Erectile Dysfunction | Shim Clinic, Singapore

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Summary

Erectile Dysfunction | Shim Clinic, Singapore: Male impotence, sexual/erectile dysfunction (ED) symptoms, treatment, drugs/medication clinic, Singapore. Private, and confidential services. Definitions, references, and latest news.

Description

Table of Contents

• Erectile Dysfunction (ED) (Sexual Dysfunction / Impotence)
• Erectile Dysfunction Treatment (Impotence Treatment)

The IIEF-5 questionnaire^a

Over the past six months:
1	How do you rate your confidence that you could get and keep an erection?	Very low	Low	Moderate	High	Very high
		1	2	3	4	5
2	When you had erections with sexual stimulation, how often were your erections hard enough for penetration?	Almost never/never	A few times (much less than half the time)	Sometimes (about half the time)	Most times (much more than half the time)	Almost always/always
		1	2	3	4	5
3	During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?	Almost never/never	A few times (much less than half the time)	Sometimes (about half the time)	Most times (much more than half the time)	Almost always/always
		1	2	3	4	5
4	During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?	Extremely difficult	Very difficult	Difficult	Slightly difficult	Not difficult
		1	2	3	4	5
5	When you attempted sexual intercourse, how often was it satisfactory for you?	Almost never/never	A few times (much less than half the time)	Sometimes (about half the time)	Most times (much more than half the time)	Almost always/always
		1	2	3	4	5

^aThe IIEF-5 score is the sum of the ordinal responses to the five items; thus, the score can range from 5 to 25.
ED severity: severe (5-7), moderate (8-11), mild to moderate (12-16), mild (17-21), and no ED (22-25)

Erectile dysfunction treatment is frequently done with the prescription of erectile dysfunction drugs which are usually phosphodiesterase type 5 (PDE5) inhibitors like:

• Sildenafil (Viagra®)
• Vardenafil (Levitra®)
• Tadalafil (Cialis®)

Men's health issues:

• Hair loss
• Erectile dysfunction (ED)
• Premature ejaculation (PE)
• Andropause
• Testosterone deficiency syndrome (TDS)
• Testosterone replacement therapy (TRT)
• STD (Sexually transmitted disease)

• Erectile dysfunction - Wikipedia, the free encyclopedia
• Erectile dysfunction: Definition from Answers.com
• Erectile dysfunction - definition of Erectile dysfunction in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia.
• RC Rosen, JC Cappelleri, MD Smith, J Lipsky and BM Pena. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction International Journal of Impotence Research (1999) 11, 319-326

Whole genome microarray of the major pelvic ganglion after cavernous nerve injury: new insights into molecular profile changes after nerve injury
Thu, 02 Feb 2012 05:00:00 +0100 | BJU International
CONCLUSIONS• The results obtained show that multiple biological processes are associated with injury and repair of the CN and provide a systematic genome‐wide screen for neurotrophic and/or inhibitory pathways of nerve regeneration.• These data identify the candidate genes that may be utilized in novel molecular‐based therapies for the preservation and protection of the CN during radical prostatectomy. (Source: BJU International)

Erectile dysfunction drug receives new indications.
Wed, 01 Feb 2012 05:00:00 +0100 | The American Journal of Nursing
Authors: Aschenbrenner DS PMID: 22277864 [PubMed - in process] (Source: The American Journal of Nursing)

Androgen deprivation therapy-associated vasomotor symptoms.
Mon, 30 Jan 2012 05:00:00 +0100 | Asian Journal of Andrology
This article reviews current options for the treatment of hot flashes in patients taking ADT.Asian Journal of Andrology advance online publication, 30 January 2012; doi:10.1038/aja.2011.101. PMID: 22286861 [PubMed - as supplied by publisher] (Source: Asian Journal of Andrology)

Conservative management for postprostatectomy urinary incontinence.
Thu, 26 Jan 2012 08:18:08 +0100 | Cochrane Database of Systematic Reviews
CONCLUSIONS: The value of the various approaches to conservative management of postprostatectomy incontinence after radical prostatectomy remains uncertain. It seems unlikely that men benefit from one-to-one pelvic floor muscle training therapy after transurethral resection of the prostate (TURP).  Long-term incontinence may be managed by external penile clamp, but there are safety problems. PMID: 22258946 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)

Cardio‐Selective Beta‐Blocker: Pharmacological Evidence and Their Influence on Exercise Capacity
Thu, 26 Jan 2012 05:00:00 +0100 | Cardiovascular Therapeutics
SUMMARY  For the past 40 years, beta‐blockers have been widely used in cardiovascular medicine, reducing morbidity as well as mortality. Beta‐blockers are currently used in a number of cardiovascular conditions such as systolic heart failure, postmyocardial infarction, and in prevention and treatment of arrhythmias. They are not recommended as the first line antihypertensive therapy, particularly in the elderly, unless there are specific indications. Despite the benefits of beta‐blockers, tolerability concerns in patients with co‐morbidities have limited their use. Some of these problems were overcome with the discovery of cardioselective beta‐blockers. The third generation beta‐blockers have additional properties of vasodilatation and advantages in terms of minimizing the ad...

Despite Some Comprehension Problems the International Index of Erectile Function Is a Reliable Questionnaire in Erectile Dysfunction
Tue, 24 Jan 2012 23:00:00 +0100 | Urologia Internationalis : Last 20 articles
Urol Int (DOI:10.1159/000335432) (Source: Urologia Internationalis : Last 20 articles)

Erectile function restored with stem cells
Tue, 24 Jan 2012 17:27:55 +0100 | New Scientist - Health
Pig intestine coated with stem cells has been used to treat erectile dysfunction in rats with the hope that a similar therapy can be used in humans (Source: New Scientist - Health)

Pursuit of sexual function post-radical prostatectomy.
Tue, 24 Jan 2012 05:00:00 +0100 | Canadian Urological Association Journal
CONCLUSION: Sexual frequency peaked in younger patients who were 3 years or more from surgery. Of note, 46% of men either declined the offer of ED therapy or got the prescription and never used it. Only 34% of men had used their ED prescription in the last 4 weeks. Urologists frequently find that patients behave differently postoperatively, with less interest in sexual activity. Interestingly, we found that 50% of our patients classified their sexual function, as at most a small problem. PMID: 22277629 [PubMed - as supplied by publisher] (Source: Canadian Urological Association Journal)

HSE spend on ------ not justified, forum hears
Tue, 24 Jan 2012 00:19:24 +0100 | The Irish Times - Health
HEALTH BRIEFING:A SENIOR member of the HSE West Forum yesterday stated that the State spend on ------ and other erectile dysfunction drugs “can no longer be justified”. (Source: The Irish Times - Health)