Erectile dysfunction, often referred to as ED, is a medical term that describes the inability to achieve and or maintain an erect penis adequate for sexual function. This condition is one of the most common sexual problems for men and increases with age. It is estimated between 15 to 30 million American men suffer from ED, although not all men are equally distressed by the problem.
Erectile Dysfunction can be:
Treatment may vary depending on the cause of your erectile dysfunction. Decisions regarding treatment should be made between you and your physician, with consideration given to your individual needs and the pros and cons of each treatment options. These may include:
Erectile dysfunction is an issue most men do not like to discuss. It’s an uncomfortable and sometimes embarrassing topic that most men prefer to avoid. At Regional Urology Men’s Health Center, we offer a comfortable and private environment to discuss, diagnosis and treat issues affecting men.
Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly known drug on the market today is Viagra®.
There are several prescription medications that claim to help patients. Some patients may experience side effects, including:
Some men may be able to gain an erection by self-injecting drugs into the penis, causing it to become engorged with blood. An advantage of this treatment is that it can be easily self-administered.
Potential side effects of injection therapy include:
Other treatment options for Erectile Dysfunction
Your doctor can provide you with specific details about the pros and cons of each of the following treatments:
Some men find that the treatment options listed above are not suitable for them due to medical conditions, lifestyles, personal preference, or the treatment option may be ineffective. In this case, a penile implant may be an appropriate option.
The penis has two chambers inside called the corpora cavernosa. These chambers extend from the head of the penis deep into the pelvis. The insides of these chambers are made of spongy tissue and have the ability to gain blood volume and grow in size. During daily activities the arteries that supply blood to the penis are only partially open to allow enough blood flow to keep your tissue healthy.
When you experience sexual stimulation, the brain sends signals to trigger a hormonal response that allows those same arteries to open completely. Those open arteries allow more blood to enter the corpora cavernosa faster than the blood can leave through the veins. As the corpora cavernosa fill and grow in size, the veins get compressed, trapping blood in the penis, causing it to get stiff. This chain reaction continues until you achieve and maintain an erection. When your brain stops sending signals, the hormones diminish and your arteries go back to their normal state.
Problems begin when the brain doesn’t send enough or any signals when the blood flow is inadequate, or when erectile tissue is damaged.
1) Sexual stimulation and excitement cause the brain, nerves, heart, blood vessels and hormones to work together to produce a rapid increase in the amount of blood flowing to the penis.
2) The blood becomes trapped and held in the two spongy chambers in the shaft of the penis.
3) As the chambers rapidly fill with blood they expand and the penis becomes firm and elongated. The result is an erection.
A penile implant is a device that is placed into a man’s body and is designed to help him get an erection. Get the facts on an alternative long-term treatment, that is covered by many insurance plans, which allows an erection as often as you like, for as long as you wish.
There are two basic types of penile implants:
The Titan Touch® and Titan® OTR inflatable penile implant
The Genesis™ flexible rod penile implant
Both implants enable men with erectile dysfunction to have a satisfactory erection for sexual intercourse and to experience the joys of sex again. You should be able to have an orgasm with a penile implant if you were able to have one before your surgery, unless you have another medical problem that affects it. Consult your physician about this. The primary difference between the two implant types is that flexible rod implants (the Genesis) produce a permanently firm penis, while the inflatable implants (the Titan) produce a controlled, more natural erection.
Some facts about Coloplast’s penile implants:
The Coloplast Titan Touch inflatable penile implant is a self-contained, fluid-filled system made from Bioflex and silicone. Bioflex is a supple, durable biopolymer material.
The Titan Touch inflatable penile implant offers a dependable method of restoring sexual function.
Will I lose any length after getting a penile implant?
Each penile implant is custom fitted to your anatomy. Discuss this in greater detail with your physician.
Will I be able to have spontaneous erections with a penile implant?
In order to place the implant in the body, the corpora containing the spongy tissue is removed to make room for the cylinders. If you are still able to have erections on your own, which are satisfactory for intercourse, you should consider very carefully whether or not an implant is the right fix for you. However, if you cannot have erections or if they are not satisfactory for intercourse, then an implant will be able to provide you with a more “instant” erection when compared to pills, or vacuum devices.
What is the recovery time?
Each individual is different and therefore their recovery will be different as well. Typical recovery is between 4-6 weeks. Your physician will determine what you can and cannot do during this time. It is important to follow the recommendations that your physician gives to you to ensure the best outcome.
Is the cost of a penile implant covered by insurance?
A penile implant is prescribed by your physician. Most insurance, including Medicare, cover the implant. Check with your physician’s office to determine your actual cost.
What makes the Genesis® and Titan® Touch different?
Both implants provide you with the capability of having an erection satisfactory for intercourse. The main difference is that the Genesis penile implant is a malleable implant consisting of 2 rods that are placed in the corpora cavernosa. There are no further parts to this implant. To have an erection, you only need to hold the penis and move it into the desired position. When you are finished you return the penis to the previous position. With the Titan Touch penile implant, you inflate the cylinders by pressing the pump bulb in the scrotum. You can control the firmness by pumping until you are satisfied with the erection. The best thing is to discuss each implant with your physician to make sure that you are getting the implant that is appropriate for you.
Are there risks associated with the penile implant?
As with any surgery, there are some risks associated with the penile implant procedure including pain, anesthesia reactions, repeat surgery due to infections, or mechanical problems with the device.
Will anyone notice that I have an implant?
Since the implant is completely placed inside your body, no one will see the implant. In fact, no one will know unless you tell them.
Can I have an orgasm with a penile implant?
You should be able to have an orgasm with a penile implant if you were able to have one before your procedure.
DON’T blame yourself.
DO your homework.
DON’T approach the issue with negative emotions.
DO open the lines of communication.
DON’T tell him that his E.D. doesn’t matter.