怎样治疗功能性勃起障碍

如何治疗功能性勃起障碍配图，仅供参考

Treatment
Treatment of erectile dysfunction should focus on patient‐important outcomes and treatment success should not be based solely on recovering penile rigidity. Lifestyle modifications,such as weight loss programs and regular exercise,have resulted in erectile dysfunction improvement,and thus should be the first recommendation to men presenting with erectile dysfunction ). Interventions directed toward cardiovascular health are also thought to be beneficial ). If there are suitable alternatives,beta blockers,thiazide diuretics,and other medications known for their erectile dysfunction‐exacerbating features should be discontinued ). Psychosexual therapy,including anxiety reduction,interpersonal therapy,behavioral therapy,couples communication,and sexual skills training,have helped in ameliorating psychosexual barriers and alleviating erectile dysfunction ).
After conservative methods have failed,or often concurrently with these methods,pharmacological therapies are offered. Phosphodiesterase‐5 inhibitors (PDE5 inhibitors) are often the first‐line treatment ),notably sildenafil,tadalafil,and vardenafil. These oral agents are easy to use and mostly effective,but studies show limitations ). These include interaction with a variety of other medications (antidepressant,antifungal,antiretroviral,and antihypertensive medications) and risk of hypotension with concomitant use with nitrates ). Other commonly used modalities for erectile dysfunction are vacuum constriction devices (VCDs),intraurethral prostaglandin suppositories,intracavernosal injection therapy,and surgical placement of a penile prosthesis ). Several of these agents have also been used in post‐prostatectomy rehabilitation for erectile dysfunction,although with limited success rates ). Other treatments,such as ginseng,which are not regulated by the US Food and Drug Administration,do not appear to be effective ).
An established technology for the treatment of kidney stones,shockwave therapy (SWT) has recently been used for erectile dysfunction,with what are described as promising results ). Although multiple studies have yielded conflicting results about whether the intervention actually works,direct‐to‐consumer marketing of this treatment has resulted in relatively widespread use ).","department":"