When it comes to successful treatment of erectile dysfunction, knowledge is power and we believe our patients should be empowered.
Patients at Perito Urology will usually undergo a quick study of the penile vascular system called a penile duplex (See the below image). With this study, we can immediately start and expedite the algorithm to restore sexual health and function without bouncing the patient back and forth between treatments demonstrating little or no efficacy. The pragmatic work-up allows the patient the convenience to target treatments that will be successful. For example, many patients exhibit a vascular abnormality that they never would have guessed they had: veno-occlusive disease. This process can only be treated by high dose injection therapy or a penile implant. Many patients believe they are not candidates for penile implant surgery because they consider themselves a “high risk” for any surgery. Thankfully this 15-minute procedure can be performed with any form of anesthesia available: local with IV sedation, spinal or general. Patients on anticoagulant therapy can be safely treated with the penile implant without stopping their therapy at Perito Urology. This is especially important in patients who have undergone cardiac stent placement. Considering the age range of our patients who have undergone a penile prosthesis (21 to 95) and the co-morbidities of our patients (transplant, diabetics, dialysis, etc.) few patients are considered unsafe for this minimally invasive procedure.
Typical duplex finding on a candidate for penile implantation with “leak”