(ED) is a male disease. Due to the complicated factors of penile impotence, although there are many impotence treatment, the effect is still not ideal.Therefore, a comprehensive analysis should be performed before determining the treatment plan, and multiple ways are treated to achieve satisfactory results.
Overview of the treatment measures for impotence:
1. Sexual psychological treatment
Any type of impotence should emphasize psychotherapy in order to achieve more effort.
The human brain can transmit a stimulus impulse to the spinal erection center, and can also emit an excitement to suppress information to prevent the erection center.Emotions such as anxiety and tension in the brain often cause the cause of impotence.In the 1960s, Masters and Johnson and Kaplan's psychotherapy in the 1970s achieved remarkable results.Eliminate the nervousness of patients through a series of sexy concentrated training, eliminate anxiety and fear, enhance confidence in restoring erectile abilities, and cooperate with the guidance of physiological knowledge and behavior methods, so that the improvement rate of non -choice of impotence patients will reach 30%to 55%.
2. Drug treatment
The self -injection of the drug in the penis sponge was initially used by 10-60 mg or phenolithera 1-2mg in the first poppy alkali.Recently, the use of prostaglandin E1 (PROSTAGLANDIN E120 ~ 60 & MU; G) can quickly metabolize in the body, significantly reduce the incidence of abnormal erection, and become the most ideal drug.There were 1500 patients in Shanghai reported that poppy alkali and phenolithera were injected. 86%could complete sexual intercourse, while abnormal erection, local pain, skin blood stasis, foreskin edema, sponge fibrosis each accounted for 2%, and there were drug increasing phenomenaEssencePGE1 has no abnormally erection, but 18%of patients have pain in the injection bureau.STIEF (1991) uses PGE1 10 & MU; G and CGRP5MG joint injection. Its efficacy is significantly higher than that of separate injections, but its application is limited to CGRP's lack of drug research.Recently, LINSIDOMINE (SIN-1) is NO supply.STIEF is first applied to injection in the sponge body; 40 patients who have no response or continuous erection in Plaprazine and phenolithelings, and 33 cases are switched to SIN-1, and 33 cases have reached a complete or almost completely erection.However, TURSS believes that SIN-1 is not as complete but not as effective as Poppyine and phenolithera (except neuropaturated).In the 10-year summary of 4,000 cases in the treatment of impotence, Porst observes the effective rate of various drugs SIN-1 (13/75), 39%(370/950) for poppies, and 61%of Plecene+phenolita (61%152/250), PGE172%(2304/3200), it is believed that the latter two of various types of dysfunction are effective, while SIN-1 is only effective for psychological and neuropaturated.Melman reports Forskolin In animal experiments, because the activated adenotanotic enzyme can be driven away, and the level of CAMP in the cells can be raised to make flat muscle relaxation. It is a promising clinical drug.Schmidt, Cavallini and other reports are reported to apply nitroglycerin, Yuginbin, and MINOXIDIL. They have penetrating skin effects and applied to the surface of the penis to achieve an erectile effect.
Drug administration of the urethra, began to use artificially synthetic prostaglandin E1125 ～ 1000 & Mu; G (Alprostadil) in 1996.EssenceThere can be side effects such as penile pain, urethra pain, testicular pain, and dizziness.There is no relevant report on whether the medicine has an impact on early pregnancy, so contraceptive measures need to be used.
Third, surgical treatment
Surgical treatment is suitable for intravenous and arterial impotence.
Penile vein surgery includes deep venous ligation of the penile back, penile venous ligation, sciatic sponge muscle folding, urethral sponge exfoliating, iliac venous ligation, etc.
According to the statistical 15 author's report, 602 cases of various venous surgery effects, with the clinic for 1 to 72 months, a success rate of 0 to 88%, an average of 37.4%.Wespes reported in 20 cases in 1985, with 3 to 24 months with the clinic, with a success rate of 80%. In 1990, 67 cases were reported again, with a clinic for 24 to 72 months, and the success rate dropped to 46%.The Institute of Urology at Beijing Medical University reported 57 cases, with a clinic for 1 to 3 months, and a success rate of 47.4%; the clinic for 6 to 24 months, a success rate of 28.1%.Therefore, intravenous surgery is not an ideal treatment. It may be more complicated with the cause of impotence. Patients are often non -simple veins. It is often related to other factors such as psychological, arteries, nerves, and penile tissue structure diseases.
Penis arteries are mostly adopted by the lower side of the abdominal wall and the end side of the penile back or end or end; those with poor elimation of the penile back can use the penis back deep veins of the veins Ⅰ (the deep vein of the penis back above the mouth), Virag)Type II (ligating the deep vein of the penis above the penis), and the penis back arteries and back deep veins of the back of the abdominal wall (hauri method).Eight authors reported 884 penile arteries reconstruction, with a success rate of 50%to 80%, with an average of 71.5%.There are 8 cases of surgery in the Qin urine surgery research institute of Beijing Medical University. The success rate is 75%recently, and the long -term clinic is 50%.
Poor value of penile prosthesis is an effective method for treating impotence. It is suitable for other methods to treat invalid organic quality and certain psychological impotence patients.There are mainly semi-hard rod penis prosthesis, Flexirod, silicon silver prosthesis), expandable tri-component prosthesis (AMS 700CX), and expansion dual-component prosthesis (MENTOR GFS, Uni-Flate 1000), Expansion single component prosthesis (AMS Hydroflex and Flexi-Flate Ⅱ), surgical complications and mechanical failures account for about 7%to 25%, infection of about 1%to 8%, perforation 1.6%to 6.7%, pain 0.4%0.4%～ 5.7%, the purse size is 0.7%to 2%.
Fourth, family green therapy
1. The careless activities of non -sex sensitive areas (excited area), training for 1 week.In order to improve your body's perception, eliminate tension, and awaken natural and harmonious sexual reactions.
2. The caress of the sex sensitive area is still non -sexual intercourse, training for 1 week.Continue to eliminate the psychological pressure of terror and tension, and gradually establish confidence in normal erection.And promote the sense of intimacy, relaxation and happiness between sexes.
3. After the erectile function control passes through the above training, the penis restores a normal erection, but it must continue to train the power of the erectile erectile erection.The often adopted training methods include cloak drilling, hanging towel training, Squeeeze or se & mdash; man's cooperation, still non -sexual intercourse activities, training for 1 week.
4. Normal sexual intercourse extend the erection time and control ejaculation training after the sexual organ training obtains a good sexual response.Perform formal sexual intercourse.You can adopt a woman's upper posture, which is slow at the beginning. Focus on the sensation of sexual fantasy and reproductive organs, and gradually increase friction.When the sense of near -ejaculation is forced, stop the activity stimulus immediately, and the friction activity will be performed after the ejaculation feels retreats.You can also draw the penis when you are close to the ejaculation, and use the Squeeezes technique. After the premonition disappears, the sexual intercourse is performed.After 2 to 3 training, ejaculate naturally.Training for 1 week.
5. Self -massage of impotence
(1) Press the umbilical hole 30 & mdash; 50 times.
(2) Hold the scrotum and penis with both hands, rub the penis for 5 minutes, grab the penis head and pull out the head several times, and then rub it again, repeated 3 times.
(3) Rub the waist and eyes, waist ridges, and vertical spine 50 times to heat the local skin.
(4) Massage the lower abdomen and full abdomen, 100 times each in the direction of the clockwise and counterclockwise, and then push 50 times from the two ribs to the umbilicus from both ribs to the umbilicus.
(5) The abdominal point of the middle finger is 30 & mdash; & mdash; 50 times in the perineal point (between the scrotum and the anus).
(6) Press the middle fingertips, hit the bone point (four horizontal fingers on the outer ankle) and Sanyinjiao acupoint (four horizontal fingers above the inner ankle), 5 minutes per hole, twice a day.
5. Precautions for nutrition and dietary therapy
1. Diet is mainly soft food, and appropriately eat nourishing foods, such as eggs, bone soup, lotus seeds, walnuts, etc.
2. It is advisable to eat aphrodisiac food, sparrows, dog meat, chicken, sea shrimp, hippocampus, sheep kidney, turtles, loach, river shrimp, quail eggs, sparrow eggs, sea cucumbers, golden cherry blossoms, leek, snake bed, etc.
3. It is advisable to replenish zinc. Foods containing more zinc such as oysters, beef, chicken liver, eggs, peanut rice, etc.
4, should eat more animal internal organs.
5. It is advisable to eat foods with more arginine, such as yam, ginkgo, catfish, sea cucumber, cuttlefish, octopus, etc.
6. Don't drink.
7. Fast foods that are fat, sweet, and salty.
6. Other treatment methods
Vacuum Construction Device (VCD) 1917 LEDERER design, OSBEN improved and promoted application in the 1970s.Negative pressure uses the penis to swell, and the elastic ring is placed in the penis to prevent the vein from returning to the backflow to maintain an erection state.This device is suitable for patients with smooth changes in the elderly.Nadig observed 196 patients, but 75%had a numbness of the penis, the 28%orgasm ability decreased (2.5%could not reach orgasm), 12%had difficulty in ejaculation, and 3%to 11%had sex orgasm pain.
The vacuum narrowing device originated in the United States. Because there is a certain risk, it has not been recognized by relevant US authorities, but it is quietly used in the field.
Seven, the treatment of psychiatric impotence
The so -called mental impotence refers to the difficulty of penile erection caused by psychological factors.As the saying goes, "heart disease still needs to be treated with heart medicine", of course, the impotence caused by psychological reasons should of course be treated with "heart" to restore self -confidence in sexual ability.
The psychological characteristics of mental impotence are:
1) People who have impotence may have the characteristics of "inhibitory" constitution at the same time.The requirements for sex are not very urgent, and the number of times of sexual life is tasteless.
2) Extremely passive, most of the character are extremely quiet, tame and rarely anger, and cannot actively seek stimuli.
3) It is required that the woman has a warm sexual reaction, and when the woman cannot satisfy, the erection is weak, which is a unsatisfactory psychological response.
4) People with malformed life may have impotence when they contact the opposite sex.
5) I admire and respect the mood of the female Fang Huai too much.
In order to obtain the greatest benefit from sexual activities, you must allow your mind to listen to your call.
First of all, whenever you realize that you are distressed or include such content for erectile difficulties, you must resolutely abandon them, fight with it and reverse this concept, boldly acknowledge that you have problems, but now you are progressing gradual progress now.The rehabilitation training of the delayed training method also determines that I will soon gain an erectile ability.Secondly, I imagine the best situation of erection when you have been with a movie several times every day when you are with close partners, including insertion, feel relaxed and comfortable, feel the fun of accommodating in the vagina, and twitch to relax.
(Editor in charge: Internship Zhang Yiwen)
