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If BPH is Your Diagnosis, HoLEP May be Your Best Treatment OptionNovember 19, 2021

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Vardenafil is effective in men of all ages, different nationalities, and in men with such medical conditions as diabetes mellitus and erectile dysfunction after prostate surgery.
A doctor may ask for the following laboratory tests in the evaluation of erectile dysfunction: .

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If unsuccessful, interferes with other treatmentsVascular Reconstructive SurgeryRestores natural erections when successful
Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged.

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Hemoglobin A1c or HbA1c is a protein on the surface of red blood cells. The HbA1c test is used to monitor blood sugar levels in people with type 1 and type 2 diabetes over time. Normal HbA1c levels are 6% or less. HbA1c levels can be affected by insulin use, fasting, glucose intake (oral or IV), or a combination of these and other factors. High hemoglobin A1c levels in the blood increases the risk of microvascular complications, for example, diabetic neuropathy, eye, and kidney disease.
Erectile dysfunction can result from a number of factors such as medical conditions, psychological conditions, certain medical treatments, injuries and drug and alcohol use. While most cases of erectile dysfunction are caused by physical issues, sometimes a combination of physical and psychological issues can contribute to developing the condition.

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Since the penis arteries are very small, they tend to become diseased prior to the larger coronary (heart) or carotid (neck) arteries. Thus, erectile dysfunction is yet another sign of vascular disease predating heart attacks and strokes. In other words, patients who develop ED, are at higher risk of having a heart attack or a stroke in the future.

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A river otter's penis bone, otherwise known as a baculum. (Submitted/ Philippe Thomas)

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    Erectile dysfunction may have a significant impact on both patients and their relationships. It therefore is important to seek appropriate help and support, both from GPs and from other organisations, such as Relate.

    Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted and is measured on an electrocardiogram (EKG). In addition, vardenafil is not recommended for men taking medications that can affect the QT interval such as quinidine, procainamide, amiodarone, and sotalol.
    Copyright @ 2022 IASH India: Institute of Andrology & Sexual Health India. All Rights Reserved.

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    ED often happens before coronary artery disease in almost 70 percent of cases. The arteries in the penis are small compared to those in other parts of the body. If there is underlying coronary artery disease, these smaller arteries in the penis are affected by atherosclerosis (blocked blood vessels) sooner.

    Are you taking any medicines, including over-the counter medicines and supplements?Do you drink, smoke, or use recreational drugs?What is your state of mind? Are you stressed, depressed, or anxious?Are you having relationship problems?
    A surgical procedure that involves the placement of a balloons inside the shaft of the penis that a patient is able to manually pump the device to inflate and get an erection. The erection lasts as long as needed and with a simple push of a button, the penis is once again soft. Learn more about the implant option by clicking here. ED is rarely caused by severe pelvic trauma from major accidents in younger patients. Revascularization is an operation to bring new or additional blood vessels to the penis to improve the circulation that may have been severed by the initial trauma. This is a very rare type of treatment and is not recommended for the typical patient. After identification of a psychogenic source for ED, we will refer patients to a therapist with expertise in treating sexual dysfunction. We often recommend low dose medications for ED in conjunction with the therapist’s recommendations.

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    The placement of a penile prosthesis is typically an outpatient procedure and is typically performed through a single incision. All of the parts of the prosthesis are hidden under the skin. Antibiotics are given to decrease the risk of an infection. A catheter may be left in the penis in some men for a short period. After placement, there will be a time period of healing prior to the ability to use the prosthesis.

    General ageingConditions affecting cardiovascular health like high blood pressure, diabetes, high cholesterolExperiencing an acute myocardial infarction (heart attack)Cardiovascular disease
    Visit IASH, Jaipur because here we take care of even the tiniest sexual health issue and offer every solution for your sexual dysfunctions.

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    Treatment options for ED have evolved considerably over the past decade to encompass psychological counseling; oral, topical, intraurethral, and intracavernosal vasoactive therapy; oral therapies with other or unknown mechanisms; hormone replacement; vacuum constriction devices; and surgery, including vascular bypass procedures and penile implants. The goal of treatment is to restore satisfactory erections with minimal adverse effects. Men have demonstrated a strong preference for oral treatments even if they have low efficacy.
    No matter what type of ED men suffer with, the first step is going to the doctor—the earlier, the better. This can be especially difficult for younger men.

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Important note: Before beginning any new exercise program, consult your doctor. Stop immediately if you experience pain.

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Penile erection is caused by the engorgement of the penis with blood. This engorgement occurs when the blood vessels delivering blood to the penis increase the delivery of blood and the blood vessels carrying blood away from the penis decrease the removal of blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis.

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As with all content on Greater Boston Urology's blog, the following information is educational in nature, not medical advice. Always talk to your physician about your specific questions concerning erectile dysfunction.

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Sometimes, ED happens when your hormones are out of balance. Your doctor can perform a blood test to check your hormones.

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