Erectile Dysfunction (ED) is defined as the consistent inability to achieve and/or maintain an erection sufficient for satisfactory sexual activity. Dysfunction may affect sexual desire, arousal, and/or orgasm. Studies have shown that ED affects approximately 30 million men in the United States. ED has been found to be associated with age. At age 40, approximately 5% of men have ED, whereas, at age 76 and older 50% of men complain of ED. The ability of men to have erections is a function of the ability of the penis to not only receive an increase of the blood flow with stimulation, but to also allow the storage of the blood without premature leakage.
There are many caused of ED. These may include multiple diseases that affect the inflow of blood and physical and/or psychological factors. Moreover, medications, smoking, and alcohol abuse are known cause of ED.
First-line therapy in the management of ED include oral drugs such as Viagra, Vacuum constriction devices and psychosexual therapy. Second-line therapy include intraurethral therapy (MUSE) and penile injection therapy (Caverject or EDEX), Third-line therapy reserved for failure of first and second-line therapy involves the surgical placement of an inflatable or a non-inflatable prosthetic device.
Please schedule an appointment with one of our physicians if you are interested in any of the above treatment options.