How to treat impotence?
Now experts believe that in most cases of impotence are purely organic (ie psychological) causes. All methods of treating impotence is divided into conservative and operative.By conservative methods of treatment of impotence include drug levitra precio therapy or the use of vacuum constrictor device (vacuum pumps).
Until recently, the main drug used to treat impotence, was Yohimbine. Its efficiency does not exceed 10 percent. The need for long-term use of the drug (up to one year) and low efficiency of treatment, a large number of side effects make this method of treatment barely acceptable.
At the present time to combat impotence successfully used drugs, "Viagra" (sildenafil), "Levitra" (vardenafil) and "Cialis" (tadalafil). Efficacy of drugs is undeniable.
Current medication drugs (so-called sexual dope) used in clinical practice, allow to achieve a higher treatment efficiency, which reaches 70-80%. These preparations are distinguished by the presence of side effects, such as slight headache, sudden reddening of the face and neck, nasal congestion, changes in color perception and visual acuity.
Method intracavernous injection of vasoactive drugs
The method consists in microinjections of vasoactive drugs directly into the penis before intercourse. Method intracavernous injection of vasoactive drugs was the most common and most effective among conservative methods of treatment of erectile dysfunction. For the treatment of prostaglandin alprostadil is used as a monotherapy or in various combinations.
Combination drugs used to reduce the side effects of each of them by reducing the concentration. An integrated program approach to the appointment of intracavernous therapy allows you to make use of this method is effective and safe.
Intrauretralnogo impotence therapy
For intraurethral applications using various drugs such as alprostadil. From the urethra the drug is absorbed through the bloodstream and enters the cavernous body where the reaction occurs, causing an erection. This method is similar to the previous one, but avoids an injection into the penis.
Currently, this therapy is not widely used because of the high cost of drugs and adverse reactions (burning sensation in the urethra), as well as the need for mandatory condom use.
Vacuum constrictor impotence therapy
The essence of the method consists in creating a negative pressure in the cavernous bodies of the penis with a vacuum pump and the cylinder, which causes the flow of blood and an erection retained by means of superimposing the base of the penis of a special restraint ring restricting venous drainage. Thus, it is possible to have intercourse, no more than 30 minutes.
The effectiveness of the method is 40-50%. The disadvantage is the practical use of the device (it is impossible to hide from your partner, and so on.), Painful ejaculation (ejaculation), due to a contraction ring, bleeding on the penis, numbness of the penis, and others.
Surgical treatment of impotence
Operative intervention recently used less frequently because of the high efficacy of drug therapy. Surgical methods are applied in extreme cases, when conservative treatment does not produce the desired results and in certain indications.
Surgical treatment of venous insufficiency of the penis is done in case of defeat venozapiratelnogo mechanism of the penis. Despite the great age of this method, its efficiency is about 50%. However, even at relatively low results of penile venous surgery is still used in clinical practice, as adjunctive to other previously outlined methods that can achieve high results.
Surgical treatment is indicated in case of insufficient arterial blood flow into the penis. Held microvascular arterial bypass surgery, the effectiveness of which varies from 30 to 50%. This operation shows the high efficiency only in younger patients.
Penile implants is currently the main method of restoring penile rigidity. The implantation of prostheses is the final stage of treatment of impotence, when all previous methods of treatment have failed.