COUPLE’S GUIDE
November 15th, 2007 by Dr. Hsieh
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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