Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection for satisfactory intercourse. The overall prevalence of ED in Australia is 40%.
The cause is multifactorial – diabetes, atherosclerosis, raised cholesterol, smoking, excessive alcohol intake, obesity and advanced age.
Lifestyle changes to improve diet, exercise, stop smoking, reducing alcohol intake and loss of weight is beneficial.
Oral tablets, injectable agents and penile prosthesis are available for treatment.
Penile implant includes a pair of cylinders implanted in the penis, a pump placed inside the scrotum, and a reservoir of saline placed in the lower abdomen. Squeezing and releasing the pump moves fluid into the cylinders, creating an erection. Deflate the device by pressing the deflate button on the pump. The penis then returns to a soft, flaccid and natural-looking state.
13% of Australian males suffer from incontinence and 30% are over the age of 70 years. The majority of cases result from an enlarged prostate gland or from surgery (prostatectomy) or radiation therapy for prostate cancer. Some cases may be due to an overactive bladder.
Post prostatectomy incontinence (PPI) may range from mild to severe incontinence. Most resolve by one year after prostatectomy.
The options include a male sling or an artificial urinary sphincter.
The male sling system is a reliable option for the treatment of male stress urinary incontinence (SUI). The implanted device works automatically, requiring no action on the patient’s part.
The artificial urinary sphincter restores continence with an occlusive cuff and a corresponding pump that the patient controls.
Men undergoing orchidectomy (removal of testes) for cancer or other causes can have a prosthetic testicle inserted.