Erectile dysfunction has many potential causes and therefore there is no single treatment. The problem needs to be thought of “holistically” and treated with one or more therapies from a growing list.
A commonly used option are the PDE5 inhibitors drugs — such as Viagra®, Cialis®, and Levitra®. These drugs can be helpful although, as they have to be taken about an hour before, they take the spontaneity out of sex and can be accompanied by unpleasant side effects.
For extreme cases of erectile dysfunction surgery can be a solution. An inflatable device can be implanted in the penis to replace the spongy tissue or an operation performed that reduces blood flow from the penis.
A new therapeutic option is SONICWAVE, which stimulates the regrowth of tissue in the penis. It is a physical therapy that is non-drug, non-surgical that is physical. It is more akin to what happens when a tissue like a muscle is damaged and then heals through the regeneration of cells.
The treatment for erectile dysfunction often should include lifestyle changes including exercise, diet modification and other therapies including physical stimulation, and exercises of the pelvic floor muscles.
Erectile dysfunction is often caused by multiple factors including lack of exercise, poor diet and lifestyle factors such as psychological distance and stress. Often it coincides with other health issues such as cardiovascular disease and diabetes. Patients when seeking solutions should therefore consult with a well-trained physician, who has experience with the condition.
Apparently, some clinicians are employing devices that deliver radial pressure waves to treat ED. However, at this point this therapy is “off label” and unproven.