Erectile Dysfunction

What Is Erectile Dysfunction

Erectile Dysfunction (ED) is either difficulty or inability in achieving or maintaining an erection.

The penis consists of two chambers of spongy tissue called the Corpora cavernosa. When a man is sexually aroused, the brain and local nerves send impulses to the muscles in the Corpora cavernosa that cause it to relax which allows the blood to fill the spaces within the tissue. This creates pressure in the Corpora cavernosa, making the penis expand. A membrane called the Tunica albuginea helps trap the existing blood in the Corpora

cavernosa, resulting in an erection. However, when the muscles contract to stop blood flow into the penis, this is when the erection is lost. If this happens frequently for any reason, this is what is known as Erectile Dysfunction.

It is hard to say precisely how many men suffer with the condition as many do not seek help, although it is estimated that 22% of men aged 40 and 49% of men over 70 and over suffer with the condition.

Causes Of Erectile Dysfunction

There are many causes for Erectile Dysfunction; Amongst the most common are diseases such as Diabetes, Alcoholism, Kidney disease, cardiovascular disease or Multiple Sclerosis. This accounts for around 70% of Erectile Dysfunction problems.

Physical injury sustained to the penis, spinal cord, bladder, pelvis or prostate can contribute to ED. Men on a long term medication, particularly antidepressants, tranquilisers, antihistamines and blood pressure drugs may experience problems achieving an erection. If this happens to you, a change in medication may alleviate the symptoms.

Stress or Anxiety

Sometimes ED is purely a psychological problem. Stress, being overworked, depression, guilt, suffering from low self-esteem and fear of sexual failure causes up to 20% of ED. Smoking is also a big factor to the condition as it affects blood flow to the penis.

Erectile Dysfunction can be treated in many different ways depending on what is believed to be the cause of your ED. Such treatments include:

Medications

The most popular and well known drug is Slidenafil (Known internationally as Viagra). It works by boosting the natural mechanism that leads to an erection; it elevates the levels of the chemical that causes the tissues to relax. This was discovered by accident as Viagra was originally formulated to treat Angina and improve the blood flow around the heart.

While it is very effective, it has many side effects. Some mild such as headaches, flushed red skin and stomach ache. Some more serious such as blurred vision, tinnitus, seeing everything tinted blue (blue vison) or even heart problems leading to cardiac arrest. It is not suitable for everyone and needs to be taken under strict supervision.

Injections

A drug such as Alprostadil can be injected directly into the tissues of the penis. This helps to relax muscles and increase blood flow to help create an erection.

Vacuum Devices (or Penis Pump)

These special devices work by creating a vacuum around the penis and draws blood into the organ. The devices consist of three constituents; a plastic cylinder, a pump and an elastic band.

The penis is placed into the cylinder where the pump draws air out of the cylinder and the elastic band is positioned around the base of the penis to maintain the erection after the cylinder is removed.

The effects are usually shortlived and not always satisfactory, there have been cases of damage to the penile tissue resulting from use of these kinds of apparatus.

Surgery

A more drastic option, not one that is preferred and usually a last resort. Prostheses can be implanted into the corpora cavernosa to allow the man to adjust the position of the penis. Additionally, inflatable cylinders can be placed inside the penis and expanded using pressurised fluid.

Natural Supplements

There are a number of natural herbal based products that are actually suprisingly effective. usually far safer than prescription drugs without the unpleasant side effects associated with man made drug treatments.

Look for ingredients including L-arginine, Pomegranate, TongKat Ali and Epimedium (aka Horny Goats Weed). Pomegranate in particular is commonly referred to as ‘Natural Viagra’ for its erection enhancing properties.

More about Natural Remedies For Erectile Dysfunction

What Is Peyronie’s Disease

Curvature Of The Penis

Peyronie’s Disease is where a hard lump or plaque begins to form on the upper or lower side of the penis in the layers that contain erectile tissue. It begins as an inflammation and can turn into a hardened scar, it is not cancerous.  The plaque usually develops on the top of shaft which makes the penis bend or curve (penile curvature) upward.

If the plaque is on the underside of the penis it will bend downwards. In cases where the plaque develops on both sides it can lead to indentation and even shortening of the penis. In the most severe cases the plaque becomes so hardened that a great deal of pain is felt and the penis loses all flexibility which can make sex sometimes impossible.

peyronies-versus-normal-full

Peyronie’s Disease affects about one in 100 men to varying degrees although surprisingly, few men are aware of the condition.

No one is certain why some people contract Peyronie’s disease.  Some say there is a link to fibrosis or scarring of other tissues in the body such as Dypuytren’s contracture of the hand. It is also believed to be hereditary.

Researchers now believe that trauma to the penis can cause the plaque to develop as this causes bleeding inside the penis and injury of the elastic lining in the chambers inside the penis. Ageing increases the risk as the body’s tissues are not as elastic as they once were, so any trauma can increase the risk of long term injury to the penis due to the slow healing process as the plaque can form into very tough fibrous tissue and even start to form calcium deposits.

Peyronie’s Disease can be generally mild and can reach a point where it will stop progressing and a man can have some respite after 6 to 18 months. But in very advanced cases, it can prevent the man from being able to have any kind of sex life.

Doctors usually advise against any non-surgical treatments as they are not believed to be Penisdeviation3that effective. Surgery can be performed after a few years once the disease has taken hold and the penis is so deformed that he can no longer have intercourse.

Some non-surgical treatments although unproven are:

  • Para-aminobenzoate tablets
  • Vitamin E tablets
  • Radiation therapy. – This can relieve the pain but has no real effect on the Plaque itself.
  • Injections of Chemicals such as Dimethyl Silfoxide, Steroids and Calcium channel blockers directly in the plaques.

As far as surgery is concerned the three most popular surgeries are:

The ‘Lue’ Procedure. Removal of the plaque then followed by placement of a patch of skin or artificial material. This has a high rate of complications and causes a loss of erectile function and prevents the penis from becoming rigid.

The ‘Nesbit’ procedure. This is removal or pinching of tissue from the opposite side of the penis to the plaque which can balance out the bending effect. This shortens the penis when it is erect.

285x285_Understanding_ED_Do_You_Have_1A device can also be implanted into the penis to cause rigidity. Sometimes an implant will be enough to straighten the penis enough to provide a satisfactory result, other times, implantation is combined with a selection of incisions, grafting or plication (pinching or folding the skin).

There are alternative methods to relieving the problems encountered by sufferers of peyronies disease, these can include special penis exercises and medically approved penis traction devices. it is the latter that have actually proved to be most effective of all the above treatments

More about Curing Peyronies Disease With Penis Traction Devices