Treatment Strategy


Before treating ED, it is important to consider the health status of the patient and the impact of resuming sexual activity. The first line of therapy for ED is use of oral medications (phosphodiesterase-5 inhibitors) — such as CIALIS — that work by increasing blood flow in the penis, allowing the development of an erection with sexual stimulation.1

Second-line therapy involves the use of intracavernosal injection therapy, vacuum device therapy, and transurethral agents.1 Third-line therapy is confined to penile implant surgery and vascular surgery.2


1. Lue TF. Drug therapy: erectile dysfunction. N Engl J Med. 2000;342(24):1802-1813.

2. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA. 1993;270(1):83-90.



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