Erection Disorders

  1. Medication.
    • Oral – including Viagra.
    • Penile injections.
    • Penile suppositories (intraurethral pellets).
  2. Vacuum erection devices.
  3. Penile implantation.
  4. Correction of penile curvature.

Non cancerous prostate disease and voiding disorders The management of difficult urination, secondary to bladder outlet obstruction by the prostate, appears to be under control. Although this type of benign (non–cancerous) prostatic growth is very common in men, not all men have difficulty urinating and of those who do, usually do not need surgery. Instead, most men can be safely controlled with medication, reserved for those men with less bothersome symptoms, and surgery is the ultimate, for men who have failed medication or have symptoms or findings, that suggest surgery as the final line of treatment. The time honored TURP (transurethral resection of the prostate) remains the best surgical procedure for men with significant bothersome symptoms from an enlarged prostate. The TURP procedure involves removing the interior of the prostate gland, essentially coring open a new channel for the urine to flow. New technologies, including the application of heat (microwave, laser, etc.) to open the prostate channel remain an exciting avenue of treatment. The advantage of the newer techniques, is that they are less invasive. The emphasis of treatment of most men with urination symptoms from an enlarged prostate is to maintain or regain an excellent quality of life.