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It’s my opinion that oral ED medications should be reserved for when lifestyle optimization fails to improve sexual issues. This may be at odds with some physicians who find it convenient to simply prescribe meds, and with some patients who want a quick and easy fix. However, as good as Viagra, Levitra, Cialis and Stendra may be, they are expensive, have side effects, are not effective for every patient and cannot be used by everyone, as there are medical situations and certain medications that may prevent their use. In this category, I also include mechanical, non-pharmacological, non-surgical devices, including low-intensity penile shockwave therapy, vacuum suction devices, vibration devices and penile traction devices. Low-intensity shockwave therapy is an exciting new treatment option that uses acoustic energy to cause mechanical stress and microtrauma to erectile tissues. This stimulates the growth of new blood vessels and nerve fibers and potentially enables penile tissue to regain the ability for spontaneous erection. Vacuum suction devices are mechanical means of producing an erection in which the penis is placed within a plastic cylinder that is connected to a manual or battery-powered vacuum. Negative pressure engorges the penis with blood and a constriction band is temporarily placed around the base of the penis to maintain the erection. 80% of men can achieve good rigidity, but many do not continue using the device because of its cumbersome nature. Venous constriction sildenafil 100mg discount devices are used in conjunction with the vacuum suction devices to trap blood in the penis and help maintain the erection. They also can be used without the suction devices in certain circumstances. Men who find these beneficial are usually able to obtain a reasonable quality rigid erection but tend to lose it prematurely. Vibration devices were traditionally employed to provoke ejaculation in men with spinal cord injuries who desired to father children. Subsequently, they have achieved broader utility and are now also used to facilitate erections in men with ED. Dual-armed vibratory stimulation of the penile shaft is capable of inducing an erection and ultimately ejaculation. Penile traction devices use mechanical pulling forces to lengthen and/or straighten the penis to manage or prevent penile shortening and angulation. Vasodilator urethral suppositories and penile injections. These are suppositories and injections that increase penile blood flow and induce erections. (Medical urethral system for erection) is a small medicated vasodilator pellet available in a variety of different dosages that is placed within the urinary channel of the penis after urinating. Absorption occurs through the urethra into the adjacent erectile chambers, inducing increased penile blood flow and potentially an erection. About 40% of men can achieve rigidity, but it is often inconsistent. Prostaglandin E1 is injected directly into one of the erectile chambers of the penis, resulting in increased blood flow and erectile rigidity. After being taught the technique of self-injection, vasodilator medications can be used on demand, resulting in rigid and durable erections. A combination of medications can be used for optimal results—one such popularly used combination consists of papaverine, phentolamine and alprostadil, known as “Trimix.” 90% or so of men achieve an excellent response, although many men are reluctant to put a sildenafil 100mg discount needle into their penis. Penile prostheses can be life changers for men who cannot achieve a sustainable erection. Surgically implanted under anesthesia on an outpatient basis, they provide the necessary penile rigidity to have intercourse whenever and for however long desirable. The semi-rigid device is a simple one-piece flexible rod, one of which is implanted within each of the paired erectile chambers. The penis is bent up for sexual intercourse and down for concealment. The inflatable device is a three-piece unit that is capable of inflation and deflation. Inflatable inner tubes are implanted within the erectile chambers, a fluid reservoir is implanted behind the pubic bone or abdominal muscles and a control pump in the scrotum, adjacent to the testes. When the patient desires an erection, he pumps the control pump several times, which transfers fluid from the reservoir to the inflatable inner tubes, creating a hydraulic erection that can be used for as long as desired. When the sexual act is completed, the device is deflated via the control pump, transferring fluid back to the reservoir and restoring a flaccid state. Implantica’s Solution, PotencyFlow® Implantica’s PotencyFlow® is subject to further development and approval process. Although Viagra type of drugs has improved the situation for the around 150 million men suffering from Erectile Dysfunction, only 50% are able to use these drugs with a successful result. PotencyFlow® is designed to treat impotence by sildenafil 100mg discount hindering blood leakage from the penis during erection. The most common cause for erectile dysfunction is leakage of blood from the erectile system since pressurized blood causes the erection. Implantica’s PotencyFlow® is designed to help these patients suffering from erectile dysfunction, which occurs when the blood drains too quickly through the veins. The device, which will use Implantica’s shared wireless energy platform, will be controlled wirelessly by a remote control or a push button under the skin resulting in a smooth chain of events that is expected to lead to a more natural erect penis. The device is designed to create erection by stimulation followed by restricting the blood flow leaving the penis using a penile blood flow restriction cuff, preventing the leak of the filling blood in the penis, thereby treating erectile dysfunction. The options available today are reconstructive surgery (often with poor long-term result) or a penile implant. Unlike penile implants, PotencyFlow® will not damage the penile erectile tissue and will therefore be preferred entry procedure especially for patients with some functionality left, having vascular problems. PotencyFlow® is intended to be controlled wirelessly or by a push button under the skin resulting in a smooth chain of events that is expected to lead to a more natural erect penis. Surgical procedures to stop the vascular leak have been tried with good results, however, only in the short-term. After a year or two the venous blood system creates new paths expanding small vessels and the symptoms reoccur. However, with an intermittent and short-term closure, such as PotencyFlow®, one could expect this effect to be close to non-existent. Preventing buy sildenafil online cheap the leak of the filling blood in the penis will create the possibility for these patients to achieve, and after being stimulated to get erection, keep the erection. Implantica’s solution is expected to be able to help a much larger group of patients than those performing penile implants, due to its additive character. Wireless control is designed to enable activation of erection in a controlled and discrete way. PotencyFlow® is expected to temporarily restrict the blood flow and leave the corpus cavernosum undamaged – unlike current penile sildenafil citrate over the counter walgreens implants.
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