Table III.

Treatment Options for Erectile Dysfunction (ED)

Treatment	Therapies	General Indications
Psychosexual therapy	Counseling with sex therapist	First‐line treatment
Hormonal	Testosterone replacement with intramuscular injection, dermal patches, gel Treatment of secondary causes: hyperthyroidism, hypothyroidism, diabetes mellitus	First‐line treatment
Medical	Treatment and control of ED risk factors: hypertension, dyslipidemia, diabetes mellitus, smoking, cardiovascular disease, and neurologic diseases	First‐line treatment
Nonspecific
Oral agents	Phosphodiesterase type 5 inhibitors: sildenafil, vardenafil, tadalafil	First‐line treatment
Devices	Vacuum constriction devices Venous constriction rings	Second‐line treatment
Implants	Flexible rods Inflatable cylinders	Third‐line treatment
Intracavernosal injections	Prostaglandin E1 Papaverine, phentolamine Papavarine, phentolamine prostaglandin E1 Potassium channel openers	Second‐line treatment
Intraurethral suppositories	Prostaglandin E1	Second‐line treatment
Vascular surgeries	Penile microvascular arterial bypass Penile venous ligation	Third‐line treatment