Men’s Sexual Health
Five Valleys Urology offers a comprehensive approach to men’s sexual health. While not always easy to discuss, our providers have the necessary training and experience to help start the conversation and develop plans for each patient’s needs. Almost all male sexual health issues are treatable, whether erectile dysfunction (ED), low libido, or a curvature of the penis. Sexual health issues can develop at any age; however, some conditions can worsen as men age. We are here to provide confidential solutions.
- Erectile Dysfunction
- Low Testosterone
- Peyronie’s Disease
- Decreased sexual drive
Erectile Dysfunction (ED)
Erectile dysfunction(ED), is the most common sex problem that men report to their doctor. It affects as many as 30 million men. If you have trouble getting or keeping an erection, that’s firm enough for sex, you may have ED. Though it’s not rare for a man to have some problems with erections occasionally, if the problem is progressive or happens routinely with sex, it is not normal, and it shouldyou should talk to your healthcare provider about treatment options.
ED can happen:
- Most often, when blood flow in the penis is limited, or there is harm to the nerves.
- With stress or emotional reasons
- As part of the normal aging process
- From smoking
- Due to some cancer-related treatments near the pelvis
- As an early warning of a more serious illness, like atherosclerosis (hardening or blocked arteries), heart disease, high blood pressure, or high blood sugar from Diabetes
Finding the cause(s) of your ED will help treat the problem and help with your overall well-being. As a rule, what’s good for your heart health is good for your sex health.
Treatment Options for ED
Five Valleys Urology offers various treatment options, including oral drugs, testosterone therapy, penile injections, vacuum erection devices, and penile implants. To find out about your options, have an open and honest discussion with your provider.
Peyronie’s Disease (PD)
Men who have a curved erection could have PD. PD is a condition involving the buildup of scar tissue under the skin, causing a bend or bump of the penis during erection. PD can lead to pain with erection, diminished firmness of erection, and, when severe, can interfere with satisfactory sexual intercourse.
PD can be frustrating for patients and treating physicians alike. Once thought to affect only about 1% of men, PD is believed to occur in up to 10% of men. This condition can improve or resolve spontaneously in a small percentage of men. Five Valleys Urology offers Xiaflex, the only FDA-approved non-surgical treatment for PD.
Xiaflex Injection Therapy for PD
Peyronie’s Disease (PD) can lead to erectile dysfunction, shortening of the penis, and painful erections. Xiaflex is a medication injected directly into the scar tissue or plaque caused by PD. Combined with gentle stretching and straightening exercises, Xiaflex is an effective treatment for PD. Xiaflex targets and breaks down the plaque caused by PD. The procedure is quick and relatively painless. Our physicians have the necessary training to deliver Xiaflex in the office.
We can perform outpatient surgeries to correct the curvature caused by PD when conservative treatments are inadequate.
Vacuum Therapy for Erectile Dysfunction
Five Valleys Urology offers Timm Medical Vacuum Therapy Systems, which are 90% effective in creating an erection. These external medical devices, also known as Vacuum Constriction Devices, or penis pumps (VEDs or VCDs), help a man get an erection by providing oxygen-rich arterial blood to the penis. The pumps are safe with less risk than other treatments. They usually are used for medical causes of erectile dysfunction, including for ED post-surgery and anxiety-caused ED.
Some other advantages of the penis pump include:
- Overall low cost. Unlike pills or injections, once you purchase the device, there is very little additional cost (replacing batteries if you buy the automatic model and replacing any accessory supplies).
- Pumps are non-invasive. No injections or medication insertions and no surgery.
- They can help restore your ability to get a natural erection. Using the pump to help exercise and rehabilitate the penis can help restore the body’s natural reflex function.
Your Five Valleys Urology provider can answer more questions and help obtain the devices.