The abridged 5-item version (ED intensity scale) of the International Index of Erectile Function (IIEF-5)
The abridged 5-item version (ED intensity scale) of the International Index of Erectile Function (IIEF-5)
No-scalpel Vasectomy.. Vasectomy is a safe and excellent method of permanent contraception for the couple whose family is complete, who are mature and fully informed, and who will accept permanent sterility. It is also valuable in preventing bacterial epididymitis. The operation prevents him from fathering further children.
Summary of Therapeutic Modalities for Erectile Dysfunction
| TYPES OF TREATMENT |
ADVANTAGES |
DISADVANTAGES |
|
Counseling/ Sex Therapy |
No surgery or drugs. Leads to understanding. Improves communication. |
Indeterminate time frame. Success rates vary. Costs $75-$150 per hour. |
|
Oral Medications |
Non-surgical. Painless. On demand. |
Work in less than 70% of men with various etiologies. Treatment must be continuous. Possible unpleasant side effects. |
|
Hormone Replacement |
Non-surgical. Painless. May improve libido. |
Effective only with severe testosterone deficiency. May stimulate growth of prostate tissue, cause liver damage or increased generalized fluid retention. Costs about $25-$35 monthly. |
|
External Vacuum Therapy |
Safe. Non-surgical. Use as often as desired. May improve penile blood flow. May result in occasional natural erection. Over a 90﹪success rate. |
Requires some manual dexterity and strength. Must remove tension ring after 30 minutes. Involves learning a manual technique. May cause mild bruising. Costs $400-$500. |
|
Penile Injection Therapy |
Non-surgical. Rapid erectile response for about 70﹪. Erection lasts 1-2 hours. |
Requires test dosing and follow-up. Use limited to twice a week. Fibrosis or scarring may occur. Prolonged painful erection may occur. Annual cost (depending on frequency of use) $1000-$2000. |
|
Semi-Rigid Penile Prostheses |
Simple. Less expensive than inflatables. No mechanical parts to fail. High success rate. |
Requires a surgical procedure. Permanent erection, may be difficult to conceal. Risk of infection, rejection. Alters internal structure of penis and may preclude other treatment. Costs approximately $8,000-$12,000. |
|
Self-Contained Inflatable Penile Prostheses |
Controllable natural-like erection. Very effective. Less expensive than multi-component inflatable prostheses. |
Requires a surgical procedure. Risk of infection, rejection or mechanical failure. Does not add to girth of penis. Alters internal structure of penis and may preclude other treatment. Costs approximately $10,000-$14,000. |
|
Multi-Component Inflatable Penile Prostheses |
Controllable natural-appearing erection. Full-girth and true flaccidity. Easily concealed. High patient/partner satisfaction. |
Requires a surgical procedure. Highest cost of all prostheses. Longer surgical time. Risk of infection, rejection, or mechanical failure. Alters internal structure of penis and may preclude other treatment. Costs approximately $12,000-$15,000. |
|
Reconstruction/Venous Ligation |
Effective when problem is due to vascular obstruction or deformity. | Sophisticated surgical procedure. Effective for less than 1﹪. Very high relapse rate. Costs approximately $15,000-$20,000. |
| Source:A Couple’s Guide FOR THE TREATMENT OF Erectile Dysfunction.Timm Medical Technologies, Inc.
Website: http://www.timmmedical.com |
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