Erectile dysfunction (ED) is also known as “impotence”. It is the repeated inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections firm enough for sexual intercourse.
Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. These sequences may include nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.
Damage to nerves, arteries, smooth muscles, fibrous tissues are often the result of disease, and one of the most common causes of ED is “diabetes”. Statistic shows that between 35-50% of men with diabetes experience ED.
Most healthcare provider will suggest treatment to proceed from least to most invasive. They may first consider reducing the intake of drugs which my have harmful side effects to do with ED. Next step they will consider psychotherapy and behavior modifications in selected patients. Usually this will followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. It is very rare cases that surgery involving veins or arteries may be considered.