1. What is impotence?
It is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance.
2. How does impotence occur in men?
There are two tube-like structures inside the penis, which we call cavernous bodies. When the tube-like structure fills with blood, as shown in the figure, hardness occurs.
3. Is it very common?
Yes, it is seen at certain rates in 52% of men over the age of 40.
4. What are the causes of impotence in men?
In general, vascular, neurological, psychogenic, hormonal diseases, medications, traumas and previous surgeries can cause erection problems. In addition, even a urinary tract infection that can be easily treated can cause erection problems.
5. Could erectile dysfunction be an indicator of the onset of other important diseases?
Yes. Impotence caused by vascular causes may be an indication of a significant heart disease. To explain this a little more, if there is a problem with the blood supply to the penis, the same blood supply problem may also occur in the heart. But since the symptoms may first start in the penis, this may be a sign of a heart attack. That's why you should consult your doctor without wasting too much time. Apart from this, erection problems may also occur in kidney, liver and thyroid disorders.
6. Can prostate surgery cause erection problems?
It occurs at different rates depending on the patient's age, the state of sexual functions, the surgical technique used and the experience of the surgeon. Additionally, there are some treatments we apply after surgery to reduce this rate.
7. What kind of tests are performed for diagnosis?
First of all, blood pressure should be checked. In addition to the routine blood tests (sugar level, blood lipids, thyroid tests, kidney tests), if necessary, hormone levels such as testosterone and prolactin are measured in the blood taken in the morning. Apart from these, some invasive tests such as penis Doppler ultrasonography can be performed to investigate more specific causes.
8. General recommended topics for treatment purposes What are they?
Quiting smoking, maintaining ideal weight, exercising regularly, not consuming excessive alcohol. Also, consult your doctor about any medications you use.
9. Can I easily use commercially available drugs?
There are various drugs used for erection problems. Do not use these medications without consulting your doctor. For example, when used together with some heart medications, it can have fatal consequences. Again, not all drugs are used together with some prostate drugs.
10.General treatment approaches for erectile dysfunction
There are many precautions that can be taken before drug treatment. These are planned by talking in detail with the patient. The first-line treatment approach is medications. Second-line treatments include injecting medication into the penis, vacuuming, and applying shock waves to the penis. The third step treatment is the installation of a prosthesis (happiness bar).
12. Is it visible from the outside when the happiness bar is inserted?
Except for non-inflatable prostheses, that is, always hard ones. There are prostheses that you can inflate and deflate whenever you want. Of these, the 3-piece ones are the most comfortable and unnoticeable when viewed from the outside.
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