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How is impotence treated?

The Alpha One Andrology Group offers successful treatment options for virtually all impotent men. We regularly review the medical literature and the Internet for the latest impotence treatments. Recognizing that many of our patients come from a distance, we try to condense the diagnostic procedures and simplify the treatment. Our goal is to restore your sexual capabilities as quickly as possible, at the lowest possible cost.

A significant number of men develop impotence from psychological causes that can be overcome. When a physical cause is treated, subsequent self-esteem problems may continue to impair normal function and performance.Psychological therapy may be effective in conjunction with medical or surgical treatment. Sex therapists emphasize the need for men and their partners to be motivated and willing to adapt to psychological and behavioral modifications, including those that result from medical or surgical treatment. Treatment options for impotence, in addition to lifestyle changes[ Described in Prevention Of ED ] and sex therapy, that are currently available include the following:

  1. PDE-5 inhibitors. Viagra®, Levitra®, and Cialis® have revolutionized the treatment of erectile dysfunction. These FDA-approved medications improve penile rigidity in more than 50% of men. However, they are not an effective treatment for all men! Some men develop side effects; others do not get a good erection with these medications. Some men can’t take them because they use nitrates or alpha-blockers; others find these medications are too expensive. However Indian PDE-5 inhibitors are quite affordable.
  2. Testosterone supplements. For men whose impotence is due to a low testosterone level, testosterone injections,patches and gels are available. This treatment will raise your male hormone level to normal levels.
  3. Penile injection therapy. Caverject® and Edex® (alprostadil) are FDA-approved medications which can produce an erection when injected into the penile erection chambers. Some men find this to be a satisfactory solution to their erection problems, but penile injection therapy is often somewhat painful. Many men discontinue penile injection therapy after a period of time. These injections have replaced Papaverine injections.
  4. Vacuum constriction devices (VCD’s). VCD’s consist of a plastic cylinder, a vacuum pump, and a constricting band. VCD’s have been improved over the years, and are a satisfactory solution for some men. However, many men find these devices cumbersome and messy. They require the use of a constricting ring at the base of the penis, which cuts off penile blood flow and can block ejaculation.
  5. Penile implants. Penile implants are often selected by men who do not respond to simpler treatments. These implants can be Malleable or Inflatable implants & are being done regularly at our centre.. Implants are placed into the penile erection chambers and surrounding tissues, and are completely internal. After you have healed, the penis and scrotum look normal. These implants give a stiff, reliable erection when inflated, and a natural-appearing penis when deflated. With a penile implant, you can have sex as often as you like, and for as long as you wish. An implant not only restores erections, it can also restore a man’s sexual confidence, which is a tremendous benefit.