What are the main treatments for impotence currently available?

Before an impotent patient can undergo treatment, it is important to understand what kind of disease impotence is. Impotence is essentially a disease that has both psychological and physical abnormalities, so it is important to treat both mind and body. Patients should pay attention to the following points before visiting a doctor: ① They should be seen by a male surgeon, urologist or a doctor with specialized training. If they also have cardiovascular disease or have risk factors for cardiovascular disease, they should also consult a cardiologist before receiving medication. ②To exclude the negative impact of psychological factors on the condition. ③To communicate with the female partner frequently. ④To actively learn the relevant medical knowledge and actively cooperate with the doctor for treatment. ⑤ The current internet is a great thing for us to gain knowledge about health, but we should also be aware of unscrupulous doctors and medical institutions using the internet for false and misleading propaganda in order to make profits. Depending on the specific condition, impotent patients can be treated with first-line, second-line and third-line treatment options respectively. The first-line treatment options for impotence include etiological treatment (treatment for the primary cause), psycho-behavioral treatment and pharmacological treatment. These therapies are effective in more than 70% of impotence patients. Patients with organic lesions of the disease require medication for treatment. Clinically, drugs such as sildenafil, tadalafil and vardenafil are commonly used to treat the disease. In addition, impotent patients can also be treated with some Chinese herbal medicines. In addition to improving the sexual function of men, TCM also provides an overall adjustment to the health status of the whole body. Second-line treatment options mainly include the use of vacuum ring reduction devices, transurethral drug delivery and intracavernous injection of vasodilatory drugs into the penile corpus cavernosum. Second-line treatment options may be considered for impotent patients who have not been successful with first-line treatment options or who have had more severe adverse effects. The efficacy of second-line regimens varies greatly from person to person. Second-line treatment is less convenient than first-line options, and as a result, many patients have a higher chance of treatment interruption and serious adverse effects with second-line options. The third-line treatment option is surgery. Patients with impotence who fail to achieve satisfactory results with both first- and second-line treatment options may be considered for surgical treatment, which includes penile vascular surgery and penile erectile device implantation. Of these, the results of vascular surgery are less certain. Penile erection aid implantation is recognized as the ultimate treatment for severe impotence, and currently the only domestic penile erection aids available are expandable devices. The advantages of expandable erection aids are better concealment, erection pattern more in line with male physiological needs, and better use, thus higher patient acceptance and lower rate of mechanical failure (less than 5%). The penile erection aid implantation procedure is less invasive, but its high cost limits its use somewhat.