New aspects of the use of sildenafil in the treatment of erectile dysfunction

Abstract

Currently, there are many effective methods of drug-based treatment of erectile dysfunction (ED). The choice of treatment is determined by its invasiveness. In case of poor effectiveness, a less invasive technique is replaced by a more invasive one. Thus, most clinicians start treatment with oral phosphodiesterase type 5 inhibitors (PDE-5), and if the treatment fails, other oral drugs are prescribed, as well as intracavernous injections or vacuum erectile device. Combination treatment is also possible. If the techniques fail, the patient may be assigned for a surgical procedure.