Health Topics

Healthy Living

May 2010
Being Upright Erectile Dysfunction
Dr Deepak Bolbandi
Impotence or Erectile Dysfunction affects up to 50 percent of the male population above 40 years, and 10 percent of those below 40. A man's ego often does not permit him to admit that there is something wrong with his 'manhood', and many fail to reach the doctor.

Erectile Dysfunction (ED) happens when the arteries supplying blood to the penis do not bring in enough blood to cause an erection. This can occur because of narrowing of the arteries as in the elderly diabetics and those with high blood pressure. It can also happen from injury to the genital region which causes a block in the artery to the penis – and is very common in the young. The injury can be major and sudden, as after a vehicular accident causing a fracture of the pelvis or pubic bones. Or low grade and gradual, as in bicycle and other riders, and occurs because sustained friction in that region causes a clot-like substance (thrombus) to develop in the artery to the penis. This clot gradually grows and ultimately blocks the blood supply to the penis completely.

Sign of Other Diseases
Today, it has been established that Erectile Dysfunction is a marker, a warning sign, for future cardiovascular diseases like heart attacks and strokes. Diseases of arteries affect the smaller arteries (penis) before they affect the larger ones (coronaries of the heart and carotids of the brain).

This makes a very strong case for the early diagnosis and management of ED, and this, in turn, will allow the early detection of diseases like diabetes, high blood pressure, high cholesterol, high lipids, etc.
Reclaim Your Love life
Relax! Erectile Dysfunction (ED)/ Impotence is curable. Erectile Dysfunction (ED) is the repeated inability of a man to achieve and maintain an erection sufficient for sexual intercourse. By not taking help for the problem, millions of men are still causing unnecessary damage to their most important relationship. Vacurect tm is an internationally patented vacuum therapy system. Vacuum therapy has been the single most effective and affordable treatment for male impotence. The exceptionally compact, safe and easyto- use Vacurecttm is now setting a new standard, restoring intimacy and complete satisfaction to millions of couples across the globe. Vacurecttm is US-FDA approved, OTC (Over The Counter) device for gentlemen suffering from Erectile Dysfunction (ED) due to age, diabetes, prostate, stress, vascular diseases, excessive smoking and drinking etc. Vacurecttm can be used as daily exercise to prevent atrophy to promote penile health, enhance Penis Size, Prolongs Love making and Reverse Shrinkage of Penis.

So, go ahead, order your Vacurecttm today and reclaim her love once again. The complete Vacurect system includes device, pure silicon tension rings, lubricating jelly, silicon oil for device servicing and travel pouch. Visit for support: Email: SMS VAC to 53030

What All Can Go Wrong
The nerve supply to the penis is very complex. A proper conduction of impulses along these is basic for the initiation and maintenance of an erection. It is these nerves that activate the arteries and the veins to alter the dynamics of blood flow within them.

A lot can go wrong with the nerve supply to the penis. Injuries to the back, especially if they involve the vertebral column and the spinal cord can cause impotence. So also can injury to other nerves connected to the penis, like that which occurs after pelvic or perineal trauma. A wide variety of operations performed for other conditions can cause incidental injury to the nerves of the penis and cause impotence. These include operations on the rectum, prostate, urethra, spine, retroperitoneum, urinary bladder, etc. Of course, disorders of the nervous system such as multiple sclerosis, myelitis, tumour, etc. can also cause impotence, since they are involved in the nerve supply to the penis.

Diabetes is Not Sweet
Another disease affecting the nerves to the penis is diabetes mellitus. Erectile Dysfunction is extremely common among diabetics: in fact, as many as 50 percent of all diabetics have it! ED in diabetics is almost always organic in origin. Appropriate therapy for diabetes can never restore erectile function because the basic diabetic process can never be reversed. Only the blood sugar levels and the complications of diabetes are controlled.

Modern andrology, however, can offer a cure to nearly all patients with Dr. Deepak Bolbandi is Consultant Urologist and Transplant Surgeon at Apollo Hospitals, Bangalore diabetes-related impotence. This is a fact, unfortunately, not known to most people. Few diabetologists address ED in their patients.

Your Medicines Could Be Guilty
Many drugs also cause neurogenic impotence by affecting the neurotransmitters at the nerve endings. Notable among these are anti-hypertensives (BP lowering) and psychotropics. The list is very large. Often, it is not known that the medicine (which is prescribed for some unrelated disease, such as duodenal ulcer) is the culprit. Sometimes, more than one factor can be operative in the same patient. Such patients generally have systemic disease. Notable examples are diabetes, kidney and liver failure.

Another group where mixed factors operate is where long standing impotence has led to secondary psychiatric disorders such as depression and the like. Here, the basic causative factor is organic, but being unrecognised and untreated, it eventually takes its toll on the mind. Often because the patient thinks or has been led to believe that his condition is incurable, that it's all in his mind. Sexual counselling, oral medication, hormone replacement therapy, external vacuum devices and penile injections are the treatment options to choose from.
Dr. Deepak Bolbandi is Consultant Urologist and Transplant Surgeon at Apollo Hospitals, Bangalore