Treatments for Erectile Dysfunction
Effective Treatments for Erectile Dysfunction
Dr. Kevin M. Slawin specializes in the latest treatment options for erectile dysfunction (ED) – the persistent inability to maintain an erection that is firm enough or lasts long enough to have sexual intercourse. This common problem is often caused by physical conditions, including prostate cancer, diabetes and cardiovascular disease. ED can limit your intimacy, affect your self-esteem and impact your most important relationships. But the good news is that nearly every case is treatable today…You don’t have to simply live with it.
Treatment Options
• Oral Medications (Viagra®, Levitra®, Cialis®)
• Vacuum Erection Devices
• Injections
• Intraurethral Suppositories
• Penile Prostheses
The Satisfying Solution
Dr. Kevin M. Slawin has extensive experience with penile prosthetic surgery. Penile prostheses have been in use for over 30 years, and offer a satisfying long-term solution for ED. In a study comparing ED treatment options, patients reported a 93% satisfaction rate with penile prostheses(1) – which far surpasses satisfaction with other treatment options.
Benefits & Risks of a Penile Prosthesis
Benefits
• Long-term solution
• Have an erection anytime you choose
• Allows for spontaneity – have sex when the mood strikes
• Maintain erection as long as you desire
• No ongoing costs for pills or shots
• Feels natural during intercourse(2)
• Doesn’t interfere with ejaculation or orgasm
Risks
• Will make latent natural or spontaneous erections as well as other interventional
treatment options impossible
• If an infection occurs, the prosthesis may have to be removed
• May cause the penis to become shorter, curved or scarred
• May cause lasting pain
• There may be mechanical failure of the prosthesis
For further information visit www.AmericanMedicalSystems.com. A penile implant is entirely concealed within the body and is designed to be simple and discrete to operate. It may offer a permanent, long-term solution to ED, and can help you return to an active, satisfying sex life.
How AMS Penile Prostheses Work
Choosing the penile prosthesis that is best for you is a very personal decision. 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.
One-Piece Positionable Prosthesis (Malleable)
One-piece positionable prostheses are the simplest types of penile prostheses. The prosthesis consists of a pair of cylinders that are surgically inserted into the penis. The prosthesis is positioned up for intercourse or down for everyday activities.
Advantages
• Totally concealed in body
• Easy for you and your partner to use
• Good option for men with limited dexterity
• Generally the simplest surgical procedure
• Simply bend prosthesis to conceal
• 91% patient satisfaction rate(3)
Disadvantages
• Remains firm when not being used
• Less appropriate for patients requiring repeated cystoscopy
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. To get an erection, you simply squeeze and release the pump several times. When the fluid is pumped into the cylinders, it creates an erection that provides rigidity.
Advantages
• Totally concealed in body
• Simple to use(2)
• One-step deflation
• Device is inflated to provide rigidity and deflated for concealment
• 90% of partners would recommend it to other couples(2)
Disadvantages
• Requires some manual dexterity
• Cylinders remain partially filled with fluid when deflated
Three-Piece Inflatable Prosthesis
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. When the fluid is pumped into the cylinders, it creates an erection that provides rigidity and girth expansion.
Advantages
• Totally concealed in body
• Like a natural erection
• Device is inflated to provide rigidity and deflated for concealment
• Expands in girth (all AMS 700® cylinders) and length (AMS 700 LGX® and
Ultrex® cylinders)
• When deflated, the cylinders are soft and flaccid
• AMS 700 with InhibiZone® is the only inflatable penile prosthesis with clinical
evidence showing a significant reduction in the rate of revision due to infection.
• Parylene coating increases durability
• 92% patient satisfaction rate(5)
Disadvantages
• Requires some manual dexterity
The AMS 700 LGX may not be appropriate for all patients, please consult with your physician to
determine if it is right for you.
Finding the Right Treatment for You
Of course, a surgical solution is generally not the first course of action. Many men with ED benefit from other therapies like oral medications, injections or vacuum devices. But for those men who are not satisfied with those treatments – or not getting the results they desire – a penile prosthesis may provide a permanent, satisfying option.
Make an Appointment to Learn More - Click Here. For more information on ED, visit www.EDCure.org
If you suffer from ED and are interested in reclaiming your sex life, make an appointment to discuss your options and learn more about today’s satisfying solutions. As with any medical procedure, there are risks involved and not all patients are candidates for a penile implant. Discuss the risks and benefits of this procedure in more detail with your doctor.
Summary of Warnings, Precautions and Contraindications for Penile Prostheses
• Implantation of the device will make latent natural or spontaneous erections as well as other interventional treatment options impossible and may result in penile shortening, curvature or scarring.
• This device contains solid silicone elastomer. The risks and benefits of implanting this device in patients with documented sensitivity to silicone should be carefully considered.
• The implantation of this device is contraindicated in patients who have active urogenital infections or active skin infections in the region of surgery.
• The implantation of the InhibiZone® version of this device is contraindicated in patients with known allergy or sensitivity to rifampin (rifampicin) or to minocycline or other tetracyclines.
For a complete list of indications, contraindications and precautions, contact your urologist or refer to the Instructions for Use at www.AmericanMedicalSystems.com Viagra is a registered trademark of Pfizer Inc. Levitra is a registered trademark of Bayer and GlaxoSmithKline. Cialis is a registered trademark of Lilly ICOS.
1 Rajpurkar A, Dhabuwala C. Comparison of Satisfaction Rates and Erectile Function. J
Urol. 2003 July; 170: 159-163
2 Levine LA, Estrada CR, Morgentaler A. Mechanical reliability and safety of, and patient
satisfaction with the Ambicor inflatable penile prosthesis; results of a 2 center study. J
Urol. 2001 Sep; 166 (3): 932-7
3 Kearse WS Jr, Sago AL, Peretsman SJ, Bolton JO, Holcomb RG, Reddy PK, Bernard
PH, Eppel SM, Lewis JH, Gladshteyn M, Melman AA. Report of a multicenter clinical
evaluation of the Dura II penile prothesis. J Urol 1996 May v. 155 p. 1613-1616
4 Natali A, Olianas R, Fisch M. Penile implantation in Europe: successes and
complications with 253 implants in Italy and Germany. J Sex Med. 2008 June;
5(6):1503-12
5 Montorsi F, et al. AMS Three-piece Inflatable Implants for Erectile Dysfunction: A
Long-Term Multi-Institution Study in 200 Consecutive Patients: Eur Urol. 2000; 37: 50-55
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