PENILE REJUVENATION

PENILE REJUVENATION

Erectile dysfunction (ED) is the consistent inability to achieve or maintain an erection. For an erection to occur, a specific sequence of events needs to take place, allowing blood to enter the penis while restricting the outflow of blood. The pressure this “trapped” blood creates maintains an erection. If there is a consistent breakdown in any steps in the sequence, erectile dysfunction is the result. Erectile dysfunction may occur at any age; however, the occurrence of ED is increasingly common as a man ages. However, it should not be considered a natural part of aging.

CAUSES OF ERECTILE DYSFUNCTION

In older men, there may be physical or medical conditions that contribute to erectile dysfunction. Erectile dysfunction may be caused by a combination of medical, physical, and psychological factors including:

• High blood pressure
• Heart disease
• Diabetes
• Physical injury
• Side effects from prescription medications
• Drug or alcohol use

Psychological factors and certain lifestyle choices such as smoking, obesity, stress, anxiety, guilt, and fear of poor sexual performance can also contribute to ED.

DIAGNOSIS OF ERECTILE DYSFUNCTION

Erectile dysfunction is diagnosed by evaluating a patient’s medical and psychological history, performing a physical evaluation, and conducting a series of laboratory tests that may include:

• Blood tests
• Lipid profiles
• Urinalysis
• Thyroid function tests
• Testosterone measurements
• Ultrasound

A psychosocial evaluation may also be used to examine possible psychological factors.

PREVENTION OF ERECTILE DYSFUNCTION

Not all cases of erectile dysfunction can be prevented, however, doctors may recommend the following lifestyle changes for precaution:

• Eat a healthy diet
• Exercise regularly
• Stop the use of tobacco products
• Cut back on alcohol use
• Reduce stress

Individuals who are obese may benefit from losing weight as a possible means of preventing erectile dysfunction.

WHAT ARE OUR PENILE REJUVENATION PROCEDURES?

Priapus/P-Shot: P-Shot involves taking platelet-rich plasma (PRP) from the blood and/or hyaluronic acid and injecting it into the penis. Instantly thicken the penis using PRP and/or hyaluronic acid (HA). In addition, 50U of Botox is also injected along the shaft of the penis. The non-invasive non-surgical procedure is expected to gain 3-4 cm of penile circumference lasting about a year.  Needleless Urethral Gel: The needleless urethral is a compounded medication that contains Alprostadil (PGE1), Phentolamine Mesylate, and Lidocaine HCI which is prescribed as a therapy for erectile dysfunction. It includes placing the medication into the urethra through the opening at the head of the penis prior to having intercourse. This tends to be a stronger therapy than oral medications like tadalafil (Cialis) and sildenafil (Viagra), but weaker than penile injections. BI-Mix/ Tri-Mix/ Quad-Mix: Appropriate for men who have a history of heart attack or who use nitrates for chest pain and are not able to use oral ED medication such as Viagra and Cialis. 

BENEFITS

• Provides a rapid and natural erection to occur within 5-10 minutes of injection 
• Dosage can be titrated to promote erection duration and hardness of erection. 
• No sexual stimulation or erotic thoughts are required for an erection to occur.
• Maintains full penile sensation and orgasmic function. 

PDE-5 OPTIONS The four major types of PDE5 inhibitors available include:

• sildenafil (Viagra)
• tadalafil (Cialis)
• vardenafil (Levitra or Staxyn)
• avanafil (Stendra)

The RDT (Rapid Dissolve Tablets) under the tongue absorbs sublingually and bypasses the digestive tract. Lozenges dissolve in the mouth and the scripts are scored for patient-specific dosing. There are also several generic options available in tablets.