The best way to treat cavernous body blood insufficiency

Insufficient blood supply to the corpus cavernosum can be improved through lifestyle modification, oral medications, physical therapy, vasoactive drug injections, and surgical treatment. It is mainly related to endothelial dysfunction, atherosclerosis, abnormal nerve conduction, hormone level imbalance and psychological factors.

1. Lifestyle adjustment:

Smoking cigarettes, limiting alcohol consumption, and exercising regularly can improve vascular endothelial function. 30 minutes of aerobic exercise every day, such as brisk walking and swimming, can promote blood circulation, and reducing high-fat diet intake can help reduce the risk of arteriosclerosis. Keeping your BMI in the range of 18.5-23.9 can reduce the burden on your blood vessels.

2. Oral drug treatment:

Phosphodiesterase 5 inhibitors such as sildenafil and tadalafil can enhance the vasodilation effect of nitric oxide. Chinese patent medicines that improve microcirculation, such as compound salvia miltiorrhiza dropping pills and ginkgo leaves, can also be used auxiliarily. Medications need to be selected based on individual circumstances under the guidance of a doctor.

3. Physical therapy:

Low-intensity extracorporeal shock wave therapy can promote angiogenesis, and vacuum negative pressure devices can improve local blood supply through mechanical congestion. Physical therapy 2-3 times a week can be effective for 4-8 weeks. Applying hot compresses to the perineum can also temporarily increase blood perfusion.

4. Vasoactive drug injection:

Prostaglandin E1 injection directly acts on the smooth muscle of the corpus cavernosum, and the compound preparation of papaverine and phentolamine can quickly dilate blood vessels. Operation by a professional physician is required, and adverse reactions such as local pain or priapism may occur.

5. Vascular reconstruction surgery:

Pudendal artery angioplasty can be used for arterial occlusive lesions, and dorsal penile vein ligation can be used for patients with venous leakage. Postoperative anticoagulation therapy and functional exercise are required, and the success rate is about 60-70%.

It is recommended to increase arginine-rich foods such as walnuts and salmon in daily life, and supplement zinc to help maintain normal sexual function. Avoid long-term cycling and other activities that compress the perineum, and ensure adequate sleep to regulate autonomic nervous system function. Monitor blood pressure and blood sugar regularly to control the development of underlying diseases. Psychological counseling can relieve the inhibition of sexual function by anxiety, and partners' participation in treatment can improve compliance. If conservative treatment fails for 3-6 months, further angiographic evaluation should be considered.