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ED – Erectile Dysfunction

Erectile dysfunction, or ED, is a disease that affects millions of men. The incidence increases dramatically with age, and it affects nearly 50 % of men over the age of 60. Virtually all men can have an erection with proper treatment

*Introducing Dr. Lazare

The erection is a vascular event. The penis becomes hard when it fills with blood.  Therefore, the blood vessels to the penis must be in good shape. Consequently, the erection is more of a cholesterol issue than a testosterone issue.  Despite what you read on the internet, testosterone has very little to do with the erection.

The most important causes of ED are diabetes and hypertension.  Other causes include medications, psychiatric disorders, heart disease, and surgery.  One important surgery that can lead to ED is the radical prostatectomy for the treatment of prostate cancer.

The treatment of ED is a step-wise process, starting with the most conservative therapies, and then advancing to more involved treatments for difficult cases.

Weight loss and exercise is the first line of therapy.  Viagra, Levitra and Cialis is the next step. If the pills do not work, self-injection therapy with Prostaglandin E1 should be considered.  This medication is highly effective and is FDA approved for the treatment of ED.

The penile implant is the final treatment of ED.  *This treatment has the highest satisfaction rate of all the ED treatments-patient satisfaction is over 90%.

dr-jonathan-lazare

The three-piece penile implant is a device that is inserted through a small incision in the scrotom. When a man wants to have sex, he compresses a small bulb located within the scrotom. Water is transferred from the reservoir into two cylinders located within the penis. This produces an erection. After sex, a small button located inside the scrotom is compressed. This causes the erection to disappear.

*The procedure is performed as an outpatient and takes about an hour. The operation can be done under general or spinal anesthesia.

*With the penile implant, the penis is completely hard during sex, and is completely soft after sex. The implant is fully concealed under the skin. Nobody will know that you have it.

*In most patients, sensation, pleasure, orgasm and fertility are preserved.

The main risk is infection. If the device becomes infected, it must be removed.

Please view the following two videos that will provide further insight into the penile implant.
*Laser Prostatectomy Demonstration
*Different Treatments for ED