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Reclaiming Your Sexual Life: Treatment Strategies for Erectile Dysfunction

Summary & Participants

By now, Viagra^TM has become virtually a household name. But there are many possible causes of erectile dysfunction and various treatment options for each case. How do you and your doctor determine which is best for you? Join our panel of experts as they address different strategies for making sexual intercourse a possibility again.

Medically Reviewed On: June 20, 2008

Webcast Transcript

J. FRANÇOIS EID, MD: Of the 350,000 new prescriptions for Viagra, we know that approximately one-third of these men will not respond to the medication unfortunately. So that's approximately 100,000 new patients each month join the treatment pool are not going to be treated by Viagra.

So we need other options and that's why we're here tonight to talk about a lot of the other options that are available including the internal penile pump, penile injections, urethral suppositories, and vacuum devices.

DAVID FOLK THOMAS: Right before we get to those, Dr. Perelman, what about psychological treatments for erectile dysfunction? And do they tie into Viagra and other medical --?

MICHAEL PERELMAN, PhD: They tie in perfectly. Patients are a lot smarter than I think some of the doctors give them credit for. People seek out the kind of help they need. Quite frequently they're able to discern it in advance. I'm able to see people who are suffering from fatigue, suffering from difficulties with their partners, in part because they're expecting their penis to work like it used to, and they're just essentially experiencing normal age-related changes. So therapy can be a process of education. Therapy can be an assistance in working out relationship difficulties. The kinds of situations and treatments that Dr. Eid is talking about are best applied to the large number of men who can be suffering from different physical problems that are diagnosed through a variety of diagnostic devices that Dr. Eid can describe, as well as consequences of severe illness. Like these gentlemen who are here who had radical prostatectomies where sometimes you do experience erectile dysfunction afterwards. So we can work together to help restore their sexual health, in this case, by using implant procedure that Dr. Eid was able to do for them.

DAVID FOLK THOMAS: Dr. Eid, before we get to the internal penile pump, what about some other treatments such as injections. I think you may have some props over there.

J. FRANÇOIS EID, MD: Yes. I brought with me some props. The penile injections are very effective. Eighty percent of the men who try these respond very well. It gives one a predictable, reliable erection in about five minutes after the injection.

DAVID FOLK THOMAS: So can I just say from my perspective, I'm sure there are people out there, that doesn't sound like something people are rushing out to do. It sounds very difficult.

J. FRANÇOIS EID, MD: Exactly. I have a lot of compassion for men who really try injections. It takes a lot of courage and also it doesn't feel natural. Each time that one wants to make love to have to excuse yourself, take an injection and then --

DAVID FOLK THOMAS: Let's take a look at it. If you hold it up...

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