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Have had prostate cancer, this is not a good option, since testosterone can cause cancer to grow.Psychotherapy. If your physician doesn't suspect a physical cause for your erectile dysfunction, he or she may suggest counseling -- for you, or you and your partner together. A psychotherapist trained in the treatment of sexual problems can teach you techniques to help stay relaxed and responsive during intimate moments. Psychotherapy can also help men cope with the depression and anxiety that often accompanies erectile dysfunction, regardless of the cause.Vacuum devices. These devices consist of a plastic cylinder that fits over the penis and a pump that creates a partial vacuum. The vacuum pulls blood into the penis, causing an erection. Since the plastic cylinder isn't exactly conducive to intercourse, the man removes the device after placing an elastic band around the base of his penis to maintain the erection during sexual activity.Surgery. In cases where injury has hindered nerve or blood vessel function, surgeons can sometimes reconstruct arteries that feed blood to the penis. This technique works best for younger men who have erectile dysfunction because of minor pelvic injuries. Surgeons can also block the veins that drain blood from the penis, although some experts question whether this is a good long-term solution.Doctors can also surgically insert implants to make the penis stiff all the time, or just on demand. The implant might be a semirigid rod that can be bent into shape, or it might use inflatable cylinders. A man can fill the cylinders with fluid by squeezing
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no improvement with mechanical devices used outside the body
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Impotence shots, or medical treatment of the cause. Treatment involves inserting a mechanical device or prosthesis into the area where the blood normally collects to stiffen the penis. Although the overall success rate of the penile prosthesis is greater than 95%
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Impotence shots, less expensive choices before surgery. The doctor will discuss the pros and cons of each type of device and help couples select the proper one for them. The implant has rods or cylinders that can be inflated or deflated at will. Most prostheses can be inserted during a one-day surgery and require no overnight hospital stay. Semi-rigid or rigid implants: Advantages of a semi-rigid or rigid implant are: It is l/r/n