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Urology (Expert Forum)
Erectile Dysfunction Attributable to Cervical Spondylosis
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Erectile Dysfunction Attributable to Cervical Spondylosis
by scoop, Nov 21, 2003 12:00AM
My erectile dysfunction no longer responds to Viagra, even at the 100mg dosage. Assuming my urologist and orthopedist are correct in attributing my erectile dysfunction to cervical spondylosis and/or radiculopathy, is there is track record for physical therapy--without drugs or surgery--being successful in improving my sexual functioning?
Doctor's Answer
by Kevin Pho, MD, Nov 23, 2003 12:00AM
, Nov 23, 2003 12:00AM
I am unaware of data suggesting the efficacy of physical therapy improving sexual dysfunction.
Other than Viagra, there are other options. This can include Levitra - which some studies suggest an improved response. You may also want to consider intrapenile injection therapy with alprostadil (prostaglandin E1, Caverject), papaverine, or alprostadil with papaverine and phentolamine (Tri-Mix), which has had varying success.
Another option would be vacuum-assisted devices, such as the pump, as well as penile prosthetic devices. All these options can be suggested with your urologist.
If the erectile dysfunction is attributed to the spondylosis, then a neurology referral may be helpful.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Other than Viagra, there are other options. This can include Levitra - which some studies suggest an improved response. You may also want to consider intrapenile injection therapy with alprostadil (prostaglandin E1, Caverject), papaverine, or alprostadil with papaverine and phentolamine (Tri-Mix), which has had varying success.
Another option would be vacuum-assisted devices, such as the pump, as well as penile prosthetic devices. All these options can be suggested with your urologist.
If the erectile dysfunction is attributed to the spondylosis, then a neurology referral may be helpful.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
