Regarding erectile dysfunction (ED), medical professionals have a variety of treatment options at their disposal. Treatment choice often depends on the underlying cause of ED, the patient’s overall health, and personal preferences.
Vacuum erection devices (VEDs)
Vacuum erection devices are a non-invasive and drug-free option for treating ED. Penis vacuum devices increase blood flow into the organ. Once an erection is achieved, the penis is constricted with a ring at the base. Many doctors recommend VEDs as a first-line treatment, particularly for men who cannot or prefer not to use medications. The advantages of VEDs include:
- High success rate (up to 90% in some studies)
- Minimal side effects
- Cost-effectiveness in the long term
- Suitability for men with various health conditions
Some men may find VEDs cumbersome or experience discomfort. Proper instruction and practice are essential for optimal results.
Penile implants
For men with severe ED who don’t respond to other treatments, doctors may recommend penile implants. This surgical option involves placing inflatable or malleable rods within the penis to allow for erections on demand. In general, there are two types of penile implants:
- Inflatable implants – These consist of cylinders placed in the scrotum, pump, and reservoir in the abdomen. An erection is created when the pump transfers fluid from the reservoir to the cylinders.
- Malleable implants – These are bendable rods that allow the penis to be manipulated into an erect position when needed.
Penile implants have a high satisfaction rate among patients and their partners, with studies reporting success rates of over 90%. However, a surgical procedure carries risks such as infection and mechanical failure. Doctors typically recommend implants as a last resort when other treatments have failed.
Pelvic floor exercises
The Kegel exercise, also known as pelvic floor exercises, is often recommended by doctors as a non-invasive treatment for ED. These exercises strengthen the muscles crucial in achieving and maintaining an erection. The benefits of pelvic floor exercises include:
- Improved blood flow to the pelvic region
- Enhanced ability to maintain an erection
- Potential improvement in ejaculatory control
Doctors may recommend working with a physical therapist specialising in pelvic floor rehabilitation to ensure proper technique and maximise benefits.
Psychological counseling
Recognising the significant psychological component of ED, many doctors recommend counselling as part of a comprehensive treatment plan. This can include individual therapy, couples counselling, or sex therapy. Psychological interventions can address issues such as:
- Performance anxiety
- Relationship problems
- Depression or stress
- Past sexual trauma
By addressing these underlying psychological factors, counselling helps improve erectile function and overall sexual satisfaction. Many ED clinics offer integrated care that combines medical and psychological approaches.
Vascular surgery
In rare cases where ED is caused by specific vascular issues, such as arterial blockages or venous leaks, doctors may recommend vascular surgery. It aims to restore the normal flow of blood to and from the penis. Types of vascular surgeries for ED include:
- Arterial reconstruction – To improve blood flow into the penis
- Venous ligation – To prevent blood from leaving the penis too quickly
While these surgeries can be effective for select patients, they are typically considered only after other treatments have failed and when there is clear evidence of a correctable vascular problem. ED Clinic Fullerton and other specialised medical facilities are excellent places to seek treatment. To develop a personalised treatment plan, these professionals provide a comprehensive evaluation, considering individual health factors, preferences, and the latest medical advancements.