Definition of impotence
It is the state of not being able to achieve sufficient erection for sexual intercourse or to maintain it enough to terminate intercourse
Causes / Frequency< Impotence can occur due to many factors, including diabetes, arteriosclerosis, high blood pressure, hormone disorders, diseases of the nervous system, medications used or mental problems. Often an exact cause cannot be revealed. Contrary to popular belief, impotence is a very common condition. Nearly 50% of men between the ages of 40 and 70 describe that their sexual functions have decreased to varying degrees compared to before. These complaints, of course, increase in direct proportion to age.
Distinction between Psychogenic / Organic Impotence
Nowadays, the distinction of the underlying cause is psychogenic (spiritual) or organic (due to various reasons). It is not done as such. It is accepted that even in patients who complain of impotence and have organic diseases known to cause impotence, such as vascular disease or stroke, the psychological effect of this condition affects the individual and requires treatment in this regard. However, it is not right to accept a patient as psychogenic impotence without any research.
Oral Drug Use:
Oral drugs of various types and forms. There are. However, it is absolutely not appropriate to use these drugs without a doctor's advice. Before using medication, it should be investigated whether it has side effects or negative effects on health and a doctor should be consulted.
Hormone Therapy:
(limited success)
Treatment is only by giving male hormones. It is effective in patients who are deficient in this hormone. Male hormone has no direct effect on erection. The hormone is more effective on sexual desire. In case of an underlying disorder, although people's sexual desires increase when hormones are given, giving them may even be more harmful as there will be no improvement in performance.
Vacuum Device
(60-70% success)
Vacuum device is an externally applied, non-surgical device based on the principle of drawing blood into the penis through vacuum. The process ends with v It is performed by placing the penis inside a cylinder with a pump in order to create vacuum. When sufficient hardness is achieved, an elastic band is placed at the root of the penis to ensure that the blood remains there. It is a very safe method but with low patient compliance. It is important to use a device that has a safety valve and is produced by a medically supervised company.
Injection treatment:
(70-90% success)
Increasing erection in the penis. This depends on the expansion of the spongy tissues in the penis and the filling of blood there. The purpose of injection therapy is to administer substances that enable these mechanisms to work directly into the penis. Since this procedure must be performed before sexual intercourse, patients are taught the injection technique. Generally, most patients achieve an erection that is full and hard enough for sexual intercourse. Even though the idea of injection is difficult for many people at first, it should be known that today thousands of patients have applied this treatment successfully and satisfactorily.
Penile prosthesis (happiness stick):
(95% success)
It is the most effective method in the treatment of impotence. There are different models from each other. The basis here is to ensure hardness by surgically placing these tubes in the tubes that provide erection in the penis. Since it can be placed surgically, it should be preferred in cases where other treatment methods are not successful. Once this surgery is performed, other treatment options cannot be applied again. Success is usually over 95%. There are different types. Prices vary accordingly.
One-piece bendable
two-piece inflatable
three-piece reservoir
Apart from these, there are prosthesis types that can be expanded both transversely and longitudinally with antibiotics.
MUSE:
(Chance of success is 30-40%)
The aim is in injection therapy. It is the application of drugs to the penis that will activate the mechanisms that provide erection, such as: The method of administration here is not a needle, but a suppository applied to the urinary pipe. Even though the success rate is lower than injection, it may be an option for those who do not want to inject. . The most important disadvantage is that it is the most expensive of all treatments.
Psychotherapy:
This treatment option is for all men with impotence complaints to regulate their relationships with their spouses and while solving this problem. It is useful in getting rid of the problems experienced.
SUMMARY:
Regardless of the underlying cause, there are many treatment methods available for impotence complaints today. For every person who wants to continue their sexual life. There is a treatment that will allow him to return to a satisfactory sexual life. The treatment you choose is a decision you and your doctor will make together.
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