Introduction to the treatment of ED

  Brief description of ED
  Erectile Dysfunction (ED) in men is defined as the inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse (for at least 6 months). This is a common and widely affected medical condition. In the past, the condition was referred to as “Impotence” (Impotence), but because the term “impotence” is imprecise and discriminatory, in 1994 the World Health Organization changed the term to “ED However, because the term “impotence” is imprecise and discriminatory, in 1994 the World Health Organization changed to the more accurate medical term “ED” because it more directly and accurately describes a clinical condition related to erectile function.
  Etiology of ED
  With advances in medicine, it has been recognized that the causes of ED include organic factors as well as psychological ones, and sometimes both. Many occurrences of ED are associated with other underlying organic disorders, such as, circulatory disorders and neurological damage. Atherosclerosis, diabetes, hypertension and high cholesterol are common causes of ED, with diabetes being the most common. Certain surgical procedures, especially prostate removal, can also affect the ability to get an erection, while certain medications for hypertension, heart disease, stomach ulcers and cancer may also have the same effect. Other causes of ED include neurological problems, such as multiple sclerosis, pelvic or spinal cord injuries, etc. Bad habits such as smoking and alcohol abuse can also affect physiological functions and lead to the development of ED.
  The dangers of ED
  ED is not a malignant disease, generally does not affect the life of the patient, but with the patient’s marriage and family and physical and mental health is closely related to the serious impact on their quality of life usually leads to anxiety, depression, lack of self-esteem and self-confidence, and the poor psychological state will aggravate the condition of ED for the elderly, but also induce many chronic diseases; in addition, penile erectile function is a monitor of the patient’s physical and mental health status. ED is often one of the signs of certain diseases, such as hypertension, coronary heart disease, diabetes and certain mental disorders.
  Treatment of ED
  Urologists and male specialists divide ED treatment into first-line, second-line and third-line treatments.
  First-line treatment
  1, etiological treatment: is the most basic treatment, try to find the cause of ED to remove.
  2, psychotherapy: targeted psychotherapy. Sex education and counseling to eliminate worries. Behavioral therapy such as sexy training (Masters and Johnson in the 1960s advocated a combination of behavioral and psychosexual education behavior therapy).
  3.Medication and vacuum negative pressure suction device
  Second-line treatment
  1.Urethral drug delivery.
  2, cavernous body injection therapy: 80s began to apply, now mainly used for the diagnosis of ED.
  Third-line treatment
  Surgical implantation of penile support (currently only available in China and the United States) is used for ED patients for whom first- and second-line treatments have failed. The first International Symposium on Erectile Dysfunction in 1999 concluded that although penile supports are highly effective, implantation should be the last option for treating ED, and it is estimated that approximately 10% of ED patients will require penile support therapy. Of course, the third line of treatment also includes some surgical modalities for penile vascularization.
  Here, I will focus on the relatively unknown treatment of implantation of a penile support. The treatment of ED has been revolutionized over the centuries, and doctors have been applying penile supports to patients after first- and second-line treatments have failed when the physiological pathology of the erection of the penis was not yet understood. The penile support is like a pacemaker that is surgically implanted in the white membrane cavity of the patient’s penile corpus cavernosum to replace the lost swelling and erectile function of the corpus cavernosum, allowing the patient to regain the ability to perform sexual acts.
  So, can I have good sensation during sexual intercourse if the implanted penile support is not a natural erection? Can satisfactory sexual intercourse be accomplished? The answer is yes. Even in extremely severe ED, as long as the nerves in charge of sensation in the penile nervous system are still functional, the nerve endings and receptors in the head of the penis can still receive sexual stimulation, so after the penile support implant, you can still have good sexual pleasure and orgasm during intercourse (it may be different if the nerves are already dysfunctional before surgery). Moreover, since the penile support is implanted in the original penile corpus cavernosum, there is no difference in appearance with the original penis after the surgery, and you can resume normal sexual life in about six weeks after three to seven days of hospitalization. It has the following main advantages.
  1, easy to operate, easy to use, excellent secrecy (even the whole body physical examination is not easy to detect).
  2.Impromptu erection when needed as normal people.
  3, the success rate of sexual intercourse is very high: the use of scientific and technological means to make the cylinder can be expanded, the penis can be thickened when erect, close to the natural, the penis weak when restored to its natural state, and people can freely control the hardness of their erections.
  4, better satisfaction, because people can freely control the erection, after ejaculation can continue to have sex, so that both parties can get the maximum satisfaction.
  5.The materials used are non-toxic and do not affect fertility.