Men with erectile dysfunction are traditionally treated with oral medications. This works successfully in 80-85% of men, at least for a while. Medications may be rendered less effective or contraindicated especially in men with associated conditions such as diabetes, heart disease, high cholesterol levels, or hypertension.
The next level of treatment may be self-injection therapy using medications that increase the blood supply to the penis. This consists of using a small needle to inject medication directly into the penis 15-30 minutes before engaging in sexual intimacy. These medications can allow an erection to last for safely 30-40 minutes.
Another option is to use a vacuum device, which is a long plastic tube, applied to the penis. The air around the penis is evacuated to create a partial vacuum, which allows blood to rush into the penis that is trapped by the application of a thick rubber band at the base of the penis.
Vacuum Device Therapy
If these treatments don’t work, then the man either gives up on his sex life or agrees to a surgical procedure to insert a penile prosthesis. The most commonly used prosthesis is an inflatable prosthesis that allows a man to have an erection whenever he wants and the erection will last as long as the man wishes to maintain the erection. After the man has ended his sexual encounter, he can touch a release button on the prosthesis, and the penis becomes soft or flaccid. The prosthesis is entirely concealed inside the penis and no one can tell that the man has the prosthesis in place.
In this episode, MTP guest host and Australian urologist Dr. Ross Calopedos describes five signs and indicators of erectile dysfunction. He explains that each of the following symptoms or lifestyle choices can lead to or indicate a loss of erectile function: If you believe you may have signs of ED, it’s important to get it … Read more
Dr. Paul Perito led and participated in multiple presentations at the prestigious 2024 British Academy of Urologic Surgeons’ (BAUS) Annual Meeting (#BAUS24) in Birmingham, England. Dr. Perito’s presentations addressed a wide range of topics in the field of urologic surgery, including erectile dysfunction, infrapubic penile prosthesis, and Peyronie’s disease and penile girth augmentation. As a … Read more
Dr. Paul Perito is joined by his colleague Dr. Bernardo Cisneros to describe an area of urologic surgery that has gone underrepresented: Reshaping the penis following penile implant surgery. While penile implants are an effective treatment for ED with a low complication rate, some patients complain about their penises gradually becoming more ovoid following their … Read more
In this episode of MTP, Dr. Paul Perito discusses the relationship between veno-occlusive disease and ED. Patients with veno-occlusive-disease accounts for roughly 80 percent of cases we see and treat for ED at Perito Urology and the Perito Clinic. In some cases, the disease is genetic, but other factors may lead to it. In veno-occlusive … Read more
Penile enhancement is a growing business (no pun intended). Unfortunately, as an industry, it is rife with unqualified providers and unsafe products that cast a shadow over legitimate, tested, and effective techniques. I was recently quoted in an article in The New Yorker about silicon implants and other techniques that promise to enhance the length … Read more
Dr. Paul Perito attended the 2023 Mens’ Health Masterclass in London, UK. The event, held by Coloplast, featured experts in the field of urologic surgery who taught seminars on topics such as Peyronie’s Disease, floppy glans syndrome, and penile implant surgery. Dr. Perito both presented at the event, giving a talk called “Midline reservoir, obturator … Read more
