5 May 2016 News

A picture is worth a thousand words and in this final installment of my series of essays on erectile dysfunction, I will include visual representations of all of the treatment options we can offer based on the underlying problem, including a video of a penile implant.


Vacuum Erection Devices

A vacuum erection device sucks blood into the penis and a rubber ring then traps the blood, creating an erection.  Pros: it works.  Cons: there is no circulation once the ring is on and the penis will become cold and blue during sex.   Another issue is that this system is somewhat complicated.  It is not intuitive and does not lend itself to spontaneity.




Injection and Suppositories

Penile injections or urethral suppositories use medication to dilate the arteries of the penis.  Pros: it works, unless there is underlying venous insufficiency (although the little blue pill can be used in combination with injections).  Cons: I think the pictures speak for themselves.


All kidding aside, these medications do work.  They take about ten minutes to work and they must be stored in the refrigerator.  Again, spontaneity is lacking here.  These medications can be painful and the injections could lead to scarring.

Penile Implant

Another option is the penile implant.  You are about to view a video of one of my patients who was generous enough to allow me to video and post his implant.  Just so you know, he is awake during the video and is in the operating room for an unrelated procedure.  The orange stuff you see is the sterile prep for the unrelated surgery.

In my hands, the penile implant is a 45 minute outpatient procedure done through a tiny incision.  It is completely invisible.  No one, not even your sexual partner, would know that you have one.  It is completely natural.  You will have normal orgasms and normal ejaculation. It restores normal erectile function and you can have a rock-hard erection in seconds.  And it is covered by Insurance.

I hope that you have found value in following this series over the past few weeks.  We have discussed causes, the evaluation, and several solutions.  Please know that whatever the problem, I can fix it.  Contact me if you have any questions.