Erectile dysfunction surgery

Surgery to improve erectile function is the last resort these days and is only considered if other treatment options are not available or do not work well enough. This can be the case, for example, if the organic damage that leads to impotence is very pronounced. Or the affected man cannot or does not want to resort to the alternatives, for example because he does not tolerate the medication, does not want an injection into the penis and is uncomfortable with the vacuum pump.

Surgery to restore erectile function is a stressful procedure that needs to be carefully considered. In these cases, a detailed discussion between the doctor and the patient (and, if applicable, his partner) is important.

Generally there are two methods, both of which should allow an increased inflow of blood into the penis. In the first method, like in cardiac bypass surgery, the supply of oxygen-rich blood to the penis is improved with the help of an additional vessel (revascularization surgery).

Treatment options for erectile dysfunction

If a change in lifestyle does not lead to the improvement of erectile dysfunction in the desired way, various medicinal alternatives can be used. Medicinal products, such as the PDE-5 inhibitors avanafil, sildenafil, tadalafil and vardenafil, are the most common treatment for erectile dysfunction. The medication must be taken 0.5 to 2 hours before sexual intercourse to be effective.

Alternatively, so-called erectile tissue injections and urethral sticks are offered. The patient injected erectile tissue injections into the erectile tissue of the penis shortly before sexual intercourse , urethral sticks are placed in the urethra.

Both methods are mainly used in cases of severe erectile dysfunction and when the PDE-5 inhibitors are unsuccessful. Also, surgery can be an alternative.

Surgical treatment of erectile dysfunction

Mechanical potency aids can be an option for treating erectile dysfunction. The penis pump produced by means of a pumping device a negative pressure that increases the flow of blood to the penis. As soon as the penis is erect, a rubber ring, a so-called penis ring , is slipped over the limb to the penis root. The ring maintains the erection by preventing the blood from flowing out.

The vascular surgery or the insertion of implants (penile prostheses) can often help even when other therapies do not have the desired effect. Such surgical methods are now rarely used. After extensive diagnostics, however, they can be an option if other measures are unsuccessful.

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Tips for erectile dysfunction

Whichever treatment you choose for erectile dysfunction - here are some general tips!

• Learn all you can about treatment options and let v on advice a doctor ! Include your partner in the conversation. Then you decide together according to your preferences. It is important that the treatment suits you!
• Sometimes you need a little patience to get to grips with the different erectile dysfunction methods. Don't immediately throw the shotgun in the grain and give up if something doesn't work right away - practice sometimes makes perfect.
• Take your time and do not put under pressure - when erectile dysfunction is stress counterproductive !
• Sometimes the nerves recover after a certain time. Patience can also be worthwhile here.
• Talk to your partner about erectile dysfunction. Openness and honesty often make it easier and even have a positive effect on the partnership!
• Do not buy supposed pills from dubious sources on the Internet. They often do not contain what they promise. In the best case, the active ingredients are contained in lower doses; in the worst case, harmful substances are added.

Surgical interventions against erectile dysfunction

If everything else does not help, surgery can be the solution: the so-called penile prosthesis is a safe option in the fight against erectile dysfunction. The erectile tissue implants enable an artificial stiffening of the limb . In the hydraulic variant, a kind of pump is inserted into the scrotum. Pressure on this pump makes the penis stiff using a liquid in the artificial erectile tissue. This fluid replaces the blood that is usually required to achieve an erection.

Surgery, however, is only relevant for a small number of men, for whom all other treatment methods do not have the desired effect. The pump is not visible from the outside and almost all treated men have no complaints in their sex life after the operation.

9 Natural Remedies And Methods

1. Clarification of medical influences by a doctor
To rule out disease-related causes, a doctor's examination is necessary. During a regular health check, you should therefore have the following diseases clarified, which are typical causes of potency problems:

• High blood pressure
• Bad cholesterol
• Undetected diabetes disturbed nutrient supply, e.g. due to arteriosclerosis
• Psychological causes
• Side effects of medication

2. Exercise and sport

More exercise and regular exercise ensure physical fitness. Sufficient exercise also lowers blood pressure, reduces arterial calcification, promotes blood circulation throughout the body and increases erectile function. With at least half an hour of training daily (or comparable physical activity), existing studies were able to reduce existing disorders by an average of 40 percent, according to several studies by the German Society for Sports Medicine and Prevention. In addition, sexual and happiness hormones are increasingly released during physical activity.

3. Obesity and body mass index

Weight and fat reduction minimizes the risk of heart disease, lowers bad cholesterol and the body mass index, which serves as an indicator of physical health. A reduction in body weight of at least 10 percent with a BMI of over 30 has shown, for example, in studies in 30 percent overweight men, to have a potent effect. A waist circumference of less than 94 cm can also be mentioned as a benchmark and reduces the risk by 50 percent. The reason for this effect is that testosterone is increasingly converted to female estrogen by an enzyme in the adipose tissue.

4. Pelvic floor training

The nature of the pelvic floor muscles largely determines impotence or potency. Well-trained muscles are necessary to maintain erectile function into old age. The following training options are helpful to prevent and improve the pelvic floor muscles.

• Exercise 1 : First tighten the urinary sphincter 20 times and then 20 x the muscle to shoot the bowel movement for 10 seconds each (sitting, standing or lying down).
• Exercise 2 : Standing, knees slightly bent, hands on hips, tilting the pelvis forward and holding tension. Then tilt the pelvis backwards, hold it and return to the basic position before starting again.
• Exercise 3 : Lying on your back, pressing your feet and elbows into the floor and lifting your body off the floor as high as possible. You can increase this exercise by lifting one leg.
• Exercise 4 : Sitting, standing, or lying, squeeze the buttocks 10 times three times a day. You can slowly expand this exercise up to 30 times.

5. Every exercise counts.

With each use, the blood flow to the penis and the formation of testosterone are trained. It does not matter whether this is done through intercourse or masturbation. The so-called preventive DIY training ensures psychological balance and also more serenity and confidence in the partner. If there are no problems with the individual exercise, physical disorders can be largely ruled out.
 

6. Physical triggers for potency problems.

Clothing that is too tight, too rough or too warm can have a negative impact on fertility. While too tight pants and underpants affect the blood circulation, too much heat has a negative impact on sperm production. It is noticeable in decreasing sperm count and reduced quality. Those who care about their sperm quality in relation to offspring should also not use the laptop lying on their lap, because the devices often become extremely warm on the underside. A study by Sheffield University also indicated that in this case the proximity of the WLAN signals is another factor in the deterioration of sperm quality.
 

7. Less stress

Persistent stress is known to trigger impotence. A stress hormone called epinephrine is released, which can lead to hardening in the blood vessels in the long term. Except for job changes, job-related stress can hardly be avoided. No matter whether it is professional or private stress, with balancing actions for more balance and serenity a lot is gained. The following can be used as an anti-stress compensation program:

8. Adequate sleep

A mentally relaxing, healthy and deep sleep also has a relaxing effect. If there are increased and recurring sleep deficits in combination with other negative factors, potency problems can result. These include increased caffeine or tea consumption and lack of exercise. The causes of frequent lack of sleep are also environmental noises, spiraling thoughts of unresolved problems or a lack of physical activity.
 

9. Promote blood circulation 

Differentiated stimulus perception, well-coordinated transmission via receptors and nerve pathways and an adequate blood supply play an important role in sexual potency. Circulation-promoting measures improve the nutrient supply in the tissues and have a supportive effect on potency problems. Exercise has a positive effect by keeping circulation and blood supply on the go. Alternating showers and Kneipp baths also boost blood circulation. A cold conclusion is recommended. Full baths that promote blood circulation also support and relax. You will need 10 drops of rosemary oil and a cup of milk. The water temperature should be between 28 and 38 degrees and a bath should take a maximum of 20 minutes. If the blood pressure is high, a rosemary bath should be avoided.
 

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