There has been remarkable progress in the treatment of erectile dysfunction during last decade. We have analyzed 2,000 patients with erectile dysfunction who had been treated with a variety of treatment modalities during last 10 years to identify
the
annual changes in the proportion of the respective treatment modality. The most remarkable change was seen in the proportion of patients treated by vasoactive pharmacotherapy : The proportion was 12.0% on 1984, which was gradually increased in
time, and
reached to 82.1% on 1994. Another remarkable change was found in the proportion of patients treated by surgery, especially vascular surgery : The proportion of patients treated by penile prosthesis implantation on 1985 and vein ligation on 1986
was
64.0% and 14.3%, respectively ; whereas, it was decreased to 1.8% and 0% on 1994, respectively. In conclusion, we could find remarkable change of treaned in the primary treatment modality for ereacitle dysfunction from invasive and costly
surgical
treatment primary treatment modality for erectile dysfunction from invasive and costly surgical treatment to less invasive and cheap vasoactive pharmcotherapy. Nowadays, intracavernous selfinjection of vasoactive agents plays a primary role in
the
treatment of impotecnce. Penile prosthesis implantation remains as the last treatment modality for erectile dysfunction. However, vascular surgery is rarelybeing performed nowadays because of its poor long-term outcome.
|