Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for sexual intercourse. It is also known as impotence. Occasional ED is not uncommon and many men experience it during times of stress. However, frequent ED can be a sign of underlying medical conditions that require treatment. It can also be a sign of emotional or relationship issues that may be addressed by a professional. If you are concerned about erectile dysfunction, it is important to speak with your doctor, even if you are embarrassed. In some cases, addressing the underlying cause of ED may be sufficient to resolve the problem.
To achieve an erection, the nerves in the penis release chemicals that increase blood flow into the penis. The blood flows into two chambers in the penis made of elastic muscle tissue. During an erection, the elastic tissues relax and trap blood. The increased blood pressure in the chambers causes the penis to become firm, resulting in an erection. When not sexually stimulated, the penis is soft and flaccid. It is normal for the size of the penis to change in response to temperature, stress, or other factors, as this reflects the balance of blood flowing into and out of the penis.
Is impotence the same as erectile dysfunction?
Impotence is a term that is still sometimes used to describe problems with achieving and maintaining an erection. However, most healthcare professionals today prefer the term erectile dysfunction (ED). While this term may sound like medical jargon, it actually makes sense. The older term carries negative connotations, as impotence means weakness. Having problems with erections has nothing to do with being weak or inadequate. It is simply a matter of the erection-producing system not functioning correctly.
How is erectile dysfunction treated?
Your doctor will ask you questions about your symptoms and medical history, and may perform tests to determine if your symptoms are caused by an underlying condition. You can expect a physical examination, during which your doctor will listen to your heart and lungs, check your blood pressure, and examine your testicles and penis. Your doctor may also recommend a rectal examination to check your prostate. You may also need blood or urine tests to rule out other conditions.
What are penile implants?
A penile prosthesis is another treatment option for men with erectile dysfunction (ED). These devices are either inflatable or semi-rigid. The simplest type of prosthesis consists of a pair of flexible rods surgically implanted within the erection chambers of the penis. A penile implant is generally used when there is a clear medical reason for ED and when the problem is unlikely to resolve or improve on its own or with other medical treatments.
What are the different types of penile prostheses?
There are two main types of penile implants:
- Inflatable implants: Inflatable devices, the most common type of penile implant used, can be inflated to create an erection and deflated at other times.
- Semi-rigid rods: Semi-rigid devices are always firm. The penis can be bent away from the body for sexual activity and towards the body for concealment.
Will I have a normal sensation after the procedure?
After penile implant surgery, you will likely need to take medication to alleviate pain. Mild discomfort may persist for a few weeks. You may also need to take antibiotics for several weeks to prevent infection. Most men are able to resume strenuous physical activity and sexual activity around four to six weeks after surgery.
Is the procedure performed in a hospital or an outpatient setting?
The procedure is typically performed in a hospital or an outpatient surgical center. It is usually performed under general anesthesia
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