Randomization of two local anesthetics. for Erectile Dysfunction

Erectile dysfunction (ED) is a persistent and significant problem in men and affects their sexual and marital relationships, quality of life and mood. ED affects men of all ages and is an important reason for men to seek help. Erectile dysfunction is not a single entity, and as such it is best seen as a spectrum of ED.

Erectile dysfunction is common, especially for males 40 and above. The majority of patients have problems locating the source of their erectile dysfunction. The most common treatments are medications to treat testosterone levels. It is important to understand this, as well as the benefits and adverse effects of these medications. If medication isn’t appropriate, then a variety of other treatments may be tried, including lifestyle changes and physical therapy.\n

ED in women is difficult to treat. Surgical correction of ED may not be a cure, but patients can be cured on a daily basis. ED can be a very important aspect of relationships as it has implications on the level of acceptance and confidence in relationships. The authors consider that surgical correction is a crucial prerequisite to successful treatment, and the level of self-confidence can be restored.

The most relevant contributing factors seem to be age, smoking, diabetes (diabetes mellitus), and cardiovascular disease. The most important risk factor is diabetes mellitus, where the incidence of erectile dysfunction was found to be 17.4%. Diabetes mellitus is not only a risk factor for the onset of erectile dysfunction, but is also related with the pathogenesis of the disease; this fact makes diabetes management of utmost importance. Other major risk factors are aging and hypertension.

Although rates of ED have increased during the last three decades, most men reporting ED are satisfied with their sexual lives. Nevertheless, many men experience sexual distress relating to ED. Male infertility remains a problem for some men.

A penile exam is the best non-invasive test for ED, with a sensitivity of 80%. EFT for ED: penile cavernous pressure of >15 cm H2O, NICE, and NIH. Penile curvature of >30 degrees is uncommon in the normal ED population. If the ED patient has a penis that is shorter than standard, further imaging should be contemplated.

Patients' erectile quality is associated with baseline ED, age, and comorbidities; most penile quality changes for all patients between baseline and 48-hour post-treatment change in Penile Qualty (PQ) score. Age is associated with baseline QoL and change.

Based on the available evidence, trials for therapeutic interventions are a potential research tool for the treatment of erectile dysfunction of psychogenic and organic origin. However, the present studies are too limited for definite conclusions. More detailed and systematic studies on the therapeutic interventions of erectile dysfunction must be undertaken in the future.

There have been many discoveries in penis surgery, and some of them were helpful for patients with erectile dysfunction. However, there was not enough evidence about the efficacy of such surgeries for this purpose, which makes it urgent for scientists to keep looking for a better way to treat erectile dysfunction. In addition, there are no satisfactory treatments for chronic erectile dysfunction, although some patients have reported improvements using penile implants and penile injections after the surgical intervention.

The latest development is local anesthetic infiltration of the penis, which can be performed in real time in the operating room before performing a radical prostatectomy. The process appears safe and easy, but is yet to be tried by general surgeons.

To prevent bias related to randomness, we should not use a technique, which gives each patient his own name for the anesthetic, because one could then imagine that the effect of the anesthetic is lessened, or disappears completely, when the name of the anesthetic that is to be used is known to the physician. Because of this, we should use the randomization technique which consists in giving each patient two tablets of anesthetics, which are equally used and have similar potency in anesthetizing.