Erectile dysfunction: as it is and as it prevents

Written by: Dr. Josep Maria Pomerol Monseny
Published: | Updated: 11/12/2018
Edited by: Top Doctors®

¿are the treatments


The right to a diagnosis of erectile dysfunction is the cause or causes that have led to so they can be treated appropriately. Thus, it is possible to provide testosterone so easy when there is a deficit of the same or perform a psychological approach when it is shown that there are no physical abnormalities erection. Risk factors, especially vascular must be corrected or adequately treated ( antihypertensive treatment, treatment to lower cholesterol, lose weight, diet, physical exercise, cessation of snuff, etc.). If there are toxic factors methodologies must be established so that they can suppress. In case of drugs, can be eliminated if possible or replaced by others who affect both erection.

In a large number of cases the treatment of the cause can not be done and should be approached the symptomatic treatment. Is to apply methodologies that allow to achieve an erection at the desired moment. The first therapeutic line is given by the oral drugs called phosphodiesterase 5 inhibitors such as sildenafil (Viagra (R) ), tadalafil (Cialis (r ) ) and vardenafil (Levitra (r ) ). Act at the level of the penis encouraging greater persistence of the molecular elements responsible for the erection. The choice of the most appropriate drug depends on several factors such as frequency and sexual mores.

If there is a good response to oral drugs, it is possible to inject into the penis as a vasodilator drug prostaglandin E. The same drug may be administered in the form of a small capsule inserted in the meatus of the urethra. Also you can apply a mechanism for vacuum erection. It is a mechanical system that involves placing a cylinder around the penis that allows vacuum to what blood is sucked into the team, achieving the rigidity that is maintained by a ring which is placed at the base of the penis while it remove the mechanism.

Sometimes, as is the case in certain diabetics who attend neurological and vascular disorders of erection is not achieved an adequate response with the treatments mentioned. In these cases, it is always possible to implant a penile prosthesis. Involves implanting cylinders inside the corpora cavernosa ( the tissue containing the erection ) that are filled with liquid from a tank placed in the scrotum or lower abdomen to activate a pump inserted into the scrotum at the time it is desired to maintain sexual activity. In these cases, penile rigidity is maintained over time and as often as desired.

¿, As can be prevented


Erectile dysfunction can be prevented by taking regular and frequent sex life. The Mediterranean diet, physical exercise habits and neglect toxic can prevent erection problems as well as proper control of diseases that can originate them. Given the persistence of erection failure is advisable to consult a specialist without delay it too much, in order to apply the most appropriate treatment.


*Translated with Google translator. We apologize for any imperfection

By Dr. Josep Maria Pomerol Monseny

Dr. Pomerol is a renowned specialist in Andrology, trained with the best surgeons micro United States. It has many years of experience in the profession and specializes in addressing male sexual pathologies, being expert in microsurgical techniques of the seminal tract. He has held senior positions such as Director of Andrology Service of the Fundació Puigvert and president of the Spanish Association of Andrology. He is currently andrologist at the Institute of Andrology and Sexual Medicine.

*Translated with Google translator. We apologize for any imperfection

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