Urological Problems ED – Sildenafil in Australia

July 4, 2014 admin Erectile Disfunction

The problem usually develops immediately following surgery; suggested mechanisms for this are intraoperative injury to the cavernous nerves and/or arteries, and structural alterations to the corpora cavernosal that are disruptive of the veno-occlusive mechanism. Nervesparing procedures may reduce the risk of postoperative ED. Radical radiotherapy is also associated with ED in about 40%) of men, although the onset is often delayed for 6—18 months. Brachytherapy, where small seeds of radioactive material are implanted into the prostate, is associated with ED in about 50% of men. It seems that all currently available, potentially curative treatments for prostate cancer cause ED in a significant proportion of men. Radical prostatectomy is strongly associated with ED, Avith an incidence of 30—100% reported in different series. Research suggests that preoperative erectile function status, age and intraoperative nerve sparing are the main determinants of post ‘ operative potency. There is evidence that early introduction of pharmacotherapy to restore erections at an early stage may result in better recovery rates. Sildenafil citrate Australia

Most men with prostate cancer can be safely treated for ED, although those who have undergone radical surgery or radiotherapy have lower response rates to treatment . Other surgery: About 30% of men will develop ED foUowing radical surgery for rectal cancer, although this may be improved with nervc’sparing surgery; retrograde ejaculation is also observed. Other surgical procedures associated with ED include cystectomy, and aortic and femoral grafting. Peyronie’s disease and other penile disorders: Peyronie’s disease is a disorder affecting the penis, characterized by penile pain, a lirnip within the penile shaft, and abnormal angulation of the erect penis. Sometimes, all three features are not present . It is thought to affect 3% of men, although it is probably under-reported to doctors. However, Peyronie’s disease is identified in about 16% of men presenting with ED to a specialist clinic.