![]() ![]() Third line therapy usually involves surgery with implantation of a penile prosthesis. ![]() Second line therapy includes vacuum erection device therapy, penile injection therapy, and transurethral prostaglandin suppository administration. This begins with first line therapy including management of associated medical conditions and psychological support combined with oral medical therapy. The management algorithm at the Sexual Medicine Program at Weill Cornell Medicine - New York Presbyterian Hospital proceeds in a stepwise manner in order to ensure comprehensive, state-of-the-art treatment in the management of erectile dysfunction (ED).
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