Erectile Dysfunction Treatment in Phoenix, AZ
Erectile dysfunction, or male impotence, is the inability to get or keep an erection to have successful intercourse. Approximately 94 million men worldwide suffer from erectile dysfunction and, most importantly, nearly every man who has the condition can be helped. Unfortunately, primary care physicians as well as even most urologists are ill equipped to treat this condition. While medications may help many patients, just taking a pill does not determine the cause of this or treat this appropriately. It can also be quite expensive in the long run.
At Southeast Valley Urology, Dr. Simoncini specializes in the diagnosis and treatment of all types of male sexual dysfunction. He and his team are able to perform both basic and complicated surgical procedures as part of their focused and result-oriented erectile dysfunction treatment process. Our urologists also emphasize lifestyle modifications to improve erections without surgical intervention.
How Is Erectile Dysfunction Diagnosed?
Talking with the ED specialists at Southeast Valley Urology is the first step in getting the proper treatment for erectile dysfunction. After review of your medical history, the process begins with a physical exam that can include examination of your vascular system, nervous system, thyroid, prostate and genitals.
Laboratory testing usually includes a full blood workup, urinalysis, and hormone testing. Our team may also talk with you about any relationship or psychological factors that could affect sexual performance.
A Diagnostic ultrasound may be done to look for problems with your prostate and other internal structures that can affect sexual function. In some cases, using Doppler ultrasound, Dr. Simoncini evaluates blood flow through your penis.
ED Treatment Options in Phoenix, AZ
If your physician suspects a psychological cause for erectile dysfunction, he or she may suggest treatment from a psychiatrist, psychologist, sex therapist or marriage counselor. It is important to understand that counseling can many times identify and solve many underlying psychological issues causing erectile dysfunction. Such counseling may also be a part of a recommended regimen to treat the problem.
When considering lifestyle changes as an approach to correct erectile dysfunction, consideration of habits that may be contribute to the condition need to be addressed. These include:
- Decreasing or limiting the consumption of alcohol
- Dietary changes to reduce the intake of fat and cholesterol
- Eliminating the use of tobacco and substance abuse
- Losing weight
- Exercising regularly
A physicians review of the medications you are presently taking may result in changes to them especially if they are known to cause erectile dysfunction.
Non-invasive treatments that include the use of oral medications such as Viagra, Cialis, and Levitra are all proven to improve blood flow to the penis by working directly on the blood vessels. They allow the arteries to expand to produce an erection. Note that while widely available today, they do not work for 20 to 30 percent of men.
Vacuum pump therapy may be prescribed as a non-invasive alternative. The pump device is placed over the penis and a vacuum is created mechanically enhancing the flow of blood into the penis. A rubber ring placed at the base of the penis helps to maintain the blood maintaining the erection. These cannot be prescribed for patients with bleeding disorders, are on anti-coagulants or those with sickle cell anemia.
The patient inserts a small dose of medication directly into the urethral opening at the end of the penis where the medication becomes absorbed into the erectile tissue. This causes the blood vessels to relax so that the penis fills with blood and becomes erect.
For this treatment, the patient or his partner injects medication directly into the base of the penis. It relaxes muscle tissue and allows blood to flow into the penis creating an erection.
Surgery (Penile Implants)
If the above treatments are unsuccessful in managing erectile dysfunction and psychological causes are ruled out, your physician may recommend penile implant surgery. The implant, called a penile prosthesis, is contained within the body. Considerations for choosing the appropriate implant include medical condition, lifestyle, personal preference and cost. As with all surgeries, there are associated risks that include pain, infection and other complications.