The treatment of impotence in the elderly is unreliable, and the treatment of impotence in the elderly mainly includes basic treatment, psychological treatment, sexual life guidance, oral drug treatment, physical therapy, trans-urine to drug delivery, surgical treatment and so on. 1. Basic treatment: including lifestyle adjustment, treatment of underlying diseases and so on. Daily life should be able to appropriate physical exercise, be persistent, have enough rest, and eat a light diet. For patients with hypertension, diabetes and other underlying diseases, they can take antihypertensive drugs such as nifedipine and hypoglycemic drugs such as metformin. 2. Psychological treatment: for psychological factors caused by impotence in the elderly, can seek the help of a psychiatrist. 3. Sexual life guidance: elderly impotence can also seek sexual life guidance, mobilize interest. 4. Oral drug therapy: commonly used drugs are 5-type phosphodiesterase inhibitors, including sildenafil, tadalafil and so on. 5. Physical therapy: such as low-dose extracorporeal shock wave therapy, vacuum erection device therapy. 6. Transurethral drug treatment: such as prostaglandin E1. 7. Surgical treatment: it can also be treated by penile venous leakage surgery, penile artery reconstruction surgery, penile prosthesis implantation and other surgical methods. After the diagnosis of impotence in the elderly, according to the doctor’s requirements for treatment, do not blindly believe in the prescription, medication need to follow the doctor’s instructions.