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admin | Category: What Cause Ed | 06.04.2014
18 million men in the USA are affected by erectile dysfunction and most have heart disease risk factors. Erectile dysfunction (ED) or impotence is a medical condition which no man would ever think of getting affected by. There are various myths associated with ED such as ED affects only old men and young men do not have to worry about it.
According to various studies, erectile dysfunction affects nearly 1 in every 10 men in the UK. It is therefore important to consult your doctor if you feel any difficulty in maintaining or achieving erections. Our focus is to obtain expert knowledge in the incidence and prevalence of bladder cancer in specific patient populations and implement screening tests to evaluate the predictive value of these tests. Review of efficacy and long-term compliance of multiple treatments (intracavernous injections, vacuum constriction devices, MUSE- transurethral insertion of alprostatdil and sildenafil citrate) used to treat erectile dysfunction following radical surgeries. Our Center is among the first to conduct novel study to address sexual dysfunction in subset of patients (both male and female) undergoing radical cystectomy.
Our ongoing studies are focused on cutting edge issues in the management of erectile dysfunction.
We are interested in investigating the potential use of vascular endothelial growth factor gene therapy to stimulate cavernous nerve regeneration after nerve sparing and non-nerve sparing radical prostatectomy and enhance the return of natural erections sufficient for sexual intercourse. To continue our ongoing research on assessment of sexual dysfunction in male and females patients who have undergone radical cystectomy. To assess erectile function after I-125 seed radiation therapy for prostate cancer (T1-2) and the role of sildenafil citrate. Our research interests in bladder cancer are comprehensive, from screening and early detection to monitoring the treatment response of bladder cancer to BCG, to nerve sparing radical cystectomy, and to continent diversion for invasive and metastatic disease.
Our basic science research includes studies on the immunologic response to BCG and whether this response can be augmented with various interferons. We are studying the ability of targeted multicolor fluorescence in situ hybridization (FISH) to identify malignant cells in cytological equivocal cases where morphology alone does not allow definitive diagnosis.
We are conducting an open comparative within patient controlled phase 3 multicenter Study of Hexvix fluorescence cystoscopy and standard cystoscopy in the detection of carcinoma in situ in patients with bladder cancer.
Our focus is to expand on this solid foundation and to obtain expert knowledge in the incidence and prevalence of bladder cancer in specific populations and implement screening tests, evaluate the predictive values of these tests, and determine the diagnostic algorithm for early detection of bladder cancer.
The research laboratory is interested in the treatment of localized prostate cancer with radical prostatectomy and the associated complications of incontinence and erectile dysfunction (ED). Our clinical research includes the treatment of localized prostate cancer with radical prostatectomy, the associated complications of incontinence and ED, and quality of life issues in urological practice. Erectile dysfunction is an important morbidity factor after the treatment of localized prostate cancer.
Our ongoing study is focused on assessing long-term potency following I-125 seed implantation and efficacy of sildenafil citrate in management of ED following I-125 seed implantation.
Radical cystectomy is the treatment of choice for locally advanced but invasive cancer of the bladder. Early use of vacuum constriction device (VCD) following radical prostatectomy (RP) facilitates early sexual activity and potentially earlier return of erectile function. Role of sildenafil citrate in the management of erectile dysfunction following I-125 seed insertion for localized prostate cancer. Role of sildenafil citrate in management of sexual dysfunction following radical cystectomy. HomeAbout UsTips for talking to a doctor about an embarrassing problem.Useful medical terms explained. Because stress is a common cause of impotence, your doctor might ask about stressors (work, relationships, family pressures etc) that you’re currently under. You might be asked about your sexual history to see if there are (or have been) any problems with sexual desire, erection, ejaculation or orgasm. Other tests include monitoring for your normal night time erections which can rule in (or rule out) some psychological causes of impotence.  There is no standardised test for this. After any general lifestyle advice about drinking, smoking, drug taking weight loss and exercise that might be needed, and changing any prescription drugs that might be causing the problem, treatment for ED is varied. Drug therapy for treating impotence can be by tablet, injection into the penis or inserted into the tip of the penis.
Oral medications include sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis).  They belong to a class of drug called PDE inhibitors and work by enhancing the effect of a chemical that relaxes smooth muscle in the penis and increases the blood flow into it during stimulation. These are taken about an hour before sexual activity and they shouldn’t be taken more than once a day, by men on some cardiac medications and those taking some drugs used to treat prostate enlargement should avoid them.
Side effects include flushing, headache, heartburn, dizziness, diarrhoea and nasal congestion. Injectable medications will trigger an automatic (therefore guaranteed) erection after they’re used and many men find that they have stronger erections. Examples of injectable treatments for impotence include papaverine hydrochloride, phentolamine, and alprostadil (Caverject) and they work by widening the blood vessels. A pellet of alprostadil (MUSE) can be inserted into the urethra about 10 minutes before sexual intercourse and will last 30-60 minutes.
Side effects include aching in the penis and testicles, a warm burning sensation in the urethra, minor bleeding from the urethra.
Vacuum devices cause an erection by creating a partial vacuum which then draws the blood into the penis’s spongy tissue. They have a plastic cylinder, an elastic ring which is moved onto the base of the penis when the cylinder is removed, prevents the blood from flowing out of the penis.  This ring can remain in place for about 30 minutes during intercourse.
Like the injections, this takes some time and practice, and some patience for both partners. Side effects include the penis feeling bruised, it may feel numb or cold but users report that the pleasure of orgasm isn’t not usually affected.
Surgery for ED aims to implant a device that enables to cause the penis to become erect or to reconstruct arteries that will increase the blood flow to the penis or the block off the veins that allow the blood to leak from the penile tissue.
Inflatable implants are made up of paired cylinders which are inserted into the penis and can be expanded when the patient presses on a small pump which is located under the skin in the scrotum. Surgical repair of the arteries that allow the blood into the penis, causing an erection, is most successful in younger men with a limited and identifiable blockage.  In older men with more widespread blockages, the procedure is less successful. Surgery to the veins and therefore reducing the outflow of blood from the penis is performed by skilled surgeons (as with all the other procedures) but some question its long term effectiveness. If you’re worried about your symptoms or medical problem but don’t want to seek professional help because you feel embarrassed, silly or that it’s your fault, read this page now:  How to talk to a doctor about an embarrassing problem.
This entry was posted in Penis health, Sex and Sexual health and tagged erectile dysfunction, impotence treatment, injections for impotence, low testosterone impotence, meds for impotence, surgery for ed, surgery for impotence, treatment for impotence, viagra for impotence. DISCLAIMERS.The information in these pages is not designed to replace the advice of your qualified medical or fitness professional. Please note that the authors and editors are not responsible for the content of external sites - ie: sponsors and affiliates. Useful Note 2:A RISK FACTOR is anything that increases your chance of developing a disease. Having risk factors doesn’t mean that you will get the disease and not having risk factors doesn’t mean that you won’t get it. Erectile dysfunction (ED), which is sometimes referred to as impotence, is the inability to achieve or maintain an erection.
There are many factors that can interfere with a male's ability to obtain or maintain an erection. One common cause of erectile problems is poor blood circulation in the body, particularly in the penis. For some males, erectile dysfunction is actually caused by physiological problems rather than psychological ones.
Sildenafil, also known as Viagra, has been the latest trend in the treatment of erectile dysfunction. Presently, there are three FDA-approved drugs on the market to help males with erectile difficulties: Viagra, Levitra, and Cialis.
Viagra and Levitra are effective for four hours, but require sexual excitation and genital stimulation, so a male who engages in any type of continued sexual activity is likely to achieve a firm erection and experience sexual climax. There are numerous external mechanical aids that are approved by the FDA to aid in erectile dysfunction. In cases of complete erectile dysfunction, in which tissue damage or other physiological problems prevent other solutions (such as Viagra) from being effective, penile implants may be the method of choice. Intracavernosal injection, or ICI, is best used when the cause of erectile dysfunction is neurological (result of brain damage).
The site is maintained by students from the University of California, Santa Barbara who have studied advanced topics in human sexuality.
Erectile Dysfunction Freedom claims to be a simple guide for permanently curing your ED using only amino acids, enzymes, and proteins from local stores. Written by Bill Crane, the Erectile Dysfunction Freedom e-book claims to help you learn a simple, all natural, and completely safe technique for permanently eliminating your ED, without taking any drugs or expensive low testosterone therapies. Despite its efficacy, Bill Claims that Erectile Dysfunction Freedom’s process only involves using a select group of amino acids, enzymes, and proteins that can be purchased for less than $15 from local stores. However, Bill claims that the information contained in Erectile Dysfunction Freedom doesn’t just reference which ingredients to take, but also when to take them, as well as how much you should take for each dose.

Deep down, you probably understand that Erectile Dysfunction Freedom makes a whole lot of very big claims, and you’re probably having a hard time believing them.
As with nearly every other bodily function, erections begin in the brain when a chemical is released and travels to the penis. Finally, blood begins filling the penis, which creates pressure and ultimately an erection.
With this said, the reality is that erectile dysfunction is often due to a combination of physical and emotional concerns that must be addressed before you can begin experiencing improvement.
Based on what we discussed in the previous section, because erectile dysfunction is more of a symptom than a cause, what helps improve one man’s symptoms might not do anything for another.
At the beginning of the Erectile Dysfunction Video, Bill claimed it would only last 5 minutes. Surprisingly though, in that time, we learned very little about what the e-book actually contains, other than that it provides you with a list of ingredients available from your local store, and tells you how much you need and when you should take them.
But are there really any amino acids, enzymes, or proteins that can successfully address your ED? With this said, arginine may be effective in your battle against ED by increasing nitric oxide levels within your body, and ginseng and ginkgo biloba may work as well. Erectile Dysfunction Freedom is priced at $39.95 and can be downloaded as soon as you make your payment. Like all products sold through Software Projects, Inc., Erectile Dysfunction Freedom comes with a 60-day refund policy. When it comes down to it, despite all the hype and fluff in the ultra-long video, Bill tells us very little about what’s contained in the Erectile Dysfunction Freedom e-book. Taking this into account, as well as the fact that 1) effective ED treatments are very individualized and 2) you should never begin any new treatment without consulting with your physician, we’d recommend making an appointment with your doctor instead of downloading Erectile Dysfunction Freedom.
Was not able to download & cannot figure out to have my credit card refunded since I was not able to receive product. For the nearly 75 percent of men with untreated erectile dysfunction, the only thing going up is the price they might have to pay for treatment. The latest study -- the largest of its kind -- included 6.2 million men diagnosed with erectile dysfunction over a 12-month period from June 2010 to June 2011. Going to the local pharmacy for ED medication could be turning men off from who want medication to turn them on. But Pfizer, in a move unrelated to the American Urological Association study, might have the answer for these timid men. Anyone who has had a spam-filled email inbox or uses an Internet browser without a pop-up blocker knows that online sales of erectile dysfunction medications, including Viagra, are nothing new. Online drug sellers often offer products with incorrect levels of important ingredients, and sometimes leave out critical ingredients altogether. As of February 2012, Viagra was covered on 65 percent of insured lives, Viagra's web site claims. Still, it might be worth it for men who previously avoided seeking treatment out of embarrassment, argues Dr. The puzzle of what causes the lifelong mental condition called autism has eluded researchers for decades. A man suffering from erectile dysfunction is unable to achieve and maintain a penile erection required for sexual intercourse. In addition people even believe that wearing tight underwear or masturbating can result in impotence.
So is there anything that can be done to hold this menace out from our bedrooms and keep the fires burning under the sheets? Our recent study is focused on early treatment program following radical prostatectomy, a strategy used to help promote early nerve recovery and regeneration following radical surgery. We reported sexual function data in a contemporary radical cystectomy series by using the SHIM (IIEF-5) for males and a modified IFSF for females.
Our laboratory has been at the forefront of clinical research in the area of urinary tumor markers and their role in screening or early detection of bladder cancer. This database identifies patients who have been screened for bladder cancer, have been treated with intravesical chemotherapy, and have undergone radical surgery with continent diversion. In future, we would like to examine the relationship between levels of reactive oxygen species and the progression of superficial bladder cancer after intravesical therapy.
Hexvix contains hexyl-5-aminolevulinate which are precursors of photoactive porphyrins preferentially taken up by bladder cancer cells, which can be utilized for identification and treatment guidance of malignant and pre-malignant lesions.
Our interests in this field have been on surgical margin status and the effect of nerve-sparing surgery on incontinence and erectile function.
Our research also involves a review of efficacy and long-term compliance of multiple treatments (intracavernous injections, vacuum constriction devices, MUSE- transurethral insertion of alprostatdil and sildenafil citrate) used to treat ED following radical surgeries.
In the past, the majority of the patients were elderly, where post-radiation potency was not a major factor in their decision to undergo radiation.
This study will evaluate the drug's long-term effects after brachytherapy for treatment of localized prostate cancer. Outcome data following radical cystectomy with or without orthotopic diversion has focused primarily on cure, urethral recurrence, and continence.
Site of the electronic Medicines Compendium (eMC) using information approved by UK Medicines and Healthcare products Regulatory Agency (MHRA) and the European Medicines Agency (EMA). Prescription drug information, pharmaceutical research, clinical trials for health professionals. The penis becomes erect when blood flows into the cavernous and spongy tissue that runs the length of the penis. If a male is experiencing considerable pressure at work, facing relationship difficulties, or undergoing myriad other hardships, he may have difficulty obtaining an erection.
Is your partner aware of your situation, and is there a way you can communicate with him or her to reduce performance anxiety? If a male were raised in a strict religious family, he might have learned to believe that sex is a sin, and therefore may feel ashamed at the thought of engaging in any type of sexual activity, including masturbation.
In these cases, men should see a doctor who can help diagnose the problem that is affecting their ability to obtain and maintain an erection. Realize that masturbation is perfectly healthy and normal and is actually a great way to learn more about yourself and your sexuality. This drug increases levels of nitric oxide by suppressing the body’s breakdown of cGMP (cyclic guanosine monophosphate), which regulates blood flow in the penis.
These drugs do not work on their own, they simply stimulate the release of nitric oxide, a neurotransmitter that widens blood vessels to allow more blood flow into the penis. The surgery needed to insert these implants is usually performed on males between the ages of 40 and 70 years because they will be rendered impotent and suffer irreversible tissue damage as a result of the surgery.
The drugs injected into the penis are called vasoactive drugs, which facilitate erection by relaxing the smooth muscle tissues in the penis.
The drug that is derived from the chemicals in the Yohimbine tree increases penile firmness enough to help with milder forms of erectile dysfunction.
This method is often called MUSE, which stands for medicated urethral system for erection; it is easy, fast, and produces erections after about 15 minutes by dilating blood vessels in the penis. Although Viagra has become quite popular, it has a reputation for reducing spontaneity and has potentially serious side effects for people with heart problems. And, if you stick with his program for just 14 consecutive days, Bill claims the EDF program can cure your erectile dysfunction and help you have better, longer, and stronger sex for the rest of your life.
But is there anything different about this e-book to make it worthwhile, or is it just more garbage preying on your circumstances?
Once there, this chemical causes the release of nitric oxide, which then causes relaxation within the smooth muscle, arteries, and different sections of the penis (see diagram below). At least from this perspective, the Erectile Dysfunction Freedom video seems to have things right. However, the most common cause of ED in older men is reduce blood flow caused by blood vessel restriction. As such, you’ll definitely want to speak with your physician about your symptoms, who can 1) answer all your questions, and 2) recommend a product based your specific diagnosis.
Outside of these though, there are few (if any) natural foods or ingredients that have any real clinical evidence behind them. Following the announcement that Viagra will be sold online -- for a steep price -- a study has come out stating that the majority of men with erectile dysfunction do not get treatment, according to the American Urological Association. Previous research had also found that few men actually seek treatment after being diagnosed with the condition. Researchers found that only 25.4 percent of patients filled their prescriptions for ED medications such as Viagra or Cialis. The company has agreed to sell Viagra directly to patients from their website - though you still need a prescription. But what many consumers may not realize is that those drugs -- as many as 77 percent -- have been found to be counterfeit.
The price for a reliable ordering process, effective treatment, and peace of mind comes that you're getting the real deal comes out to $25 a pill. According to researchers at the Johns Hopkins Bloomberg School of Public Health, it is quite a significant problem in the USA. Most people believe, or like to believe that erectile dysfunction affects only men who get older.

However, these are baseless as factors that are associated with a hard erection include hormones, proper functioning of blood vessels and nerves and brain function.
Fortunately, there are various treatments available for ED that include surgeries, gene therapies and penile prosthesis, along with oral medications, acupuncture, herbal capsules and nutritional supplements. The laboratory is interested in comparing the efficacy and durability of various types of continent reservoirs.
We are involved in studies to assess the results of sildenafil citrate in salvaging erectile function in postprostatectomy patients. We are involved in studies to assess the results of sildenafil citrate in management of ED following radical prostatectomy.
In future we are interested in investigating the potential use of vascular endothelial growth factor gene therapy to stimulate cavernous nerve regeneration after nerve sparing and non-nerve sparing radical prostatectomy and enhance the return of natural erections sufficient for sexual intercourse.
A larger percentage of younger patients are choosing radiation therapy in recent years and therefore, the issue of post-radiation potency is becoming a major concern. We were among the first to conduct this novel study to address sexual dysfunction in subset of patient's (male & female) undergoing radical cystectomy. Primary erectile dysfunction occurs when a male has never been able to obtain an erection during sexual activity; in other words, his struggle with ED has been a lifelong experience.
Males between the ages of 55 and 59 are over 14% more likely to have erectile problems than males 18-24 years old. Any of several circulatory problems can limit the speed at which blood can flow into the penis, and increased circulatory problems can create increased erectile problems.
Drugs like Viagra have become a very popular remedy for erectile problems, but theyshould only be used if psychological difficulties have been ruled out by a doctor.
Some side effects of Sildenafil include lightheadedness, dizziness, facial flushing, nasal congestion, indigestion, and (very rarely) a bluish tint in one's vision. Cialis is effective for 36 hours, which gives couples a much longer "window of opportunity" to engage in sex. The basic principle of vacuum constriction devices (sometimes referred to as “penis pumps”) is that a vacuum chamber is placed over the penis; a pump provides suction in the chamber, inducing an erection, while a rubber band is placed at the base of the penis to trap the blood in the penis. This tissue damage will reduce the use of other treatments, such as any oral medication or external vacuum constricting devices. The drug increases blood flow to the penis by indirectly increasing parasympathetic activity in the autonomic nervous system.
Some side effects include hypotension (decreased or lowered blood pressure), priapism, urethral burning, syncope (a brief loss of consciousness associated with an inadequate flow of oxygenated blood to the brain), and penile pain. Most pharmacies offer the same product for a few dollars cheaper, but the ability to buy online makes an already pricey product even more expensive.
They report data from over 2,000 men in the National Health and Nutrition Examination Survey, which shows that 18 per cent had erectile dysfunction.
In addition, in most of the cases, ED is psychologically induced and could result from stress, anxiety and a low self image. We were among the first to investigate the effects of this new oral medication in patients following radical prostatectomy and to study the impact of the presence or absence of the neurovascular bundles. Using a SHIM (IIEF-5) validated questionnaire for males and a modified IFSF for females, we are assessing sexual function data in a contemporary radical cystectomy series.
Secondary erectile dysfunction is more common and occurs when a male has had the ability to obtain an erection and engage in sexual activity in the past but no longer can. This does not mean that every man over the age of 55 experiences erectile disorders?in fact, some older males maintain erectile function well into their eighties. In sexual situations, he may be distracted by pressing life issues rather than being fully immersed in the joys of sex and all the great ways to make it optimally exciting. Perhaps he had a negative sexual experience with a partner, which left him feeling embarrassed or ashamed. If the aforementioned techniques yield no positive results, it can be very helpful to interview several doctors and clinical psychologists who know of advanced therapies that can help alleviate your condition.
Learn more about the beauty of sex and how wonderful it can be in the context of a loving and honest relationship. There are serious side effects when Sildenfil is combined with certain drugs, such as nitroglycerin, and other nitrates that are taken to treat heart disease. There is a high success rate with this form of treatment for males who cannot take oral medication and for males with diabetes, a spinal cord injury, or radical prostatectomy. The FDA has approved this drug, and it is available by prescription under such names as Yocon, Erex, and Yohimex. Males with partners who are (or may be) pregnant should not use this method, since it can travel through the placenta of a pregnant female and impact fetal development. The problem is more common with age; only five per cent of those aged 20 to 40 have erectile dysfunction, but those aged 70 or older were far more likely to report a problem. Although the chances of acquiring ED once you hit 60s are more when compared to men who are in their 40s, there is a huge population of men who are younger than 40, seeking treatment for ED.
The most common causes of ED are several diseases and ailments such as diabetes, heart diseases, high blood pressure, Parkinson’s disease, high cholesterol, apart from drug and alcohol abuse, psychological factors, low testosterone or damage to the blood vessels. Psychological counseling has also shown positive results in treating ED in various patients. We have recently assessed long-term follow-up compliance with sildenafil citrate therapy following radical prostatectomy. We are stratifying the sexual response as per orthotopic diversion to assess the efficacy of sildenafil citrate (in male) for salvaging ED following radical cystectomy. With increasing age comes potentially increased physiological and psychological problems, which can be related to erectile difficulties. These factors can prevent a male from experiencing the sexual stimulation required to produce a firm, long-lasting erection. Any negative experiences one may have had in the past could have made sex more stressful or negative experience and thus may be causing erectile difficulties. Please remember that erectile problems are very common and they can be treated successfully in most instances.
Oftentimes, the best cure for a sexual difficulty is to openly communicate with one’s partner about what one is experiencing so that both people can solve the problem together.
Users of vacuum constriction devices may experience painful ejaculation due to the constriction of the rubber band. One possible complication of this procedure is infection, which can cause penile erosion and reduced penile sensation. Some males find this treatment unnerving because it involves inserting a hypodermic needle into the corpora cavernosa of the penis.
There are over-the-counter products containing Yohimbine, but a study conducted by the FDA concluded that the concentration of Yohimbine in these products is negligible and has little or no effect.
Another new and exciting treatment currently in development is called “gene therapy.” Still in its preliminary testing, gene therapy offers a treatment for erectile dysfunction that is quick, convenient, and has few side effects.
Having erectile difficulties can be a very troublesome and frustrating experience for many males. People who use alcohol, nicotine, cocaine, and other drugs that can impair sexual functioning are at risk of erectile problems.
There are also herbal substances available that supposedly help with erectile difficulties, but they have not received government approval.
Users also should to be patient while relying on these devices, since they can diminish spontaneity of sexual intercourse.
Side effects include penile pain, priapism (a continuous, usually nonsexual erection), and fibrosis (the development of excess fibrous connective tissues in an organ). Researchers are hoping to have the treatment administered via injection only once or twice a year. This new stress factor is called “performance anxiety.” Most males experience occasional erectile difficulties, and it is important to avoid feeling frustrated or stressed when issues do arise. Sensate focus is a therapy technique that is commonly used to treat sexual problems such as female anorgasmia, erectile difficulty, and low sexual desire. To help counteract this, males can integrate the device into foreplay and include their partner in the pumping action.
Others hope to effectively create a cream that will produce the same results without the use of hypodermic needles. By reducing the feelings of performance anxiety, a man is more likely to overcome the erectile issues he may be experiencing. In time, you will be able to override the negative thoughts that could be causing ED and become more confident and happy during your sexual experiences. Males who use the device regularly usually find they can achieve an erection more quickly as they gain experience with the procedure. The researchers believe doctors could use this data to motivate men to make lifestyle changes, like increasing their physical activity level, as this will reduce the risk of erectile dysfunction.

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