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When Performance Deceives Desire ,[object Object],[object Object],[object Object]
“ IS IT NOT STRANGE THAT DESIRE SO MANY TIMES OUTLIVES PERFORMANCE ? W. Shakespeare
 
Dr. Vijay Kulkarni Consultant Andrologist & Microsurgeon LTM Med College & Hospital Bhatia Hospital Raheja Hospital Nat. Inst. for Research in Reproductive Health
MALE SEXUAL DYSFUNCTION (MSD )  ,[object Object],[object Object],[object Object],[object Object],[object Object]
MSD Three componants ,[object Object],[object Object],[object Object]
Erectile Dysfunction (ED)   Is defined as a persistent inability  to achieve or to maintain erection adequate for mutually satisfying sexual intercourse
It is surprisingly  common 20 mil. men in U.S.A. suffer from some degree of  E.D. 52% men in age 40-70 suffer from some degree of E.D. 5% at age 40 &  have total impairment 25% at age 70 ONLY  15%   GET TREATED
Facts about ED in S.E.Asia ,[object Object],[object Object],[object Object]
Risk Factors for ED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Are identical to those for Heart Disease
Diabetes  &  Erectile Dysfunction   ,[object Object],[object Object],[object Object],[object Object]
E D Can Be Treated With ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
ORAL DRUGS ,[object Object],[object Object],[object Object]
INTRA-PENILE  SELF-INJECTIONS ,[object Object],[object Object],[object Object]
Commonly Used Drugs ,[object Object],[object Object],[object Object],Intra Cavernosal Injection of  Vaso Active Drugs (ICIVAD)
Patient’s Guide to  Self Injection
ICIVAD  Therapeutic Application ,[object Object],[object Object],[object Object]
 
 
 
ICIVAD
Do not forget PRIAPISM !!! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vacuum Erection Devices (VED) BASIC DESIGN ,[object Object],[object Object],[object Object]
Vacuum Erection Devices
 
Vacuum Erection Devices (VED ) ,[object Object],[object Object],[object Object]
Vacuum Erection Devices (VED ) ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
Beyond medication – Penile Implants ,[object Object],[object Object],[object Object]
Penile Prosthesis Non Inflatable Type  (Malleable or Flexible)
Beyond Medication- Penile Implants Non-inflatable Shah Penile Prosthesis with hinge
Malleable Penile Prosthesis Placement in body – Flaccid State
Malleable Penile Prosthesis Placement in the body - Erect state
 
Inflatable Penile Prosthesis Placement in body – Flaccid state
Inflatable Penile Prosthesis Placement in body – Erect state
 
 
ORAL ERECTOGENIC  DRUGS ,[object Object],[object Object],[object Object],REVOLUTIONISED TREATMENT
Oral Erectogenic Drugs ,[object Object],[object Object],[object Object],[object Object]
New  Oral Erectogenic Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral Drugs-PDE 5 inhibitors ,[object Object],[object Object],[object Object]
Side effects of oral drugs  ,[object Object],[object Object],[object Object],[object Object],Brock GB et al. J Urol 2002; 168: 1332-1336.
WARNING !! ,[object Object],[object Object]
 
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
IT IS NOT SUPPOSED TO MAKE YOU A SUPER ATHLETE ! IT IS MEANT TO HELP YOU NORMALISE YOUR MARITAL HARMONY.
[object Object],[object Object],[object Object],[object Object],[object Object]
Modern  Andrology  Can Offer Cure  To Nearly All Patients  With Impotence
Remember a person may be born with ED but he need not die with it

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