the body of the penis. This is done to shorten the side of the penis opposite the curvature so that it matches the other side. Once the procedure has been carried out, the penis will be straighter during erection and will enable patients to lead a sexually active lifestyle without problems. The treatment is commonly carried out as a day case. However, the penis may not be completely straight and curvatures can recur.

TREATMENT

Fortunately, erectile dysfunction is something that can be treated. Through specialist advice and guidance, something as simple as making a change to your lifestyle or through addressing psychological issues such as workplace stress can help to alleviate the symptoms and remove the problem. However, if these changes are found to be unsuccessful then there are medications available as well as injections and surgical implants available, all of which are provided based on the root cause of the problem and the correct solution in each specific case. It’s always best to seek professional advice before commencing any treatment for erectile dysfunction, however, to ensure underlying causes have been adequately investigated, and that the treatment is appropriate and won’t interact negatively with any other drugs you’re taking.

CONTACT US

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