An algorithm of conservative erectile dysfunction treatment
Authors:
Tomáš Hradec; Libor Zámečník
Authors‘ workplace:
Iscare Praha
; Urologická klinika Všeobecné fakultní nemocnice a 1. lékařské fakulty Univerzity Karlovy v Praze
Published in:
Ces Urol 2023; 27(1): 17-28
Category:
Review articles
Overview
Identification of reversible factors, correction of associated diseases and lifestyle change is essential for effective causal treatment of erectile dysfunction (ED). Other conservative treatment methods available are only symptomatic. We present currently available methods in this review article. Four phosphodiesterase 5 inhibitors (PDE5i) are available on the market. The differences between PDE5i and criteria of choice are described in the article. Application of low intensity shockwaves on cavernous tissue and intraurethral application of prostaglandin are other treatment modalities. Application of low intensity shock waves on the cavernous tissue is a very promising treatment option. Huge heterogeneity in available studies does not allow to evaluate its effectiveness correctly. Intraurethral application of prostaglandin E1 is a less invasive alternative to intracavernous injection. This treatment is also significantly less effective.
Keywords:
Erectile dysfunction – conservative treatment – phosphodiesterase 5 inhibitors – prostaglandin E1
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Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
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