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Erectile Dysfunction

Erectile dysfunction (ED) is the inability to achieve and or maintain an erect penis adequate for a man’s sexual needs or the sexual needs of his partner. This condition is one of the most common sexual problems for men and is more common as men age.

Most men have difficulty with erections occasionally; however, in some men, the difficulty occurs more frequently and is more severe. ED can lead to stress and anxiety for many people and can affect the quality of a marriage or intimate relationships. There are many safe and effective treatments for ED available.

Causes of Erectile Dysfunction

Some of the causes of erectile dysfunction include:

  • Use of drugs such as alcohol, antidepressants, and sedatives
  • Cigarette smoking
  • Blood flow problems, such as is caused in diabetes
  • Hardening of the arteries
  • Health problems such as severe liver, heart, or lung disease
  • Peyronie's disease or hardening
  • Nerve impulse problems due to diabetes, strokes, and diseases of the nervous system
  • Surgery or trauma to the prostate, bladder, or rectum
  • Lack of hormones, which can be caused by kidney disease, liver disease, alcoholism, or treatment of prostate cancer

Diagnosing Erectile Dysfunction

We will do a thorough history and examination, review your lab results, perform a penile

Doppler ultrasound, and discuss treatment options.

Penile Doppler Ultrasound

A penile Doppler ultrasound is performed to examine the blood vessels and flow in the penis.

It allows the urologist to measure blood flow to the penis in its erect state, and to predict the response of your ED to medications. It also allows your urologist to determine if you have an “inflow” or “outflow” type of ED, which will further inform the treatment plan for your case.

The penile Doppler ultrasound takes approximately 30 minutes. It is performed just before and during a medically stimulated erection. You will be given an injection of a medication that dilates the arteries to the penis, increasing blood flow and causing an erection. Some patients may experience a prolonged erection as a side effect (which may require further treatment to resolve).

Treatment for Erectile Dysfunction

There are many different treatment options for ED, including oral medications, self-injections, vacuum erection devices, and penile prosthetics.

For many men and their partners, medical treatment combined with behavioral support is effective. However, additional therapies are available to those for whom drug therapy is not effective. Please speak with your urologist to determine what therapy may be right for you.

Do you suffer from erectile dysfunction? Contact Miami urologist Dr. Marvin Bondhus today to schedule a consultation. He can determine the cause and create an effective treatment plan for you. Call (305) 661-9692 or use our secure online appointment request form.