Impotence/Erectile Dysfunction

• Erectile dysfunction can have organic and psychogenic etiologies, and the two frequently overlap.
• Organic erectile dysfunction may be an early sign of cardiovascular disease and requires evaluation.
• Peyronie disease is a common, benign fibrotic disorder of the penis that causes pain, penile deformity, and sexual dysfunction

Management

• Life style modification and reduction of cardiovascular risk factors are important components of any treatment plan. This should potentially include Smoking cessation, reduction of alcohol intake, diet, exercise, and treatment of diabetes, dyslipidemia, and hypertension.
• Hormone replacement therapy.
• Counselling and anti - depressants i.e., Tab- Everlong (Dapoxetine) 60mg, 1 tab PO 3 hours before activity ' OR ' Tab- Freedep 50-100mg, 1 tab PO X OD for 3 months
• Tab- Vigra (sildenafil) 25-100mg, 1 tab PO 30min before activity
• Tab - Surbex - Z, 1 tab PO x OD at least for 1 month.
• Vacuum erection devices and penile prosthetic surgery.