Impotence is usually treatable without surgery. The type of treatment depends on the cause. Special exercises done by patients with impotence due to psychological problems, namely centering sensation technique in 3 stage .
This technique encourages intimacy and emotional warmth, which is focused to build a relationship:
- Phase I: flirt, the couples concentrate on each other to fun without touching the pubic region.
- Phase II: the couple began to touch the genital area or other erotic areas, but not the act of intercourse.
- Phase III: the act of intercourse.
Each achieve comfort at every stage of intimacy before continuing to the next stage. If this technique does not work, patients may need to undergo psychotherapy or behavioral sexual therapy. If patients are depressed, antidepressants can be given.
Sildenafil is a drug that can increase blood flow to the penis. This drug is taken 30-60 minutes before sexual intercourse, is only effective if accompanied by sexual arousal. Should not be taken along with nitrates may lead to serious side effects. If impotence or loss of sexual desire due to low testosterone levels, patients should undergo hormone replacement therapy.
Testosterone was injected every week or granted in the form of plaster. The side-effect is the enlargement of the prostate and the excess red blood cells that can lead to stroke.
Binding instrument or a vacuum is often used to achieve and maintain an erection, but this tool should not be used by people with bleeding disorders or patients who take anticoagulant drugs.
Binding tool (a rope or a ring made of metal, rubber or leather) is installed at the base of the penis to slow the flow of blood from the penis.
Vacuum (in the form of hollow box and pump) mounted on the penis. Vacuum pressure helps blood flowing into the penile arteries. When the penis is erect, a device installed to prevent the fastener from the venous blood flowing. Combination of these two devices can sustain an erection for 30 minutes.
Sometimes cause problems when the fastener tool ejaculation, especially if tied too tight. For the sake of security, preferably after 30 minutes of the tool is released. If it is too often used, the vacuum can cause bruising.
Impotence can also be treated with injections of specific drugs taken by patients themselves.
This drug is injected directly into erectile tissue of the penis (corpus cavernous. Erection occurs within 5-10 minutes after drug injection and can last for 60 minutes.
The side effects are bruising and pain. In addition, the injection can also cause Priapism (persistent and painful erection).
If impotence does not respond to various treatments mentioned above, can be used in transplant a penis or prosthesis (artificial penis).
One tool that transplanted rods as thick inserted into the penis to cause an erection that stay. Another tool in the form of a balloon inserted into the penis and inflated before the patient had sexual intercourse.
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