EXECUTIVE
SUMMARY
i. Causes
ii. Oral Drug Therapy
iii. Topical Agents
iv. Injectable and Intraurethral
Agents
v. Vacuum Constriction Devices
vi. Penile Implants
vii. European Market for Erectile
Dysfunction Drugs and Penile Implants
viii. Methodology
Exhibit ES-1: Comparison of Cialis,
Levitra, and Viagra
Exhibit ES-2: 2008, Selected Emerging
Erectile Dysfunction Drugs
Exhibit
ES-3: Benefits and Risks of Penile Implants
Exhibit ES-4: Europe, Erectile
Dysfunction Treatment Products, Combined Market Forecast, 2006-2011
1.
EUROPEAN HEALTHCARE MARKETS
1.1
The European Union
1.1.1 A Common Currency
1.1.2 Regulatory Policies
1.1.3 Reimbursement
1.1.4 Healthcare Spending
1.2
Selected European National Healthcare Profiles
1.2.1 France
1.2.1.1 Healthcare Organization and
Reform
1.2.1.2 Hospital Services
1.2.1.3 Medical Device Reimbursement
1.2.2 Germany
1.2.2.1 Healthcare Organization and
Reform
1.2.2.2 Hospital Services
1.2.2.3 Medical Device Reimbursement
1.2.3 Italy
1.2.3.1 Healthcare Organization and
Reform
1.2.3.2 Hospital Services
1.2.3.3 Medical Device Reimbursement
1.2.4 Spain
1.2.4.1 Healthcare Organization and
Reform
1.2.4.2 Hospital Services
1.2.4.3 Medical Device Reimbursement
1.2.5 United Kingdom
1.2.5.1 Healthcare Organization and
Reform
1.2.5.2 Hospital Services
1.2.5.3 Medical Device Reimbursement
1.2.6 Benelux
1.2.6.1 Healthcare Organization and
Reform
1.2.6.1.1 Belgium
1.2.6.1.2 Luxembourg
1.2.6.1.3 The Netherlands
1.2.6.2 Hospital Services
1.2.6.3 Medical Device Reimbursement
Exhibit 1-1: European Union,
Medical Devices Risk Classification System
Exhibit 1-2: 2007, Europe, Population
Statistics, Selected Countries
Exhibit 1-3: France, Selected
National Healthcare Statistics
Exhibit 1-4: Germany, Selected
National Healthcare Statistics
Exhibit 1-5: Italy, Selected
National Healthcare Statistics
Exhibit 1-6: Spain, Selected
National Healthcare Statistics
Exhibit 1-7: United Kingdom,
Selected National Healthcare Statistics
Exhibit 1-8: Belgium, Selected
National Healthcare Statistics
Exhibit 1-9: Luxembourg, Selected
National Healthcare Statistics
Exhibit 1-10: The Netherlands,
Selected National Healthcare Statistics
2.
CLINICAL OVERVIEW OF ERECTILE DYSFUNCTION
2.1
Causes
2.2
Diagnosis and Treatment
2.2.1 Oral Drug Therapy
2.2.2 Injectable/Intraurethral Drug Therapy
2.2.3 Vacuum Pump Therapy
2.2.4 Surgery/Penile Implantation
2.3
Emerging Treatments and Prevention
3.
ERECTILE DYSFUNCTION TREATMENT PRODUCTS MARKET
3.1
Drug Therapy
3.1.1 Oral Agents
3.1.1.1 Cialis: Eli Lilly
3.1.1.2 Levitra: Bayer HealthCare/Bayer
3.1.1.3 Viagra: Pfizer
3.1.2 Injectable and Intraurethral Agents
3.1.2.1 Caverject: Pfizer
3.1.2.2 MUSE: VIVUS
3.1.3 Alternative Treatments
3.1.3.1 Testosterone Replacement Therapy
3.1.3.2 Yohimbine
3.1.3.3 Over-the-Counter Herbal Treatments
3.1.4 Emerging Drugs
3.1.4.1 Oral Agents
3.1.4.1.1 Zydena: Dong-A PharmTech/Dong-A
Pharmaceutical
3.1.4.1.2 Phosphodiesterase Type 5
Inhibitors: NitroMed
3.1.4.1.3 Lescol: Novartis
3.1.4.1.4 UK-369003: Pfizer
3.1.4.1.5 Mvix: SK Chemicals/SK Holdings
3.1.4.1.6 Avanafil: VIVUS
3.1.4.2 Centrally Acting Agents
3.1.4.2.1 Intranasal Apomorphine:
Nastech Pharmaceutical
3.1.4.2.2 Bremelanotide: Palatin Technologies
3.1.4.3 Topical Agents
3.1.4.3.1 MED2002: Futura Medical
and SSL International
3.1.4.3.2 CSD500: Futura Medical
and SSL International
3.1.4.3.3 Topically Applied Alprostadil
Cream: NexMed
3.2
Penile Implants
3.2.1 Inflatable Implants
3.2.1.1 The AMS 700 and the AMS Ambicor:
American Medical Systems
3.2.1.2 The Excel Inflatable Penile
Prosthesis: Coloplast
3.2.1.3 The Titan Inflatable Penile
Prosthesis: Coloplast
3.2.2 Noninflatable Implants
3.2.2.1 The AMS DURA II and the AMS
650/600M: American Medical Systems
3.2.2.2 The Genesis Penile Prosthesis:
Coloplast
3.3
Vacuum Constriction Devices
3.3.1 The SOMAerectStf and the Vitality
Over-the-Counter System: Augusta Medical Systems
3.3.2 The Osbon ErecAid Vacuum Therapy
System: Timm Medical Technologies/Plethora Solutions
3.3.3 The BOSS 2000-3 and MVP-700
Vacuum Systems: Post-T-Vac Medical
3.4
Other Devices
3.4.1 ACTIS: VIVUS
3.5
Investigational/Emerging Surgical Treatments
3.5.1 Nerve-Sparing Prostatectomy/Nerve
Grafting
3.6
Market Analysis
3.6.1 Drug Therapy
3.6.1.1 Patient Volumes Forecast
3.6.1.2 Market Forecast
3.6.1.3 Competitive Analysis
3.6.2 Penile Implants
3.6.2.1 Procedure Volumes Forecast
3.6.2.2 Market Analysis
3.6.2.3 Competitive Analysis
3.6.3 Combined Market Forecast
Exhibit 3-1: Comparison of Cialis,
Levitra, and Viagra
Exhibit 3-2: Viagra, Patient
Satisfaction Rates at One to Four Years
Exhibit 3-3: 2008, Selected Emerging
Erectile Dysfunction Drugs
Exhibit
3-4: Benefits and Risks of Penile Implants
Exhibit 3-5: Advantages and Disadvantages
of the AMS 700 Three-Piece Inflatable Penile Implant
Exhibit 3-6: Advantages and Disadvantages
of the AMS Ambicor Two-Piece Inflatable Penile Implant
Exhibit 3-7: Coloplast’s Excel
Inflatable Penile Prosthesis
Exhibit 3-8: Advantages of Coloplast’s
Titan Inflatable Penile Prosthesis
Exhibit 3-9: Coloplast’s Malleable
Genesis Penile Prosthesis
Exhibit 3-10: Augusta Medical Systems’
SOMAerectStf Vacuum Therapy System
Exhibit 3-11: Augusta Medical Systems’
Vitality Over-the-Counter Treatment System
Exhibit 3-12: Timm Medical Technologies’
Osbon ErecAid Vacuum Therapy Systems
Exhibit 3-13: Post-T-Vac Medical’s
BOSS 2000-3 and MVP 700 Vacuum Constriction Devices
Exhibit
3-14: VIVUS’ ACTIS Device
Exhibit 3-15: Patented Implantable
Neurostimulation Device for Erectile Dysfunction
Exhibit 3-16: Clinical Study of
Energy-Based Treatment of Erectile Dysfunction
Exhibit 3-17: Europe, Erectile
Dysfunction Drug Therapy, Patient Volumes Forecast, 2006-2011
Exhibit 3-18: Europe, Erectile
Dysfunction Drug Therapy, Market Forecast, 2006-2011
Exhibit 3-19: 2006, Europe, Erectile
Dysfunction Drug Therapy Market, Share by Supplier
Exhibit 3-20: 2007, Europe, Erectile
Dysfunction Drug Therapy Market, Share by Supplier
Exhibit 3-21: Europe, Penile Prosthesis
Implantation, Procedure Volumes Forecast, 2006-2011
Exhibit 3-22: Europe, Penile Implants,
Market Forecast, 2006-2011
Exhibit 3-23: 2006, Europe, Penile
Implants Market, Share by Supplier
Exhibit 3-24: 2007, Europe, Penile
Implants Market, Share by Supplier
Exhibit 3-25: Europe, Erectile
Dysfunction Treatment Products, Combined Market Forecast, 2006-2011
4. COMPANY PROFILES
4.1 American Medical Systems Holdings,
Inc.
4.2 Augusta Medical Systems LLC
4.3 Bayer AG
4.4 Coloplast AS
4.5 Futura Medical PLC
4.6 GlaxoSmithKline PLC
4.7 Eli Lilly and Company
4.8 NexMed, Inc.
4.9 Palatin Technologies, Inc.
4.10 Pfizer, Inc.
4.11 SK Chemicals/SK Holdings Company
LTD
4.12 SSL International PLC
4.13 VIVUS, Inc.
APPENDIX:
COMPANY LISTING