Orlando area men experiencing erectile dysfunction should know that there is help to treat and improve this common condition. Sometimes referred to as “impotence,” ED is the repeated inability to keep, or in some cases, achieve an erection firm enough for sexual intercourse. Dr. Sarat Sabharwal with Beautiful Orlando offers several treatment options for men who have erectile dysfunction. This condition can often be unpredictable and ranges from mild (sustaining an erection briefly) to severe (the inability to get an erection at all). Dr. Sabharwal specializes in ED and works to establish a treatment plan that is effective and fits within the lifestyle of his patients.
Causes of ED
Erectile dysfunction can be caused by a number of factors, including physical, chemical, or psychological. The condition is most commonly linked to smoking, alcoholism, diabetes, high blood pressure, high cholesterol, low testosterone, steroid use, age, stress, and anxiety. Approximately 70% of all erectile dysfunction cases are linked to chronic illness, such as MS, kidney disease, diabetes, neurological disease, etc. Depression, anxiety, low self-esteem, and other psychological factors also play a significant role in ED, accounting for about 20% of cases. Most men who have erectile dysfunction experience the same characteristics. In addition to physical elements, ED can be overwhelming and cause emotional stress for men. While some men are embarrassed or possibly ashamed to seek help, there are outstanding treatments today that can make a drastic, positive difference for the patient.
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Help for ED
Dr. Sabharwal will conduct a thorough examination and recommend an appropriate treatment plan that will likely start with the least invasive approach, which may include drugs such as Viagra, Levitra, and Cialis. Lifestyle changes and behavior therapy may also be incorporated to see if improvements can be achieved, which usually is aimed at lessening anxiety as it pertains to sexual intercourse. Erectile dysfunction is rather common and when medications and other nonsurgical courses of treatment do not work, Dr. Sabharwal may recommend surgery with the use of a penile prosthesis, or penis implant.
AMS Penile Prosthesis
AMS is a world leader and reputable manufacturer of penile prostheses for men that come in a variety of styles, shapes, and functionality depending on the severity of the case. These devices are either malleable (bendable) or inflatable, with the simplest type of prosthesis consisting of a pair of malleable rods that are surgically implanted within the erection chambers of the penis. With this type of implant, the penis is always semi-rigid and merely needs to be lifted or adjusted into the erect position to initiate sex. Today, many choose a hydraulic, inflatable prosthesis that allows a man to have an erection whenever he chooses and is much easier to conceal. It is also more natural.
The AMS Penile Prosthesis
A penile implant is usually indicated when there is a clear medical cause for ED, and when the problem is unlikely to resolve or improve naturally or if other medical treatments have failed or are unsatisfactory. Sometimes a penile prosthesis is implanted during surgery to reconstruct the penis when scarring has caused erections to curve (known as Peyronie’s disease). The inflatable penile prosthesis consists of two attached cylinders: a reservoir and a pump, which are surgically placed in the body. The two cylinders are inserted in the penis and connected by tubing to a separate reservoir of fluid. The reservoir is implanted under the groin muscles. A pump is also connected to the system and sits under the loose skin of the scrotal sac between the testicles. This penile prosthesis is referred to as a three-piece inflatable penile prosthesis due to the three different components. A two-piece inflatable penile prosthesis consists of only two components: the attached cylinders and the combined reservoir and pump unit. Instead of the reservoir being placed behind the groin, it is combined with the pump into one housing unit that fits comfortably within the scrotum. The advantage of a two-piece prosthesis is that the surgery is shorter and less complicated with no device parts in the abdomen. The disadvantage of the two-piece prosthesis is that the smaller reservoir may not result in adequate erections in some men.
To inflate the prosthesis, the man presses on the pump. The pump transfers fluid from the reservoir to the cylinders in the penis, inflating them and causing an erection. Pressing on a deflation valve at the base of the pump returns the fluid to the reservoir, deflating the penis and returning it to the normal flaccid state.
Is the Implant Noticeable?
While men who have had the prosthesis surgery can see the small surgical scar where the bottom of the penis meets the scrotal sac, other people probably will be unable to tell that a man has an inflatable penile prosthesis. Most men would not be embarrassed in a locker room or public restroom, for example.
Sex and the AMS Implant
What Is Sex Like With The Implant?
When the penis is inflated, the prosthesis makes the penis stiff and thick, similar to a natural erection. Most men rate the erection as shorter than their normal erection; however, newer models have cylinders that may increase the length, thickness, and stiffness of the penis. A penile prosthesis does not change sensation on the skin of the penis or a man’s ability to reach orgasm. Ejaculation is not affected. Once a penile prosthesis is put in, however, it may destroy the natural erection reflex. Men usually cannot get an erection without inflating the implant. If the implant is removed, the man may never again have natural erections. Dr. Sabharwal will take a careful history and perform a physical examination to determine if you are a candidate for penile implant surgery. During this exam, Dr. Sabharwal will attempt to determine the cause of your ED, as well as whether there are any co-existing problems such as loss of desire, inability to ejaculate, or premature ejaculation. Dr. Sabharwal will also assess the length, stretchability, and overall condition of your penis.
Plan Your Procedure
Control Your ED Today
If you are deemed an appropriate candidate and decide to have penile implant surgery, you will receive an extensive list of preoperative instructions, including what medications you can and cannot take in the days leading up to your implant surgery. Dr. Sabharwal will also give you a list of instructions to follow after your penile implant surgery. This postoperative instruction list may include taking antibiotics to prevent infection and wearing loose-fitting underwear and clothing.
If you experience the symptoms of erectile dysfunction and are ready to seek help, we invite you to call our Orlando, FL office to learn more about the treatments we offer.