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Erectile dysfunction EDalso known as impotenceis a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image. Treatment involves addressing the underlying causes, lifestyle modifications, and addressing psychosocial issues. In some cases, treatment can involve inserting prostaglandin pellets into the urethrainjecting smooth muscle relaxants and vasodilators into the penis, a penile prosthesisa penis pumpor vascular reconstructive surgery.