Erectile Dysfunction
Erectile Dysfunction (ED) is extremely common, affecting nearly 50% of men by the age of 50 years old. You are not alone. We are here to help you get your erections back.
ED can impact both partners in a relationship - causing stress, anxiety, and sometimes depression. Treating ED can improve quality of life for both partners.
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Come see us at Urology Nevada to discuss your results. We are here for you - we can improve your erections.
Common Causes
In the United states the most common causes of erectile dysfunction:
Heart disease, diabetes, obesity, pelvic surgery, trauma, neurologic conditions, medication related, and priapism (prolonged erection).
How we treat ED
There are a number of different ways to treat Erectile Dysfunction, and each patient deserves a personalized treatment plan based on your degree of ED, your goals, and medical health.
A good first step in the treatment of erectile dysfunction is to treat the underlining medical problems that led to ED. This is also called lifestyle changes. Erectile dysfunction lifestyle modifications include: diet, exercise, and weight-loss.
Medications that increase blood flow to the penis with arousal is a good first option for the treatment of ED. These can be effective for mild to moderate ED. The class of medications is called phosphodiesterase5 inhibitors (PDE-5i). Examples:
Sildenafil (Viagra)
Tadalafil (Cialis)
Vardenafil (Levitra)
Penile Injections - Medications that we teach you how to inject directly into the erectile tissue of the penis for the treatment of erectile dysfunction. These are medicines that increase blood flow to the penis. Examples:
Trimix (Papaverine, Phentolamine, Prostaglandin)
Bimix (Papaverine, Phentolamine)
Prostaglandin (alprostadil)
Penile Implants - A surgical solution for patients that do not tolerate more conservative treatments or medications may benefit from penile implant surgery. Penile implants are often called “I-P-Ps” for inflatable penile prosthesis. An IPP is the most commonly implanted device in the U.S. The penile implant is surgically inserted into the penile erectile tissues, and after your incisions are healed, the device is concealed. The main advantage is the erection is reliable, rigid, and requires no medicines.
Erectile Dysfunction webinar from November 12, 2020.
Learn more about this condition in the first video, and hear first hand a real patient’s journey treating his erectile dysfunction.
Thank you Dr. Eddie Jumper for sharing your story and journey with erectile dysfunction. November 12, 2020 Men's health webinar with Boston Scientific
Penile Implants - Don’t take my word for it!
Video resources and links to speak with real patients about their journey with ED.
EDcure.org video testimonials
Penile Implants
Penile implant surgery is a great option for men with erectile dysfunction. Men with erectile dysfunction may not tolerate medications (oral medications like sildenafil or viagra) or penile injection medications (like tri-mix) may not work very well anymore. Some men have side effects from these medicine or they may not like having to take medications prior to sexual intercourse. Penile implant surgery provides men with a reliable, permanent, rigid, realistic, and concealable treatment for erectile dysfunction.
There are two main penile implant companies in The United States. I work with both manufacturers and have experience implanting both company’s products. These links will provide you information on erectile dysfunction and their penile implant products. I look forward to talking to you about either.
Boston Scientific (formerly American Medical Systems)
Three-Piece Penile Implant
This is the most realistic penile implant - results in the most rigid when inflated and most flacid when deflated.
In the United States, this is the most common penile implant
The three components are:
1- Cylinders, placed inside the erectile tubes of the penis
2- Pump, placed inside the scrotum - gives you total control of inflation and deflation of the cylinders
3 - Reservoir, placed behind the pubic bone - holds the fluid for the cylinders
Instructions on using your AMS 700 Penile Implant. Patient demonstrating inflation and deflation techniques to operate their penile prosthesis.
Two-Piece Penile Implant
This is another option for good rigidity with one less component. All of the fluid is held within the cylinders and pump. The main drawback is the implant tends to be more visible in the flacid state.
The two components are:
Cylinders, placed inside the erectile tubes of the penis
Pump, placed inside the scrotum - gives you control of inflation of the cylinders
One-Piece Penile Implant
This is also called a “malleable” penile implant. It bends down when not in use, and then is repositioned straight for the erect state. This is the most common implant in the world and is the least expensive. Drawbacks include: least rigid and least realistic erection of the three options.
One cylinder is placed on each side of the penis.
Spectra - Malleable device