When you suffer from erectile dysfunction it’s important that any underlying condition such as diabetes, cardiovascular diseases and hormonal unbalances have been properly treated. Furthermore it’s imperative that you try to quit smoking.
Before your outpatient hospital visit we ask you to:
- Fill out a questionnaire regarding your health and lifestyle, your current and earlier ailments, diseases, treatments, surgeries, current medication and allergies.
- Fill out a questionnaire regarding erectile dysfunction.
- Have blood samples taken (hormonal, long term blood sugar, blood lipidslipides).
During your visit a nurse and urologist will ask you questions about your ailments and walk you through questionnaires and the result of your blood test.
After this the urologists will perform an exterior body exam and targeted penile and outer genitals exam.
This will be followed by a discussion about which type of treatment is best suited for you and how the treatment will be monitored.
The first step in treating erectile dysfunction is usually oral drugs of PDE-5 inhibitors (Sildenafil, Tadalafil, Avanafil) that are administered in tablets.
Localised treatment in the urethra
The next step in the treatment plan is normally localised treatment in the urethra with the active substance alprostadil that’s available both in the form of a salve implantat (Bondil) or creme (Vitaros). These drugs are directly effective in the erectile tissue and can elicit an erection by expanding the blood vessels and thereby the blood flow to the penile.
Localised injections in the erectile tissue
If neither the oral nor local drugs have the desired effect or have adverse effects, the next step in the treatment will be localised drug injections directly into the erectile tissue. These injections are carried out by the patient himself prior to sexual activity.
Vaccum based penile pump (hand or battery driven) and penis ring can be used with or without medical treatment.
In the case when medication or non-surgical treatments don’t have the desired effect or if they cause undesired adverse effects and you still wish to be able to have an erection, a surgical treatment option is implanting a penile prosthesis. To receive a penile prosthesis you have to undergo surgery where artificial material is implanted into the penis.
The benefits of a penile prosthesis is that it provides a reliable erection. If desired you can normally have normal orgasms and ejaculations. This proven method has been in use since the 1970’s and studies show that up to 90 percent or more of all patients and their partners are satisfied with the functionality.
Different types of penile implants
There are different types and manufacturers of penile implants. All devices consist of cylinders that are implanted in the erectile tissue. The entire device is implanted and not visible to the eye. The most common material used is silicon.
The implantation procedure is carried out at Peritus Clinic by highly specialised implant surgeons.
The procedure takes about two hours and you’re fully anaesthetised. After the procedure you will stay at the hospital for 1-2 days for pain relief and observation. Discomfort and swelling will subside in the following weeks. After 6 weeks a follow-up control visit at the outpatient clinic is scheduled, where you will also receive instructions in how the device works. After this the penile implant can be taken into use.