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

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.

  1. Oral Medication: Sildenafil (Viagra) is a new FDA approved medication that is taken approximately one hour before intercourse. Erection occurs after arousal.
  2. Intraurethral Insert: Prostaglandin E-1/Alprostadil (Muse) is a new FDA approved intraurethral insert that provides an erection.
  3. Vacuum Erection Device: an external device that is used to get an erection
  4. 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.
  5. Endocrine Therapy: topical patches or injectable treatment for a hormonal condition.
Surgical Treatments
  1. 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.
  2. Penile Arterialization: rerouting blood to the penis
  3. Venous Ligation: tying off leaky veins.
Treatment for Psychogenic Dysfunction for Individuals and Couples
  1. Marital and Family Therapy
  2. Sex Therapy
  3. Psychotherapy
  4. Psychopharmacotherapy
  5. Intraurethral Insert (Muse)
  6. Prostaglandin E-1 (Caverject or Edex)
  7. Sildenafil (Viagra)
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

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