Erectile/potency disorders can occur in all ages, but the incidence increases exponentially after 40 years. About 30% of 60-year olds and 50% of 70-yearolds are affected. While in the age under 40 years mostly psychological/functional reasons in the sense of failure fears, accompanied with an increased tonus of the sympathetic nervous system and increased Adrenalinausschuttung draw responsible, these are in higher age predominantly organic causes such as blood circulation and/or flow disturbances (venous leakage/swell body insufficiency).
Hormonal disorders like hypogonadism (testosterone deficiency) and hyperprolactinemia (hyperprolactinemia), play a part in the lives of 20-30% to 30% of men. Erectile dysfunction in men over 40 should be diagnosed immediately. This is because it can often indicate vascular disease, such as stroke or heart attack.
Oral drug therapy, such as L-arginine and phosphodiesterase-5 inhibitors, is one of the options. Transurethral therapy using vasoactive substances or cavernous autoinjection therapy are two more options for drug therapy. Vacuum therapy and penile implants (penile prosthesis), represent the final step in the therapeutic cascade of potency disorders. Low-energy shock wave therapy for the penis is a new, non-invasive and hopeful therapy.
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Erectile dysfunction (ED), is the inability for a man to reach sufficient stiffness to enter the vagina and complete coitus. It was a successful journey. The Massachusetts Male Aging Study, a survey of American men aged 40-70 years in 1989, found that over 50% reported erectile dysfunction. 34% reported severe or moderate dysfunction. Erectile dysfunction affects both highly industrialized and civilized countries worldwide.
Patients with diabetes, high cholesterol, heart disease, and heavy nicotine consumption are more likely to experience erectile dysfunction. Modern examinations have shown that erectile dysfunction is caused by organic factors. Organic factors, which are often caused by a generalized vascular disease, are the most common causes of impotence in men.
This is why many authors have shown that impotence is frequently associated with concurrent coronary artery disease (impending heart attack) and clinical symptoms.
There are many Therapeutic Options
- Oral drug therapy
- Cavernous body auto injection therapy (SKAT).
- Prostaglandin E1 (MUSE), intraurethral application
- Vacuum pump
- Plastic penile surgery for penile deformities
- Injection of hydraulic or flexible penile prostheses (vascular operation on the penis in rare cases)
- Oral medicationous therapy
After a thorough diagnostic clarification process, a therapeutic plan will be developed that is tailored to your needs. This can also include your partner if necessary. Designed to meet your specific needs.
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