Is Erectile Dysfunction Treatable? Exploring Modern Treatment Options

Key Takeaways:

  1. Erectile dysfunction is a common condition that affects millions of men, and it can have physical, psychological, and lifestyle-related causes.
  2. Traditional and modern treatments such as stem cell therapy, shockwave therapy, gene therapy, and penile implants are available for those with ED.
  3. Combining traditional treatments, modern therapies, and lifestyle changes is the best way to create a personalized plan that addresses the underlying causes of ED and maximizes the chances of successful treatment.

Erectile dysfunction (ED) is a common ailment among men, affecting approximately 30 million men in the United States alone. As you might know, this condition can wreak havoc on self-esteem, relationships, and overall well-being. But it’s crucial not to succumb to embarrassment or despair. The purpose of this article is to provide you with an overview of the causes and symptoms of ED, as well as the various treatment options available today.

Causes

Let’s begin by examining the factors that can contribute to ED. Physical causes, such as heart disease, diabetes, and obesity, can play a significant role in the development of erectile dysfunction. Psychological causes, like depression and anxiety, can also lead to ED, as can lifestyle factors such as smoking, excessive alcohol consumption, and a sedentary lifestyle.

Diagnosing

When it comes to diagnosing ED, a thorough medical evaluation is essential. This typically involves reviewing your medical history, conducting a physical examination, and performing blood and urine tests. A urologist might also perform a psychological evaluation to rule out any potential mental health issues.

Treatments

Traditional ED treatments, such as medications like Viagra and Cialis, vacuum devices, surgery, and counseling, have been available for several years. While these treatments can be effective for some patients, they might not always provide the desired results. That’s why exploring modern treatment options is essential.

Stem cell therapy is an innovative treatment option that involves harvesting healthy stem cells from the patient’s body and using them to regenerate damaged tissue in the penile area. Another cutting-edge therapy is shockwave therapy, which utilizes low-intensity shockwaves to improve blood flow and stimulate the growth of new blood vessels in the penis. Gene therapy, still in the experimental stage, involves injecting genes into the penis to increase production of nitric oxide, a chemical necessary for achieving and maintaining an erection. Lastly, penile implants, while not a new concept, have evolved with advances in technology and offer a reliable and long-lasting solution for men with ED.

While exploring these treatment options, it’s crucial to consider the lifestyle changes that can positively impact your erectile function. Incorporating regular exercise, adopting a healthy diet, quitting smoking, and reducing alcohol intake can all contribute to better sexual health.

For many men, a multimodal approach to treating ED yields the best results. Combining traditional treatments, modern therapies, and lifestyle changes can create a personalized plan that addresses the underlying causes of ED and maximizes the chances of successful treatment. It’s essential to work closely with a qualified urologist to craft the best possible treatment plan for your specific needs.

Conclusion

In conclusion, modern treatment options for erectile dysfunction offer hope and healing for men struggling with this common condition. But remember that seeking professional help is crucial for finding the most effective and safe treatment options tailored to your individual needs.

If you’re searching for a urologist in St. Petersburg, FL, look no further than St Pete Urology. With a team of highly skilled and empathetic professionals, they offer comprehensive evaluations and a wide range of ED treatments to help you regain your sexual vitality and confidence. Don’t let ED control your life; take the first step toward a brighter future by seeking expert help from St Pete Urology.

References:

Is Your Lifestyle Causing Erectile Dysfunction? Uncovering the Common Causes

Key Takeaways:

  1. Leading a healthy lifestyle by engaging in regular physical activity, eating a balanced diet, quitting smoking and moderating alcohol consumption, and managing stress can help to prevent or mitigate the effects of ED.
  2. Sedentary lifestyle, unhealthy diet, smoking, alcohol consumption and stress and anxiety can all contribute to erectile dysfunction.
  3. Seek medical advice if symptoms persist despite making lifestyle changes.

You may not think the decisions you make every day can have a significant impact on your sexual health, but the truth is, your choices matter. Erectile dysfunction (ED) is a condition affecting millions of men, and while it’s commonly thought to be a problem limited to older generations, the fact is that ED affects men of all ages. What you might not know is that the primary ED causes can often be controlled through simple lifestyle changes. The purpose of this article is to delve into those common causes and provide recommendations to help you prevent or mitigate the effects of erectile dysfunction and live a healthier life.

Sedentary Lifestyle: Why Sitting May Be Your Worst Enemy

It’s no secret that many Americans lead largely sedentary lives. Hours spent sitting at desks, in front of screens, and commuting can all lead to reduced physical activity. For the average person, this lack of exercise can contribute to weight gain, heart disease, and diabetes. But for men, it can also lead to erectile dysfunction. A sedentary lifestyle can lead to decreased blood flow, a key factor in obtaining and maintaining an erection. To combat this, consider incorporating physical activity into your daily routine. Even something as simple as a walk around the block or taking the stairs instead of the elevator can make a difference.

Unhealthy Diet: How Food Plays a Role in Your Sexual Health

If you think the food on your plate doesn’t have any bearing on your ability to achieve an erection, think again. An unhealthy diet can contribute to erectile dysfunction in several ways, including clogging arteries and reducing blood flow to the penis. A diet high in saturated fats, sugars, and processed foods can exacerbate the problem. To maintain a healthy diet, focus on consuming whole foods like fruits, vegetables, lean proteins, and whole grains, while also staying mindful of portion sizes and eating in moderation.

Smoking and Alcohol Consumption: The Double-Edged Sword

While a glass of wine or two might help you relax and get in the mood, excessive alcohol consumption can have the opposite effect. Similarly, smoking can decrease blood flow to the penis, making it difficult to achieve an erection. Both of these lifestyle habits have been linked to erectile dysfunction. The solution? If you smoke, consider quitting. As for alcohol, moderation is key. Limit your alcohol consumption and consider reserving those drinks for special occasions.

Stress and Anxiety: The Silent Killers

Stress and anxiety are an unavoidable part of modern life, but what you might not know is that they can contribute to erectile dysfunction. When you’re stressed or anxious, your body produces cortisol, a stress hormone that constricts blood vessels and can make it difficult to achieve an erection. To combat stress and anxiety, consider adopting stress-reduction techniques such as meditation, deep breathing exercises, and engaging in hobbies that bring you joy and relaxation.

In Conclusion: Take Control of Your Sexual Health

It’s clear that your lifestyle can play a significant role in contributing to erectile dysfunction. Leading a healthy lifestyle by engaging in regular physical activity, eating a balanced diet, quitting smoking and moderating alcohol consumption, and managing stress can all help to prevent or mitigate the effects of ED. However, if you find that your symptoms persist despite making these changes, it’s important to seek medical advice.

Located in St. Petersburg, FL, St Pete Urology is a urology practice committed to helping patients understand and address their sexual health concerns. If you’re struggling with ED, don’t hesitate to reach out to their team of experienced urologists for a personalized approach to finding the solution that’s right for you. Remember, taking control of your sexual health starts with understanding the ED causes and making the necessary lifestyle changes.

References:

What could a male do to help correct a low sperm count

A low sperm count, also known as oligospermia, can be an indicator of male fertility issues. In order to help correct this condition, there are several steps that can be taken.

  1. Increase intake of foods rich in ingredients essential for sperm production. These include folic acid, selenium, lycopene, zinc, vitamins C, D, and E, and healthy fatty acids. Eating a diet rich in these nutrients can help to improve sperm count and overall sperm health.
  2. Take more antioxidant-rich foods. Free radicals can damage sperm cells, but antioxidants can neutralize them and prevent damage. Foods high in antioxidants, such as beta-carotene, lutein, vitamin C, and beta-cryptoxanthin, can help to improve sperm count. Additionally, taking a fenugreek supplement has been shown to be a natural remedy for poor sperm health and increased sperm count.
  3. Keep things cool. The testicles need to be kept at temperatures lower than 98.6 degrees Fahrenheit in order to produce healthy sperm. Avoiding hot tubs, prolonged hot baths, tight clothing, and prolonged sitting can help to keep the scrotum cool and improve sperm production.
  4. Get enough exercise. Regular exercise can boost testosterone levels, increase sperm count and improve overall sperm health. Aim for at least 3 times a week for about 1 hour each, with focus on weight training, running, jogging, and strength training. However, it is important to avoid over-exercising as it can lower testosterone levels.
  5. Avoid exposure to toxins. Pesticides, heavy metals, and plastics can impact sperm count and quality. To prevent exposure, choose organic foods, steer clear of plastic containers and packaging, and minimize contact with heavy metals.
  6. Maintain a healthy weight. Obesity can disrupt hormonal balance, potentially causing a low sperm count. Shedding excess weight through diet and exercise can enhance sperm count and overall health.
  7. Consult with a specialist. If you suspect you have a low sperm count, it is best to consult with a specialist such as a urologist or reproductive endocrinologist. They can perform a semen analysis, identify the underlying cause and recommend appropriate treatment options.

Sperm count is the average number of sperm cells in a single semen sample. Doctors routinely assess it as an indicator of male fertility. A normal sperm count consists of at least 15 million sperm cells per milliliter of semen or a minimum of 39 million per ejaculate. A count below this level signifies a low count and indicates fertility problems.

For more information on erectile dysfunction, male infertility and various urological disorders, visit the site “St Pete Urology.”

What is sex like with a penile prosthesis

There is no such thing as “normal” when it comes to sex. What you like isn’t necessarily what another person likes. How important it is to you and how often you want it is also a personal preference, but what is common for everyone is the desire to have a pleasurable sexual encounter.

Men with erectile dysfunction who intend to have a penile implant inserted into their penis often want to know how it would impact their sexual pleasure.

Strong, reliable erection

A penile prosthesis enables you to have an erection that is strong enough for satisfactory sex. You will have an erection similar to a natural erection and will not have problems keeping it throughout sexual intercourse.

At St Pete Urology, we offer both inflatable and non-inflatable penile implants. An inflatable implant has two rods filled with fluid from a reservoir near the bladder. As the rods fill, the penis becomes erect. When there is no fluid in the rods, the penis is fully deflated and unnoticeable.

With the non-inflatable implant, a single rod is surgically implanted within the erection chamber of your penis. The rod keeps the penis in a semi-rigid state so that you merely need to lift it into position or adjust it by hand for sexual intercourse.

Regardless of whether the implant is inflatable or in a semi-rigid state, it will support your penis without making it larger or affecting the shape of its head. Expect your penis to be erect to about the same size as before you got the implant, and provide enough hardness for penetration and satisfying sex.

Unhindered sensitivity

A penile prosthesis does not affect the sensitivity of the penis, its glans, or its skin. You will not lose sensitivity and will generally respond to sexual stimulation. You will also have no limitations such as axial effort, traction, or your partner tightening the penis during sexual intercourse.

You can still enjoy different positions and enjoy normal orgasm and ejaculation—deriving maximum pleasure from your sexual encounters. The penis stays rigid even after orgasm, and it is up to you to choose to release the valve to remove the fluid from the rods and end the erection. You should also make sure to have good lubrication during intercourse.

Once you have a penile prosthesis, it may destroy your natural erection reflex. You should have the implant only when recommended by your urologist.

Hidden and unnoticeable

Due to the small incision made for the procedure, the healed scar after penile implant surgery is subtle and hidden to casual observers. The implant will be fully concealed and remain private. You can freely enjoy sex without worrying about your partner knowing you have an implant.

No one will be able to tell that you have a penile prosthesis until they see the small scar at the bottom of your penis. Even in the shower or locker room, it will remain undetectable.

Do you have erectile dysfunction? Would you like to restore your sexual function? At St Pete Urology, we understand that erectile dysfunction can severely impact your relationships and your quality of life. We offer various solutions that can help you with this predicament.

We typically recommend a penile prosthesis for patients who have not found the other ED treatments effective. After the implant surgery, patients can expect to enjoy healthy sex lives, enhanced self-esteem, and more satisfying relationships.

Schedule a consultation with one of our skilled and experienced surgeons at St Pete Urology to find out if a penile implant could be an excellent option for you

What is the fastest way to cure erectile dysfunction

For a man, erectile dysfunction can be a serious issue. When sex stops, your relationship problems may begin or worsen.The occasional inability to have an erection that is firm enough for sexual intercourse is normal. However, when the problem persists for a while, it points to a deeper issue that should be addressed immediately. Without treatment, ED can make sexual intercourse impossible.

So what is the fastest way to cure erectile dysfunction?

1. Make lifestyle changes
If you have erectile dysfunction, you can get quick results by making a few lifestyle changes that ensure enhanced blood flow to the penis and help achieve harder erections.

For example, if you quit smoking, lose weight, or exercise regularly, you may see an improvement in your sexual function. You may also need to speak with your doctor if you suspect that a medication you are taking contributes to your ED. Your doctor may change or withdraw the medication.

2. Using oral medication
You can get quick results through oral medications such as Viagra, Cialis, Levitra, Staxyn, or Stendra. These pills boost blood flow to the penis during sexual arousal, making it possible to achieve an erection that is firm enough for satisfactory sexual intercourse.

These pills require a doctor’s prescription to guarantee safety and should not be taken more than once per day. They are taken 30-60 minutes before sexual activity. Cialis can be taken up to 36 hours before sexual activity and comes with a lower daily dose.

3. Injectable drugs
If you don’t like pills, injectable medications for ED can help you achieve a stronger erection. They are injected directly into the penis and work by widening the blood vessels, making the penis engorged with blood.

Alternatively, you can use a medicated pellet that you insert into your urethra to trigger an erection within a few minutes.

If you are considering injectable drugs as an option, please make sure to discuss the details with your urologist.

4. Vacuum devices
Also called pumps, vacuum devices provide an alternative to medication. To use the pumps, you place your penis inside a cylinder connected to the pump. The pump draws out air from the cylinder to create a partial vacuum around the penis. As a result, blood rushes into and fills your penis, causing an erection.

You will have an elastic band around the base of your penis to maintain the erection during intercourse. But if you are considering using a vacuum device, it is important to discuss its proper use with your urologist because the elastic band must be used correctly to avoid potential penile damage.

5. Penile implant surgery
If you have tried pills and other less invasive options without success, you may need to undergo penile implant surgery. This option is ideal if your penile blood vessels have been damaged by severe diabetes or during radical prostatectomy. You may also need to undergo penile implant surgery if you have structural problems that make erections difficult or impossible.

There are two basic types of penile implants: inflatable and non-inflatable. The non-inflatable (malleable) implant is a single rod that can be shaped by hand to create an erection. The inflatable implant has two rods filled with fluid from a reservoir located near the bladder.

When you desire an erection, you use the pump to fill the rods with pressurized fluid. As the rods fill, the penis becomes erect and broader. The prosthesis leaves the penis completely deflated when there is no fluid in the rods, making the penis implant unnoticeable.

Want to overcome erectile dysfunction fast?

At St Pete Urology, we offer various safe, effective treatments for erectile dysfunction, including medications, injections, vacuum devices, and penile implants.

We are proud of what we have been able to achieve for our patients. In most cases, our patients have the same level of sexual satisfaction and ability to ejaculate that they had before the erectile dysfunction.

If you have trouble with erections, speak with our skilled urologists and begin your journey to a life of renewed self-esteem, confidence, and optimum sexual function. For more information about effective treatments for erectile dysfunction, visit the St Pete Urology website.

5 Things You Need to Know About Men’s Sexual Health

5 Things You Need To Know About Men's Sexual Health Image

Sex is a critical part of life. It helps in the perpetuation of species and provides an amazing source of pleasure. It ensures intimacy between partners while making bonds stronger and unions enduring. It is also a wonderful form of exercise that releases stress, gets rid of anxiety, boosts prostate health and improves overall health.

What is sexual health?

It is the state of wellbeing that enables a man to engage in and derive pleasure from sexual activity. You are sexually healthy if you have sexual desire (libido), can get and sustain an erection, and can participate in satisfactory sexual intercourse. Sex is a hormone-driven activity that begins at puberty and lasts your entire life.

On average, couples have sex once a week. Each sexual encounter typically lasts 15-30 minutes, though the actual penetration time averages 2 minutes. If you are in a relationship, you may be having less sex than you want due to a lack of intimacy or time. But by working on communication and spending quality time together, you and your partner can improve your intimacy and have a more gratifying sex life.

What should you know about men’s sexual health?

Sexual health in men is affected by a number of physical, psychological, social and interpersonal factors. For example, physiological changes can impact both the desire and the ability to have sex, while emotional and mental factors can determine the satisfaction achieved during sexual intercourse.

As a man, the knowledge of the following male sexual health issues can enable you to achieve better sexual and overall health.

Aging and sexual health

With increasing age, changes are bound to occur in your sexual function, most of which are normal. But even in your 80’s, you should still be able to enjoy sex and intimacy in your relationship. Nevertheless, one frequent effect of aging on sexual health is loss of libido (sex drive)—often due to decreasing testosterone levels. Loss of libido means you have reduced interest in sexual activity or diminished sexual thoughts. You can also lose your libido because of stress, anxiety, relationship issues, side effects of medication or some medical conditions.

If you are experiencing a reduced drive for sex, look out for the symptoms so you can describe them correctly when you speak with your urologist. One way to deal with reduced sexual urge is to take more time in direct stimulation or foreplay. For changes that occur drastically or refuse to go away after sex therapy, work with your urologist to differentiate normal from abnormal changes and receive proper treatment.

As a rule, do not assume that every change that occurs in your sexual function is because you are growing older. After age 40, make sure you are aware of the following health indicators:

  • Cholesterol levels
  • Blood pressure
  • Blood sugar levels
  • Testosterone levels
  • PSA (Prostate-specific antigen) levels

Erectile dysfunction (Impotence)

Erectile dysfunction (ED) means you are not able to get and maintain an erection that is firm enough for satisfactory sexual intercourse. It is a common sexual health issue affecting up to 50% of men above the age of 40. You may experience erectile dysfunction because of blood flow problems such as vascular disease or blood pressure, which are quite common among aging men. But other factors such as certain medications, use of alcohol and drugs, smoking and surgeries involving prostate cancer may also cause impotence.

Fortunately, medications treat 50-70% of ED cases effectively. However, if your condition does not improve with medication, your urologist can apply various non-surgical techniques to promote blood flow. There are also surgical options such as penile prostheses or implants. Surgery is not advisable as initial treatment; but when done as a last resort it usually delivers satisfactory results.

In some cases, erectile dysfunction is not due to a detectable physiological problem. Your urologist will evaluate your condition in terms of emotional or mental well-being and may recommend you work with a sex therapist. Stress, anxiety, depression or other emotional or psychological problems can often be alleviated by therapist who encourages a comfortable, honest and confidential discussion of the problem.

Peyronie’s disease

Peyronie’s disease develops when scar tissue or plaque occurs inside the erectile tissue of the penis. Though the actual cause of scar tissue formation is unknown, many men have suffered the condition following a minor trauma that elicited bleeding inside the penis. The resulting plaque is usually benign and noncancerous, but it tends to cause the bending of the penis downward or upward depending on its location.

Men with Peyronie’s disease usually experience pain during an erection and find it difficult to have sex. If you have this problem, you need to see a urologist for a timely diagnosis and treatment. The condition is diagnosed using an ultrasound exam which gives a clear picture of the erectile anatomy and function. Most cases of the disease are mild and the initial pain disappears within 6-12 months, allowing patients to return to normal sexual activity. Urologists treat remaining plaques using personalized treatment plans.

Ejaculation disorders

Ejaculation issues in men include premature ejaculation, inhibited (delayed) ejaculation and retrograde ejaculation. When you have premature ejaculation it means you are not able to delay ejaculation until the point when it is mutually desirable for you and your sex partner. It is the most frequent ejaculation issue, particularly among younger men.

Inhibited ejaculation means your ejaculation occurs slowly or never happens at all. Both premature and inhibited ejaculations have psychological causes, such as anxiety about sex, performance or trauma. But there are techniques that can be used to overcome these issues and a qualified therapist can help you. Speak with your urologist for treatment and referral to a sex therapist when necessary.
Retrograde ejaculation means the ejaculate is forced back into your bladder instead of through the urethra and out of the end of the penis at orgasm. It can be due to nerve damage, side effects of medication or surgery for bladder or prostate.

When you experience retrograde ejaculation, your urologist will change your existing medications or prescribe new ones to treat the issue. However, if the problem is caused by surgery, it might not be correctable. But that should not worry you as treatment is not usually medically necessary with retrograde ejaculation unless pregnancy is your goal.

Vasectomy is permanent contraception

Vasectomy is a simple, effective and minimally invasive surgical procedure offered as a permanent method of birth control. The 30-minute procedure involves cutting tubes that transport sperm within the male reproductive system.

The procedure does not affect the sexual health of a man and is very effective in preventing pregnancy. While vasectomy can be undone, the reversal is quite complex and comes with a lower chance of success. The time to undergo a vasectomy is when you are sure you no longer need to make your partner pregnant, for whatever reason, and consider it as a permanent method of birth control.

At St Pete Urology, we offer timely help to men with sexual health issues. We believe that speaking about these issues with a skilled and experienced urologist will help you resolve them. We also remind our clients that any sexual health issue that lasts several months may be an indicator of a more serious underlying medical issue that needs to be treated.

For instance, premature ejaculation may be due to nerve damage, medication or underlying urinary conditions. Problems with libido or erection may be the first indicator of diabetes or hormonal imbalance; while problems with erection may be due to underlying prostate cancer or cardiovascular issues. Hence, seeing a urologist for your sexual health may help uncover a potentially life-threatening condition.

Of course, there is also a connection between your overall health and your sexual health. In fact, hormonal, cardiovascular, neurological and psychological systems all contribute to your sexual performance. A healthy lifestyle that includes a good diet, healthy weight and regular exercise will promote your overall health while enhancing your sexual health and performance. For more information on men’s sexual health issues, visit the St Pete Urology website.

Infertility Treatment Options for Men & Women

Infertility Treatment Options for Men & WomenFor couples struggling to conceive a child, life might feel like a carousel, trying for the brass ring, month after month. It can put a lot of pressure on the relationship. But now there are fertility treatments that can put the chances of conception in your favor.

What are the different types of fertility treatments?

Today we have more technology for diagnosing and treating infertility than ever before. Fertility assessments should be done on both partners to determine which treatments can help, and whether it is a male or female infertility issue.

Female Options for Fertility Treatment

Fertility treatments can include medications to regulate hormones and ovulation, which are often combined with minor surgery approaches. Assisted Reproductive Technology, or ART for short, encompasses several procedures to help you conceive. Some ART procedures make it easier for the sperm to fertilize an egg, and others help with getting the egg to implant in the lining of your uterus.

Common ART fertility treatments are:

Intrauterine Insemination (IUI), in which healthy sperm is collected and then inserted directly into the uterus when you are ovulating.

In Vitro Fertilization (IVF), in which eggs are taken from the ovaries to be fertilized by sperm in the lab where they can develop into embryos. Then a doctor implants the embryos into your uterus after they grows for 3 to 5 days.

GIFT, short for Gamete IntraFallopian Transfer, and ZIFT, Zygote IntraFallopian Transfer. In GIFT, the egg and sperm are collected and immediately placed in a fallopian tube. With ZIFT, the egg(s) and sperm are combined in a lab, resulting in a fertilized egg, which then is placed into the tube at 24 hours.

Cryopreservation, which is known as “freezing” your eggs, sperm or embryos, along with donated eggs or embryos, as well as surrogate mothers who carry the embryo to term.

Both fertility drugs and hormones can be used to help determine when the woman is ovulating or ensure proper levels of hormones. Surgery can remove tissue, such as in cases of endometriosis, or be used to open blocked fallopian tubes.

Enlisting donor sperm, eggs or surrogate mothers, is popular with single people and same-sex couples who desire a baby. Donor sperm or eggs can be the solution if either partner has fertility issues.

Male Options for Fertility Treatment

There are various treatment options if the male needs help with sperm counts, quality or motility. Surgery by a qualified urologist is recommended if the cause is a varicocele (widened veins in the scrotum) or for any blockage in the vas deferens, the tubes that carry the sperm. Antibiotics can be used to treat infections in the reproductive organs, and medications can treat problems with ejaculation or erections. Another option is hormone treatment.

If you wish to conceive but are having problems, our team of specialists at St Pete Urology is experienced in working with couples to make assessments and help in achieving your dreams. For more information, visit the St Pete Urology website.

How to Prevent Erectile Dysfunction?

Erectile dysfunction is a condition that prevents a man from getting or maintaining an erection firm enough for sexual intercourse. The failure to sustain an erection may happen occasionally in healthy men and this should not be a reason to panic. One is said to have erectile dysfunction only when the inability to sustain an erection is sustained over a period of time. The risk of having erectile dysfunction increases with age, with about 50 percent of men over the age of 40 having the condition. Recent research also indicates an increase in the cases of erectile dysfunction in men in their 30s.Erectile dysfunction is treatable. Even so, it does inhibit a patient’s sexual performance, and in some cases, confidence. It comes as good news, therefore, that the condition is not only treatable, it is also preventable.

Preventing Erectile Dysfunction

The ways in which erectile dysfunction may be prevented fall into two categories:

1. Maintaining good overall health.

The sexual health of an individual is determined by his general health. If his overall health is failing, it will only be a matter of time before this starts to affect one’s sexual ability. One way of preventing erectile dysfunction therefore lies in maintaining good overall health. To this end, the following are recommended:

a. Maintain healthy body weight. A healthy balanced diet and regular exercise go a long way to keep body weight at a desired level. This protects you from obesity and other lifestyle diseases which might cause erectile dysfunction.

b. Avoid excessive use of alcohol, drugs and cigarettes. Taking these may, in the long run, lead to diseases of the heart or interfere with the functioning of blood vessels. Interfering with blood flow may reduce the amount of blood going into the penis, thus causing erectile dysfunction.

2. Managing Underlying chronic diseases

Erectile dysfunction often arises as a result of an underlying illness. For example, obesity, diabetes and cardiovascular illnesses have a tendency of interfering with the flow of blood to the penis. In addition to these, mental issues such as depression or crippling anxiety may cause erectile dysfunction. In such cases, the key to dealing with erectile dysfunction is in fighting the underlying illness. A patient with one of these conditions will be advised to, among other things:

a. Take medication as advised by the attending doctor;

b. Consult with the doctor to see if treatment for erectile dysfunction may be administered independently without affecting the treatment of the underlying illness; and

c. Seek therapy and treatment for mental health conditions.

Erectile dysfunction can be prevented by simply choosing to live a healthy lifestyle. For those already suffering from erectile dysfunction, there is no need to panic as the condition is very treatable. Our team of specialists at St. Pete Urology can help with any questions, consultation, diagnosis and treatment options for erectile dysfunction. For more information, visit the St Pete Urology website.

Treating Erectile Dysfunction with Inflatable Penile Prosthesis

Prescription medications are typically the first treatment offered for men with erectile dysfunction. But for those who don’t respond well or are unable to be treated with these pills, a penile implant is a useful alternative. The penile implant (also called penile prosthesis) is a medical device that is placed surgically into the penis to generate a natural-feeling and natural-looking erection.

Simple, outpatient procedure

The operation to place a penile prosthesis is a quick and simple procedure that takes about 1 hour to complete. The device is inserted into the penis and custom-fitted to help with erection. After it is placed, a man can go home the same day and is ready to enjoy sex after a 4-6 week recovery period.

What is a penile prosthesis?

An inflatable penile implant is a self-contained, fluid-filled, supple and durable system designed to mimic both the look and performance of the penis during a natural erection. It has three components: a reservoir that is placed in the abdomen, two cylinders inserted in the penis and a pump located in the scrotum. The two cylinders situated in the penis are connected to the saline reservoir using a tubing. Because of the three components, the penile prosthesis is known as the three-piece inflatable penile implant.

How does the penile implant work?

To inflate the penile prosthesis, a man presses the pump to transfer the saline from the reservoir into the cylinders located in the penis. The cylinders are then inflated and the penis becomes erect. When the deflation valve found at the base of the pump is pressed, the fluid moves back to the reservoir, deflating the penis and making it flaccid. So the penile implant is capable of producing erections that are satisfactory for sexual intercourse.

Why should men with ED consider penile implants?

Once placed surgically by a urologist, an inflatable penile prosthesis helps a man to regain control of his body. Unlike other ED treatment options which require a slightly longer waiting period before use, the implant can be used at any time. Penile implants are an ideal option for men whose ED has not been resolved by other treatment options. It is a cost-effective option that achieves 98 percent satisfaction rate with patients and is not noticeable in a flaccid penis. In fact, even your sex partners will not know that you have the implant unless you inform them.

If you are looking for something to make you a confident, self-assured man again, a penile prosthesis may be just what you need. It effectively mimics the look and performance of a natural penis and will enable you to begin enjoying sex as soon as you are recovered from the surgery. Unlike remembering to take your medication every time you want to have sex, a penile prosthesis offers a more permanent and natural solution. For more information on treatment of erectile dysfunction, visit the “St Pete Urology” site.

What treatments are available for erectile dysfunction?

Are you struggling to achieve or maintain an erection? Whether you are under 35 or over 65, you are certainly not alone. Erectile dysfunction (ED) is quite common in American men, affecting more than 20 million men. Statistically, 52 percent of men between 40 and 70 years old have some form of erectile dysfunction while 25 percent of men younger than 40 suffer from the problem on a regular basis. At St Pete Urology, we see a lot of cases of erectile dysfunction every month, administer treatments and achieve excellent results for our patients.

Types of ED treatments

There are a number of safe and effective treatments for erectile dysfunction which, when properly applied, help in achieving and maintaining an erection for satisfactory sexual intercourse. The main treatments include oral medications, penile injections, vacuum erection devices and surgery. The choice of treatment depends on factors such as underlying causes and severity of the dysfunction, and overall health and preferences of the patient.

Oral medications

Dr. Adam Oppenheim of Advanced Urology InstituteAt St Pete Urology, oral medications are typically our first line of treatment. The medications commonly given are vardenafil (Levitra, Staxyn), sildenafil (Viagra), avanafil (Stendra) and tadalafil (Cialis). All these medications work by improving the action and efficacy of nitric oxide, which is a natural chemical produced by the body and used to relax penile muscles. With increased activity of nitric oxide due to these drugs, there is increased relaxation of the smooth muscles, improved blood flow to and in the penis and greater likelihood of developing an erection when there is sexual stimulation.

Though the oral ED drugs are similar in their mechanism of action, they vary slightly in chemical makeup, timing of dosage and expected period of effectiveness, and potential side effects. For instance, sildenafil (Viagra) produces the best effect when taken without food about one hour before sex and its effect lasts six hours. Vardenafil (Levitra, Staxyn) can be taken with or without food one hour before sex and its effect lasts seven hours. Like vardenafil, avanafil (Stendra) can be taken with or without food, but 15-30 minutes before sex (depending on the dose) and its effects lasts six hours. Tadalafil (Cialis) should be taken in small daily doses or in a large dose (as needed) with or without food about 1-2 hours before sex and its effect lasts 36 hours. Doctors usually consider these differences before prescribing oral ED medications.

Penile injections

An effective alternative to oral medications is injectable ED medicine. The specific injectable medication may vary, but some of the most commonly used ones are papaverine hydrochloride, alprostadil, prostaglandin E-1 and phentolamine. An injection of one or a blend of these ingredients will relax arterial wall muscles, cause increased blood flow into the penis and result in an erection. A small, sharp needle is used for the injection and there is only minimal discomfort. At St Pete Urology, we teach patients how to do the injections and once they have mastered it, then drugs are ordered and sent to them to do the injections at home.

Vacuum constriction devices

A vacuum device is an external pump supplied with a band to help trigger an erection by driving blood into the penis. Vacuum constriction devices (VCDs) have three components: the plastic tube placed around the penis, the pump that draws out air from the tube and creates a vacuum, and the elastic ring that helps to maintain an erection during intercourse by preventing the flow of blood back into the body. The elastic ring should only remain in place for a maximum of 30 minutes and then should be removed to restore normal blood circulation and prevent potential skin irritation. Using a vacuum pump requires adjustment and practice — it may make the penis feel numb or cold, purple in color and bruised, although such effects are often painless and go away in a few days. The devices also may weaken ejaculation, but they do not affect orgasm (pleasure of climax).

Implant surgery

Surgery is often a last resort treatment for ED. At St Pete Urology, we speak with our patients about whether or not surgery is right for them. Surgery can be done either to implant a device into the penis that makes it erect or rebuild the arteries and veins around the penis to improve blood flow. Implanted devices (prostheses) are an effective treatment for ED with implant surgeries typically taking about one hour to complete and usually done in outpatient setting.

There are two types of penile implants: inflatable implants that make the penis wider and longer via a pump in the scrotum and malleable implants that are basically rods allowing for manual adjustment of the position of the penis. Patients leave the hospital the day after their implant surgery and are able to use the implant to achieve an erection 4-6 weeks after surgery. Possible challenges with the implants include infection and breakage, but they are generally effective in getting and maintaining an erection.

Vascular reconstructive surgery

Another option is the urologist can perform a vascular or arterial reconstruction surgery to improve blood flow to and in the penis. Vascular reconstructive surgery is a highly delicate procedure involving either the re-routing of arterial pathways leading to the penis to bypass blocked arteries that are restricting blood flow, or to unblock blood vessels causing an obstruction. An artery can be bypassed by moving an abdominal muscle artery to a penile artery. Alternatively, a penile vein can be modified to work like an artery.

Men who are younger than 45 are the ideal candidates for reconstructive surgery, especially those who have experienced trauma or injury that resulted in the damage to blood vessels at the base of the penis. The goal of the procedure is to remove or bypass any blockages that may impede blood flow to the penis. And with the obstruction removed, there is increased blood flow to the penis and greater likelihood of an erection.

If you have erectile dysfunction, the first step is to speak with a doctor. The right treatment for you will depend on your overall health and the underlying cause of your ED. At St Pete Urology, we see a lot of cases of erectile dysfunction and endeavor to achieve the best possible outcomes for our patients. For more information on treatment of erectile dysfunction, visit the “St Pete Urology” site.