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Coloplast Interventional Urology – Erectile Dysfunction (ED)

A patient guide

Erectile Dysfunction (ED):

It’s common1 and treatable 2

Erectile dysfunction is the consistent inability to sustain an erection sufficient for sexual intercourse. 1

That can be:

  • Not getting an erection at all•
  • Getting an erection inconsistently
  • Getting an erection that doesn’t stay hard enough for sex

If you have ED, you’re not alone.

Causes of ED

Erections may not occur as expected and erectile dysfunction may occur due to one of several medical conditions that decrease blood supply and nerve function. If a medical condition is the cause of erectile dysfunction, it means there are treatment options.

For more than 80% of men with ED, it is caused by a physical problem or disorder.7 The cause can usually be identified, and proper treatment can help you and your partner return to a satisfying sex life.

Physical causes include: 7

Typical ED treatment pathways

Here are some typical ED treatment pathways that ED patients may experience over a 10-year period based on recent studies.

75% of patients, start with pills as a first line ED therapy.8

50% of patients discontinue treatment in the first year due to reasons such as:

  • Medication failure
  • Cost
  • Concerns about side effects or long-term safety9

77% of patients who try a second treatment move onto another brand of pills.10 It is estimated that for 40% of cases, pills are not effective.

20% of patients who try a second treatment try penile injections. 10

It is estimated that for 30% of cases, injections fail to work or men experience priapism (erection lasting 4 hours or more).

For some patients, when pills and injections no longer work, they move to a penile implant. For other patients, they may move to a penile implant right away. 11

Penile implants have been shown to be a more cost-effective 10 long-term ED treatment. 12

Coloplast Penile Implants

A penile implant is a discrete device that is placed into a man’s penis and is designed to help him get an erection. Once implanted, it helps put the man back in control of his body, and can be used at any time, unlike other treatment options where there may be a short waiting period for them to be effective. A penile implant is an effective solution4 for men who are suffering from ED that has not been resolved by other available treatment options.

A penile implant involves a routine surgical procedure. Most men can return home within a day of surgery, and after full recovery, may resume sexual activity after 4-6 weeks.13 Your physician will discuss the details of the procedure, your recovery process, and using the implant.

Penile implants have been a safe and effective standard of care for men suffering from ED for many years, and can offer hope and a return to intimacy and a normal life for many men with ED. There are two types of penile implants that Coloplast offers:

Titan® inflatable penile implant produces a controllable erection that acts and feels more like
a natural one.

Genesis® flexible penile implant produces a permanently firm penis and may be appropriate
for men with limited hand dexterity.

What next?

To schedule time to meet with a Coloplast Patient Educator, contact:
auurologynurse@coloplast.com

References:
1.Definition & Facts for Erectile Dysfunction. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologicdiseases/erectile-dysfunction/definition-facts. Accessed March 2023.
2.Benabdallah, Justin. Erectile Dysfunction. The James Buchanan Brady Urological Institute. September 2020.
3.Sooriyamoorthy T, Leslie SW. Erectile Dysfunction. [Updated 2022 May 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www. ncbi.nlm.nih.gov/books/NBK562253/
4.Data on file at Coloplast.
5.Diabetes, Sexual & Bladder Problems. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/sexual-bladder-problems. Accessed March 2023.
6.Tsikis ST, Nottingham CU, Faris SF. The Relationship Between Incontinence and Erectile Dysfunction After Robotic Prostatectomy: Are They Mutually Exclusive? J Sex Med. 2017 Oct;14(10):1241-1247.
7.Khera M, Goldstein I. Erectile dysfunction. BMJ Clin Evid. 2011 Jun 29;2011:1803. PMID: 21711956; PMCID: PMC3217797.
8.Frederick LR, Cakir OO, Arora H, Helfand BT, McVary KT. Undertreatment of erectile dysfunction: claims analysis of 6.2 million patients. J Sex Med. 2014 Oct;11(10):2546-53.
9.Jannini EA, Droupy S. Needs and Expectations of Patients with Erectile Dysfunction: An Update on Pharmacological Innovations in Phosphodiesterase Type 5 Inhibition with Focus on Sildenafil. Sex Med. 2019 Mar;7(1):1-10.
10.Moses RA, Anderson RE, Kim J, Keihani S, Craig JR, Myers JB, Lenherr SM, Brant WO, Hotaling JM. Erectile dysfunction management after failed phosphodiesterase-5-inhibitor trial: a cost-effectiveness analysis. Transl Androl Urol. 2019 Aug;8(4): 387-394.
11.Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, Heidelbaugh J, Khera M, McVary KT, Miner MM, Nelson CJ, Sadeghi-Nejad H, Seftel AD, Shindel AW. Erectile Dysfunction: AUA Guideline. J Urol. 2018 Sep;200(3):633-641.
12.Miller LE, Khera M, Bhattacharyya S, Patel M, Nitschelm K, Burnett AL. Long-Term Survival Rates of Inflatable Penile Prostheses: Systematic Review and Meta-Analysis. Urology. 2022 Aug;166:6-10.
13.Erectile dysfunction. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. http://www.nlm.nih.gov/medlineplus/
erectiledysfunction.html.
14.Habous M, Malleabe (Semi-Rigid) penile prosthesis. J Sex Med. 2015; 12:1984-1988.
15.Bernal RM, Henry GD. Contemporary patient satisfaction rates for three-piece inflatable penile prostheses. AdvUrol.2012;2012:707321.

Coloplast Pty Ltd, PO Box 240, Mount Waverley, VIC 3149 Australia
www.coloplast.com.au Coloplast and the Coloplast logo are trademarks of Coloplast A/S. ©2024-02 URO015 Coloplast A/S. All rights reserved.

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