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Kidney Transplantation in Bangalore,India | Renal Doctors | Nephrologist
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Kidney transplantation is the treatment of choice for a minority of patients. Read more about the process and details of
renal transplant surgery and how they may affect your body.
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                <h4>Erectile Dysfunction (ED)</h4><br>
                <p>Erectile dysfunction (ED) is the persistent inability to achieve or maintain an erection that is firm
                    enough to have sexual intercourse.</p>
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                            alt="erectile dysfunction (ED)">
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                        <p>
                            <b>How common is it?</b><br>
                            In a study from John Hopkins Institute in 2007, the overall prevalence of ED in men aged
                            above 20 years was 18.4% suggesting that ED affects 18 million men in the USA.&nbsp;Among
                            men with diabetes, the prevalence of ED was 51.3%, so it’s a fairly common problem.
                        </p>

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                <p>
                    <br><br><b>What causes ED?</b><br>
                </p>
                <ul>
                    <li>Lifestyle choices (smoking, excessive alcohol, obesity, lack of exercise)</li>
                    <li>Diabetes</li>
                    <li>Medications (Blood pressure, antidepressants)</li>
                    <li>Cardiovascular disease (high blood pressure, heart disease)</li>
                    <li>Hormone problems</li>
                    <li>Prostate cancer treatment</li>
                    <li>Surgery (Prostate, bladder, colon)</li>
                    <li>Spinal cord injuries</li>

                </ul>
                <center>
                    <img src="https://www.nuhospitals.com/images/andrology/T1.jpg" alt="Male Infertility Treatment">
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                <p></p>
                <p>
                    <b>Treatment options?</b><br><br>
                    Penile Doppler scan with an injection may be required occasionally in special situations.<br><br>
                    Whatever is causing ED, there is a treatment option that can provide a satisfying solution. <br><br>
                    If you try one of the treatment options listed and it doesn’t work for you or you aren’t completely
                    satisfied, don’t be discouraged and give up hope.<br><br>
                    These treatment options have varying degrees of success for each man depending on the cause of the
                    ED. Irreversible blood vessel or nerve damage may impact the success of some of these
                    treatments.<br>
                    It is important to know all of your available options and discuss them with your doctor to determine
                    which will be appropriate for you and your lifestyle.<br><br>
                    Lifestyle modifications: Exercise regularly (5 times a week), maintain a healthy weight, avoid
                    smoking, restrict alcohol intake to 2 drinks or less per day, adopt better sleep habits, take care
                    of your other health issues such as high blood sugar and heart, artery or kidney disease.<br><br>
                    Non-Surgical options: Oral medications, Penile Injections, Vacuum erection device<br><br>
                    Surgical options: Penile Implants
                </p>
                <h4>Non-Surgical options</h4><br>

                <p>
                    <b>Oral medications:</b><br>
                    These drugs are known as phosphodiesterase type 5 (PDE-5) inhibitors. They work to relax muscle
                    cells in the penis for better blood flow and to produce a rigid erection. These medicines work in
                    about 7 out of every 10 men with ED. They can be effective regardless of age or race. However, they
                    only work if a man is sexually stimulated. Their effects last for only a set amount of time. Men
                    should take these medications 30-60 minutes before sexual activity. These drugs do not treat a lack
                    of sexual desire. As with any drug, some men may experience side effects when taking PDE-5
                    inhibitors. The most common are headaches, flushing (redness) of the face, runny or stuffy nose,
                    upset stomach, dizziness and muscle aches. Those side effects are usually mild-moderate, but taking
                    these drugs with alcohol may make them worse. Be sure you tell your doctor about all drugs you are
                    taking, including prescriptions, over-the-counter medications or supplements or recreational drugs
                    before you take any PDE-5 inhibitors.
                </p>
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                <p><b>Penile self-injection:</b><br>Alprostadil (Prostaglandin) Injection therapy uses a needle to
                    inject medication directly into the base or side of the penis. These medications improve blood flow
                    into the penis to cause an erection. The recommended frequency of injection is no more than three
                    times weekly and should produce an erection in 5-20 minutes. Beyond a possible fear of needles, men
                    may experience pain, fibrosis and risk of a persistent erection with these injections. 60-65% of
                    men discontinue this mode of treatment after 1 year.</p>
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                    <img src="https://www.nuhospitals.com/images/andrology/2.jpg" alt="Andrology Surgery"><br>
                    <span>Fig: Penile Alprostadil Injection</span><br><br>
                </center>

                <p><b>Vacuum erection devices (VED):</b><br>A mechanical ED pump used to pull blood into the penis can
                    cause an erection. The system includes a plastic cylinder, an external&nbsp;penile pump and a
                    tension band to place at the base of the penis. When the penis is erect, the ring is placed at the
                    base to maintain an erection long enough to have sex (up to 30 minutes). This is a drug-free
                    non-invasive method of treatment, but the person will not be able to ejaculate soon after the orgasm
                    due to constrictive ring at the penile base.</p>
                <center>
                    <img src="https://www.nuhospitals.com/images/andrology/3.jpg" alt="Vacuum erection device "><br>
                    <span>Fig: Vacuum erection device (VED)</span><br><br>
                </center>
                <h4>Surgical option</h4><br>
                <p><b>Penile Implants:</b><br>In use since the year 1971, penile implants have helped many men return to
                    an active sex life. A penile implant is a medical implant that is implanted into the penis in the
                    operation theatre. The implant is entirely concealed within the body. Two basic types of implants
                    are available. With malleable or bendable implants, two silicon-type cylinders are inserted into the
                    penis. To have an erection, a man bends his penis upward into an erect position. The second type, an
                    inflatable implant has a pair of inflatable cylinders which is attached to a fluid reservoir and a
                    pump hidden inside the body. To have an erection, a man presses on the pump. This transfers fluid
                    into the cylinders, making the penis rigid. To return the penis to a natural flaccid state, the pump
                    is deflated.</p>
                <center>
                    <img src="https://www.nuhospitals.com/images/andrology/4.jpg"
                        alt="Treatment for Erection Problems"><br>
                    <span>Fig: Malleable Implant</span><br><br>
                    <img src="https://www.nuhospitals.com/images/andrology/5.jpg" alt="Malleable Implant- Shah"><br>
                    <span>Fig: Malleable Implant- Shah</span><br><br>
                    <img src="https://www.nuhospitals.com/images/andrology/6.jpg" alt="penile Implant"><br>
                    <span>Fig: Inflatable penile implant</span><br><br>
                    <img src="https://www.nuhospitals.com/images/andrology/7.jpg" alt="Inflatable penile Implant"><br>
                    <span>Fig: Inflatable penile Implant in anatomical position</span><br><br>
                </center>
                <h4>Features of Penile Implant Surgery:</h4><br>
                <ul>
                    <li>Permanent ED Treatment</li>
                    <li>Small external scar</li>
                    <li>Concealed within the body</li>
                    <li>Maintain erection as long as desired</li>
                    <li>Spontaneous-sex when the mood strikes</li>
                    <li>Doesn’t interfere with orgasm or ejaculation</li>
                    <li>High patient and partner satisfaction</li>
                    <li>Low risk of device failure. Generally inflatable implants last 10-15 years. It is possible to
                        replace them in case </li>
                    <li>the device fails.</li>

                </ul>
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