Please provide your email address and phone number and a Chesapeake Urology Erectile Dysfunction Care Program representative will contact you shortly to assist with your question or issue. About ED Causes of ED Anatomy Of The Penis Your Doctor's Visit FAQs Penile Rehabilitation Following Radical Prostatectomy Low Testosterone and Erectile Dysfunction Glossary Treatment Options Oral Medications Vacuum Erection Devices Injection Therapy Surgical Treatment - Penile Prosthesis (Implants) Lifestyle Changes Just For Women Women - Understanding Erectile Dysfunction ED Treatments - Bringing Back the Spark in Your Relationship About Us Physicians Videos Patient Information What to expect during your doctor's visit Patient Forms Insurance Information Support Groups Success Stories Locations About ED Treatments Just For Women About Us Patient Information Blog Videos My Chesapeake Urology Patient Portal © 2022 Chesapeake Urology Associates, P.A. - All Rights Reserved © 2022 Chesapeake Urology Associates, P.A. Privacy Policy Terms of Use Sitemap Toggle navigation Urologic Surgery UC Davis HealthUrologic Surgery Erectile Dysfunction
If you’re wondering about these tests, please don’t be concerned. This testing is covered under OHIP at certified labs.
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If you are taking medications (alpha-blockers) for problems with an enlarged prostate, you should discuss your prostate medications with your doctor. Alpha-blockers also can cause lowering of the blood pressure. Thus your doctor will need to carefully watch your blood pressure when you start the PDE5 inhibitor. Common alpha-blockers include doxazosin (Cardura), terazosin (Hytrin), and tamsulosin (Flomax).
Health care professionals do not routinely obtain imaging tests in the evaluation of erectile dysfunction.
Reluctance to seek treatment remains the major barrier to restoring full sexual function for men who have erectile dysfunction.
This information was updated by the EAU Patient Information Working Group, July 2021.
U.S. Food and Drug Administration. FDA Drug Safety Communication: fda cautions about using testosterone products for low testosterone due to aging; requires labeling change to inform of possible increased risk of heart attack and stroke with use. www.fda.gov/Drugs/DrugSafety/ucm436259.htm. Bassil N , Alkaade S , Morley JE . The benefits and risks of testosterone replacement therapy: a review. Ther Clin Risk Manag 2009;5:427–48. Søe KL , Søe M , Gluud C . Liver pathology associated with the use of anabolic-androgenic steroids. Liver 1992;12:73–9. doi:10.1111/j.1600-0676.1992.tb00560.x Randrup E , Baum N , Feibus A . Erectile dysfunction and cardiovascular disease. Postgrad Med 2015;127:166–72. doi:10.1080/00325481.2015.992722 Wrishko R , Sorsaburu S , Wong D , et al . Safety, efficacy, and pharmacokinetic overview of low-dose daily administration of tadalafil. J Sex Med 2009;6:2039–48. doi:10.1111/j.1743-6109.2009.01301.x Seftel AD , Sun P , Swindle R . The prevalence of hypertension, Hyperlipidemia, diabetes mellitus and depression in men with erectile dysfunction. J Urol 2004;171:2341–5. doi:10.1097/01.ju.0000125198.32936.38
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Urinalysis (urine test, drug test) is a test performed on a patient's urine sample to diagnose conditions and diseases such as urinary tract infection, kidney infection, kidney stones, and inflammation of the kidneys, or screen for progression of conditions such as diabetes and high blood pressure.
Picture of vasodilator injection into penis. A vasodilator such as prostaglandin E1 can be injected. If the blood vessels are capable of dilating, a strong erection should develop within five minutes.
Chris Myers, study co-author, explained weak pelvic floor muscles 'may directly impact erectile strength and the ejaculatory process'.
David F Mobley1, Mohit Khera2, Neil Baum3 1 Department of Urology, Weill-Cornell Medicine, Houston, Texas, USA 2 Department of Urology, Baylor College of Medicine, Houston, Texas, USA 3 Department of Urology, Tulane Medical School, New Orleans, Louisiana, USA Correspondence to Dr David F Mobley, Department of Urology, Weill-Cornell Medicine, 18300 Katy Fwy, Ste 325, Houston 77094, TX, USA; mobleyresearch{at}gmail.com
Hypertension can affect endothelial function in many ways. It can reduce endothelium-dependent vasodilatation by increasing the vasoconstrictor tone as a result of increased peripheral sympathetic activity.41–43 Another mechanism is hypertension-induced increase in cyclooxygenase activity that leads to an increase in reactive oxygen species; these in turn damage endothelial cells and disrupt their function.44–46 In some cases, endothelial NO synthase (eNOS) gene variations may relate to hypertension-associated endothelial dysfunction.6
The severity of ED has been correlated with the extent of CVD. Banks et al reported that the risk of future CV events increased progressively according to ED severity.28 This was shown in both men with and without known CVD at baseline and after controlling for confounders. Solomon and colleagues found an inverse correlation between international index of erectile function (IIEF) scores and plaque burden seen on coronary angiography.29 In addition, Yaman et al demonstrated a significant correlation between ED severity on IIEF questionnaires and coronary artery calcification.30
Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.
Another relatively simple, non-invasive treatment for ED includes use of a vacuum erection device (‘penile pump’), to assist with achieving erection for intercourse. These devices work by pulling blood into the penis; a tight constrictive ring is then placed at the base of the penis. While generally safe, care should be taken not to overinflate the device nor to leave the constrictive ring on for prolonged periods as either of these may lead to penile damage.
First-line treatment is typically with the use of phosphodiesterase inhibitors, such as sildenafil (also known as Viagra). In the UK, Viagra is now available without a prescription, and can be obtained over the counter from pharmacists, once suitability has been assessed. A vacuum device, or pump, can also be useful especially if medications are not suitable. Vacuum pumps work by encouraging blood flow to the penis, resulting in an erection.