Clinical necessity-treatment and management of erectile dysfunction
Active diagnosis and treatment of ED is helpful for early detection or prevention of chronic diseases such as CVD and diabetes. The male Science Branc…… term effect of penile vascular surgery surgical indications should be strictly selected and adequate preoperative communication should be carried out. In the absence of contraindications penile prosthesis has good safety and effectiveness but attention should be paid to prevent the occurrence of intraoperative and postoperative complications Antioxidants and drugs to improve microcirculationWith the increase of age and some metabolic diseases such as diabetes the body is mostly in the state of oxidative stress resulting in the decrease of NO and the increase of vascular endothelin-1 (ET-1) the decrease of relaxation and the enhancement of contractility of corpus cavernosum smooth muscle of penis and the functional and organic damage of blood endothelium of small vessels thus aggravating the degree of ED. In these patients the effect of PDE5i alone is not good. The combined use of antioxidants and drugs to improve microcirculation can be considered.Other drugsOther drugs such as apomorphine trazodone and other drugs have been confirmed by some studies on ED but the application is less.PhysiotherapyPhysiotherapy (such as negative pressure suction and micro-energy etc.) is usually used as an auxiliary means of ED therapy.Patients with poor efficacy can choose or combined with appropriate physiotherapy. Commonly used physiotherapy methods includeVacuum erection device (VED line and second-line treatment. Due to the poor long Low intensity extracorporeal shock wave therapy (LI Surgical treatmentSurgical treatment is a third-line treatment of ED for moderate to severe ED patients who are ineffective in first
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