Probiotics, antioxidants, herbal preparations, herbs and many more. The number of non-prescription drugs increases geometrically, and advertisements –even TV commercials- render the situation even more confusing. Are all the above preparations the same? Is there evidence for some of them? Does the manufacturing process play a role? And, most importantly, do we know their indications and their proper dosage regimes?
- Prostate Diseases
- Erectile Dysfunction
When our patient complains about some ejaculation disorder, we just ask him 2-3 questions and that’s it. We do not have full knowledge of the action of premature ejaculation drugs or, even if we do, we do not know how to use them properly. In case of delayed ejaculation, the “prostatitis” postpones the problem for a few weeks: the therapy will be completed but ejaculation will not be feasible. Moreover, pain in ejaculation is not easily treated –particularly in the absence of infection. So, let us try to put problems in an order and see them one by one.
Perhaps the most unknown type of erectile dysfunction for the Urologist. How is the diagnosis set? How do we avoid the misdiagnosis? Are there diagnostic tests upon which we can rely? Does it make sense to find the aetiology? In the end, isn’t it Phosphodiesterase Inhibitors that we will anyway prescribe? If so, does the diagnostic approach really matter? Are there other treatments for these patients?
- Pathophysiology and Symptoms
- Diagnostic Tests and their interpretation
Shock Wave Therapy has come into our life and every year there are more and more new studies proving its effectiveness. But can we use a method without really knowing its principles? What is the physics behind Shock Waves? What are the Shock Wave operating principles in Shock Waves? Are all types of Shock Wave machinery equipment the same? What are their differences and how do these affect the outcome?
- What are Shock Waves?
- Recent Clinical Trial Data
- Shock Wave Equipment: Features and Differences
It is considered to be the part that we know the best of all in the field of "Erectile dysfunction". However, there are still many questions that remain unanswered. How can a young man possibly have a vascular problem? How is it possible to have a triplex of penile vasculature showing penis venous leakage while blood pressure is normal? Why aren’t erectile drugs effective in men who do have erection but do not have the necessary penile rigidity? How do we treat patients with moderate response to the highest dose of phosphodiesterase inhibitors?