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Setting Patients' homes and 19 clinical practice centers in the United States. While men who have had the prosthesis surgery can see the small surgical scar where the bottom of the penis meets the scrotal sac, other people probably will be unable to tell that a man has an inflatable penile prosthesis. Most men would not be embarrassed in a locker room or public restroom, for example. One of the very frequent disorders that have affected additional than 90% of the sexually active men a lowest possible of once is the impotence. Ginkgo biloba extract (GBE)—helps to treat erectile dysfunction (ED) by increasing the blood flow to the penis. Dosages may vary, however 200-240 mg is typical. order lexapro Success rate of 50% in selected patients Address correspondence to Anthony J. Viera, LT, MC, USNR, Family Practice Department, PSC 490, Box 9097, U.S. Naval Hospital, Guam, FPO AP 96538-1600. Reprints are not available from the authors. Nocturnal penile tumescence (NPT): This test measures a man's erectile function while he is sleeping. Normally, a man will have five or six erections while asleep. A lack of these erections may indicate there is a problem with nerve function or circulation to the penis. The test uses two methods, the snap gauge method and the strain gauge method. The snap gauge method is performed by wrapping three plastic bands of varying strength around the penis. Erectile function is then measured based on which of the three bands breaks. The strain gauge method works by placing elastic bands around the tip and base of the penis. If the penis becomes erect during the night, the bands stretch, measuring the changes in penile circumference. For any medication to be effective, the physiologic components involved in the erectile process must be functional. Serious impairments render the medication either completely or partially ineffective. Clinical tests used to diagnose ED Article Date: 21 Jan 2010 - 1:00 PST Trazodone (Desyrel) Safe Neither age, ethnicity, obesity, nor tobacco use had any significant effect on the likelihood of the link between the two conditions. Digital Subtraction Angiography The reported frequency of sexual intercourse in this population was between 0.25 – 10 per week (mean 2.4). Evaluation of sexual function log revealed that there was good concordance between the pre-study reported frequency and logged frequency during the study period. Of the 113 men in the study, only 33 (29%) reported having some amount of spontaneous erection, but not suitable for enjoyable intercourse at Visit 1. Following sildenafil therapy, 82/99 (82.8%) men had improved erections (based on GEQ) suitable for intercourse. Seventeen (17.2%) failed treatment. There were no differences in the response rates between the various aetiological groups. A total of 33/99 (33.3%) men reported return of spontaneous erections suitable for penetrative intercourse, at least once, following treatment, of whom 14 (42.4%) did not have any spontaneous erections suitable for intercourse prior to therapy. Of the 74 men reviewed at Visit 4, 59 reported that they would continue using Viagra on a long-term basis (79.7%). Three men had reported complete return of spontaneous erections and had stopped using Viagra (1 at Visit 2 and 2 at Visit 4). The link between alcohol and erectile dysfunction By Dennis Thompson The survey did not ask volunteers if a doctor had diagnosed either of the disorders, only about related symptoms, which is a weakness, said Dr. Thomas Pollm?cher, the director of mental health at Ingolstadt Hospital, Germany. TIMOTHY L. CLENNEY, LCDR, MC, USNR