 [ Symptoms ] for eight years i have not been able to sustain an erection medication helped until three years ago what can i do [ Disease ] you still have many good options for getting erections you need to go talk to your urologist about the other choices these include penile vacuum erection devices work 100 some do not like the prep or mechanicalness of it all penile injection therapy works great some men love the results does not hurt i am told just have to learn what to do in a few office classes    bring your wife and yes even penile implants over 26 years never had a man not happy just because the easy stuff does not work does not mean you are done and of course why the ed be sure your primary doctor has done full battery of tests and a stress echo and checked out your carotid arteries often ed is the early warning sign of serious and even life threatening problems such as artery blockage    the kind that causes heart attacks and strokes