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I have a problem. I'm 87 yrs old and I can't wake up with an…

Customer Question
Second opinion] I have...

Second opinion] I have a problem. I'm 87 yrs old and I can't wake up with an erection anymore. Why?

Doctor's Assistant: Any pain or burning sensation while urinating? What color is your urine?

A little yellow but. I do urinate quite often

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I did have prostrate cancer 8 years ago. It was treated by radiation

Submitted: 4 months ago.Category: Urology
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Answered in 1 hour by:
11/27/2017
Urologist: Dr. Arun Phophalia, Urologist replied 4 months ago
Dr. Arun Phophalia
Category: Urology
Satisfied Customers: 37,812
Experience: MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Urologist: Dr. Arun Phophalia, Urologist replied 4 months ago

You may get the following investigations done (if not already performed);

1) All hormones; thyroid, prolactin, testosterone, adrenal functions.

2) Autonomic nervous system testing;

Penile thermal sensory testing

3) Somatic nervous system testing;

Penile glans biothesiometry

Bulbocavernosus reflex latency test

4) Penile magnetic resonance imaging (MRI)

5) Penile angiography

6) Duplex ultrasonography

7) Combined intracavernous injection and stimulation

The treatment would entail;

1) Selective PDE5 inhibitors are safe and effective (sildenafil, vardenafil, and tadalafi So this is not only the first line but one of the best. The other things which can help are;

2) Vacuum Devices for Inducing Erection

3) Intraurethral Therapies

4) Intracavernosal Injection of Vasoactive Agents; people can be taught to give the injection.

If above fail, penile prosthesis surgery can be tried, which has satisfactory results.

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Urologist: Dr. Arun Phophalia, Urologist replied 4 months ago

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Customer reply replied 4 months ago
I appreciate your honest answers. I think your last recommendation is to see a Urologist. Thank you.
Urologist: Dr. Arun Phophalia, Urologist replied 4 months ago

Yes, you should see a urologist.

This is a treatable issue.

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Urologist: Dr. Arun Phophalia, Urologist replied 4 months ago

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Dr. Arun Phophalia
Dr. Arun Phophalia, Urologist
Category: Urology
Satisfied Customers: 37,812
37,812 Satisfied Customers
Experience: MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.

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