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.


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 Medications

There are several oral medications that can help with sexual dysfunction such as Viagra, Levitra, and Cialis.
Oral medications should not be taken by everyone. Please consult your physician to discuss which treatment might be best for you.

Self Injection

This option involves using a short needle to inject medication (alprostadil, tri0mix, bi-mix) into the side of the penis, directly into the left or right Corpora Cavernosum. This is a very effective method, but usually reserved for individuals who did not experience results from 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.


Penile implants to treat sexual dysfunction problems are either semirigid (non inflatable) 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%.

There are two kinds of inflatable implants. Both have cylinders in the shaft of the penis, a reservoir that holds water, and a pump to move the water from the reservoir to the cylinders. You create an erection by pumping water out of the reservoir and into the cylinders.

  • A three-chamber inflatable implant has the cylinders in the penis, the reservoir in the belly, and the pump and release valve in the scrotum. The reservoir in this type of implant is larger and separate from the cylinders.
  • A two-chamber inflatable implant has the reservoir at the beginning of the cylinders (at the base of the penis) and the pump and release valve in the scrotum.

Prosthetic implantation will be done using regional or general anesthesia. The implants are inserted through a small incision made in the penis, lower abdomen, or scrotum. A thin flexible tube (catheter) is inserted briefly up the urethra and into the bladder to drain urine.