Impotence is the inability to achieve or maintain sufficient erection in the penis for sexual intercourse.
If you are suffering from impotence, you should know that you are not alone.
Today, approximately 30 million men in the United States have impotence. Impotence. Whether it is physical or psychological, it results in disappointment for both genders. However, impotence should not be confused with other sexual dysfunctions such as low sexual desire and premature ejaculation. Too much masturbation and too much sexual contact at an early age do not cause impotence in later ages. There is no relationship between impotence and infertility. Many men may experience erection problems from time to time throughout their lives, but in one in ten men this condition becomes chronic, that is, permanent.
Impotence is perceived as an embarrassing event for many men and it is difficult to talk about it even with a doctor. However, regardless of the cause, the first step in impotence, which is a treatable condition, is to seek help from a doctor.
Situations that may lead to impotence:
A – Organic (Physical) factors:
1 - Diabetes: In the chronic process of the disease, impotence may occur due to the destruction of the vessels and nerves leading to the penis. While even proper diet and regulation of blood sugar are beneficial in some patients, impotence is permanent in many patients due to permanent damage to the nerves.
2 - Cardiovascular diseases: In case of calcification of the arteries leading to the penis, adequate blood flow cannot be provided or the veins in the penis are damaged. It occurs when the erection cannot be sustained for long enough due to damage.
3 - Trauma and pelvic (hip) area surgeries: Impotence may also occur after prostate, bladder and large intestine surgeries. Especially in cancer surgery, since the surgeon's primary goal is to completely rid the patient of cancer, the vessels and nerves leading to the penis often have to be cut.
4 - Neurological diseases: Since the spinal cord is the only way for the nerve impulses in the penis to reach the brain and the messages from the brain to the penis, impotence may occur after damage and surgery in this area.
5 - Drug use: Medicines. blood flow and transmission of nerve impulses They can negatively affect the body and cause impotence. Some medications, especially those used for high blood pressure and depression, may cause this condition.
6 – Alcoholism and excessive smoking: In case of excessive use of alcohol and cigarettes for a long time, hormone levels will change and permanent vascular and nerve damage will occur, causing impotence. may occur.
7 - Hormonal causes: Although it is a rare cause of impotence, especially kidney failure and liver diseases can cause this situation to occur by changing hormonal balances.
B – Psychological factors
1 – Misinformation: Temporary erection problems that occur at older ages due to misinformation about sexual life are the result of stress and fear. It may become permanent.
2 – Fear of performance: Fear of failure occurs in all men from time to time. However, when this fear is frequent, it results in impotence.
3 – Depression: The disease is characterized by lack of energy and therefore decreased sexual desire. For this reason, the patient will become more depressed as a result of not being able to achieve sufficient erection for sexual intercourse. In such a case, depression should be treated first.
4 – Stress: Erectile dysfunction that occurs temporarily due to work, economic or family problems can lead to permanent impotence due to increased stress, just like depression.
To eliminate the psychological cause of impotence treatment, your doctor may send you to a psychiatrist or sex therapy specialist. Going to such a meeting with your spouse will help solve the current psychological problem more easily.
Do I have impotence?
If you answer yes to any of the 5 questions listed below. You should consult your urologist about this.
1 – Have you had difficulty achieving an erection recently?
2 – Have you experienced this problem in three out of every four sexual intercourse attempts?
3 – Has the difficulty in achieving an erection lasted for more than a month?
4 – Have involuntary erections, especially in the morning, become less frequent?
5 – The time it takes to achieve an erection is longer than before. Is it?
EMPOTANCE TREATMENT ISI:
There are two types: medical (with medication) and surgical.
Your urologist may send you to have an interview with a psychiatrist or sex therapy specialist, preferably with your partner. Do not forget that in cases of psychological impotence, these meetings may help your complaints to disappear completely.
Drugs taken orally and used to create erection:
Drugs taken orally increase the blood flow to the penis. They are effective. An erection will occur with sexual stimulation about an hour after taking these medications. In order for the effect of these drugs to be stronger, they should not be taken with or immediately after a heavy meal, and they should not be taken with some heart medications as they may be life-threatening.
Hormone medications:
As we age, the amount of some hormones in our body decreases. In cases where these hormones are severely reduced, decreased sexual desire, loss of energy, chronic fatigue and inadequate erection occur. The above-mentioned complaints are resolved by administering these hormones orally, through injections into the hip, in patches that can be absorbed through the skin, or in the form of creams.
Vacuum erection devices:
These devices are applied to the penis. These are externally applied devices. With the applied vacuum, a sufficient amount of blood is drawn into the penis, creating a sufficient erection, and by attaching a rubber band to the root of the penis, the blood is prevented from flowing backwards. Thus, sufficient hardness is achieved in the penis throughout sexual intercourse.
Penile injection treatment:
After some drugs are administered directly into the penis by injection, erection occurs without the need for sexual stimulation. The medicine is given through a special insulin needle. If your urologist chooses this treatment for you, you will be taught how to give the injection yourself.
Vascular surgery:
In cases of blockages that do not allow sufficient blood flow, the blocked part is the same as in heart surgery. It is performed by bypassing the penis.
Penile prostheses (happiness stick) surgeries:
It is applied as a permanent solution for patients who do not benefit from the medical treatments listed above.
To the penis in the treatment of impotence injection
With the injection made into the penis, the penis vessels expand, the incoming blood flow increases and, as a result, a natural erection is achieved. If this treatment is deemed appropriate for you by your doctor, your doctor will mix the previously prescribed medications in a sterile bottle and give it back to you for your own use, keeping it out of sunlight. Keep the bottle containing the medicine given to you in a cool and dark place (preferably on the refrigerator door).
You will take the special insulin injections you will buy from the pharmacy and apply it to your penis in the amount your doctor will tell you. How to give the injection is given below.
- Prepare the medicine, the needle and a clean alcoholic cotton pad
- Wash your hands with soap
- Cover the mouth of the medicine bottle with alcoholic cotton. Wipe with
- Enter with a needle and draw the medicine into the syringe
- Hold the syringe with the needle facing up and carefully remove all air bubbles
- Wash the area of your penis where you will inject with alcohol. Clean it with cotton
- Hold the tip of your penis with your other hand and slowly pull it forward
- Insert the entire needle into the area you cleaned at a 45 degree angle with the vertical (In the picture below)
- Pour all the medicine inside by pushing the plunger of the syringe
- After taking the needle out, press the area where you injected with alcohol cotton for a few minutes. Put it in a jar (When the jar is full, you can close the lid and throw it in the trash. Thus, used needle tips are You will prevent the needles from stinging your hand)
- Your penis will become erect approximately 10 - 20 minutes after the injection
Attention is important:
- Do not inject your penis more than 3 times a week
- Change the injection site on the right and left side each time.
- If your erection lasts more than 4 hours and you cannot soften, consult your doctor or first aid
PENILE PROSTHESIS (HAPPINESS STICK)
Penile prosthesis is applied as a permanent treatment alternative to men with impotence who have not responded to psychological and medical treatments. The entire prosthesis and its parts are placed into the penis and surrounding tissue through open surgery under general anesthesia. Before sexual intercourse, the prosthesis is placed in an erection state with the help of an external hand. Manipulation of the patient is still required for it to descend after intercourse.
Although there are different types of penile prostheses, they can be roughly divided into bendable and inflatable. You and your urologist will decide together on the type of prosthesis and the type of surgery.
The situations in which a penis prosthesis is not a good option for you are as follows:
- If you have a disease that will prevent you from having surgery under general anesthesia
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- If you have had a previous surgery that would prevent the prosthesis from being installed on the penis and its surroundings
- If you are happy to use any of the treatments given before the prosthesis
- If you believe that your impotence is temporary and
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