Can impotence be cured?

For most men, impotence is a very troublesome problem. This male disease is very harmful. When having sex with your lover, you may not be able to get an erection at all, or you may have an erection weakness. If the situation is serious, the penis cannot enter the vagina at all, and you cannot complete a normal married life. This will cause a huge blow to men's psychology. So how to treat impotence?

Can impotence be cured?

Impotence is not life-threatening but it can significantly affect the quality of life. Because sexual intercourse is an exciting physical activity, it is of concern to patients with cardiovascular disease. Therefore, when treating ED, patients with cardiovascular disease should go to the hospital to carefully evaluate their overall cardiovascular function before deciding whether to treat the symptoms of impotence.

1. Basic treatment

(1) Correct risk factors: such as smoking, alcoholism, high blood lipids, obesity/drug abuse, etc.

(2) Treat diseases that cause impotence: such as diabetes, hypertension, and penile induration.

(3) Adjust mental state: relieve anxiety, tension, depression, etc.

(4) Strengthen sexual medicine education.

(5) Harmonious marital relationship: encouragement and participation from spouse.

2. Drug treatment

Early treatment and the use of regular and effective Western medicine should be used to achieve better therapeutic effects and control the disease as early as possible.

(1) Use PDE5i such as sildenafil, vardenafil and tadalafil. If PDE5i is used properly, in appropriate dosages and repeatedly, it may improve the efficacy, but this drug cannot fundamentally cure impotence. The main adverse reactions of PDE5i are mild headache, dizziness, facial flushing, etc.; because PDE5i has a mild vasodilatory effect, it should not be used by people taking nitrates and patients with impotence accompanied by cardiovascular risk factors.

(2) Apomorphine hydrochloride lozenges have a certain therapeutic effect on patients with mild or moderate impotence or impotence caused by mental factors.

(3) For patients with impotence and low testosterone levels, androgen supplementation and combination with PDE5i drugs can be used. However, patients with prostate cancer or those with this underlying disease are prohibited from using androgen supplementation therapy. Therefore, before androgen supplementation, liver function tests, prostate digital rectal examination (DRE) and PSA measurements should be routinely performed, and regular tests should also be performed during the hormone injection period.

3. Vacuum Erection Device and Constriction Ring

For patients with impotence who do not want to take drug treatment or have contraindications to drug treatment, the effectiveness rate is usually around 60%.

4. Penile cavernous intracavernous drug injection therapy

5. Penile prosthesis implantation

This method is suitable for patients with severe organic impotence who have tried various treatment methods but have no effect. At the same time, the patient needs to be in good physical condition except for the symptoms of impotence, and have a stable mental and psychological state and voluntarily request surgical treatment. Penile prosthesis implantation is a semi-permanent treatment method, which can be divided into a single-piece flexible erectile and a two-piece or three-piece inflatable erectile.

6. Vascular Surgery

It is suitable for patients who are diagnosed with arterial or venous impotence after examination. It includes penile venous ligation and penile artery reconstruction, but the effect of this method in treating impotence needs to be further improved.