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Erectile dysfunction (ED)

Erectile dysfunction may separate and distance couples, often causing conflict and emotional pain. Fortunately, many sexual difficulties can be improved or resolved through open communication between the couples and a mutual commitment to learn about the condition and carry through treatment options.

WHAT IS ERECTILE DYSFUNCTION?

Erectile dysfunction is the inability to achieve or sustain an erection adequate for sexual intercourse. It is a common, treatable condition.

PSYCHOLOGICAL CAUSES OF ED INCLUDE

stress and anxiety from work or home
worry about poor sexual performance
marital discord
unresolved sexual orientation
depression
Other causes are due to defective blood flow or nerve function to the penis.

HOW CAN COUPLES WORK TOGETHER

Couples need to communicate openly and honestly with each other. Most importantly, couples need to comfort any concerns they may have about ED by discussing their feelings and reassuring each other that they still care. Couples need to maintain this communication throughout the treatment process.

WHAT CAN BE DONE FOR ED?

Changing habits and medications
 
Quitting smoking and changing prescription medications may help address the condition.
Hormone Medications
 
Only five percent of erectile dysfunction cases are caused by irregular levels of sex hormones, such as low levels of testosterone or excess estrogen. There are medications to restore this balance.
Professional Counseling
 
Because impotence can often result from a combination of psychological and physical factors, counselling can lessen anxiety. This therapy is often used in combination with other treatments directed by a physician.

ORAL MEDICATION

The first line treatment for erectile dysfunction is oral medication with a phosphodiesterase 5 inhibitor such as Sildenifil (Viagra), Vardenifil (Levitra) or Tadalafil (Cialis). This medication is taken only as and when necessary and is effective in about 80% of patients. They vary slightly in terms of mechanism of action, time of onset, duration of action and side-effects. However, it should not be taken together with other nitrate containing medications such as glycerine trinitrate for heart disease. This may result in possible cardiovascular side effects.

TRANSURETHRAL AGENTS

MUSE (Medicated Urethral System for Erection) has been approved for delivery of a pellet of Alprostidil 2-3 cm into the urethra, where it is absorbed through the mucosa. This has largely been superseded by oral agents and is now hardly used as a form of therapy for ED.

VACUUM THERAPY

This will enable erection by increased blood flow to the penis through negative pressure suction generated by the device. This will enable the patient to obtain penile enlargement and rigidity for sexual intercourse.

INJECTION THERAPY

One of the best newest forms of treatment involves the self-injection of a certain medication into the side of the penis. The relatively painless injection produces erections of good quality in about 70-80 percent of patients.

SURGICAL TREATMENT

This treatment is usually reserved for those patients whose blood flow has been blocked by an injury to the penis or pelvic area. The goal of this treatment is to correct the blockage of blood flow to the penis so that erections will occur naturally.

PENILE PROSTHESES

This treatment involves the surgical placement of a device into two sides of the penis, allowing erections as often as desired. These implants come in two forms; an inflatable device and semi-rigid rods. This treatment is not recommended until other methods have been considered or tried first.

REGAINING SEXUAL FUNCTION

The good news for many men and their partners is that erectile dysfunction can usually be treated safety and effectively. In the light of recent medical advances, men no longer need to suffer from erectile dysfunction in silence nor must their impotency be a dividing force in their relationships. Most importantly, couples can now fully enjoy the enriching and exhilarating joy of intimate sexual contact

TO MAKE AN APPOINTMENT

TEL: (65) 6479 7388 OR (65) 6690 6828 OR CLICK HERE TO MAKE AN APPOINTMENT ONLINE
 
Conditions
 
•     Benign Prostatic Hyperplasia
•     Bladder Cancer
•     Erectile dysfunction
•     Hydrococele & Spermatocele
•     Kidney Cancer
•     Peyronnies’ disease
•     Prostate Cancer
•     Prostatitis
•     Testicular Cancer
•     Testicular Torsion
•     Urinary Incontinence
•     Kidney Stones
•     Urinary Tract Infections
•     Varicocele

Send us an enquiry
 
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Contact Information  
   
Li Man Kay Urology Associates Pte Ltd
Mount Elizabeth Novena Hospital
38 Irrawaddy Road Suite 08-38,
Singapore 329563

 

Tel: (65) 6479 7388
Fax: (65) 6690 6828
Email: enquiry@limankay.com.sg