Penis Enlargement & Erectile Dysfunction

WHAT IS ERECTILE DYSFUNCTION?

Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. Erectile dysfunction can have psychological consequences as it can be tied to relationship difficulties and self-image.

The most important organic causes of impotence are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects. Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but can often be helped. In psychological impotence, there is a strong response to placebo treatment.

Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor (such as sildenafil). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery.

SIGNS, SYMPTOMS AND CAUSES

– SIGNS, SYMPTOMS

Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection.

CAUSES

• Medications (antidepressants, such as SSRIs, and nicotine are most common)
• Neurogenic disorders
• Cavernosal disorders (Peyronie’s disease)
• Psychological causes: performance anxiety, stress, and mental disorders
• Surgery
• Aging. It is four times more common in men aged in their 60s than those in their 40s.
• Kidney failure
• Diseases such as diabetes mellitus and multiple sclerosis (MS). While these two causes have not been proven they are likely suspects as they cause issues with both the blood flow and nervous systems.
• Lifestyle: smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterial narrowing.

Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Erectile dysfunction is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve an erection. As far as inguinal hernia surgery is concerned, in most cases, and in the absence of postoperative complications, the operative repair can lead to a recovery of the sexual life of patients with preoperative sexual dysfunction, while, in most cases, it does not affect patients with a preoperative normal sexual life.

ED can also be associated with bicycling due to both neurological and vascular problems due to compression. The increase risk appears to be about 1.7-fold.

Concerns that use of pornography can cause erectile dysfunction have not been substantiated in epidemiological studies according to a 2015 literature review. However, another review and case studies article maintains that use of pornography does indeed cause erectile dysfunction, and critiques the previously described literature review.

PATHOPHYSIOLOGY

Penile erection is managed by two mechanisms: the reflex erection, which is achieved by directly touching the penile shaft, and the psychogenic erection, which is achieved by erotic or emotional stimuli. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain. In both cases, an intact neural system is required for a successful and complete erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of smooth muscles of corpora cavernosa (the main erectile tissue of penis), and subsequently penile erection. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. As can be understood from the mechanisms of a normal erection, impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems. Spinal cord injury causes sexual dysfunction including ED. Restriction of blood flow can arise from impaired endothelial function due to the usual causes associated with coronary artery disease, but can also be caused by prolonged exposure to bright light.

TREATMENTS

There are many treatments, such as drugs (commonly using Viagra), Vacuum (vacuum spasms), surgery (using dildo), but the method of using low intensive extracorporeal shockwaves therapy: LI-ESWT and nowadays stem cell is one of the most prominent methods.

LI-ESWT

LI-ESWT has been proposed as an effective non-invasive treatment option for erectile dysfunction, restores blood vessel activity, significantly increases blood flow to the corpora cavernosum and allows a person who experiences erectile dysfunction returns to normal state.

A low intensive extracorporeal shockwaves therapy (LI-ESWT) course lasts 3 weeks with 2 sessions per week. Erectile dysfunction after treatment will be significantly improved, up to 70-90%.

Corpora cavernosum is a hollow abdominal cavity, which runs along its length and lies above the penis and contains blood that causes the penis to expand. An erection is accelerated and maintained by rising arterial blood flow, smoothing the muscles of the penis and increasing the venous tension. The contraction of the muscles around the penis leads to further erection of the penis. This treatment does not use drugs and there is no risk of complications from drugs (like Viagra). After the course, the erection will improve, maintain, increase sexual desire, as well as natural and pleasurable erection. The special thing about this therapy is that patients with heart disease, hypertension, diabetes are all able to do the course and do not take any risks during the procedure.

The f.clinic target customers are any gentlemen with erectile dysfunction, impotence and premature ejaculation, and even those who need to improve their sexual life.

FAT STEM CELL ED TREATMENT

Stem cell, also known as “host cell,” are precursor cells that can develop into blood, brain, bones, and many other organs. They have the potential to repair, restore, replace, and regenerate cells, hence they can be used to treat diseases.

There are three main steps in fat stem cell ED treatment. The first is to harvest fat stem cell from client, then the stem cell separates itself into stromal vascular fraction, finally, SVF injection eventually leads the stem cell to enter the body.

Stem cell is injected indirectly into the cavernous. Choosing the injection are: the top of the penis is 12 o’clock direction, the injection area is positioned at 2 or 10 o’clock, not injected at 12 and 6 o’clock area because it will damage the bloodstream of the penis. Fat stem cell transfers into to tissues around the penis increases the size of the penis with very few complications, ensuring a safe (80-90% survival rate) and life time effect. The stem cells taken from one area of the body will be fed into a centrifuge to isolate the components of the resulting mixture (heavier components will settle below). After that, the stem cells will deepen, so we will loose the upper part of the fluid, using the stem cells to carry out the procedure. Depending on the location and dose of injection, different injection sizes are available to ensure safe and fit the tissues injected.

The LI-ESWT and stem cell transfer therapy from f.clinic helps to solve problems of erectile dysfunction, especially without taking pills, surgery, causing symptoms such as headache, abdominal pain, no need for cleansing and no side effects. Moreover, the results will enhance the sexual pleasure for you and your partner.