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Within the last twenty years, major advances have been made in the development of effective treatments for erectile dysfunction. Oral therapy is now established as the mainstay of treatment and new treatments continue to emerge following the availability of sildenafil ( viagra) in 1998. Prior to that, self injection therapies, various devices such penile implants, vacuum devices, inflatable penile prosthesis, and vascular reconstructive surgery to improve penile blood flow, were the treatment options for men with erectile dysfunction.
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