Erectile Dysfunction (ED) Guideline - American Urological Association (2024)

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922. Manning M, Junemann KP, Scheepe JR et al: Long-term followup and selection criteria for penile revascularization in erectile failure. J Urol 1998; 160: 1680.

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932. Wespes E, Corbusier A, Delcour C et al: Deep dorsal vein arterialisation in vascular impotence. Br J Urol 1989; 64: 535.

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935. Munarriz R: Penile microvascular arterial bypass surgery: indications, outcomes, and complications. ScientificWorldJournal 2010; 10: 1556.

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937. Afsar H, Metin A, Sozduyar N et al: Erectile dysfunction due to venous incompetence treated by dorsal vein ligation. Int Urol Nephrol 1992; 24: 65.

938. Anafarta K, Beduk Y, Aydos K et al: Treatment of impotence due to venous leakage by resection of the deep dorsal vein of the penis. Urol Int 1992; 48: 332.

939. Bar-Moshe O and Vandendris M: Surgical approach of venous leakage. Urol Int 1992; 49: 19.

940. Berardinucci D, Morales A, Heaton JP et al: Surgical treatment of penile veno-occlusive dysfunction: is it justified? Urology 1996; 47: 88.

941. Cakan M, Yalcinkaya F, Demirel F et al: Is dorsale penile vein ligation (DPVL) still a treatment option in veno-occlusive dysfunction? Int Urol Nephrol 2004; 36: 381.

942. Cayan S: Primary penile venous leakage surgery with crural ligation in men with erectile dysfunction. J Urol 2008; 180: 1056.

943. Chen SC, Hsieh CH, Hsu GL et al: The progression of the penile vein: could it be recurrent? J Androl 2005; 26: 53.

944. Claes H and Baert L: Pelvic floor exercise versus surgery in the treatment of impotence. Br J Urol 1993; 71: 52.

945. Claro Jde A, de Lima ML and Netto Junior N: Surgical treatment of veno-occlusive dysfunction: evaluation of short-term and long-term results. Rev Paul Med 1992; 110: 280.

946. Flores S, Tal R, O'Brien K et al: Outcomes of crural ligation surgery for isolated crural venous leak. J Sex Med 2011; 8: 3495.

947. Fowlis GA, Sidhu PS, Jager HR et al: Preliminary report--combined surgical and radiological penile vein occlusion for the management of impotence caused by venous-sinusoidal incompetence. Br J Urol 1994; 74: 492.

948. Freedman AL, Costa Neto F, Mehringer CM et al: Long-term results of penile vein ligation for impotence from venous leakage. J Urol 1993; 149: 1301.

949. Gilbert P, Sparwasser C, Beckert R et al: Venous surgery in erectile dysfunction. The role of dorsal-penile-vein ligation and spongiosolysis for impotence. Urol Int 1992; 49: 40.

950. Hassan AA, Hassouna MM and Elhilali MM: Long-term results of penile venous ligation for corporeal venous occlusive dysfunction. Can J Surg 1995; 38: 537.

951. Hirsch M, Lubetsky R, Goldman H et al: Dorsal vein sclerosis as a predictor of outcome in penile venous ligation surgery. J Urol 1993; 150: 1810.

952. Hsu GL, Chen HS, Hsieh CH et al: Clinical experience of a refined penile venous stripping surgery procedure for patients with erectile dysfunction: is it a viable option? J Androl 2010; 31: 271.

953. Hwang TI and Yang CR: Penile vein ligation for venogenic impotence. Eur Urol 1994; 26: 46.

954. Katzenwadel A, Popken G and Wetterauer U: Penile venous surgery for cavernosal venous leakage: long-term results and retrospective studies. Urol Int 1993; 50: 71.

955. Kerfoot WW, Carson CC, Donaldson JT et al: Investigation of vascular changes following penile vein ligation. J Urol 1994; 152: 884.

956. Kim ED and McVary KT: Long-term results with penile vein ligation for venogenic impotence. J Urol 1995; 153: 655.

957. Knoll LD, Furlow WL and Benson RC: Penile venous ligation surgery for the management of cavernosal venous leakage. Urol Int 1992; 49: 33.

958. Kropman RF, Lycklama Nijeholt AAAB, Odink HF et al: Treatment of impotence caused by veno-occlusive dysfunction with detachable balloons and coils in combination with resection of the deep dorsal vein: comparison with resection of the deep dorsal vein only. World J Urol 1992; 10: 226.

959. Lewis RW: Results of surgery for veno-occlusive disease. J Sex Marital Ther 1991; 17: 129.

960. Lunglmayr G, Nachtigall M and Gindl K: Long-term results of deep dorsal penile vein transsection in venous impotence. Eur Urol 1988; 15: 209.

961. McLoughlin J, Asopa R and Williams G: Surgical treatment of venous leakage: medium-term follow-up. Eur Urol 1993; 23: 352.

962. Miwa Y, Shioyama R, Itou Y et al: Pelvic venoablation with ethanol for the treatment of erectile dysfunction due to veno-occlusive dysfunction. Urology 2001; 58: 76.

963. Montague DK, Angermeier KW, Lakin MM et al: Penile venous ligation in 18 patients with 1 to 3 years of followup. J Urol 1993; 149: 306.

964. Motiwala HG, Patel DD, Joshi SP et al: Experience with penile venous surgery. Urol Int 1993; 51: 9.

965. Netto Jr NR, Cara A, Reinato JAS et al: Cavernosometry: corroboratory method to surgical treatment of impotence due to venous leakage. Urology 1990; 35: 35.

966. Ng FC, Ruan XQ, Wong HT et al: Venous ligation for cavernous leak impotence--a report on 30 cases. Ann Acad Med Singapore 1995; 24: 716.

967. Nikoobakht M, Saraji A and Meysamie A: Preoperative corporal biopsy as a predictor of postoperative results in venoocclusive erectile dysfunction. Urol J 2005; 2: 160.

968. Parrott LH, Sholes AH, Rice JC et al: Penile vein dissection: a study of its long-term efficacy in impotence. World J Urol 1989; 7: 169.

969. Petrou S and Lewis RW: Management of corporal veno-occlusive dysfunction. Urol Int 1992; 49: 48.

970. Popken G, Katzenwadel A and Wetterauer U: Long-term results of dorsal penile vein ligation for symptomatic treatment of erectile dysfunction. Andrologia 1999; 31 Suppl 1: 77.

971. Rossman B, Mieza M and Melman A: Penile vein ligation for corporeal incompetence: an evaluation of short-term and long-term results. J Urol 1990; 144: 679.

972. Sasso F, Gulino G, Di Pinto A et al: Should venous surgery be still proposed or neglected? Int J Impot Res 1996; 8: 25.

973. Sasso F, Gulino G, Weir J et al: Patient selection criteria in the surgical treatment of veno-occlusive dysfunction. J Urol 1999; 161: 1145.

974. Schultheiss D, Truss MC, Becker AJ et al: Long-term results following dorsal penile vein ligation in 126 patients with veno-occlusive dysfunction. Int J Impot Res 1997; 9: 205.

975. Stief CG, Djamilian M, Truss MC et al: Prognostic factors for the postoperative outcome of penile venous surgery for venogenic erectile dysfunction. J Urol 1994; 151: 880.

976. Da Ros CT, Teloken C, Antonini CC et al: Long-term results of penile vein ligation for erectile dysfunction due to cavernovenous disease. Tech Urol 2000; 6: 172.

977. Torok A, Szekely J, Mark B et al: Surgical treatment of impotence due to venous outflow. Int Urol Nephrol 1989; 21: 485.

978. Treiber U and Gilbert P: Venous surgery in erectile dysfunction: a critical report on 116 patients. Urology 1989; 34: 22.

979. Tsai TC, Hsu GL, Chen SC et al: Analysis of the results of reconstructive surgery for vasculogenic impotence. Taiwan Yi Xue Hui Za Zhi 1988; 87: 182.

980. Vale JA, Feneley MR, Lees WR et al: Venous leak surgery: long-term follow-up of patients undergoing excision and ligation of the deep dorsal vein of the penis. Br J Urol 1995; 76: 192.

981. Wagenknecht LV: New treatment of increased venous drainage in organic impotence: ligation of internal iliac veins. Eur Urol 1989; 16: 172.

982. Weidner W, Weiske WH, Rudnick J et al: Venous surgery in veno-occlusive dysfunction: long-time results after deep dorsal vein resection. Urol Int 1992; 49: 24.

983. Wespes E and Schulman CC: Venous leakage: surgical treatment of a curable cause of impotence. J Urol 1985; 133: 796.

984. Wespes E, Moreira de Goes P, Sattar AA et al: Objective criteria in the long-term evaluation of penile venous surgery. J Urol 1994; 152: 888.

985. Wespes E, Delcour C, Preserowitz L et al: Impotence due to corporeal veno-occlusive dysfunction: long-term follow-up of venous surgery. Eur Urol 1992; 21: 115.

986. Williams G, Mulcahy MJ, Hartnell G et al: Diagnosis and treatment of venous leakage: a curable cause of impotence. Br J Urol 1988; 61: 151.

987. Yu GW, Schwab FJ, Melograna FS et al: Preoperative and postoperative dynamic cavernosography and cavernosometry: objective assessment of venous ligation for impotence. J Urol 1992; 147: 618.

988. Vardi Y, Appel B, Kilchevsky A et al: Does low intensity extracorporeal shock wave therapy have a physiological effect on erectile function? Short-term results of a randomized, double-blind, sham controlled study. J Urol 2012; 187: 1769.

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990. Olsen AB, Persiani M, Boie S et al: Can low-intensity extracorporeal shockwave therapy improve erectile dysfunction? A prospective, randomized, double-blind, placebo-controlled study. Scand J Urol 2015; 49: 329.

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Erectile Dysfunction (ED) Guideline - American Urological Association (2024)

FAQs

What is the most successful treatment of erectile dysfunction? ›

Oral drugs or pills known as phosphodiesterase type-5 inhibitors are most often prescribed in the U.S. for ED (Viagra, Cialis, Levitra, Stendra) Testosterone Therapy (when low testosterone is detected in blood testing)

What is the best cream for erectile dysfunction? ›

What cream keeps you erect? Alprostadil creams like Vitaros work by improving blood flow to the penis and relaxing smooth muscle cells. This produces an erection firm enough for sex within 5-30 minutes in most men. Effects typically last 1-2 hours.

How long can the average man stay erect? ›

A penile erection can normally last anywhere from a few minutes to about half an hour. On average, men have five erections a night while they're sleeping, each lasting about 25 to 35 minutes (Youn, 2017).

What is the number one fruit for erectile dysfunction? ›

Watermelon: A Refreshing Solution

Watermelon is more than just a delicious summer fruit. It contains an amino acid called citrulline, which helps relax and dilate blood vessels, promoting better blood flow. Increased blood flow to the genital area can enhance erectile function.

What fruit is a natural Viagra? ›

Watermelon is a natural source of citrulline. Citrulline is an amino acid that may support better erections. Viagra works by increasing blood flow to the penis, allowing a man to more easily get an erection when he is aroused. Citrulline may do the same thing, although it works in a different way to Viagra.

What is the best natural thing for erectile dysfunction? ›

What is naturally good for erectile dysfunction?
  • l-arginine.
  • ginkgo.
  • yohimbine.
  • regular exercise.
  • a healthy diet.
  • reducing smoking and alcohol intake.
  • reducing stress.

Is there anything over-the-counter that helps with erectile dysfunction? ›

Some over-the-counter (OTC) supplements may help with erectile dysfunction, such as L-arginine in combination with pycnogenol, Korean red ginseng (also called panax ginseng), Yohimbe, Carnitine (propionyl-L-carnitine), and Dehydroepiandrosterone (DHEA).

What is the new cream instead of Viagra? ›

Eroxon is a clinically proven gel treatment for adult men (aged 18 years and over) who find it difficult to get or keep an erection hard enough for satisfactory sex.

At what age do men stop getting erect? ›

ED can happen at any age, but it's more common in older men. By the time a man is in his 40s, he has about a 40% chance of having experienced ED. That risk increases by about 10% for each decade of life—a 50% chance in his 50s, a 60% chance in his 60s, and so on (Ferrini, 2017). So age is a risk factor for ED.

Have morning wood but still have ED? ›

It might feel counterintuitive, but you can absolutely have morning wood and still experience ED. In many cases, getting erections while you're asleep and ED while you're awake can be a sign that something psychological might be to blame.

Why can't I get rock hard anymore? ›

Causes of erectile dysfunction

This is usually caused by stress, tiredness or drinking too much alcohol, and it's nothing to worry about. It can also be a side effect of some medicines. If erectile dysfunction happens often, it may be caused by a condition such as: high blood pressure or high cholesterol.

What food helps you keep fully hard? ›

Cocoa, Dark Chocolate, Nuts & Other Flavonoid-Rich Foods
  • Nuts.
  • Tea and tea leaves.
  • Cocoa.
  • Dark chocolate.
  • Whole grains like oats.
  • Fruits like oranges, blueberries, apples, and peaches.
  • Vegetables like carrots and chili peppers.
  • Red wine.

How to increase blood flow to pennis? ›

Lifestyle changes like eating a nutritious diet, exercising, and managing stress may all help improve blood flow to the penis. Quitting smoking and limiting alcohol may also help. If natural remedies to improve erectile function don't work, see your healthcare provider.

What is a quick fix for erectile dysfunction? ›

What is the best way to fix erectile dysfunction?
  • Cardiovascular exercise. ...
  • Quitting smoking. ...
  • Talking to a sex therapist.
  • Oral medications that help increase blood flow to your penis, including sildenafil (Viagra®), vardenafil (Levitra®), tadalafil (Cialis®) or avanafil (Stendra®).

How to make pennis strong and healthy? ›

What can I do to keep my penis healthy?
  1. Be sexually responsible. ...
  2. Get vaccinated. ...
  3. Stay physically active. ...
  4. Make healthy choices. ...
  5. Practice good hygiene. ...
  6. Know your medicines. ...
  7. Pay attention to your mental health. ...
  8. Stop smoking and limit alcohol.
Apr 26, 2023

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