Urology/ED

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Question
I am 61 yrs, male with diabtes in India. My penis erection is gradually reduced and now no erection at all. Please note diabtes is persisting more than 5 years. Please help me how to get rid of this and get free from ED. I am afraid of using Siddha medicines.

Answer
Raju:

At 61 with a diabetes history it is no wonder that you also now have ED.  I am not familiar with Siddha medicines but they appear to be outside the standard medical establishment.

Diabetes is not curable, but it is treatable with diet, oral medications and injectable insulin in the more severe cases.  Erection difficulties are often associated with diabetes, especially after 5 or more years.

The erectile problem is treatable a number of ways including the use of medications like Viagra, medicated urethral suppositories, penile injection therapy or an external vacuum device.  Most men start with the medications.  You'll need to consult a urologist but your regular physician may be able to start things with the pills.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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