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NYC’s Top Urology Practice

Specializing in the treatment of Erectile Dysfunction and Penile Implant Surgery.


Welcome to Fifth Avenue Urology, the practice of Drs. Michael S. Brodherson, Yaniv M. Larish, and Leonard Glickman. We specialize in Penile Implant Surgery & the treatment of Erectile Dysfunction, as well as general urological care of both men and women.

dr-yaniv-larish-fifth-avenue-urology-2Dr. Larish is an expert in penile implant surgery for advanced erectile dysfunction. He has trained and has extensive experience in performing these delicate and artful surgeries. He is an expert on all types of penile implants and the latest technology. He teaches resident doctors on urological surgery and therefore keeps up with all the latest advancements in penile implant surgery and the newest advancements in the actual implant technology.

Dr. Larish utilizes different types of penile implants based on his expert opinion and vast experience for each individual patient’s specific needs. He uses semi-rigid or inflatable implants. The pump inflatable implants come from different manufactures and are each slightly different in their application. He will use his experience in determining which implant is right for each patient.

penile-implant-specialist-nycDr. Brodherson has been the Interim Chief of Urology at Lenox Hill Hospital and Dr. Larish served as the former chief resident in the same department. Dr. Glickman is specialty-trained in robotic and minimally invasive surgery. We are focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. As physicians, we view the ability to practice medicine as a privilege, not a right. We treat our patients with respect, professionalism and compassion.

We are located in Manhattan, in New York City’s beautiful Upper East Side. We offer the most advanced state of the art diagnosis and treatment for all problems of the male and female urological and reproductive systems.

We emphasize discretion and compassion with all of our patients no matter how large or small their problems are. We understand the emotional and physical attributes of urological problems. We understand that problems of the urological system, from the kidney to the genitals, can be worrisome, embarrassing and sensitive. We provide a compassionate and safe atmosphere to discuss and treat problems in a comfortable and confidential environment.

dr-leonard-glickmanWe are experts in conservative and surgical treatments. We never rush patients and never push surgery when alternative, less invasive treatments are possible. We are proud to be ethical and altruistic physicians with a reputation and history to prove it.

We keep up to date with the most advanced technology and pharmacology as the field of urology changes with the times. New medications and procedures are introduced regularly. We are involved with doctor education and training allowing us to easily keep on top of all the new and exciting breakthroughs in the field of urology.

And lastly, we have a great back office team that is well versed in the ins and outs of insurance company procedures and rules to make sure your care and surgery are covered. We run our office with customer care in mind by trying to make sure every patient is comfortable and visits occur in a timely manner.

3-piece Inflatable Penile Implant

What is Erectile Dysfunction (ED)?

Penile Implants are used to treat Erectile Dysfunction (ED). They provide physical support to the penis so that the patient can achieve an erection. Many patients report the highest rate of satisfaction with the use of the 3-piece inflatable implant. This is due in part to how the 3-piece provide the closest natural look and feel to the penis as compared to the semi-rigid implants.

How does the 3-piece Penile Implant work?

The three-piece device is composed of two cylinders that are surgically placed in the erectile tissues of the penis. These cylinders are then attached to a tube that is connected to the reservoir, which is situated in the lower abdomen. The reservoir contains saline which is delivered to the cylinders by a pump, which is placed in the scrotal sac. When the patient is ready for sexual activity, he presses the pump, which then delivers the saline from the reservoir into the cylinders resulting in inflation of the penis causing an erection. When the patient is finished, he presses the deflator valve located at the bottom of the pump, which then delivers the saline back into the reservoir causing the penis to deflate and return to its normal, flaccid state.

What are the most common types of 3-piece inflatable penile implants?

The most common types of 3-piece prosthesis are created by American Medical Systems, Inc. and Coloplast. The 3-piece devices created by both companies work in very similar ways, with just a few small differences. Antibiotic devices help reduce infection rates dramatically in patients who have penile implant surgery. All AMS models are coated with antibiotic to help reduce infection. Coloplast prostheses are not covered with an antibiotic, but the hydrophilic surface allows the chosen antibiotic to adhere better to the implant.

            Which type of 3-piece inflatable penile implant is better for penis straightening?

The AMS 700 CX and the Coloplast Titan implants are used by surgeons to achieve penile straightening especially in the case of patients diagnosed with Peyronie’s Disease (PD). PD occurs after the penis is exposed to repeated trauma, which causes curvature, shortening, and pain of the penis. The AMS model also provides lubrication and increased durability due to its Parylene coating.

            Which type of 3-piece inflatable penile implant is better for increasing penile girth?

The AMS 700 CXR provides expansion of penile girth, which can be useful for men who have scarred or narrow penile tissues. The AMS 700 LGX helps with both length and girth and can provide up to 1-4cm of increase in length.

Benefit of 3-piece Inflatable implant over semi-rigid implant

By far the most significant advantage of using the inflatable devices instead of the semi-rigid implant is the ability to return to a flaccid state after sexual activity. With the simple push of the deflator valve, the patient can deflate his penis, which produces a much more natural feel and look as compared to the semi-rigid implant which prevents a return to a flaccid state. Besides some small scarring located on the underside of the penis and the scrotum, the inflatable implants are discreet and undetectable to the naked eye. Patients report that there are no changes to the sensation and ability to ejaculate with the outfitting of the inflatable implant.

Cons of 3-piece inflatable implant

However, there are some disadvantages to using the inflatable implants. Since the two-piece implant reservoir is comparatively smaller, there may not be enough saline in the reservoir-pump combo unit to produce a full erection as compared to the three-piece repository. Complication rates also tend to be higher with the inflatable implants as compared to the semi-rigid devices due in part to the multiple different units comprising the implant.

If you would like to know more about how penile implants can benefit you and your partner, contact us today at 212-541-6239 and schedule your free appointment.

To find out more about penile implants, visit our website at fifthavenueurology.com.


References:
Penile prosthesis surgery in the management of erectile dysfunction
Sadeghi-Nejad H., Fam M.
(2013)  Arab Journal of Urology,  11  (3) , pp. 245-253.

2-piece Inflatable Penile Implant

Indications for inflatable penile implants

Penile Implants are used to treat Erectile Dysfunction (ED). They provide physical support to the penis so that the patient can achieve an erection.

Inflatable implants are slightly more complicated to use than the semi-rigid implants. However, what they lack in simplicity they more than makeup for in functionality. As the name suggests, inflatable implants provide the patient with an erection when they are inflated.

How does the 2-piece Inflatable Penile Implant work?

The two-piece is composed of two cylinders that are surgically placed in the penis. These cylinders are then attached to a tube that is connected to the combined reservoir and pump unit. The reservoir contains saline which is delivered to the cylinders by the pump. This reservoir-pump combo is placed inside the scrotum; therefore there are no parts placed within the lower abdomen, and the surgery is less complicated as compared to the three-piece penile implant.

When the patient is ready for sexual activity, he presses the pump, which then delivers the saline from the reservoir into the cylinders resulting in inflation of the penis causing an erection. When the patient is finished, he presses the deflator valve located at the bottom of the pump, which then delivers the saline back into the reservoir causing the penis to deflate and return to its normal, flaccid state.

Manufacturers of 2-piece penile implants

The most common type of 2-piece prosthesis is created by American Medical Systems, Inc. (AMS). Antibiotic devices help reduce infection rates dramatically in patients who have penile implant surgery. All AMS models are coated with antibiotic to help reduce infection. Ambicor is the name of the penile implant model created by AMS and is an excellent option for men who only want their prosthesis to be placed in the penis and scrotum. A study was done in 1999-2004 which showed that 85% of patients were satisfied with the Ambicor implant.

Advantages of using 2-piece inflatable penile implants

By far the most significant benefit of using the inflatable devices is the ability to return to a flaccid state after sexual activity. With the simple push of the deflator valve, the patient can deflate his penis, which produces a much more natural feel and look as compared to the semi-rigid implant which prevents a return to a flaccid state. Besides some small scarring located on the underside of the penis and the scrotum, the inflatable implants are discreet and undetectable to the naked eye. Patients report that there are no changes to the sensation and ability to ejaculate with the outfitting of the inflatable implant.

Disadvantages of using 2-piece inflatable penile implants

However, there are some disadvantages to using the inflatable implants. Since the two-piece implant reservoir is comparatively smaller, there may not be enough saline in the reservoir-pump combo unit to produce a full erection as compared to the three-piece repository. Complication rates also tend to be higher with the inflatable implants due in part to the multiple different units that could malfunction individually.

If you would like to know more about how penile implants can benefit you and your partner, contact us today at 212-541-6239 and schedule your appointment. To find out more about penile implants, visit our website at fifthavenueurology.com.


References:
Penile prosthesis surgery in the management of erectile dysfunction
Sadeghi-Nejad H., Fam M.
(2013)  Arab Journal of Urology,  11  (3) , pp. 245-253.

Penile Implants Facts vs. Fiction

Over the years, the stigma surrounding the facts about penile implants has changed significantly. Going from a taboo to a necessity in some cases, people have become a lot more understanding of implants and their uses. But with that said, there is still a lot of misconception surrounding implants, especially penile implants. So, if you want to get implants for your penis due to medical reasons but are not doing so because of the myths surrounding it, this is a list to clarify a few things. Here are a few myths surrounding penile implants, and how they grossly cloud the truth.

Myths About Penile Implants

Fiction: Penile Implants Are Too Invasive and Take Too Long

Fact: This is probably one of the biggest myths that you have heard in connection to penile implants. True, two or three decades ago, urology in general was an extremely invasive practice that would require a lot of incisions. These careful and methodical incisions would also take a lot of time to heal.

However, a lot has changed in the decades since these myths started to spread. Now, your urologist will only have to make a small incision near your penis and slowly insert the device. The process is quick and seamless, sometimes taking less than an hour to complete.

Fiction: Penile Implants Have a Very Long Recovery Time

Fact: Once the operation of a penile implant is complete, you will stay the night at a hospital under supervision. After that, implants will tend to have minor pain for the first week that you can easily get rid of through oral medication. Finally, the device can be up and running in almost four to six weeks after the operation. In other words, penile implants are actually one of the few urology procedures with an incredibly low recovery time.

Fiction: Penile Implants Are Just Novelty Procedures

Fact: Now, this myth could not be further from the truth. Penile implants are a last resort solution to erectile dysfunction. So, men who opt for penile implant in the first place are only doing so because no other form of medication or treatment worked for them.

Fiction: Penile Implants Are Very Unnatural and Stands Out

Fact: Penile implants are designed in a way that they remain concealed within the penis. So, when your penis is flaccid, you will not even recognize the implant within the body. But you may feel a slight bulge when you get an erection. Regardless, it is still very natural, and many studies have shown that partners are more than satisfied with penile implants.

Fiction: Penile Implants Are Not Reliable and Are the Least Desirable Treatment

Fact: While it is true that penile implants are a last resort when it comes to treatments, they are more than reliable. These Implants have excellent mechanical build quality with studies showing 97% reliability rate over five years. More importantly, studies also show that 94% of men with penile implants were more than satisfied with the result of their implants. So it is safe to say that this myth is just fiction at best.

Conclusion

Having a discussion about penile implants with your urologist or partner can be very difficult. But getting these implants not only ensures that you can have erections again, but it also relieves you of other medication and treatments.

If you are looking to get penile implants, be sure to visit our website where you can learn more about our urologists and any other services that we provide.

Can a Urologist Perform A Penile Implant Surgery?

Urologists are an important part of the medical world. However, they cannot do everything. They identify problems with the genitals and their links to other diseases. But they are not professionals in everything related to their craft, and often have to depend on other practitioners to help them. This is especially true in the case of surgeries. So, for those of you wondering if your urologist can perform your surgery, the answer is yes, and no.

Choosing a Urologist

The basic job description of a urologist is to identify and often times cure ailments that affect the human genitals. They can treat man and woman. They are also qualified to perform more basic surgeries and operations on the genitals, like vasectomies, kidney stone removal, and urethrotomy. These are all relatively basic operations that they can perform on their own. But an implant is on another level.

An urologist “can” perform an implant, the same way you “can” fix the plumbing at your home. You may be able to do it, but with less finesse and you might even put other people in danger. And while a urologist might not be putting themselves in danger, they can put you in a lot of danger if the surgery is not successful.

Now, there are inherent risks of your urologist performing a penile implant unsuccessfully. However, it is not to say that there aren’t any benefits. When your urologist is performing a penile implant, they will be able to do the surgery within a week. The surgery will also relatively cost less, as it is the same person performing the checkup and surgery.

Choosing a Surgeon

There is nothing inherently wrong with getting a surgery from a urologist, but the risks of something going wrong increase tremendously. Not only does the risk of infection and device malfunction increase greatly, but the neural pathways and arteries in your penis can get damaged, leading to irreversible damage. And that’s where a surgeon comes in.

In the previously mentioned scenario of plumbing, surgeons are the plumbers that are better prepared and equipped to handle your plumbing problem. Surgeons have better training with implants, and more importantly, they have more experience with implants. And the more experience they have, the less likely it is that something will go wrong. It has less chance of infection, mechanical failure, and certainly of having irreversible damage when you choose an implant surgeon.

Of course, there are also certain downsides to getting a surgeon for your penile implant. Surgeons tend to be busy or may charge much higher than a regular urologist. They might even take a lot of time before they perform the surgery because of their busy schedules. But, for many, these problems are not really that big for as long as they are sure their surgery will be successful.

Conclusion

Of course, if your urologist has a degree or proper medical training to perform major surgeries, then there is no real problem with getting the surgery from a qualified urologist. That said, if you are looking for a checkup or a surgeon for you implant surgery, be sure to visit our website and learn more.

Sex Life After 50

You can’t stop the aging process. However, modern technology helps you tackle many of the effects of aging. As you grow older, the body starts to get a lot weaker in general, and does not allow you to operate at the same pace that you used to. From getting tired easily to not being able to eat certain types of food, getting older affects you in more ways than you may realize.

However, the thing that takes the biggest hit as you get older is your sex life. Your sex life after the age of 50 gets much more difficult due to low sex drive and lack of energy. However, the one prevalent issue that makes matters worse is Erectile Dysfunction. Unfortunately, this condition can affect young men as well, but those over the age of 50 are more susceptible to it. The common causes of the condition in young people are obesity, diabetes, smoking, etc.

Erectile Dysfunction and Aging

Various studies have shown that ED is in fact a very common disease. It is almost inevitable for a large population of men man regardless of their health conditions and ethnicities. The awareness for this disease has created a very sympathetic and understanding culture among other people. You can now talk about this condition to your urologists and people around you more conveniently than you could in the past.

Many studies have also shown that this condition is more common in men as they start to age over 35. These studies suggest that almost all men suffer from erectile dysfunction at a certain age.

You have to make sure you avoid the wrong and unhealthy lifestyle choices that can lead to ED at a young age. While ED is a part of ageing, how fast you get it depends on the choices you make. Smoking and obesity can contribute to ED more than any other factors. Likewise, some psychological issues can cause erectile dysfunction.

Sex Life After 50: What Can You Do?

When it comes to your sex life after the age of 50, there is not much that you can do for the lack of sexual drive or energy. But there is something that you can do about the erectile dysfunction. From therapy to surgery and medicine, there are a multitude of ways for you to heal yourself from ED. These treatments are temporary and permanent, so you can pick the one that better fits your needs.

Penile injections can solve the problem temporarily. However, the process of getting the injection is not so pleasant and you have to do it repeatedly. Sometimes men suffer from ED due to psychological reasons, something that a therapy can really help with. Vacuum pumps can also be a great alternative to getting injections. However, one of the most popular methods of treating erectile dysfunction is implants. A penile implant surgeon inserts a set of components surgically into your penis and scrotum to give you the most natural erections possible.

Conclusion

Millions of men in the United Sates alone have erectile dysfunction. Some choose to treat it with modern methods while others remain quiet. If you are one of these people, be sure to visit our website and learn more about the procedures that we. Dr. Larish can help you know your options and perform a penile implant surgery to get your sex life back on track.

FIFTH AVENUE UROLOGY
Dr. Michael Brodherson
Dr. Yaniv Larish
Dr. Leonard Glickman
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4 East 76th Street
New York, NY 10021
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212-541-6239

Penile Implant Technology in 2020

Men with erectile dysfunctions and other penile problems in the past did not have much hope for rectifying their problem. The technology was barely there, and the few remedial measures that were present at that time were hit or miss. Even to this day, despite the advancement of technology, progress has been slow. Sure, there are medications and implants that individuals can use to regain their erectile function, but a one size fits all solution remains to be seen.

Despite the doom and gloom surrounding this complicated matter, 2019 has shown more signs of progress than ever before, which suggest that, the upward progress will continue in 2020 as well.

Erectile Dysfunction

Injury or cancer can cause men to lose their erectile function. It is a life-changing event that traumatizes men for their whole life. Close to 40 percent men between the ages of 40 and 70 have erectile dysfunction in varying levels. One-third out of these men does not even respond to Viagra. Fortunately, due to ongoing studies and researches, scientists came up with a new technology that offers a reliable alternative to men in similar situations. Some scientists even claim that with this new technology’s help, men would be able to restore their erectile functions and feel as better as they felt before.

Common Penile Implant Technology

There are other options than Viagra and drugs similar to it for regaining penal functions. Inflatable implants are what most doctors commonly use for relieving their patient’s problems. Despite the inflatable implant’s effectiveness, several other factors make it a risky choice. The use of pump and the water reservoir in this procedure not only make this procedure undesirable but dangerous as well. The complications in surgery can cause the internal reservoir to leak water. It is awkward and painful for the patients, which is why most men these days do not opt for it and seek other alternatives.

Currently, a malleable implant is what most doctors are using. Its easy installation paired with its low price is reason enough for patients to choose it. Countries other than the United States have also adopted this method with decent results. This method, however, also has some drawbacks, the main of them being that the penis remains erect permanently. It can also change its shape during use. In addition, it could damage surrounding tissue by pressurizing the surrounding areas.

New Technology for Penile Implants

The new technology that is put to use these days consists of an alloy made from nickel-titanium known as Nitinol. Because of Nitinol’s superelastic properties, doctors also use it for endovascular surgeries. The new implant technology stands out because of its shape memory alloy. This alloy activates with heat. Because of its remembering ability, it can also come back to its original shape. The implant is flaccid on normal body temperature. However, it elongates and expands as soon as it heats up.

Currently, a remote control is under development. With its help, the Nitinol will heat and expand in girth and length.

Conclusion

Consult an experienced urologist if you are facing any erectile problems. We have overseen thousands of successful urological procedures, and we vow to bring you back to full health too. Visit our website for more details and for booking an appointment in advance.

Penile Implants – FAQs

More than fifty percent of men over the age of 50 have erectile dysfunction (ED). Many men choose to remain silent, feel uncomfortable and embarrassed, but erectile dysfunction is usually easily treatable. Initially, your urologist will usually recommend prescription medication for treating the symptoms of ED, but often pills are not a viable option because of side effects, cost, and contraindications. And sometimes they simply do not work.

It’s where penile implants offer hope to many men. A penile implant, also known as penile prosthesis, is a safe and customized medical device that your urologist will insert into your penis through a minor incision at the base of your penis during a sixty to ninety-minute procedure.

We have compiled a comprehensive FAQ section to answer some of the most common questions you may have about penile implants, but may feel too uncomfortable to ask.

Q: Can I still have an orgasm?

You’ll still be able to have an orgasm and ejaculate normally as the prosthesis won’t change the sexual sensation.

Q: How long is the standard recovery time for your patients?

In most cases, the average recovery time is about six weeks, and patients can easily resume normal sexual activities, like intercourse.

Q: Is the penile implant uncomfortable?

You may be able to feel the implant for the first couple of weeks after you get it, but after that, your implant will feel natural.

Q: What are the risks?

Usually, the biggest risk associated with a penile implant is an infection. In case of an infection, we will remove the implant and put in a new implant. However, don’t worry as the risk is very low, usually about 1 or 2 percent.

Q: Will sexual intercourse be different with the penile implant?

The implant will not change your skin sensation or your ability to reach orgasm. The implant will enable your penis to thicken and stiffen while creating a more natural-looking erection.

Q: How long will the erection last?

The prosthesis will stop working when you no longer want to be hard anymore. You may stay hard for hours and be the most popular man in town!

Q: Is the implant removable?

Yes, the penile implant is removable.

Q: Am I the right candidate for penile implant surgery?

I f you have had erectile dysfunction for one year or more, and have also tried other ED treatment options, like oral medication (e.g. Cialis, Viagra, Levitra, and Stendra), penile injections, urethral suppositories (e.g. Muse), a vacuum pump, or shock wave therapy, then you are the right candidate for this surgery.

Q: Can I still have a child after penile implant surgery?

As penile implant surgery doesn’t interfere with your natural ability to ejaculate, it will not have any effect on your ability to have a child.

Q: Is the penile implant noticeable?

As the penile implant is internal, nobody will notice it. Your penis will have the same shape and appearance, whether it is erect or flaccid.

Contact Us

If you have more questions about penile implants, visit our website.  To schedule a consultation with our urologist, please call us at 212-370-4170. We look forward to improving your situation so that you can enjoy a pleasurable and fulfilling sex life.

I Have Erectile Dysfunction. What Are My Options?

Our world has come a long way in coming to accept certain diseases and problems. And there is no bigger example of this than Erectile Dysfunction. It can be a very difficult and embarrassing for men to talk about ED to their partners or even their urologists. But urologists have now become more understanding of the problem and can empathize with your situation.

However, if you were caught in an awkward moment with your partner or have been noticing that something is very wrong, then it is possible that you may have ED. Lucky for you, there are quite a few treatment options available to help you get back to normal.

Treatment Options For Erectile Dysfunction

  1. Testosterone Therapy

A very common cause for Erectile dysfunction is a low sex drive and low blood levels of testosterone. In the case of low levels of testosterone, you can eliminate ED with the help of Testosterone therapy. This is of course only one of the many ways that you can treat erectile dysfunction. That said, this therapy is very case specific and doesn’t really help when you have normal testosterone levels.

  1. Prostatic Massage

Many men have begun to take a certain form of therapy known as prostatic massage that can possibly help with ED. A practitioner will massage the area above the groin to promote better blood flow to the penis. In theory, this should greatly help with Erectile dysfunction and improve blood flow to the genitals. Theory aside, there is no rock solid proof that men who receive this massage get rid of their ED. There have not been enough studies to show just what this massage is capable of doing, but seeing that it does not cause much harm, you should still try it.

  1. Penile Implants

Oftentimes a last resort when no other treatment works, penile implants are a sure fire way to cure ED. Simply put, Penile implants forgo all other forms of treatment and does not bother with healing the symptoms. Instead, a small device is installed inside the penis that allows you to inflate and deflate your erection at will. They are very easy to install, and can start working after four weeks and can go up to five years without failing.

  1. Changing up your lifestyle

Another great way that you can cure, or at least reduce the frequency of erectile dysfunction is by changing up your lifestyle. Certain life style choices like drinking and smoking can negatively affect the blood flow into the penis. It is also very possible that the food you are eating is causing erectile dysfunction. So, be sure to eat healthy nutritious food.

  1. Medication

Medication is often a very controversial treatment for ED, seeing the many health risks it holds. And while it is true that some erectile dysfunction medication can lead to minor side affects, it is not the same with every medicine. Viagra, Stendra, and levitra are just some of the examples of good oral medication. But if they do not work, be sure to consult your physician and change the medication.

Erectile Dysfunction: Conclusion

Erectile dysfunction can leave you in quite the embarrassing situation with your partner. Thanks to the abundant treatment options, you don’t have to worry anymore. That said, if you are looking to treat your condition, be sure to visit our website to learn more about our urologists and what you can do to avoid more instances as such.

Male Aging and Erectile Dysfunction

What are the correlations between male aging and erectile dysfunction? As the body grows older, it slowly starts to become less and less efficient. After hitting your physical peak in your twenties and thirties, the body starts to become slower, weaker, and frailer. You can’t run as far or as fast as you used to. You can’t pull all nighters and work an entire day on just two hours of sleep. And certain foods can cause serious damage to your digestive system. But nowhere is aging more apparent than in a man’s sex life. Of course, one of the major changes you will experience with age is erectile dysfunction (ED).

Erectile Dysfunction

Erectile dysfunction is a very serious, yet unfortunately, very common disease that almost every man experiences after a certain age. While some may suffer from erectile dysfunction at the age of 60 or 70, some men can even suffer from it at an age as young as 35. And while it may get you in some very embarrassing situations, there is a lot more awareness of this disease now, and people along with urologists are much more understanding of this issue. So, do not feel embarrassed when explaining your situation to a urologist.

In 2003 a study showed that men will eventually come face to face with this disease as they age. This research, published by the Annals of internal medicine, also shows that men after the age of 50 are most susceptible to erectile dysfunction and likely to be impotent. The younger you are, the more sexually active you are, and less likely you are to experience ED. However, you have to keep in mind that conditions like diabetes can cause erectile dysfunction at an early age as well.

Treatments and Solutions

If you are suffering from ED, the good news is that there is a lot that you can do about it. Seeing how almost 90% of males are facing or will face ED, urologists have come up with solutions to this issue. From medication to therapy and surgery, there is no shortage of treatment options for you to choose from.

The treatments for your erectile dysfunction can be very simple, and they can get you back on track. Although some of these treatment plans are temporary solutions to your problem, others can be completely permanent and do not require any excessive treatments from a urologist.

A common treatment plan for ED is penile injections that revitalize the penis and allow for stiff erections. However, this comes at a cost, as sometimes the penile injections do not work and you will require constant doses of the formulae. But if all other forms of treatment fail, you can get implants that give very natural erections. They can be intrusive operations. They also come in a large variety so you can pick a treatment that fits your needs. So, if all else fails, just remember that you always have the option to get prosthetics.

Conclusion

Erectile dysfunction is a very serious issue that affects millions every year. But unlike many other diseases that come as a result of old age and have no solutions, there is a lot that you can do for your sex life if you suffer from erectile dysfunction.

To learn more about your options for treating erectile dysfunction, visit our website.

How Do Penile Implants Function?

How Do Penile Implants Function? Men with erectile dysfunction who fail to respond to other treatment types opt for penile implant surgery. In this surgery, doctors place a prosthetic device inside their patient’s scrotum or penis. With this device’s help, men regain their sexual function, essentially gaining their erections back as well.

How Do Penile Implants Function?

Who Are Candidates for Penile Implant Surgery?

Men who have specific problems that lead to erectile dysfunction are the main candidates for penile implant surgeries. Doctors only consider this invasive procedure as a last resort. They usually try to rectify their patient’s situation with noninvasive methods.

What Are the Different Types of Penile Implants?

With technological advancements, numerous penile implant types are available today. The patient’s preferences and needs are the determining factors for choosing the type of implant for the surgery. Before discussing the implant types, surgeons and patients should consider the following factors.

  • Life expectancy
  • Overall wellbeing and health
  • Is the penis circumcised or not
  • Kidney transplant history
  • Colostomy presence
  • Previous history of pelvic or abdominal surgery
  • Scrotum, gland, and penis size
  • The man’s and his partners’ ages
  • Type and size of the man’s body

Following are three main penile implant types:

1.     Three-Piece Inflatable Pump

In this inflatable pump, doctor place two cylinders inside their patient’s penis. The scrotum contains the inflatable pump while the abdomen contains the fluid-filled container. Doctors use special tubing to connect these components.

As the pump squeezes, the fluid present in the scrotum leaves the containers and goes to the cylinder, which creates an erection. After squeezing the release valve, fluid releases from the cylinder and goes inside the container, which gives girth to the penis.

With inflation, the erections gained from the three-piece pumps feel real. They also feel comfortable and natural when the penis is flaccid.

2.     Two-Piece Inflatable Pump

There are several similarities between the two and three-piece inflatable devices. They essentially operate in the same way. The only thing that differentiates the two-piece inflatable pump from its three-piece counterpart is that the pump present inside the patient’s scrotum contains the fluid. There are no fluid-filled containers in the two-piece pumps. Although it is an efficient pump, it does have a major drawback. It is not rigid in comparison to the three-piece pump implant.

3.     Malleable or Semi-Rigid Rods

In this penile implant, surgeons place two flexible rods inside their patient’s penis. These implants always remain in a semi-rigid state and do not change their stiffness or size. Setting them in different positions, however, is easy.

Although malleable or semi-rigid implants bend in a downward direction, straightening them is also possible. Straightening these implants upwards comes in handy during sexual intercourse. Despite the semi-rigid rod’s easy usability, some men find the state of constant erections to be extremely uncomfortable.

Sexual Intercourse with Penile Implants

The stiffness, girth, and erection all feel the same to most men when they have sexual intercourse. Some men complain that their erections do not last as long, and some say that their penis’s tip feels numb and doesn’t erect like the rest of the penis.

Conclusion

We know how serious penile problems can be and how ignoring them can lead to further problems down the line.

Get in touch with us soon through our website and book an appointment to receive first-rate consultancy from our experts.

FIFTH AVENUE UROLOGY
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