erectile%20dysfunction
ERECTILE DYSFUNCTION

Erectile dysfunction is the inability to attain and maintain an erection enough to have satisfactory sexual performance for ≥3 months.

It is when the patient complains of partial erection that could not attain vaginal penetration.

Complete loss of penile rigidity is uncommon.

Initial penile erections can penetrate but early detumescence occurs without ejaculation.

Surgical Intervention

Penile Vascular Surgery

  • Arterial reconstructive surgery should be considered only in healthy men w/ recently acquired erectile dysfunction due to a focal arterial occlusion in the absence of a generalized vascular disease

Penile Drug Delivery (Implanted) Devices

  • May be tried before standard implants are used if erection is possible w/ pharmacological injection

Penile Implants

  • Considered final treatment for erectile dysfunction patients & should be reserved for patients who have failed other treatments
  • Irreversible & highly invasive
  • When performed by experienced surgeon has been associated w/ high rate of patient satisfaction
  • May have surgical complication & mechanical failure
  • Available classes of penile implants are inflatable (2- & 3- piece) & malleable devices
  • Surgical approaches include penoscrotal & infrapubic
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Endocrinology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Audrey Abella, 14 Apr 2020
The investigational, oral formulation of octreotide appeared to be effective and safe as maintenance treatment for adults with acromegaly, according to the results of the phase III OPTIMAL* study presented at ENDO 2020.
3 days ago
Following a Mediterranean diet appears to have a favourable effect on verbal memory in patients with type 2 diabetes (T2D) of at least 5 years’ duration but not in those with type 1 diabetes (T1D), as shown in a study.
Pearl Toh, 14 May 2020
Children with high serum insulin levels and whose parents are under stress are more likely to have asthma symptoms, suggest two studies presented at the AAAAI 2020 Meeting.