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. 2002;4 Suppl 3(Suppl 3):S9-S16.

Nonpharmacologic treatment of erectile dysfunction

Drogo K Montague

Nonpharmacologic treatment of erectile dysfunction

Drogo K Montague. Rev Urol. 2002.

Abstract

Nonpharmacologic treatment for erectile dysfunction (ED) includes sex therapy, the use of vacuum erection devices, penile prosthesis implantation, and penile vascular surgery. Sex therapy is indicated for psychogenic ED and is at times a useful adjunct for other treatments in men with mixed psychogenic and organic ED. Vacuum erection devices produce usable erections in over 90% of patients; however, patient and partner acceptability is an issue. Three-piece inflatable penile prostheses create flaccidity and an erection that comes close to that which occurs naturally. Penile vascular surgery has shown greatest efficacy in young men with vasculogenic ED resulting from pelvic or perineal trauma.

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Figures

Figure 1
Figure 1
The Osbon ErecAid® Esteem™ system vacuum erection device. Image provided by Timm Medical Technologies and reprinted with permission.
Figure 2
Figure 2
Mentor Alpha-1® 3-piece inflatable penile prosthesis with Lock-out™ valve reservoir. Image courtesy of Mentor and reprinted with permission.
Figure 3
Figure 3
AMS Ultrex 3-piece inflatable penile prosthesis. Image courtesy of American Medical Systems and reprinted with permission.
See this image and copyright information in PMC

References

    1. Lizza EF, Rosen RC. Definition and classification of erectile dysfunction: report of the Nomenclature Committee of the International Society of Impotence Research. Int J Impot Res. 1999;11:141–143. - PubMed
    1. Rosen RC. Psychogenic erectile dysfunction: classification and management. Urol Clin North Am. 2001;28:269–278. - PubMed
    1. Masters WH, Johnson VE. Human Sexual Inadequacy. Boston: Little, Brown, & Co; 1970.
    1. Nadig PW, Ware JC, Blumoff R. Noninvasive device to produce and maintain an erectionlike state. Urology. 1986;27:126–131. - PubMed
    1. Levine LA, Dimitriou RJ. Vacuum constriction and external erection devices in erectile dysfunction. Urol Clin North Am. 2001;28:335–341. - PubMed

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