New Treatment Options for Erectile Dysfunction

Statistically, 50 percent of all men experience erectile dysfunction (ED) at some point of their life, with the risk of ED increasing with age. Roughly 30 million men in the United States suffer from ED, a condition that causes frustration and the breakdown of marriages and self-confidence.

Evolution of Erectile Dysfunction Treatments

Over the years, the medical management of erectile dysfunction has evolved greatly. For instance, before oral phosphodiesterase inhibitors (PDESi) like Cialis, Standra, Viagra, Levitra and related medications were introduced, doctors could administer one of only two effective treatments for erectile dysfunction: surgical penile revascularization and implantation of a penile prosthesis.

The emergence of Viagra and related oral drugs for ED ushered in a new age of non-invasive treatment of the condition. These drugs relax the muscles in the penis and increase blood flow, allowing patients to have an erection. However, while these drugs are helpful for many men, they are not safe for men with high blood pressure, severe liver disease, kidney disease, or who take nitrate drugs. The drugs also come with side effects such as a runny or stuffy nose, dizziness, fainting and blurred vision. Because of these limitations, doctors have continuously looked for new treatment options for erectile dysfunction.

New Treatment Options

New treatment options for ED include:

  1. Injection therapy: Drugs such as alprostadil (sold under the names Edex, Caverject and Prostin VR) and the suppository-form of alprostadil (sold as MUSE) are currently available to patients. Alprostadil causes expansion of blood vessels and increased blood flow to the penis, enabling patients to get erections.
  2. Extracorporeal shock-wave therapy (ESWT): Also called acoustical wave therapy or linear shockwave therapy, ESWT uses high-frequency acoustical waves for treatment of the root cause of ED. During treatment, the waves are used to open and repair blood vessels in the penis. The therapy improves blood flow in the penis by creating new blood vessels or rejuvenating existing ones, which in turn increases the patient’s ability to get an erection.
  3. Melanocortin activators: These drugs stimulate erection by acting through the central nervous system. For instance, the drug PT-141 is effective in stimulating erection when given through the nose to men with mild-to-moderate non-medical (emotional or psychological) erectile dysfunction.
  4. Topiglan: This is a cream that is applied to the penis. Topiglan contains alprostadil, the same drug that is injected or applied as suppository by men with ED.
  5. Uprima (apomorphine): Working to stimulate the secretion of the brain chemical dopamine, Uprima heightens sexual interest and increases sensations. It comes in tablet form that easily dissolves under the tongue. However, because of its major side effects of nausea and vomiting, research is still going on to find a nasal spray alternative that causes less nausea but is equally effective.
  6. Gene therapy: The therapy delivers genes that help generate proteins or products that can replace those that are not functioning well in the penile tissues of men with ED. While experimental use of gene therapy has reported tremendous success, regulatory approval and the public’s acceptance of the therapy may still take some time.

If you are suffering from erectile dysfunction, consider your options carefully. Talk to your urologist openly. Effective treatment of ED can improve your quality of life, ability to maintain intimate relationships and boost your self-esteem. At Advanced Urology Institute, we are always improving our range of treatment options to give the very best to our patients. When you visit our urology center in Florida, you can be sure that you will have a broad range of treatment options, including the very latest, for erectile dysfunction. For more information on diagnosis and treatment of erectile dysfunction, visit the “Advanced Urology Institute” site.

5 Effective Treatment Options for Erectile Dysfunction

5 Effective Treatment Options for Erectile Dysfunction

There are several treatment options available for erectile dysfunction (ED), and the right one for an individual depends on the cause of the ED, age, health and lifestyle of the patient. In most cases, the use of oral medications such as Cialis, Viagra or Levitra is the recommended first option. Then, depending on the effectiveness and tolerance of the medication, other treatments may be tried. For example, microvascular surgery is recommended for patients with blood vessel leakage or blockage, while penile prosthesis is one effective alternative for those who fail to respond to non-surgical therapy or are not candidates for surgery.
Here is a look at 5 effective treatment options for erectile dysfunction:

1. Oral Medications: Phosphodiesterase-5 (PDE-5) inhibitors

Phosphodiesterase-5 (PDE-5) inhibitors, such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra), are some of the most widely used and highly effective medications for treating erectile dysfunction. The pills work by temporarily boosting the flow of blood to the penis. Sildenafil, sold as Viagra by Pfizer, is the most commonly prescribed pharmacological medicine for ED. Though it is available in different forms, Viagra takes 30-60 minutes to show effect and has a 4-hour duration. The drug only boosts blood flow to the penis and therefore sexual arousal and stimulation are necessary in order to have and maintain an erection. Tadalafil (Cialis) has effects lasting longer (up to 36 hours depending on the dose taken) and takes effect sooner (15-30 minutes). Tadalafil is also more selective in action and does not show the side effects of sildenafil and vardenafil. Avanafil (Spedra) and vardenafil (Levitra) show similar mechanism of action as sildenafil (Viagra) and only differ in duration of onset and length of effect.

2. Urethral Suppository (MUSE)

The use of a medicated urethral system for erection (MUSE) is considered when oral pills are not effective. The treatment involves placing a small medicated suppository in the penile urethra without using needles so that the suppository is absorbed to help produce an erection. The main advantage of this treatment option is that the suppository is applied locally by the patient or his partner, and has very few side effects. After the suppository is inserted into the urethra, sexual stimulation is necessary for increased blood flow to the penis. Patients opting for MUSE should have the first suppository application done in the urologist’s office to prevent potential complications such as decreased blood pressure, urethral bleeding, and continued and prolonged erections.

3. Penile Injections

The urologist may recommend penile injections when oral medications prove ineffective. And even though the idea of injecting the penis may be quite unappealing, the effectiveness and ease of injections make this a worthwhile option to consider. Apart from Caverject and Edex that have been prescribed by urologists for a while, other commonly injected medications are papaverine, phentolamine and alprosdid. Often, urologists recommend a blend of two or three medications for use in the injections. The blend, called a Trimix, ensures a synergistic effect of three medications, keeps the dose of every drug low to prevent adverse effects, and delivers a response rate of up to 90%.

4. Vacuum Pumps

Vacuum devices are recommended for patients who have only partial erections and find other treatments ineffective or intolerable. A vacuum device is made of a plastic cylinder connected to a pump and a constriction ring. Using a battery power or manual pressure to create suction around the penis in order to bring blood into it, a vacuum pump causes an erection which is maintained by a tourniquet of sorts that is placed around the base of the penis and an elastic rind which stops additional blood from flowing out of the engorged penis. Vacuum pumps are a relatively inexpensive, safe and easy to use treatment option for erectile dysfunction with minimal side effects. Erections induced using pumps generally last for about 30 minutes.

5. Penile Prosthesis and Penile Vascular Reconstructive Surgery

Surgery is considered as the last resort when all other treatment options fail. However, it may be the best option for young men seriously injured in their pelvic area (such as in a car accident) and men with significant anatomical problems with their penis. A penile prosthesis is an effective and more invasive option in which either a semi-rigid or inflatable implant is placed on the penis through surgery. The use of penile prosthesis has been proven to offer up to 85% patient-partner satisfaction rate. Penile vascular (venous or arterial) surgery is recommended for young men who have erectile dysfunction due to congenital or traumatic leakage of the penis. Penile venous surgery is performed to boost the trapping of blood in the penis, boosting a man’s capacity to get and maintain erections. On the other hand, penile arterial surgery creates a path of blood flow to the penis by correcting/bypassing blocked arteries.

For more information on effective treatments of erectile dysfunction, visit the Advanced Urology Institute website or make an appointment with a urologist today.

Erectile Dysfunction, A Common, but Treatable Condition in Men – Dr Matthew Merrell

Video: Erectile Dysfunction, A Common, but Treatable Condition in Men – Dr Matthew Merrell


Erectile dysfunction (impotence) affects approximately 30 million men. This common problem can be a sign of a health condition that needs treatment such as poorly controlled diabetes or cardiovascular disease. Contact a urologist now and get treatment as soon as possible. [Read Full Article…]

Being a Urologist, A Very Gratifying Medical Career – Dr Matthew Merrell

Video: Being a Urologist, A Very Gratifying Medical Career – Dr Matthew Merrell

Dr. Merrell is certified by the American Board of Urology and is a fellow of the American College of Surgeons. He is a member of the American Medical Association, the American Urological Association, the Florida Urologic Association and the Volusia County Medical Society. [Read Full Article…]

Penile Prosthesis – Very High Satisfaction Rate

Video: Low Testosterone – Urologists Treat The Whole Patient



This procedure has a success rate of about 90%-95% five years after insertion. Most men rate the erection as shorter than their natural one. A penile prosthesis does not change the sensation on the skin of the penis or the ability to reach orgasm or ejaculate. Contact a urologist who knows this procedure. [Read Full Article…]

Why Shouldn’t You Feel Embarrassed About Erectile Dysfunction? Insights from Dr. Dinesh Rao

KEY TAKEAWAYS:

  • Increased awareness and open conversations about erectile dysfunction can help break the stigma surrounding the condition, encouraging more people to seek help.
  • The widespread recognition of ED and the availability of treatment options have made it easier for individuals to discuss their concerns with a healthcare professional.
  • The Advanced Urology Institute, the largest urology practice in Florida, offers comprehensive care for patients experiencing erectile dysfunction, including treatment from leading urologist Dr. Dinesh S. Rao.

Introduction: Breaking the Stigma

Erectile dysfunction (ED) is a common condition that affects many men, yet the topic has long been considered taboo or embarrassing to discuss. Dr. Dinesh S. Rao, a leading urologist in Ocala, FL, believes that increased awareness and open conversations about ED can help break the stigma, encouraging more people to seek help and receive the treatment they need.

The Role of Publicity and Awareness

According to Dr. Rao, the increased publicity surrounding ED medications has been beneficial for patients. The widespread awareness of the condition and the availability of treatment options have made it easier for people to talk about their experiences with ED. As a result, more individuals feel comfortable discussing their concerns with a healthcare professional and seeking appropriate help.

Normalizing the Conversation Around Erectile Dysfunction

The term “erectile dysfunction” has become more widely recognized and understood, which has helped normalize conversations around the condition. Dr. Rao emphasizes that this increased awareness is crucial, as it allows both men and women to recognize that ED is a widespread problem and not a source of embarrassment. By fostering open discussions about ED, more people are likely to seek help and receive the appropriate treatment.

Seeking Help at the Advanced Urology Institute

The Advanced Urology Institute, the largest urology practice in Florida, is committed to providing comprehensive care for patients experiencing erectile dysfunction. With a team of skilled professionals, including Dr. Dinesh S. Rao, the Advanced Urology Institute offers innovative treatment options and a supportive environment for patients dealing with ED.

TRANSCRIPTION:

I think the greater amount of publicity that the medications have evoked are actually very good for patients. I think many people were very nervous or shy to ask about erectile dysfunction. Even the phrase erectile dysfunction has become something that most people have now heard of, whereas before they didn’t even have that phrase. And so I think it’s actually been very helpful. People are now not quite as afraid to mention it when they come in for an office visit. I think the awareness is important because then women and men both can realize that this is a widespread problem and it’s not an embarrassment to ask for help with it. The more that people ask for help, the more they’ll receive it. So I think the awareness of erectile dysfunction, the awareness that it is very prevalent in that aging population is a good thing and I don’t really see any negatives about it.

REFERENCES:

What Causes Erectile Dysfunction and How Can It Be Treated? Dr. Dinesh S. Rao Explains

KEY TAKEAWAYS:

  • Erectile dysfunction is a common issue, affecting half of all men over the age of 40.
  • Various factors can contribute to erectile dysfunction, including aging, low hormone levels, smoking, alcohol use, and vascular disease.
  • A wide range of treatment options is available, from oral medications to surgical interventions, and the Advanced Urology Institute offers comprehensive care for patients with erectile dysfunction.

The Prevalence of Erectile Dysfunction

Dr. Dinesh S. Rao, a respected urologist in Ocala, FL, explains that erectile dysfunction (ED) is a common issue faced by many men, particularly those over the age of 40. In fact, half of all men over 40 experience some degree of erectile dysfunction. Despite its prevalence, many patients feel hesitant or embarrassed to discuss the issue with their healthcare providers.

Causes of Erectile Dysfunction

Erectile dysfunction can be caused by various factors. Some well-known causes include smoking and alcohol use. However, other factors, such as aging, low hormone levels, and vascular disease, can also contribute to ED. Dr. Rao emphasizes that heart disease and high cholesterol can have a profound effect on erections, further highlighting the importance of addressing underlying health issues.

Treatment Options for Erectile Dysfunction

When treating erectile dysfunction, Dr. Rao and his team at the Advanced Urology Institute screen for basic causes and attempt to reverse them where possible. They also offer a wide range of treatment options to suit each patient’s unique needs. These include:

  • Oral medications: Common medications, such as Viagra, Levitra, and Cialis, are often the first line of treatment for erectile dysfunction.
  • Mechanical devices: Vacuum erection aids can help those who do not tolerate oral medications.
  • Injectable therapies: Available at local pharmacies, these treatments are another option for those who cannot take oral medications. Dr. Rao’s team teaches patients how to administer injectable therapies safely and effectively.
  • Surgical interventions: Penile implantations are an option for patients who have not found success with other treatments.

Advanced Urology Institute: Comprehensive Care for Erectile Dysfunction

The Advanced Urology Institute, the largest urology practice in Florida, is dedicated to providing comprehensive care for patients with erectile dysfunction. Dr. Dinesh S. Rao and his team of skilled urologists work closely with each patient to determine the most effective treatment options, ensuring the best possible outcomes.

TRANSCRIPTION:

Many of my patients have erectile dysfunction and many of them are afraid to bring it up. There’s always some hesitation or embarrassment involved. There’s a feeling that it’s just me or there’s something wrong with me. The interesting thing is, and many people don’t know, that half of all men over the age of 40 have erectile dysfunction. So it’s extremely common, not uncommon. And there’s many, many different causes. 

Some of the things I think a lot of people are aware of, things like smoking and alcohol use, but also just aging, low hormone levels, and vascular disease apply to erectile dysfunction. If you have some element of heart disease or high cholesterol, it can make a profound effect on erections. When people come in with that problem, we screen for the basic causes and see if we can reverse some of those things, but there’s also many different types of treatments available. So we certainly have all of the different available here in our practice. Some of the most basic things include medicines, medications that people have probably heard of, things like Viagra or Levitra or Cialis. There’s also mechanical devices like vacuum erection aids that can help in people who don’t tolerate those types of medicines. We have injectable therapies that are also available and they’re available to local pharmacies and we teach people how to use them. And we even do surgeries, things like penile implantations for people who don’t succeed with other options.

REFERENCES:

What is Erectile Dysfunction? by Dr. Richard Roach

A man may have Erectile Dysfunction if he had failed to have an erection, or may have inconsistent ability to achieve an erection and lastly he can only sustain an erection briefly. Contact a urologist now and get treatment for this condition as soon as possible. [Read Full Article…]

What is Erectile Dysfunction? by Dr.Andy Sher

​Erectile dysfunction (impotence) affects approximately 30 million men. This common problem can be a sign of a health condition that needs treatment such as poorly controlled diabetes or cardiovascular disease. Contact a urologist now and get treatment for this condition as soon as possible. [Read Full Article…]