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Delivery system dispenses alprostadil, via urethral suppositories, into the penis. The drug is absorbed by the tissue and relaxes muscles in the penis, allowing blood flow to increase, creating an erection. This treatment works in about 30% of men. Penile Injections Alprostadil can also be delivered via direct injection with a syringe into the penis to cause an erection. Due to the injection, men may get a small amount of bleeding at the injection site. If redness, lumps, swelling, tenderness, or curving of the erect penis occurs, discontinue use and call your doctor. Lumps or curving of the erect penis (Peyronie’s disease,Buy Levitra) was reported in clinical trials with Caverject. 71 © 2006 by ActionEbook.com. All Rights Reserved. Unauthorized duplication or distribution of any part of this publication without expressed, written consent is prohibited. raws Vacuum Constriction Device (VCD,Buy Levitra) Also known as a penis pump, a VCD is a cylinder that is placed over the penis. The air is pumped out of the cylinder, creating a vacuum which d blood into the penis and causes an erection. The erection is maintained by slipping a band off the base of the cylinder and onto the base of the penis. The band can stay in place for up to 30 minutes. Although these devices can be effective, they generally have been less desirable for patients who have been treated with surgery. Many patients dislike having to use the band at the base of the penis and find it uncomfortable. Studies suggest that about 50%-80% of men are satisfied with the results of VCDs. As with any other method of treatment for erectile dysfunction (ED), satisfaction rates may decrease with time.

Penile Prostheses & Implants

A penile implant is usually used when there is a clear medical cause for ED and when the problem is unlikely to improve naturally or with other medical treatments. An implant, or prosthesis, is an effective form of therapy in many men, but it does require an operation to place the implant into the penis. Surgery can cause problems, such as mechanical failure or infection, which may require removal of the prosthesis and re-operation.The penile prosthesis dates back to 1950, when Dr. Scardino implanted the first synthetic material into the penis. Penile implants improved dramatically with subsequent work of many investigators, and penile implant surgery has progressed to a very high level.