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Cialis (tadalafil)

Cialis (tadalafil), approved by the FDA in November 2003, is the third oral medication approved to treat impotence in men. Cialis is different than the other approved products in that it stays in the body longer. It relaxes muscles in the penis and increases blood flow into the penis, which produces an erection. Cialis was […]

Penile Injection

Puncturing one’s penis with a needle is not for the squeamish. Piercing the penis with a needle and then injecting a chemical to enhance one’s sexual potency sounds more like a bizarre, sadomasochistic nightmare from the annals of Krafft-Ebing Psychopathia Sexualis than a doctorrecommended treatment of impotence. Nevertheless, many men, with guidance from their physicians, […]

CANDIDATES FOR PENILE PROSTHESIS SURGERY

Prostheses have been implanted in men with virtually every known type of impotence, but some men are more appropriate candidates for surgery than others. Urologic surgeons prefer to implant devices in men whose impotence is a result of a physical cause, either neurogenic or vasculogenic. Included in the category of neurogenic impotence are men with […]

SATISFACTION FOLLOWING PENILE PROSTHESIS SURGERY

Although surgical success rates for some devices now approach 90 to 95 percent, patient satisfaction does not parallel this impressive figure. A major problem is disappointment with postoperative penile length and width. Some men never attempt intercourse after the prosthesis is implanted; others have intercourse for only a brief time and then abandon sexual activities. […]

HOW PROSTHESES ARE IMPLANTED

Normal erections occur as increased blood flows into and is trapped in the two corpora cavernosae and the corpus spongiosum. Penile prosthetic devices, whatever kind, all attempt to duplicate this process by outfitting the penis with silicone surrogates for the two corpora cavernosae. (The corpus spongiosum is not replaced during implant surgery.) Prior to implantation, […]

TYPES OF PENILE PROSTHESES

The Small-Carrion and Scott penile prostheses are still used but are not the only options. There are a number of different devices on the market today. Four discrete categories of prostheses — semirigid, malleable, inflatable, and hinged — are currently available. All the units listed below have been judged safe and effective by an expert […]

Penile Implants

For years, men suffering from impotence or erectile dysfunction would turn to urologists, surgeons specializing in what were considered to be men’s problems, including urinary difficulties brought on by a large prostate gland, prostate and testicular cancer, and impotence. Focusing on ways to alleviate the mechanical problems of acquiring and maintaining an erection, urologists devised […]

EXERCISES TO DELAY EJACULATION

Psychologists and sex therapists cite an 80 to 85 percent success rate in helping men overcome their tendency to ejaculate before maximal sexual excitement has been achieved. Two maneuvers — the squeeze technique and the start-stop technique — help men acquire a sense of confidence and control about timing of ejaculation. Both exercises utilize partner-initiated […]

VIAGRA FOR MEN WITH PSYCHOGENIC IMPOTENCE

The man who has lost confidence in his ability to engage in sexual intercourse because of his preoccupation with his ability to acquire and then sustain an erection and has lapsed into the ritual of “spectatoring” whenever he attempts to make love is an ideal candidate for Viagra. His concerns regarding the durability of his […]

PERFORMANCE ANXIETY

Performance anxiety is one of the most common sexual problems. A man, fully potent for most of his life, suddenly experiences a sexual failure. He is surprised to find that while having sex he can neither achieve nor sustain an erection satisfactory to complete the sexual act. Men respond to this problem in different ways. […]