Intrauretral therapy impotence
For intrauretral applications various drugs are used such as alprostadil. Urethral drug absorbed through the bloodstream and enters the cavernous body, where the reactions occur, causing an erection. This method is similar to the previous one, but avoids an injection into the penis. Currently, this therapy is not widely used because of the high cost of drugs and adverse reactions (burning sensation in the urethra), and the need for mandatory condom use.Surgical treatment of impotence
Surgery recently used less frequently because of the high efficiency of drug therapy. Surgical techniques used in extreme cases, when conservative treatment does not yield the desired results and in certain indications. Surgical treatment of venous insufficiency of the penis is performed in case of defeat venozapiratel mechanism of the penis. Despite the great age of this method, its effectiveness is about 50%. However, even at relatively low results of venous surgery penis is still used in clinical practice, incremental to other previously used method that allows to achieve high results. Surgical treatment of arterial insufficiency of the penis is shown in the case of insufficient arterial blood flow to the erectile tissue. Micro vascular arterial bypass surgery is carried out, the effectiveness of which varies from 30 to 50%. This operation has shown high efficiency in young patients.Penile prosthesis is currently the main method of recovery of penile rigidity. Implantation of prosthetic devices is the final stage of the treatment of impotence, when all previous methods of treatment have failed.
Psychotherapeutic techniques
On the issue of treatment of impotence research medical advice sounded in unison by some heads of "Kama Sutra". Main role is given to the three-step technique of sensuality focusing.This method advises during sexual intercourse more attention to the satisfaction of the partner. In the first stage partners deliver mutual pleasure with no contact with the genitals. In the second stage partners relate to sexual organs and erogenous zones of a partner, but do not enter into sexual intercourse. Only at the third stage, the sexual intercourse takes place.
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