What Is Parathyroidectomy?
Parathyroidectomy is surgery for the removal of parathyroid glands or tumors. The gland is to be found right behind the thyroid gland in the neck. The gland helps in controlling the calcium level of the body. The doctor considers several factors while doing the surgery and deciding the type of surgery required.
- Calcium level in urine and blood
- Your age
- Whether or not you have the symptoms
Does Parathyroidectomy Treat Erectile Dysfunction?
Canadian Health&Care Mall states that parathyroidectomy in men with primary hyperthyroidism might be associated with the resolution of ED in people who reported this condition pre-operatively. A small pilot study shows that total of 160 men with primary hyperthyroidism went through a parathyroid gland surgery. Among them, about 13% of them were reported to be suffering from ED before the surgery. Those men were significantly older in age. They had the mean age of 70 years versus 58 years of those who did not have erectile dysfunction.
There were no preoperative differences in parathyroid hormonal level, mean number symptoms, and mean levels of calcium. Intra-operatively, there was no difference in:
- mean resected gland weight
- multi-glandular disease
- percent decline in intra-operative parathyroid hormone
While comparing the 14 men whose problem of erectile dysfunction had been resolved with seven in whom the problem still persisted, there weren’t any preoperative differences in:
- mean age;
- hypertension;
- diabetes;
- mean number of blood pressure medication;
- mean a number of symptoms.
Those men with erectile dysfunction resolution had considerably lower mean arterial blood pressure. There was absolutely no difference between those in whom ED did and did not resolve in preoperative mean thyroid hormone, calcium, Vitamin D, intra-operative percent decline in intra-operative parathyroid hormone, multi-glandular disease, and resected gland weight.
Post-operatively there weren’t any difference in a number of symptoms, mean calcium, and mean arterial pressure. There weren’t any difference in the quality-of-life measures. However, two out of eight were reported to be suffering from depressed mood before the surgery which had improved after the surgery.
In a control group consisting of 132 age-matched patients who had thyroidectomy during the period of study, 10 out of 23 who had reported ED preoperatively did not report it after the surgery. The number might be small but that is because most of the patients involved in the study were women.
OTHER TREATMENTS AND DRUGS OF ERECTILE DYSFUNCTION
Oral Medicines
According to Canadian Health&Care Mall, oral drugs have been successful in treating ED in many men. These include:
- Vardenafil;
- Tadalafil;
- Sildenafil;
- Avanafil.
All these oral drugs enhance the effects of nitric oxide, the chemical produced by the body to relax the muscle. This causes an increase in the blood flow and helps you to get an erection when you are sexually stimulated. The oral drugs amplify the signals allowing you to function normally. However, these medications might not fix your Ed immediately.
Other Medications
- Alprostadil is a taken as an injection into the base side of the penis. Each injection of this drug is capable of causing an erection that lasts for an hour.
- Alprostadil urethral suppository is a therapy that involves placing an alprostadil suppository in the penis in the penile urethra. A special applicator is used for inserting the suppository. The erection starts within 10 minutes and lasts for at least 30 minutes.
- Testosterone replacement is recommended for those who are having ED because of low levels of testosterone.
Penis Pumps, Implants, and Surgery
If the medications fail to be effective, your doctor might recommend a different treatment.
- Penis Pump is a hollow tube with a battery powered or hand-powered pump. The tube is placed over the penis and then pump is used for sucking out the air inside the tube. This creates a vacuum which helps in pulling blood into the penis. After getting an erection you can slip a tension ring around the penis for holding the blood and keeping it firm.
- Penile implant is a method of surgically placing a device on both the sides of the penis. It allows you to control the timing of your erection..
- Leaking and obstructing blood vessels can lead to ED In such a case, a surgical repair like a bypass procedure or vascular stenting might prove to be effective.
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