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The main surgical treatment of ED involves insertion of a penile implant. Men with purely psychogenic ED will typically demonstrate normal NPT tracings while those with organic problems will show abnormal nocturnal erectile activity. Surgical techniques include excision or incision of the scar, corporal excavation, corporotomies with or without grafting, use of cavernotomes , implant downsizing and transcorporal resection163. This can lead to uncomfortable situations between pet parents, some who might not understand what is going on.