Management of sildenafil treatment failures

M Kendirci, O Tanriverdi, L Trost…�- Current Opinion in�…, 2006 - journals.lww.com
M Kendirci, O Tanriverdi, L Trost, WJG Hellstrom
Current Opinion in Urology, 2006journals.lww.com
Proper counseling, medication optimization, and modifying associated risk factors can
provide success in men who had initially failed sildenafil therapy for erectile dysfunction.
Other treatment modalities that may be considered when sildenafil failure occurs include
vacuum devices, intraurethral, and intracavernosal administration of vasoactive drugs alone
or combined with sildenafil. Penile prosthesis implantation is considered as a last resort, if
all first-line and second-line therapies fail.
Summary
Proper counseling, medication optimization, and modifying associated risk factors can provide success in men who had initially failed sildenafil therapy for erectile dysfunction. Other treatment modalities that may be considered when sildenafil failure occurs include vacuum devices, intraurethral, and intracavernosal administration of vasoactive drugs alone or combined with sildenafil. Penile prosthesis implantation is considered as a last resort, if all first-line and second-line therapies fail.
Lippincott Williams & Wilkins