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Review
. 2015 May;54(5):668-75.
doi: 10.1007/s00120-015-3794-3.

[Conservative Therapy of Erectile Dysfunction]

[Article in German]
Affiliations
Review

[Conservative Therapy of Erectile Dysfunction]

[Article in German]
M Trottmann et al. Urologe A. .

Abstract

The erectile dysfunction (ED) with a prevalence of 19.2% and a steep age-related increase up to 53.4% in men over 70 years is a common sexual disorder. Especially after market launch of the phosphodiesterase 5 inhibitors the possibility of an easy-to-use and well-tolerated therapy is available. In case of nonresponse, vasoactive substances can be applied in different forms. In case of an additional hypogonadism, testosterone substitution is indicated. Simultaneously the causes of ED should always be treated, including a change of lifestyle with elimination of exogenous noxa. The use of mechanic tools as single or combination therapy can lead to improved erection. This article provides a critical overview of the latest conservative therapy options, it explains previous unsuccessful therapeutic trials and gives an outlook into potential ED therapy concepts of the future.

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