Erectile Dysfunction (ED) is a term that has recently been replaced by the word "impotence", i.e. a condition in which it is impossible to achieve and maintain an erection sufficient to perform a full sexual act. ED is one of the most common sexual disorders in men.
The sexual function is a Central part of a man's personality, helping to determine who he is and what his self-esteem is. Sexual function is also a key factor in determining the fullness of a relationship. Erectile dysfunction (ED) has a defining effect on all of this, and, thus, affects a key link in men's health. ED is widespread, especially among older men. Risk factors for ED are similar to those for cardiovascular disease and endothelial dysfunction, especially diabetes mellitus . The prevalence of ED is 20-45%, and the incidence in Western countries has been estimated at 25 to 30 cases per 1000 people per year. Risk factors for ED are age (aging), diabetes and cardiovascular diseases, diseases of the genitourinary system, mental disorders, and other chronic diseases. Smoking, hormonal shifts, and certain medications may be associated with ED. To prevent the occurrence of ED, it is necessary to exclude the influence of harmful factors at the age of 50 years. Two-thirds of men with ED experience feelings of shame and embarrassment when discussing this problem with a doctor, and less than 25% seek medical advice .
Today, the most effective method of treating erectile dysfunction is considered to be the surgical method. Such surgical treatment is necessary in cases where there is no other way to restore an erection in a man. These cases include:
There are no other methods of treatment that can restore an erection in a man if it is caused by one of the above reasons and is also of a long and permanent nature.
Surgical treatment of erectile dysfunction is penile prosthesis or phalloprosthesis. It makes possible to regain the joy of intimate life and returns a man's confidence in himself and his abilities. The operation has a fairly high efficiency index – 97% of 100 patients have a recovery of sexual function after.
There are several types of penile implants:
This video briefly shows the progress of the falloprosthesis operation with a semi-rigid two-component prosthesis Coloplast GENESIS:
In our practice, we use TUBE ® semi-rigid prostheses of the Argentine company Promedon and GENESIS semi-rigid prostheses of the Danish company Coloplast. In addition, three-component inflatable prostheses Titan ® OTR from the Danish company Coloplast are used also.
1. Pommerville P. Erectile Dysfunction: an overview. Canadian Journal of Urology. 2003 Feb;10 Suppl 1:2-6.
2. Droupy S. Epidemiology and physiopathology of erectile dysfunction. Annales d'Urologie (Paris). 2005 Apr;39(2):71-84
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