The ideal treatment of ED considering the patient's welfare should be easy to administer, non-invasive, painless and highly effective, with minimal side effect. Modern, oral first-line erectile dysfunction therapy using phosphodiesterase 5 inhibitors is safe, effective and well tolerated.
Intracavernosal therapy as the second -line therapy is safe and effective in diabetic patients, in men with casrdiovascular disease and in men who have undergone radical prostatectomy. A new method of efectile dysfunction therapy is low-intensity extracorporeal shock wave therapy which produces neovascularization.
Lifestyle changes (intensive exercise and decrease in Body Mass Index) can improve erectile function.