Recent advances in the understanding and management of erectile dysfunction [version 1; referees: 2 approved]

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madman

Super Moderator
Abstract Erectile dysfunction (ED) is important to a man’s well-being and health, since it not only affects the individual but also causes strain on a couple’s lifestyle and relationship. There are multiple non-invasive treatments that exist for ED including lifestyle changes, oral medications (phosphodiesterase type 5 inhibitors), vacuum-assisted erectile devices, and intraurethral suppositories. While lifestyle changes and oral medications are typically first-line treatments for ED, more-invasive treatments including intracavernosal injections and surgically implanted prosthetic devices may be required for the management of complex cases. Additionally, novel therapies are currently being developed, and future treatment options may include shock-wave therapy, external prosthetic devices, and injection of stem cells or platelet-rich plasma. The current manuscript seeks to highlight advances in management and may eventually alter the treatment paradigm to allow more-inclusive care pathways.








Conclusion There have been many developments in treatments for ED. Traditional therapies including lifestyle modifications, oral medications, injections, and penile prostheses have shown great efficacy in the management of ED. However, research on novel approaches remains sparse, and alternative treatment modalities including external penile prostheses have been slow to gain acceptance in the scientific community. External penile prostheses and LI-ESWT have shown promise as treatment options for men with ED, with few side effects and high cost-effectiveness. More research needs to be done to fully appreciate the role these options may play in the management of ED.
 

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