What are the treatment methods?Before determining the treatment, you must first find the cause of impotence.At present, it can be divided into two categories: psychological and organic. Among them, psychological impotence accounts for 85 & mdash; 90%of the total number of impotence patients, which is the most common reason.The organic impotence accounts for about 10 & mdash; 15%, the cause is more, the pathology is more complicated, and the treatment method is not the same.
Method of impotence
1. Affairs of impotence
Behavioral therapy is one of the treatment methods for psychological impotence.Its theoretical basis is that sexual behavior is the same as other behaviors, and it is the result of wrong learning.Therefore, it can be corrected by re -learning. The specific method is to gradually increase training through a series of difficulty to separate the patient's fear of response and sexual intercourse scenarios, thereby achieving the purpose of eliminating concerns.
2. Negative erectile treatment of impotence
In order to make the ungrates of impotence, the ungrate of impotence can produce sufficient erectile hardness, the penis can be placed in the negative pressure device, so that the sponge body is passively congested and the erectile state can be reached.Then the rubber belt restraints the root of the penis to keep an erection to do business.Remove the rubber belt within 30 minutes, and the penis can restore the soft state.The negative pressure is robbed of the blood to accumulate the blood in the sponge and generate an erection, which is different from normal erection.
3. Emotional vascular surgical treatment method
Some impotence is caused by vascular changes, such as insufficient blood supply to the arteries, abnormal venous veins, and venous fistulas can cause impotence.Pensors caused by vascular lesions need to be treated with vascular surgery.
4. Neurological treatment of impotence
Primary premature ejaculation has increased penile head sensitivity. The main factors that determine the sensitivity of the penis head are the distribution of penile back nerves, the number and threshold of the sensor, and the nerve transmission pathway.After the penis back nerve cutting, the sensitivity of the penis head can be reduced, the ejaculation stimulation threshold can be improved, the ejaculation incubation period is extended, and the quality of the patient's sexual life is improved.
5. Poor implantation therapy for impotence
It is suitable for organic impotence such as trauma, pelvic surgery injuries and vulva nerves, blood vessels, losing erectile function, and a small number of refractory functional impotence.The penile prosthesis has semi -hard stick -like flexible prosthesis, expansion prosthesis, and self -capable hydraulic flexible prosthesis, but patients with cardiovascular disease, mental illness, infectious diseases, diabetes and other patients are not suitable for using this impotencetreatment method.
Drugs for treating impotence
1. Westland Nafei
The medicine is also called "Viagra", which mainly acts on human peripheral nerves and local tissues of the penis. It has a good curative effect on mental, organic, and mixed impotence. The total effective rate is 70 % to 90 %.Patients with impotence can take 25 to 100 mg of Western land in 60 minutes each time to promote and enhance the erectile function of the penis.It should be noted that a few patients may have adverse reactions such as flushing, dizziness, headache, nasal congestion, and excessive visual disorders after medication.Elderly patients with cardiovascular disease should not take this medicine.This medicine cannot be used with nitrate drugs (such as nitroglycerin, etc.).
2. Apurycellin
The drug is derivative of morphine, which is a dopamine receptor agonist. It mainly acts on the hill activity center of the human brain. It can start and regulate the erectile function of the penis.The effective rate of the treatment of impotence is 44 % to 60 %.Patients with impotence can take 2 to 6 mg of Apusphine each time according to their specific circumstances.It should be noted that a small number of patients may have mild nausea and vomiting after taking the drug.
3. Yuginbin
Yuminbin is also called Yumuzhi and comfort. It is a kind of diarrhea, which belongs to adrenaline receptor to block the medicine.The drug has the effect of expanding the arteries of the penile, increasing the blood flow of the penis, and increasing sexual desire, and it has a good effect on non -organic impotence.Patients with impotence can take one piece of Yuginbin each time, take 2 to 3 times a day, and the satisfaction rate of satisfaction can reach 75 % to 80 % after medication.It should be noted that a few patients may have adverse reactions such as accelerated heartbeat, tremor, and high diastolic pressure after taking the drug.
4. testosterone drug
Testosterone is an important androgens, including methyl testosterone, hydroxytic testosterone, hydroxytotenone, and eleven testosterone.This type of drug is only suitable for middle -aged and elderly patients with impotence in middle -aged and elderly impotence with insufficient testicular androgens.The usage of methyl testosterone is to serve 25 to 50 mg each time the tongue is served, and once a day.The usage of a hydroxytic testosterone is 5 to 10 mg each time, take it once a day.The usage of hydroxydthonone is 5 to 10 mg each time, take it once a day.The usage of eleven sour testosterone is to take 120 to 160 mg each time, take it once a day, and change the maintenance of 40 to 100 mg per day after 2 to 3 weeks of medication.Testosterone drugs can be absorbed through human lymphatic systems, have high biological utilization and biological activity, and are more safe and effective for long -term use.
(Editor in charge: Peng Zhixing)
