Erection Problems: Use of Medications, Injections, or Surgery?


Erection problems are more common than we think. With different degrees of intensity, erectile dysfunction can range from mild to severe and reach not only older men but also younger men. It turns out that fear or shame in talking about it causes many men to hide. The prejudice and lack of information about the great chance of cure that treatments bring ends up compromising their sexual and, consequently, social life.

Characterized by the difficulty of obtaining and/or maintaining a penile erection adequate and sufficient for a satisfactory sexual activity (from penetration to ejaculation), erectile dysfunction can have psychological causes - such as anxiety, stress, depression, among others - as well as hormonal problems, diabetes, cardiovascular disease, prostate cancer, excessive consumption of alcohol and other drugs that impair the proper functioning of your body.

The search for the appropriate treatment begins with a specialized medical consultation, which will indicate the necessary examinations to find out the key factors that will lead to the solution of the problem. Depending on the condition, the treatment may be based on medications, injections, or penile prosthesis implantation. Do you want to find out the main characteristics and differences between them? Keep reading this post that I will explain it to you!


Treating dysfunction with medicines

The remedies used to control erectile dysfunction contain active ingredients that promote the blood circulation in the corpus cavernosum of the penis and thus make it erect when sexually stimulated. There are several available options and the most indicated is to obtain a medical prescription.

It is worth remembering that the remedies do not suppress the main cause of erectile dysfunction and therefore work more as a palliative treatment method, usually when the problem of erection is at the beginning and has a mild or moderate degree. The effects usually last for about three hours when allied with erotic stimulation, and it should be taken moments before sexual intercourse begins, as it takes about 30 minutes to get in the bloodstream. These remedies do not have the purpose of treating the condition, so they may lose their effect over time and fail to bring satisfactory results.

The use of remedies to stimulate erection, however, is related to some side effects such as nasal obstruction, headache and facial flushing. Not all men go through this, but those are common side effects. In patients with advanced age, remedies or testosterone replacement to improve erection may also increase the risk of prostate cancer. It is worth noting that its use should be controlled and is not indicated for patients with heart problems or who have developed erectile dysfunction due to diseases such as diabetes, obesity, heart or circulatory diseases, arterial hypertension and internal fibrosis in the penis, which is one of the main causes of Peyronie’s Disease.


Treating the dysfunction with injections

Besides consuming the medicines orally, it is also possible to inject them. The difference is that the injections have immediate effect, since the body immediately absorbs the active principle. Although it has an instant result, there are patients who do not like this kind of treatment for various reasons.

To begin with, you must already have a certain skill in the application of injections and familiarity with the needle, since the procedure should be performed at the time of sexual intercourse. For some men this may cause embarrassment, depending on the level of intimacy you have with your partner, besides disturb the progress of the sexual act.

Another inconvenient of the injection is that it needs to be dosed, and this means that it may not make it work the first time it is used, especially if the patient has a severe case of erectile dysfunction. In addition, its continuous use can lead to the develop of lumps or fibrosis in the penis, which cause other complications than erectile dysfunction, such as Peyronie's disease.

If you are considering the injections as a method to control your erectile dysfunction, think through on the pros and cons and be sure to consult your doctor to get to know the entire procedure and conditions. Remembering that, like the oral remedies, injections work as a palliative treatment and may lose their effect over time.


The definitive treatment with the penile prosthesis

If you have come this far you should be wondering what would be a definitive treatment for erectile dysfunction, since the use of remedies and injections can lose their effect over time. The answer feared by some and unknown by others is the penile prosthesis implant.

Many men are afraid of a surgical procedure or imagine it will affect the sensitivity and functionality of the penis. Nevertheless, the reality is that the prosthesis not only recovers rigidity and penile health permanently, but also brings back the self-confidence, the possibility of resuming the sexual life and also avoids the aggravation for other diseases resulting from the poor quality of the erection, besides of not having any side effects on men's health.

The first step to get this procedure done is to make an appointment with the urologist, who through a color ultrasound examination with induced erection will detect the real cause of erectile dysfunction and evaluate the internal penile structure for proper placement of the prosthesis. Your doctor will explain to you the types of prosthesis available, as well as the characteristics of each one. Thus, you and your doctor can get to a final and satisfactory decision altogether.


Erectile Dysfunction and Decreasing of the Penis

In addition to the problem of erection, erectile dysfunction can also have consequences for the anatomy of the penis, such as reducing its size or thinning. These conditions can be solved in the same surgery of the prosthesis implant, which is done with the Egydio Technique.

In a single surgery, the method implants the prosthesis and equalizes the elasticity of the penis tissues based on geometric principles to elongate and recover the largest possible size and diameter, up to the maximum limit of nerves, vessels and urethra. This brings greater satisfaction to patients, as it is rare for men to handle well with the decrease of the penis.

Now that you already know the possible treatments for erectile dysfunction, how about assessing your condition and starting a conversation that will bring your sexual life back?

In order to be able to do that I need to know more about you. Click the button below and fill out the erectile dysfunction form.


Dr. Paulo Egydio

MD, PhD, Dedicado no Tratamento da Doença de Peyronie, Pênis Curvo e Implante de Próteses Penianas. Doutor em Urologia pela USP, CRM 67482, RQE 19514. - Vencedor do Debate do Sobrevivente da AUA em 2019.

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