SexualDysfunctionNUA-OnlineApptRequestNUA-PatientForms

Erectile Dysfunction

Erectile dysfunction is the inability to achieve or maintain erections for intercourse. 5 million Americans have this problem. Although sometimes psychological, the majority of the time there is an underlying physical problem that can be addressed with medical or surgical treatment.

Treatment For Erectile Dysfunction

Erectile dysfunction is a treatable condition, and there are multiple options to choose from. Our physicians will work with you to determine the option that’s best for you and your lifestyle. Below are some common treatment options for sexual dysfunction.

Lifestyle changes

Avoidance of excessive alcohol, smoking cessation, and control of other medical problems such as hypertension, heart disease, and diabetes can help improve sexual function.

Oral Medication (Viagra, Levitra, Cialis)

There are several oral medications that can help with sexual dysfunction. 

Self-Injection

This option involves using a short needle to inject medication (alprostadil, tri-mix, bi-mix) into the side of the penis, directly into the corpus cavernosum. This is very effective, but usually reserved for those who have failed oral medications.

Intraurethral Suppositories

As an alternative to injections, urethral suppository medication (alprostadil) can help treat sexual dysfunction. In this option, the patient inserts a pellet into the penis opening into the urethra. The medication (the same used in the self injection technique) is then absorbed into the erectile tissue. In general, it is not as effective as the injection technique, but it is usually well tolerated and may improve erections in 60% of men who use it.

Vacuum Devices

Vacuum devices manually create an erection. The patient inserts the penis into a plastic tube, where an attached hand pump is used to create a vacuum that draws blood into the penis. After achieving the erection, a rubber O-ring is placed around the base of the penis to trap the blood and maintain the erection.

Prosthesis

Penile implants to treat sexual dysfunction problems are either semirigid (noninflatable) or inflatable cylinders that replace the spongy tissue (corpora cavernosum) inside the penis that fill with blood during an erection. The implants come in a variety of diameters and lengths. They are safe and effective. They are completely concealed and discrete. Patient and partner satisfaction is greater than 90%. Click here to learn more about prosthesis.