Sildenafil citrate is a non-surgical attempt to treat ED. The idea of surgery for treating erectile dysfunction can instill nightmares. However, in cases of complicated trauma or other kinds of physical defects in the reproductive system then surgery is warranted. 

Ideally, all forms of complications in metabolism and defects in the process of erection that are psychologically induced can be treated with Sildenafil citrate.  Ideally, the reality is that erectile dysfunction is in many cases unavoidable with aging.  As men age, the degree of erectile dysfunction that they experience might be there ranging from being mild to something that is highly complex. However, it is going to be difficult for one to accept it.

Ideally even with aging and related erectile dysfunction there is no need for panic because this can be rightly treated with Sildenafil citrate.  Erectile dysfunction has been discovered to be a common outcome of some other ailments like long term diabetes mellitus.  Also in many cases anti-hypertensive drugs are also said to have interfered with the process of erection by meddling up with the metabolic process meant to take place for the sake of erection.

Erectile dysfunction can be sensed however, a few times of inconsistency in erection cannot be labeled as permanent erection and you have got to talk to your physician about it to induce the testing process and to asses the scale to which your erection process can be classified to. Never self judge or self prescribe drugs for your self.  It is very important that you talk about this to your physician and get it confirmed rather than panicking on your own.