As you consider your treatment options make sure you and your doctor consider all of the options. You may want to seek out a prosthetic urologist. These physicians specialize in the treatments for erectile dysfunction and urinary incontinence. They can be an excellent source of information about the risks and benefits of each treatment.
By working with a physical therapist, you can find out if kegel exercises may help relieve your erectile dysfunction. You can also try kegel exercises on your own. Learn more on our Physical Activity and Exercise page.
There are a number of prescription medications available that may improve blood flow to the penis. Commonly used medications are Viagra, Cialis, and Levitra. Combined with sexual stimulation, this can produce an erection. These drugs are not for everyone. They can interfere with other medications you are taking and negatively impact your health.
With injection therapy a needle is used to inject medication directly into the base or side of the penis. The medication allows blood to flow into the penis, creating an erection. See image on left, below.
Vacuum Erection Devices
A plastic cylinder is placed over the penis, and a pump (either manual or battery operated) creates a vacuum suction within the cylinder, drawing blood into the penis to create an erection. A stretchable tension band is placed at the base of the penis to help maintain the erection. See image in middle, above.
An applicator containing a small medicated pellet or suppository is inserted and released into the urethra through the opening at the tip of the penis. The pellet is about the size of a grain of rice and dissolves to increase blood flow to the penis, creating an erection. See image on right, above.
A medical device that is implanted into the penis. Entirely contained within the body, a pump fills two cylinders and
creates an erection. Once activated you can maintain an erection as long as you desire.
Penile implants require a surgical procedure by a physician, typically a urologist who has been trained and is skilled in penile prosthetics. There are three different types of penile implants: 3-piece inflatable implant, 2-piece inflatable implant, and a 1-piece bendable (malleable) implant. Because each type of implant offers unique features, the risks and benefits should be discussed with the physician to help choose the most appropriate option.
If you are considering a surgical procedure, you can connect with a patient who has had the type of procedure that you are considering and is willing to share his story. For more information head to https://www.patientperspectives.org/meet-champions/.