Surgery
When there is a clear medical cause for ED that is unlikely to resolve or improve naturally, another treatment option for men might be a surgical implant or vascular reconstruction.
Implant. The simplest type of prosthesis consists of a pair of malleable rods surgically implanted within the spongy chambers of the organ. Today, many men instead choose a hydraulic, inflatable prosthesis that allows a man to have function whenever he chooses. The prosthesis is also an option for men whose organs have scarring.
The inflatable prosthesis consists of two cylinders that are inserted in the and connected by tubing to a separate reservoir of fluid implanted under the groin muscles. A pump is also connected to the system and sits under the loose skin .
The prosthesis does not change sensation on the skin .
Vascular reconstructive surgery. During this procedure, an option when blood flow to organ by useing a stent..
Only a small percentage of men, mostly young men with trauma leading to the organ, may be candidates for this surgery. The technique is technically difficult, costly, and not always effective.
Therapy
A patient who have a clear psychological cause should undergo counseling before he pursues any invasive treatments. Therapy can also help when ED is caused by stress from work, finances, relationship problems, or poor communication.
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