Perineal Training

What is the evidence for Perineal training in the treatment for erectile dysfunction?
1. Perineal training may enhance erectile function in men with SCI who have some voluntary pelvic floor muscle contraction.
2. The use of PDE5i for treatment of ED in men with SCI is effective, safe and popular, followed by the more invasive but highly effective method of intracavernosal injection. The use of mechanical devices may be effective but are less popular, and surgical options should be reserved for cases where other ED treatments fail.

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