The best treatment for impotence

The best treatments for impotence mainly include psychological therapy, oral medications, vacuum negative pressure devices, injection of the corpus cavernosum, and surgical treatment. Impotence is usually caused by psychological factors, vascular lesions, nerve damage, endocrine abnormalities, drug side effects, etc. Targeted treatment options need to be selected according to the specific cause.

1. Psychotherapy

Psychological impotence can be improved with cognitive behavioral therapy. Anxiety, depression, or relationship tension may lead to erectile dysfunction, and professional psychological counseling can help relieve psychological stress. Co-participation in treatment by partners can help re-establish an intimate relationship. With relaxation training and sex education, the symptoms of most patients can be significantly improved. It is recommended to avoid excessive focus on erectile performance and reduce anticipatory anxiety during sexual intercourse.

2. Oral drugs

Phosphodiesterase 5 inhibitors are the drugs of choice, such as sildenafil tablets, tadalafil tablets, vardenafil tablets, etc. These drugs improve erectile function by enhancing blood flow to the penis and should be taken as needed under the guidance of a doctor. It is contraindicated to be used in combination with nitrates and should be used with caution in patients with severe cardiovascular disease. Minor adverse reactions such as headache and facial flushing may occur during medication, which usually resolve on their own.

3. Vacuum negative pressure device

Physical therapy is suitable for patients who are contraindicated or ineffective by medication. The contraction ring is used to maintain erection after engorging the penis with negative pressure. It is non-invasive and reusable. It is necessary to master the correct operation method to avoid subcutaneous congestion, and use lubricant to improve comfort. This device has a good effect on vascular impotence, but it may affect the pleasure of ejaculation. The safety of penile tissue needs to be evaluated for long-term use.

4. Injection into corpus cavernosum of penis

Direct injection of alprostadil injection or compound drugs can quickly induce erection. It is suitable for patients with severe vascular disease, with an effective rate of over 80%. Professional medical staff are required to guide injection techniques and pay attention to avoid the risk of priapism or fibrosis. Initial use should start with the lowest dose, and the injection site needs to be rotated to reduce local adverse reactions.

5. Surgical treatment

Penile prosthesis implantation can be considered when conservative treatment fails. Including expandable prosthesis and semi-rigid prosthesis, postoperative satisfaction is high. The indications for surgery need to be strictly evaluated, and patients with diabetes need to control their blood sugar before surgery. Complications such as mechanical failure and infection may occur after surgery, and regular follow-up and maintenance are required.

Impotence patients should maintain a regular schedule, avoid smoking and alcohol abuse, and control underlying diseases such as hypertension and diabetes. A balanced diet can include more arginine-rich foods such as nuts and deep-sea fish, and moderate aerobic exercise can improve vascular function. During the treatment, your partner provides full understanding and support, and regularly reviews and adjusts the plan. If symptoms continue to worsen or are accompanied by other physical symptoms, cardiovascular or neurological diseases need to be promptly investigated.