Impotence
Erectile dysfunction (impotence) is a fairly common problem among men, which is characterized by a lack of potency. Most men are embarrassed about what is happening to them and do not turn to specialists. This causes even greater psychological problems, so the disease is considered incurable.
The disease can occur at any age, although it is most often noted after 40 years, regardless of the social status of a man.
CAUSES OF ERECTILE DYSFUNCTION
Erectile dysfunction is a diagnostic syndrome, not an independent disease. The presence of this problem suggests that you need to immediately pay attention to the health of a man.
The most common diseases, the symptoms of which are impotence, are:
Diabetes mellitus.
Fatness.
Hypertension.
Atherosclerosis.
Cardiovascular diseases (stroke, heart attack).
TYPES OF ERECTILE DYSFUNCTION
Erectile dysfunction differs in several types:
Endocrine, is a symptom of diabetes mellitus and andropause.
Neurogenic, is a symptom of diseases of the spine and nervous system.
Psychogenic, is a consequence of the stress experienced.
Vascular, has a vascular shape.
SYMPTOMS OF ERECTILE DYSFUNCTION
Erectile dysfunction has symptoms:
A rarer and less firm morning erection.
An erection is maintained only with conscious effort.
Weaker erection.
Significant difficulties in achieving an erection.
DIAGNOSIS OF ERECTILE DYSFUNCTION
Erectile dysfunction is diagnosed by several parameters. First, a preliminary survey of the patient is conducted to identify the patient’s complaints, but this requires a comfortable external environment for maximum frankness of answers. The reasons that, in the opinion of the patient himself, provoked the presence of such a problem are being clarified.
After the conversation, a visual examination of the genitals is performed. To diagnose the causes of impotence, the doctor pays attention:
Anatomical changes of the penis.
On the nature of hair loss.
On the results of the bulkavenous reflex.
For the condition of the prostate gland and rectum, a rectal examination is performed for this.
To finally confirm the diagnosis of erectile dysfunction, laboratory tests are prescribed:
Intracavernous pharmacological test, conducted to determine the nature of impotence, (organic or psychogenic).
Examination of the hormonal status of the patient.
Examination of the secret of the prostate gland.
Ultrasound of the vessels of the penis.
Arteriography, to clarify the volume of lesions of the arterial bed.
Magnetic resonance imaging, to obtain a detailed image of the structure of the penis.
Penis biopsy.
TREATMENT OF ERECTILE DYSFUNCTION
Erectile dysfunction is not a disease, but a disorder that is cured in most cases, but this requires the patient’s desire to discuss his problem in order to find ways to solve it. With the mental nature of the disease, a psychological correction of the patient’s consciousness is prescribed. Medical and surgical treatment of impotence is also used.
With medical treatment, the doctor, based on the results of the diagnosis, recommends taking medications that help to increase the tone of the body as a whole and increase blood supply to the genital organ.
Surgical treatment is carried out in two directions. If pathological changes in the vessels of the penis are diagnosed due to the presence or transferred disease, vascular operations are prescribed to increase the flow of arterial blood, reducing venous outflow. Penile replacement is the most radical and at the same time the most effective method of surgical intervention.
