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Erectile dysfunction is a common and highly treatable condition affecting up to 30 million American men. It is the consistent problem of getting and/or keeping an erection. For some, erectile problems may occur occasionally when nervous or drinking, but if you experience this problem regularly, a call or appointment with Dr. Jack Bruder is in order.
Erectile dysfunction has differing degrees of classifications which are all able to be treated by Dr. Bruder. 90% of erectile dysfunction cases are caused by physical problems making it easy to treat. Many of these problems are simply limiting blood flow through the body and also the penis. Producing and maintaining an erection may also be hindered by damage to a male’s blood vessels, nerves, smooth or fibrous tissue. Sometimes erectile dysfunction is induced by medical side effects from medication such as blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (ulcer drug).
Erectile dysfunction also has many health conditions that are associated with its beginning. High blood pressure can cause blood vessels to solidify and narrow your veins, while men with heart disease are twice as likely to get erectile dysfunction. Around 35-50% of men who have diabetes have experienced erectile dysfunction and those who have prostate surgery can have nerves and arteries injured that cause problems with the penis. More common health problems such as smoking and drinking alcohol cause a higher risk of developing erectile dysfunction. Depression, stress, and anxiety can cause erectile dysfunction while erectile dysfunction can also cause depression, stress, and anxiety.
Some treatments for erectile dysfunction are psychotherapy, drug therapy, vacuum devices, and surgery. Starting with the least invasive procedures, Dr. Bruder is experienced and knowledgeable in all possible treatments. Drug therapy is a common treatment to erectile dysfunction using PDE5 inhibitors. These prescription-only pills do not trigger an immediate erection but increases blood flow by relaxing the smooth muscle tissue in the penis during sexual stimulation. These pills are more commonly known as Viagra, Levitra, and Cialis but are not to be taken by those who also take nitrates for chest pain. Injections can also be taken and give the patient an erection quickly. Side effects include prolonged erections and possible scar tissue. Urethral insertion is the insertion of prescription-only pellets into the urethra of the penis about an inch deep. Erections can begin within 8-10 minutes and can last from 30 to 60 minutes. Apomorphine is a drug that influences the part of the brain that controls the sex drive. Once drug therapy treatment is tested and deemed insufficient, more physical treatments are considered. A vacuum device is used in a procedure done by the patient immediately before sex. Once the cylinder is placed over the penis, the air is pumped out and creates an erection by suction. A ring is then placed around the base of the penis once the cylinder is removed, to trap the blood and sustain the erection. To avoid injury, the vacuum should only be used for about 30 minutes. When deciding about surgery, there are three basic types of procedures available. Implants can be either semi-rigid or inflatable silicone that is inserted inside of the penis. Reconstructive surgery can repair the arteries in order to increase the blood flow to the penis. Restrictive surgery severs the veins to constrain the blood flow from the penile tissue.
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