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As men get older erections may not always be obtained when they want one.3 Almost every man has the occasional time when their erection is less strong than they would like but sometimes it becomes a problem. ED is definitely a vascular disorder and all men with ED should be considered at risk of cardiovascular diseases until proven otherwise.7. 2 Nicolosi A, Laumann EO, Glasser DB, Moreira ED Jr, Paik A, Gingell C; Global Study of Sexual Attitudes and Behaviors Investigators' Group. 6 Kalter-Leibovici O, Wainstein J, Ziv A, et al; Israel Diabetes Research Group (IDRG) Investigators. If my ED is related to a treatable medical condition, will the symptoms resolve with the successful treatment of an underlying disorder like diabetes or hormone issues?
There are a variety of different treatment options, ranging from medication to implantable penile prostheses. Some common side effects of oral medications include: headache, facial flushing, stuffy nose, dizziness, and upset stomach.
A plastic cylinder is placed over the penis, and a pump (either manual or battery operated) creates vacuum suction within the cylinder, drawing blood into the penis to create an erection. With injection therapy, a small needle is used to inject medication directly into the penis.
A penile prosthesis may provide for an effective treatment option for men who are not satisfied with the results they are getting from other treatment options.
Penile prostheses have helped over 300,000 men return to an active, satisfying sex life.2 There are both benefits and risks to be considered when considering a penile implant.
The three-piece, fluid-filled inflatable prosthesis features a pair of cylinders implanted in the penis, a pump implanted in the scrotum, and a reservoir implanted in the lower abdomen. The AMS Ambicor™ is a uniquely designed, 2-piece inflatable prosthesis that provides a rigid erection.
One-piece positionable prostheses are generally the simplest types of penile prostheses to operate.
Prosthetic urologists are specialists in diagnosing and treating ED, and they can recommend a treatment option that is right for you. The urologist will start by determining the cause of your ED, which could be an underlying physical condition — such as diabetes, vascular disease, high blood pressure, or a result of surgery, like a radical prostatectomy.1 A thorough exam will help the doctor determine the cause of your ED and what treatment is right for you.
A Urologist is a qualified doctor who specialises in problems of the urinary tract, the male reproductive system and who treats urologic conditions. Click here to view a list of qualified Urologists near you who specialise in one or all of the penile prostheses outlined on this website.
Will I still be able to have an orgasm?A penile prosthesis will typically not interfere with your ability to have an orgasm or ejaculation. How long can I expect my prosthesis to last?It is not possible to predict how long your prosthesis will last. What's the surgical procedure like?While you are under anaesthesia, a small incision will be made at the base of the penis or in the scrotum.
Is the surgery and recovery painful?The procedure is performed under anaesthesia, so you shouldn't feel anything during the surgery. How long does it take to recover, and when can I have intercourse?Recovery times vary from patient to patient. One-Piece Positionable Prosthesis (Malleable): The one-piece positionable prosthesis consists of a pair of malleable cylinders that are surgically inserted into the penis. Two-Piece Inflatable Prosthesis: The two-piece inflatable prosthesis consists of a fluid-filled pair of cylinders implanted in the penis and a small pump implanted in the scrotum. Three-Piece Inflatable Prosthesis: The three-piece inflatable penile prosthesis consists of a fluid-filled pair of cylinders implanted in the penis, a pump implanted in the scrotum, and a reservoir implanted in the lower abdomen. Who should I talk to about ED treatment options?The first step in getting treatment for ED is to discuss the situation with a urologist who specialises in all forms of ED treatment options, including penile prostheses. Could one of the medicines I am taking be causing the problems I am having when we try to have sex?

Most states in Australia have Sexual Health Clinic attached to the local Hospital or Community Health Centre. Implantable medical devices such as penile prostheses, that are intended for long term use, are covered under the Prostheses List which is released twice a year by the Department of Health and Ageing. If a patient has no private health insurance, they can choose to self finance the surgery or be treated in the Public Hospital system as a Urology outpatient. To avoid delays in payment or reimbursement, you should work with your Urologist's office and health fund to verify coverage and reimbursement payment levels before beginning a treatment path. Keeping track of your sexual experience can be helpful for you and your doctor as you evaluate your erectile function, progress and possible treatment options.
Prior to using these devices, please review the Instructions for Use for a complete listing of indications, contraindications, warnings, precautions and potential adverse events. The AMS Spectra™ Concealable Penile Prosthesis is a sterile, non-pyrogenic, single-use implant that is intended for use in the treatment of chronic, organic, erectile dysfunction (impotence) in men who are determined to be suitable candidates for implantations surgery. Urological Consultants of FloridaLifestyle changesLifestyle modifications can be considered as alternatives to medical or surgical interventions for the prevention and treatment of erectile dysfunction. Intraurethral pellets for erectile dysfunctionIntraurethral pellets dispensed as the brand MUSE are inserted into the urethra through the penile meatus. Penile injection therapyPenile injection therapy is the most effective no surgical treatment for erectile dysfunction. ED is the persistent inability to maintain an erection that is firm enough or lasts long enough to have satisfactory sexual intercourse. This can be caused by psychological or physical factors or a mixture of both which together causes ED.3 The first step is to seek help from a doctor who will try to establish what is causing your ED and what treatment option is best for your situation.
Sexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviors. Core document on erectile dysfunction: key aspects in the care of a patient with erectile dysfunction.
Clinical, socioeconomic, and lifestyle parameters associated with erectile dysfunction among diabetic men. Association between erectile dysfunction and coronary artery disease: Matching the right target with the right test in the right patient. The glands and spongiosum (body and tip of the penis) enlarge until penile veins are forcefully compressed.
But if you're still searching for answers, then knowing the physiology behind erections and the common causes of ED may help you understand your experience. Because each type of prosthesis offers unique features, you will want to discuss the choices with your doctor in order to choose the option that is right for you.
The AMS Spectra™ Concealable Penile Prosthesis consists of a pair of cylinders that are surgically implanted into the penis.
Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. Mechanical reliability and safety of, and patient satisfaction with the Ambicor inflatable penile prosthesis; results of a 2 center study.
Information and Instructions for Patients Considering an Concealable Penile Prosthesis AMS Spectra; 2009.
Information and Instructions for Patients Considering an Inflatable Penile Prostheses AMS 700™ with MS Pump™ Series; 2007. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institutional study in 200 consecutive patients.
Consult your urologist to determine which type of prosthesis is best suited for your situation and lifestyle. Mechanical reliability and safety of, and patient satisfaction with the Ambicor inflatable penile prosthesis: resultsof a 2 center study. The first step in receiving a permanent treatment for ED is to discuss your condition with a urologist who specialises in penile prostheses implant surgery.

Please use the 'Find a Urologist' section to find a urologist near you or alternatively speak to your doctor about a referral. The best way to prolong the life of your prosthesis is to follow the instructions provided by your doctor. You will be able to return to work and everyday activities at the discretion or direction of your physician.
To get an erection, you squeeze and release the pump several times to inflate the cylinders. Any device listed on the Prostheses List has its cost fully reimbursed by the patient's applicable private health fund, so there is no cost to the patient for the penile prosthesis. Dependent on the patients level of private health cover, there may be some expenses incurred not reimbursed by the health fund. Public hospital funding for penile prostheses varies greatly dependent on state government policy. The questionnaire is designed to help you and your doctor identify if you are experiencing ED. You should consider starting a journal page to make note of erection quality, frequency of intercourse, attempts at sexual activity, masturbation, etc. These devices are contraindicated in patients who have active urogenital infections or active skin infections in the region of surgery or (for the AMS 700 with Inhibizone™) have a known sensitivity or allergy to rifampin, minocycline, or other tetracyclines.
Your doctor will discuss options that may be appropriate for you, along with the risks and benefits of each option. Tell your doctor if you have ever had any heart problems, stroke or low or high blood pressure or if you have ever had liver or kidney problems.2-4 Consult with your doctor before taking any oral medication. Finding a satisfying solution to ED can be a life-changing event for many men and their partners.
When the fluid is pumped into the cylinders, it creates an erection that provides rigidity.
They will take a sexual history and then tailor a set of exercises or correct misinformation to assist you. Professional fees for surgeons, surgical assistants and anesthetists and hospital fees for having the device implanted may vary. Any patient that falls under Veterans Affairs policies will have the total cost of the surgery covered by the Commonwealth Government. You may choose to share your results with your doctor as a conversation starter, a discussion aid, or to discuss treatment options.
Don't forget to include the results of your experience with other ED treatment options you have tried or are currently using such as oral medication, vacuum device, penile injections etc. Implantation will make latent natural or spontaneous erections, as well as other interventional treatment options, impossible. Minnetonka, MN 55343This site is published by American Medical Systems Australia Pty Limited which is solely responsible for its contents.
Most states in Australia have Sexual Health Clinics attached to the local Hospital or Community Health Centre.
Men with diabetes, spinal cord injuries or open sores may have an increased risk of infection. Possible adverse events include, but are not limited to, urogenital pain (usually associated with healing), urogenital edema, urogenital ecchymosis, urogenital erythema, reservoir encapsulation, patient dissatisfaction, auto-inflation, mechanical malfunction, impaired urination, penile curvature, or sensation change. Possible adverse events include, but are not limited to: infection, erosion, migration, extrusion, mechanical malfunction, patient dissatisfaction, adverse tissue reaction, allergic reaction, pain, urinary obstruction, and silicone particle migration.

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