Nonsurgical Treatment of Erectile Dysfunction

Although the penile prosthesis remains one of the most effective treatments for all types of ED, nonsurgical management has replaced prosthetic surgery as the preferred choice in the last decade. Both specific and nonspecific treatments are available. The former include psychotherapy, change of offending medications, and hormonal therapy; the latter include sildenafil, vacuum constriction device, transurethral therapy and intracavernous injection. Although nonspecific therapies appear to be more effective for most cases of ED, the patient should also be made aware of specific therapies.