Diagnosis and treatment of erectile dysfunction (impotence)

When you first contact an andrologist or urologist, the most important step in diagnosing impotence is to gather complaints and determine the sexual history. The patient must describe in detail when the problem occurred, previous and current sexual relations, sexually transmitted infections, sexual preferences, spontaneous morning erections, the presence of difficulties in sexual arousal, ejaculation and orgasm.

The next step is a physical examination to assess the development of secondary sexual characteristics, which includes an external examination with measurement of waist circumference, blood pressure, examination of the external genitalia, finger rectal examination.

The laboratory examination includes a number of tests and analyses. Instrumental and special examinations include ultrasound of the genital arteries, prostate gland and intracavernosal test. Psychosexual examination (conducted by a psychologist, psychotherapist or sexologist as prescribed by the urologist).

Treatment methods for erectile dysfunction

  1. Conservative (drug) methods are the most popular in the treatment of this problem. The most popular drugs for the treatment of erectile dysfunction today are phosphodiesterase type 5 inhibitors and herbal preparations. You can buy special medications here https://svensktapotek.net/kopa-kamagra-oral-jelly/.
  2. Injections of vasoactive drugs into the cavernous bodies of the penis increase blood flow, and also cause an erection without erotic stimulation, as taking the drugs of the previous group requires sexual stimulation. Intracavernosal injections are performed by the patient himself, with prior training in this technique by a urologist.
  3. Vacuum-constrictor method – used when ineffective or in combination with drug therapy, as well as when the patient himself prefers this method of treatment. The technique consists of creating a negative pressure in the corpora cavernosa of the penis, which promotes blood flow to the penis and causes an erection, which is maintained by placing a special compression ring at the base of the penis to limit blood outflow. 
  4. Great role played by monitoring and treatment by a sexologist or doctor-therapist in the presence of psychogenic erectile dysfunction.
  5. Surgical methods of treatment occupy about 5% of all types of therapy for impotence. Treatment of erectile dysfunction is carried out in the absence of effectiveness from conservative treatment within 6 months, as well as in the presence of contraindications to it or due to personal considerations of the patient.