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Your Treatment Options For Erectile Dysfunction PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Treatment Options for Erectile Dysfunction”.

This medical PowerPoint presentation is about treatment options available for erectile dysfunction.

Erectile dysfunction (ED) is a common condition in which a man has difficulty achieving or maintaining an erection during sexual activity. There are several treatment options available for ED, including:

Lifestyle Changes: Making changes to your lifestyle can help improve ED. These changes may include quitting smoking, reducing alcohol consumption, losing weight, and exercising regularly.
Oral Medications: There are several oral medications available that are used to treat ED. The most commonly prescribed medications are sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). These medications work by increasing blood flow to the penis, which helps to achieve and maintain an erection.
Penile Injections: Injecting medication directly into the penis can also be an effective treatment for ED. Alprostadil is the most commonly used medication for penile injections. It works by relaxing the blood vessels in the penis, which increases blood flow and helps to achieve an erection.
Vacuum Erection Devices: A vacuum erection device (VED) is a device that uses a vacuum to draw blood into the penis, which helps to achieve an erection. The device consists of a plastic cylinder and a pump that creates a vacuum inside the cylinder.
Penile Implants: Penile implants are devices that are surgically implanted into the penis. There are two types of penile implants: inflatable implants and malleable implants. Inflatable implants consist of two cylinders that are implanted into the penis, while malleable implants are bendable rods that are implanted into the penis.
Psychotherapy: Sometimes, psychological factors can contribute to ED. Psychotherapy, such as cognitive-behavioral therapy (CBT), can help to address these factors and improve sexual function.

Tags : Erectile Dysfunction, sex, reproduction

Published on : Jun 20, 2023 | Views : 609 | Downloads : 13

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Your Treatment Options For Erectile Dysfunction
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Physician Presenter Disclaimer Products, services or therapies discussed in this presentation may be subject to regulatory approval/ clearance and therefore labeling may change. Opinions given during this presentation are my personal, professional opinion. (Note to physician: Review disclaimer and insert appropriate language and/or content changes to fit your individual circumstances)
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Erectile Dysfunction What is Erectile Dysfunction (ED)?
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Erectile Dysfunction What is it? The persistent inability to achieve or maintain an erection firm enough to have sexual intercourse How prevalent is it? Approximately 1 in 5 American men ≥ 20 years old1 Approximately 30 million American men2 1. Selvin E, Burnett A, Platz E. Prevalence and risk factors for erectile dysfunction in the U.S. Am Jour of Med 2007 (120) 151-157. 2. National Institutes of Health (NIH) website. http://kidney.niddk.nih.gov/kudiseases/pubs/ED/index.aspx. Downloaded 5/14/12.
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Main Physical Causes of ED3 3. Ridwan Shabsigh, MD, Tom F. Lue, MD. A Clinician’s Guide to ED Management. New York: Haymarket Media Inc.; 2006. Vascular Diabetes Vascular 40% 30% 6% 5% 3% 1% Vascular Diabetes Medication 15%
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Erections and How They Work To learn more about ED, it is important to understand how the penis normally works. The erection process includes the following 5 stages: 1. Initial Filling With psychological or sexual stimulation, neurotransmitters cause penile smooth muscles to relax, increasing blood flow to the corporal bodies (the 2 chambers within the shaft of the penis). 2. Partial Erection Penile arteries expand to accommodate the increased blood flow needed to elongate and expand the penis.
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Erections and How They Work 3. Full Erection The increased volume of blood within the penis is prevented from draining, thus expanding the penis to full erection. 4. Rigid Erection Maximum rigidity is attained. The glans and spongiosum (tip of the penis and penis body) enlarge until penile veins are forcefully compressed. This increases engorgement and maintains maximum penile rigidity. Release of semen (ejaculation) occurs. 5. Return to Flaccid State Muscle contractions result in increased blood outflow from the penis, thus decreasing penile length and girth until flaccid.
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Erectile Restoration Treatment Options * The information provided in this presentation provides an overview of several different treatment options. Please keep in mind that the studies used to evaluate each treatment option may have included different types of patients, been studied over different periods of time, or included different outcome measures.
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Oral Prescriptions4-5 There are a number of prescription medications available that may improve blood flow to the penis. Combined with sexual stimulation, this can produce an erection. 4. Carson, Culley C. "Sildenafil: First in the Therapeutic Class of Phosphodiesterase Type 5 Inhibitors" Textbook of Erectile Dysfunction. 2nd ed. New York: Informa Healthcare, 2009. 231-35. 5. Evaluation and Management of Erectile Dysfunction. www.expertconsultbook.com/expertconsult/b/book.do?method=display. Website. Downloaded October 8, 2013.
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Oral Prescriptions4-5 Works in response to sexual stimulation Usually taken within 1 hour before anticipated sexual activity Typically works for up to 4 hours Some oral medications’ efficacy can be affected by food 4. Carson, Culley C. "Sildenafil: First in the Therapeutic Class of Phosphodiesterase Type 5 Inhibitors" Textbook of Erectile Dysfunction. 2nd ed. New York: Informa Healthcare, 2009. 231-35. 5. Evaluation and Management of Erectile Dysfunction. www.expertconsultbook.com/expertconsult/b/book.do?method=display. Website. Downloaded October 8, 2013.
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Oral Prescriptions4-5 Common Side Effects Headache, facial flushing, stuffy nose, upset stomach Contraindication Cannot take with NITRATES Some Cautions With alpha-blockers: Generally, you should be stable on your alpha-blocker therapy before using an oral medication Should not use these medications if sex is inadvisable because of cardiovascular status Tell Your Doctor if You: Have ever had any heart problems, stroke or low or high blood pressure Have ever had liver or kidney problems 4. Carson, Culley C. "Sildenafil: First in the Therapeutic Class of Phosphodiesterase Type 5 Inhibitors" Textbook of Erectile Dysfunction. 2nd ed. New York: Informa Healthcare, 2009. 231-35. 5. Evaluation and Management of Erectile Dysfunction. www.expertconsultbook.com/expertconsult/b/book.do?method=display. Website. Downloaded October 8, 2013.
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Vacuum Erection Devices4 In use since the 1980s, a vacuum erection device consists of a hollow plastic tube, a hand or battery-powered vacuum pump, and a tension ring. The tube, placed over the penis, creates a vacuum that pulls blood into the penis. Once an erection is achieved, an elastic tension ring is placed at the base of the penis to help maintain the erection. 4. Carson, Culley C. “Vacuum systems for erectile dysfunction" Textbook of Erectile Dysfunction. 2nd ed. New York: Informa Healthcare, 2009. 291-296.
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Vacuum Erection Devices Most Common Side Effects6-9 Blocked ejaculation Bruising of penis Penile discomfort Penile numbness or coldness Most Common Reasons for Discontinuation8, 10 Erections of insufficient rigidity or duration, difficult mechanics, penile bruising 6. Hellstrom WJ, Montague DK, Moncada I, et al. Implants, mechanical devices, and vascular surgery for erectile dysfunction. J Sex Med. 2010;7(1 Pt 2):501-523. 7. Brant WO, Bella AJ, Lue TF. Treatment options for erectile dysfunction. Endocrinol Metab Clin North Am. 2007;36(2): 465-479. 8. Turner LA, Althof SE, Levine SB, et al. Treating erectile dysfunction with external vacuum devices: impant upon sexual, psychological and marital functioning. J Urol. 1990;144(1):79-82. 9. Turner LA, Althof SE, Levine SB, et al. External vacuum devices in the treatment of erectile dysfunction: a one-year study of sexual and psychosocial impact. J Sex Marital Ther. 1991;17(2):81-93. 10. Derout H, Caspari D, Rhode V, et al. Treatment of erectile dysfunction with external vacuum devices. Andrologia. 1993;31(Suppl 1):89-94.
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Intraurethral Suppositories5 In use since the 1990s, intraurethral suppository treatment for ED uses an applicator containing a small pellet that is inserted into the urethra. Once the pellet is released, it dissolves to increase blood flow to the penis to form an erection. 5. Evaluation and Management of Erectile Dysfunction. www.expertconsultbook.com/expertconsult/b/book.do?method=display. Website. Downloaded October 8, 2013.
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Intraurethral Suppositories Most Common Side Effects7 Penile pain Urethral pain or burning Most Common Reasons for Discontinuation11 Insufficient erections suitable for intercourse Urethral pain and burning 7. Brant WO, Bella AJ, Lue TF. Treatment options for erectile dysfunction. Endocrinol Metab Clin North Am. 2007;36(2): 465-479. 11. Nandipati KC, Raina R, Agarwal A, et al. Erectile dysfunction following radical retropubic prostatectomy: epidemiology, pathosphysiology and pharmacological management. Drugs Aging. 2006;23(2):101-117.
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Self-injections4 In use since the 1980s, injection therapy uses a needle to inject medication directly into the base or side of the penis. These medications can create an erection by improving blood to flow into the penis. 4. Carson, Culley C. “Intracavernosal therapy for erectile dysfunction." Textbook of Erectile Dysfunction. 2nd ed. New York: Informa Healthcare, 2009. 281-284.
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Self-injections Most Common Side Effects7,11-13 Penile pain Penile fibrosis Priapism Prolonged erections Most Common Reasons for Discontinuation11,13 Unsatisfactory erections Pain Dislike of injections 7. Brant WO, Bella AJ, Lue TF. Treatment options for erectile dysfunction. Endocrinol Metab Clin North Am. 2007;36(2): 465-479. 11. Nandipati KC, Raina R, Agarwal A, et al. Erectile dysfunction following radical retropubic prostatectomy: epidemiology, pathosphysiology and pharmacological management. Drugs Aging. 2006;23(2):101-117. 12. Wespes E, Amar E, Hatzichristou D, et al. EAU Guidelines on erectile dysfunction: an updated. Eur Urol.2006;49(5):806-815. 13. Prabhu V, Alukal JP, Laze J, et al. Long-term satisfaction and predictors of use of intracorporeal injections for post-prostatectomy erectile dysfunction. J Urol. 2013;189(1):238-242.
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Penile Implants4-5 In use since the 1970s, a penile implant is a medical device that is implanted into the penis during an outpatient surgical procedure. The device is entirely contained within the body. To operate the product pictured, one squeezes and releases the pump in the scrotum to achieve an erection. 4. Carson, Culley C. “Mechanical, malleable, and soft semi-rigid penile implants for erectile dysfunction" Textbook of Erectile Dysfunction. 2nd ed. New York: Informa Healthcare, 2009. 323-327 5. Evaluation and Management of Erectile Dysfunction. www.expertconsultbook.com/expertconsult/b/book.do?method=display. Website. Downloaded October 8, 2013.
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Penile Implants Types of Penile Implants5 3-piece inflatable implants (pump, cylinders, reservoir) 2-piece inflatable implants (pump, cylinders) 1-piece malleable implants (cylinders) Most Common Side Effects/Complications or Reasons for Removal5,7,11-12 Post-operative genital pain Mechanical malfunction, including auto-inflation Infection Repeat surgery 5. Evaluation and Management of Erectile Dysfunction. www.expertconsultbook.com/expertconsult/b/book.do?method=display. Website. Downloaded October 8, 2013. 7. Brant WO, Bella AJ, Lue TF. Treatment options for erectile dysfunction. Endocrinol Metab Clin North Am. 2007;36(2): 465-479. 11. Nandipati KC, Raina R, Agarwal A, et al. Erectile dysfunction following radical retropubic prostatectomy: epidemiology, pathosphysiology and pharmacological management. Drugs Aging. 2006;23(2):101-117. 12. Wespes E, Amar E, Hatzichristou D, et al. EAU Guidelines on erectile dysfunction: an updated. Eur Urol.2006;49(5):806-815.
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Insurance Coverage
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Insurance Coverage Fortunately, many of these treatment options are covered by insurance. It is the responsibility of patients to ensure they understand their individual insurance coverage and the potential out-of-pocket costs associated with different treatment options.
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Who Can Treat Erectile Dysfunction? General Practice Doctor/Family Doctor Urologist A doctor who has specialized training that focuses on the surgical and medical diseases of the male and female urinary tract system and the male reproductive organs Prosthetic Urologist Prosthetic urologists have specialized training and experience in implant procedures Finding a satisfying solution to erectile dysfunction can be a life-changing event for many men and their partners
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Summary ED is a common problem There are a variety of treatment options Talk to your partner Talk to your doctor about what treatment option is right for you
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©2014 American Medical Systems, Inc. (“AMS”). The grant of permission to use AMS’ copyrighted materials does not constitute endorsement by AMS of any persons, products, services, or organizations. Questions on ED? ED-01156(1)/July 2014