A 55 year old diabetic patient presented with impotence with history of failure to get erection after papaverine intracavernous injection. Colour doppler shows no. abnormality of aeries but shows mild venous run-off, Treatment of choice here would be: (A) Intracavernous injection of papaverine, (B) Penile prosthetic implants, (C) Vacuum constriction device, (D) Psychotherapy
Answer is C. Ans. is 'c' i.e., Vacuum Constriction Device Vaccum Constriction devices it consists of a plastic cylinder connected to a vaccum generating source. After the penis is engorged by the negative pressure, a constricting ring is applied to the base to maintain the erection. To avoid injury the ring should not be left in place for longer than 30 min. - Such devices are suitable for those who fail to achieve an adequate erection with Intracavernous injection therapy and those with venous disorders of the penis. These devices are more acceptable in older men in a steady relationship than to young single men in search of a paner.