Information About Viagra and Penile Implant Surgery For Male Sexual Dysfunction

This site is about Penis Enlargement and Penis Enlargement Surgery. Dr. Whitehead specializes in penis enlargement through penis lengthening surgery, penis widening surgery and glanular enhancement surgery.

Male Sexual Dysfunction

Consultation

Treatments

FAQ's

Male Sexual Dysfunction

What is Male Sexual Dysfunction?
Problems with:

Erections
Ejaculatory difficulties
Unsatisfactory levels of sexual activity
Low sexual desire

Specifically, such dysfunctions are:

Impotence
Premature ejaculation
Retarded ejaculation
Marital problems

These may occur in single or married men of all age groups.

What causes Male Sexual Dysfunction?
Current medical research indicates that in approximately 80% of men the problem is due to physical causes. These include:

Physical Causes:

Diabetes
Side effects from medication, particularly blood pressure and antidepressant medications
Atherosclerosis
Hypertension
Hormonal disorders
Alcohol
Recreational drugs
Neurological illness or injury
Metabolic diseases
Kidney diseases
Structural genital problems
Abdominal, pelvic or genital surgery
Smoking

Psychological Causes:

Performance anxiety
Fear of intimacy
Stress
Marital problems
Anxiety
Depression

Diagnostic Testing
Diagnostic testing employed by the Association utilizing new and sophisticated methods to determine the cause of the dysfunction are:

Penile Arterial Blood Flow Studies
to measure if enough blood is delivered to the penis during an erection
- Duplex Doppler Ultrasound
- Intracavernous Vasoactive Agents (Pharmacologic stimulation)
- Penile Plethysmography
- Pudendal Arteriography
Venous Studies
to identify an abnormal leak causing premature softening of the penis
- Cavernosometry
- Cavernosography
Neurological Studies
to determine if the nerves involved with the erections are functioning normally
- Biothesiometry
- Stimulus Evoked Response
- Electromyography
Sleep Studies
to determine if the impotence is due to physical or psychological factors
- Nocturnal Penile Tumescence (NPT) and Rigidity Testing, using the ambulatory RigiScan method
Hormonal Studies
to determine if there are abnormal hormonal levels
- Testosterone
- Prolactin
- LH
- FSH
- Thyroid and adrenal studies

The selection of diagnostic studies is made with the patient's specific problem and his desires considered. The patient's partner is encouraged to participate in the evaluation and treatment selection. Most men do not require all of the above tests. Appropriate treatment choices are reviewed and selected based on the patient's wishes.

Treatment Approaches
Medical Treatments
With the development of advanced medical techniques, approximately 90% of patients of all ages are helped without surgery.

Oral Medication: Sildenafil (Viagra), Vardenafil (Levitra), and Tadalafil (Cialis) are FDA approved medications for erectile dysfunction. Erection occurs after arousal.

Intraurethral Insert: Prostaglandin E-1/Alprostadil (Muse) is a new FDA approved intraurethral insert that provides an erection.

Vacuum Erection Device: an external device that is used to get an erection

Intracavernosal Pharmacologic Agents: a painless self-injection into the penis of one or a combination of Papavarine, Phentolamine, Prostaglandin E-1 just before an erection is desired.

Endocrine Therapy: topical patches or injectable treatment for a hormonal condition.

Surgical Treatments

Penile Implant: an internal device that is permanent and makes the penis hard enough for penetration. There are several types with different features. With the currently available state-of-the-art implants, a success rate of almost 95% may be expected.
Penile Arterialization: rerouting blood to the penis
Venous Ligation: tying off leaky veins.

Treatment for Psychogenic Dysfunction for Individuals and Couples

Marital and Family Therapy
Sex Therapy
Psychotherapy
Psychopharmacotherapy
Intraurethral Insert (Muse)
Prostaglandin E-1 (Caverject)
Sildenafil (Viagra), Vardenafil (Levitra), and Tadalafil (Cialis)

For more information, please read our articles page and the Book titled "Viagra - The Wonder Drug for Peak Performance" by Dr. Whitehead and published by Dell Publishing, 1999

For more information on AMSD contact:

E. Douglas Whitehead, M.D.,. F.A.C.S., Medical Director
Association for Male Sexual Dysfunction
24 East 12th Street, Suite 2 - 1
New York, NY 10003
Phone: 212-794-1616
Fax: 212-983-2476

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Dr. E. Douglas Whitehead, M.D., a renowned phalloplasty surgeon, provides this penile enlargement web site to explain the various medical procedures available for penile enhancement surgery including male sexual dysfunction, Viagra, penile implants and penis enlargement. The content is not intended to be a substitute for professional medical advice, diagnosis or treatment.

For more information about penis enlargement surgery e-mail us for a free informational packet or to schedule a confidential penis enhancement consultation with Dr. Whitehead call 1-800-575-1112.