Erectile dysfunction in Kenya

Erectile dysfunction in Kenya

Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection.
Signs and symptoms

Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. It is analyzed in several ways:

Obtaining full erections at some times, such as nocturnal penile tumescence when asleep (when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working.

Causes

1.Drugs (anti-depressants (SSRIs and nicotine are most common)
2.Cavernosal disorders (Peyronie’s disease )
Neurogenic disorders
3.Psychological causes: performance anxiety, stress,
4.Surgery
5.Aging.More common in men aged above 60 years
6.Kidney failure
7.Diseases such as diabetes mellitus and multiple sclerosis (MS).
8.Lifestyle: smoking is a key cause of erectile dysfunction.smoking causes impotence due to the fact that it  promotes arterial narrowing

Treatment options for ED in Kenya:

Sexual counseling, if no organic causes can be found for the dysfunction
Oral medications:
According to (AUA) guidelines, oral phosphodiesterase type 5 (PDE5) inhibitors are first-line therapy unless contraindicated.These Agents include the following:
Sildenafil (Viagra,Kamagra,Manforce,MtM etc)
Vardenafil
Tadalafil
Avanafil

Surgery:
Selected patients with ED are candidates for surgical treatment. Procedures to be considered include the following:
Revascularization (rarely indicated)
Surgical elimination of venous outflow (rarely indicated)

Injected, implanted, or topically applied medications
Hormone replacement may beneficial to  men with severe hypogonadism and may possibly be useful as adjunctive therapy when other treatments are unsuccessful. Replacement androgens are available in oral (used rarely), injectable, gel, and transdermal preparations.Intracavernosal injection therapy may be considered its almost always effective if the vasculature within the corpora cavernosa is healthy. Agents used include the following:

External vacuum and constriction devices
The following external devices may be used:
Vacuum devices to draw blood into the penis
Constriction devices placed at the base of the penis to maintain erection

Placement of penile implant (semirigid or malleable rod implant, fully inflatable implant, or self-contained inflatable unitary implant) – this is the last option considered in current practice
Prevention
Optimal management of diabetes, heart disease, and hypertension
Lifestyle modifications to improve vascular function (eg,Cease or avoid smoking, maintaining ideal body weight, and engaging in regular exercise)

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