Andrology
What is Hardening Problem?
Impotence, formerly known as "impotence", more recently called "erectile dysfunction"; insufficiency in sustaining and sustaining enough hardening to ensure a satisfactory sexual (sexual) performance.
Who can be under effect?
According to the results of 2010, the incidence of erectile dysfunction in men over 40 years of age in Turkey is 33 percent. In short, one out of every 3 men has erectile dysfunction. While there may be mild disorders at younger ages, the severity of the problem increases as age increases.Significantly Increases With Age
17 out of 100 in 40-49 group, 35 in 50-59 group, 3 out of 4 in 60-69, and 4 out of 5 in 70+ age groups. However, it is less common in men under 40 years of age and is usually lighter than those with age 40 years.Which Diseases Causes Hardening Problem?
The most common cause of erectile dysfunction is cardiovascular diseases with a frequency of 40 percent. In addition, 30 percent of people with erectile dysfunction are the underlying cause of diabetes. 10 percent of the drugs used, 8 percent of previous surgeries, 5 percent of nerve diseases, 3 percent of testosterone deficiency forms.Hardening problem compared to those without any disease; 4 times in those with diabetes, 3 times in those with prostate enlargement, 2-3 times in those with arteriosclerosis, 2 times in those with heart disease, 1.5-2 times in those with high cholesterol, 1.5-2 times in those with high blood pressure and 1.5 times more in smokers .
Some Cases Causing Hardening Disorder
- Diabetes
- Cardiovascular diseases
- Hypertension
- Cholesterol height
- Obesity
- Prostate growth, prostate cancer treatments
- Bad nutrition
- Insufficient physical activity
- Chronic smoking and alcohol use
- Decrease in testosterone in 40s
Treatment Methods
It is necessary to make a treatment plan considering the expectations and demands of the patients presenting with erectile dysfunction. Generally 70% of patients with oral medications can achieve success. Response to treatment in diabetics decreases to 30-50 percent.
Injection therapies can be performed in patients who are not successful with oral treatment. Recently, shock wave method is used in the treatment of erectile dysfunction. This treatment can be preferred in patients who do not want to take oral medication, do not respond enough to drugs or who want other options before surgery. The results of this method, which increases the blood flow in the penis, are quite satisfactory. Generally, patients with more severe erectile dysfunction and those who do not respond to previous treatments may require surgical treatment.