Erectile dysfunction (or ED) is the inability to achieve or maintain a penile erection that is adequate for sexual intercourse.
ED is a common problem, affecting up to 40% of Australian men at some time in their lives. There is no reason why men cannot remain sexually active well into their seventies and eighties if they want to, but they may need some help.
The main issues are:
1. Is there an underlying cause?
A full assessment will involve a medical consultation, physical examination and blood tests. We need to determine if there are any underling conditions that may be contributing to the ED, such as diabetes, prostate cancer, disease of the arteries or nerves to the penis, side effects of medications or abnormalities of the penis such as Peyronie's disease.
2. What are the options for treatment?
There may be several options for treatment, and there are advantages and disadvantages to them all.
We usually recommend the simplest, safest and most cost effective treatment first:
Oral tablets (Viagra, Levitra, Cialis and others) are the simplest treatment, and we usually try them first. Some men can't take these tablets due to heart disease or drug interaction. They may have unwanted side-effects.
► Intracavernosal Injections
Medication is injected directly into the penis. Giving yourself an injection can be a bit intimidating at first, but the medication works in around 70% of cases and is very safe. Mr Lindsay can usually teach you how to do this at one evening consultation.
► Penile Prosthesis Surgery
Surgery to implant a penile prosthesis is usually thought of as a last resort, but for young men who may have had cancer treatment or diabetes, it should be considered earlier. It is one of the best long-term options available.
Inflatable cylinders are surgically implanted into the penis and connected by tubing to a pump in the scrotum. When this is pumped, fluid moves from a reservior in the abdomen to the two cylinders in the penis to give you an erection. The penile implant can be inflated in a few seconds and will stay up as long as you like.
Mr Lindsay has 20 years experience in performing penile prosthesis surgery. For more information about Penile Prosthesis surgery please click here.