Preparations of the first line for treatment erectile dysfunction

The impotence (or erectile dysfunction) is first of all disease, for many men the extremely serious disease when it would be desirable, but possibility is not present. Or speaking to tongue scientific is an absence of maintenance of an erection. I.e. the erection not simply should arise, but also still it should be at corresponding level, sufficient for realisation or sexual intercourse performance. The term erectile dysfunction earlier often designated as an impotence and considered, that it is quite admissible. However, now the term erectile dysfunction and it, in our opinion, absolutely correctly is most often used. The diagnosis of erectile dysfunction can be established only when the given disorder is present at the patient within 3 and more months. But there are also exceptions of this rule is a presence of a serious accompanying pathology when during operation all nervously-vascular fascicles bound to a prostate leave. For example, the radical prostatectomy which is carried out at a cancer of a prostate.

All erectile dysfunctions can be sectioned on two big groups is first of all psychogenic and organic. Last group unites to all diseases caused and bound to a vascular pathology and nervous (neurogenic) disorders. Besides, all serious hormonal diseases are included in this group. Serious somatopathies, such as a diabetes mellitus, chronic renal and hepatic insufficiency lead to erectile dysfunction of the admixed genesis.In essence with Generic Cialis 20mg will frame to you a healthy erection with duration of action at 36 hour.

The consent of the patient is necessary for a diagnosis establishment - erectile dysfunction. Preparations of the first line for treatment of the given pathology are inhibitors fosfodiesterazy-5 () (cialis). Duration of application, a dosage in each case steals up the doctor the urologist-andrologom (or the sexopathologist) individually. First of all the doctor should establish a genesis of erectile dysfunctions that helps to eliminate a cause of illness and to prescribe adequate therapy. Standard it is considered carrying out of questioning of patients for the purpose of an estimation of a status of an erection. Now enough considerable quantity of questionnaires which are used by doctors-urologists and sexopathologists in the practice is developed. The careful collecting of the anamnesis is simply necessary for definition of possible factors of development of erectile dysfunction (smoking, an alcoholism, the excess weight, the accompanying diseases, accepted medicines etc.) . Often, joint consultation of the urologist and the psychiatrist is necessary for diagnostics of psychogenic disturbances. All patient an ED make the blood analysis, with glucose definition (some haemoglobin), general Testosteron-Depotum, Prolactinum and a lipide profile of blood (cholesterol, lipoproteins of high and low density, triglycerides and an index .Sexual member and a preprostatic venous plexus for the purpose of revealing of vascular erectile dysfunctions. At suspicion on neurogenic an ED carry out an electromyography of a sexual member. Application допплеровского and an electromyographic method probably only at use of vasoactive substance of Prostaglandinum Е1 (ПГЕ1), allowing to model an erection by means of a pharmacological preparation.

The general principle of treatment disturbances should be begun stage by stage, by movement from non-invasive methods to the invasive. An absolute rule of treatment is elimination of the harmful factors leading to erectile dysfunction (smoking, obesity etc). At the first stage of treatment inhibitors (levitra, cialis) which are issued in a kind forms are prescribed. The given preparations are effective at 80-85 % of patients an ED. At a primary and secondary hypogonadism appointment of androgenic therapy is shown.Tadalafil under some other trade marks, such as a Cialis and a Cialis Soft tabs.

At the second stage at insufficient efficiency of inhibitors preparations of the second line by introductions ПГЕ1 for 10-15 mines before sexual intercourse are prescribed. The given preparation can be applied and intraurethral. In this case there is a risk of development of a priapism (a painful erection lasting more than 5 hours). Therefore the given technique is applied during first time only under the control of the doctor. The vacuum technique - the Prize-THERAPY is safe enough, but also its efficiency is estimated at 20-30 % of patients.

At the third stage, at an inefficiency of the techniques set forth above surgical methods of treatment of erectile dysfunction are applied. There are two basic subsections is 1) Operations on vessels (a revascularization of a sexual member the bottom hypogastric artery, a dressing of a deep back vein of a penis) and 2) which the semihard prostheses are applied, constantly imitating an erection. For last 5 years hydraulic prostheses which are more functional and convenient in application have widely started to be applied. They allow to result a sexual member in an erection status only at the moment of sexual intercourse, that, undoubtedly, is more natural to the patient psychologically. All methods of treatment of erectile dysfunction (impotence), both conservative, and operative, are successfully applied.