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Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease
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Implants, mechanical devices, and vascular surgery for erectile dysfunction.

Wayne J G Hellstrom1, Drogo K Montague, Ignacio Moncada

  • 1Tulane University School of Medicine, Department of Urology, New Orleans, LA 70112, USA. whellst@tulane.edu

The Journal of Sexual Medicine
|January 23, 2010
PubMed
Summary
This summary is machine-generated.

This consensus report highlights advanced treatments for erectile dysfunction (ED). Inflatable penile prostheses offer high satisfaction, while vacuum erection devices and surgery have specific applications for ED management.

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Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
09:49

Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy

Published on: December 28, 2021

Area of Science:

  • Urology
  • Andrology
  • Sexual Medicine

Background:

  • Evolving field of erectile dysfunction (ED) necessitates updated treatment information.
  • Need for a state-of-the-art consensus on ED management options.

Purpose of the Study:

  • To develop an evidence-based consensus report on ED treatment.
  • Focus on implants, mechanical devices, and vascular surgery for ED.

Main Methods:

  • Consensus process involving 7 experts from 5 countries over 2 years.
  • Opinions based on grading evidence-based medical literature.
  • Discussions included committee deliberations, public presentations, and debates.

Main Results:

  • Inflatable penile prosthesis (IPP) indicated for organic ED after other treatments fail, showing high patient satisfaction.
  • Vacuum erection device (VED) therapy effective for organic ED, especially with suboptimal pharmacotherapy response.
  • Penile revascularization successful in select young men with specific vascular issues; venous leakage surgery not recommended.

Conclusions:

  • Patient awareness of all ED treatment options is crucial for informed decisions.
  • Physician consideration of patient history is key to guiding ED treatment choices.
  • Further research is needed for revascularization surgery, particularly venous outflow procedures.