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Yıl:1999; Cilt: ; Sayı: 4>> Özet
Cinsel İşlev Bozuklukları Monograf Serisi; 1999;(4):23-25
Erektil Disfonksiyonun Medikal Tedavisi
M Aydın, E Sakallı, M Çek
T.C. Sağlık Bakanlığı Taksim Eğitim-Araştırma Hast Üroloji Kliniği
Erektil disfonksiyonun medikal tedavisi,
artrit tedavisinde bilindiği gibi non-invazivden
invazive doğru olmalıdır. Artrit tedavisinde bilindiği gibi önce oral tedavi daha sonra irtraartiküler
enjeksiyon ve bütün bunlar başarısızsa protez uygulaması düşünülür. Erektil
disfonksiyon tedavisinde de bu model uygulanabilir.
Tedavide öncelikle oral sağaltım,
sonra intrakavemozal enjeksiyon veya intrauretral
ajanlar kullanılmaktadır; eğer sonuç
alınamazsa cerrahi olarak penil protez
implante edilmesi düşünülmelidir.
Medikal tedaviyi uygularken etyolojiyi
gözönünde tutmak gerekir. Kullanılacak ideal
ajan efektif ve güvenilir, minimal yan etkili,
kolay kullanımlı (örneğin oral veya topikal) ve
ekonomik olmalıdır.
Erektil disfonksiyon da hormon replasmanı,
nonhormonal ajanlar, vakum cihazları,
MUSE (transuretral ilaç uygulaması), intrakavernozal
vazoaktif ajan uygulamasını içeren
tedavi seçenekleri mevcuttur.

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