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Use the links below to find information relating to various urological procedures.
Dr. Honig is an internationally recognized speaker on issues related to sexual health and conducts research into experimental treatments of erectile dysfunction. Our researchers are studying the links between erectile dysfunction and cardiovascular disease. .

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have ever had an allergic reaction to sildenafil or any other medicineare taking medicines called nitrates for chest pain (angina)have a serious heart or liver problemhave recently had a stroke, heart attack or a heart problem – your doctor should carefully check whether your heart can take the additional strain of having sexhave low blood pressure (hypotension)have a rare inherited eye disease, such as retinitis pigmentosahave sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells) or multiple myeloma (cancer of bone marrow)have a deformity of your penis or Peyronie's disease (curved penis)have a stomach ulcerhave a bleeding problem like haemophilia On the NHS
Hypertension (high blood pressure) affects more than one billion people worldwide and is the leading cause of premature death.2 A healthy lifestyle is advised, including salt restriction, alcohol moderation, exercise, weight control, and smoking cessation. Most patients also require drug treatment, which is linked to reduced risks of death, stroke, and heart disease – but around half of patients do not take their pills. Sexual dysfunction is one reason why patients stop medication.

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During an outpatient procedure, the device is implanted entirely in the body and is not visible. The device consists of two cylinders that replace the spongelike tissue in the penis, a pump and a reservoir that is placed in the abdomen. To initiate an erection, the patient squeezes the pump (located in scrotum) to release fluid into the penis. When the erection is no longer needed, squeezing the pump returns the fluid to the reservoir. In addition to this model, there is a non-fluid device that consists of a pair of cylinders with metal coils that can be bent. Disadvantages of the prosthetic devices include that implantation requires a surgical procedure that is not reversible. Keep Up With Us Socially
and men: A consensus statement from the fourth international consultation on sexual Our Doctors on the Radio When to Seek Treatment for Erectile Dysfunction: Jim Hotaling, MD, ESPN 700 Video: Erectile Dysfunction Explained, Past Seminar Hear From Our Patients Gene Miluk

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Avanafil is for use only in men. It is not known whether this medicine would be harmful if used by a woman during pregnancy or while breast-feeding.

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    Conditions like vascular disease, surgery, diabetes, and medications are some of the top causes of erectile dysfunction. If you suffer from ED, schedule an evaluation with your doctor and get the help you need

    Erectile dysfunction (ED) can be defined as a failure to attain or maintain an erection adequate for pleasing sexual activity. It is a relatively common medical problem and is estimated to affect 322 million people worldwide, of whom 30 million live in Africa (1). Its etiology can be organic, psychogenic, or most commonly, derived from a combination of the two (2). ED is age-associated, with prevalence rates ranging from 5–9% for men 18–39 years, 11–18% for men 40–59 years, and 44–70% for men 60 years, and older (3).
    9. Cialis (Tadalafil) [Prescribing Information]. Indianapolis, IN: Eli Lilly and Company; February 2018.

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    Also, men who have a chronic vitamin B12 deficiency and eat more processed meats and refined grains are more likely to develop ED.

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    Tell your healthcare provider about all the medicines you take*, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

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    First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina

    We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.
    Acupuncture is a method that originates from the Chinese whereby, needles are injected into the skin at specified locations. This has great effects on the stimulation of the nerve affecting the neurotransmitter. Losing weight, reduce blood pressure and improve the levels of testosterone and cholesterol. Keeping a healthy diet. Stop smoking. Stop the intake of alcohol.

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    Though erections may seem straightforward, the science behind them is complicated. At a basic level, erections happen thanks to a balance of blood flow into and out of the penis. When vascular, hormonal, nerve, or other physical or psychological changes disrupt blood flow, it’s harder to get and keep erections.

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28. Jackson G, Boon N, Eardley I, et al. Erectile dysfunction and coronary artery disease prediction: evidence-based guidance and consensus. Int J Clin Pract. 2010;64(7):848-857.

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Sildenafil taken in the form of Revatio is a liquid administered orally with a syringe. It can also come in the form of a tablet. The recommended dose of Revatio is five or 20 milligrams taken three times a day about four to six hours apart. Revatio injections are also available for the continued treatment of patients with PAH who are prescribed the medication in an oral form but are temporarily unable to take oral medications. Side Effects of Viagra

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8. Viagra (sildenafil citrate) [Prescribing Information]. New York, NY: Pfizer Labs; December 2017.

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