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Male Sexual Dysfunction, Viagra and Penile Implant Surgery by Phalloplasty Surgeon Surgeon E. Douglas Whitehead, M.D.
Dr. Whitehead, a phalloplasty augmentation surgeon, specializes in male sexual dysfunction and penile implant surgery.
 
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  • Call 1(800) 575-1112 or e-mail us for a free informational packet on penis enlargement surgery or a telephone consultation with Batya, our Director of Phalloplasty Services.

    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
    • Axial Rigidity Testing

    • Axial Penile Rigidity testing
      • Axial Penile Rigidity testing using the Androline Rigidometer
    • 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), Vardenafil (Levitra), and Tadalafil (Cialis) are FDA approved medications for erectile dysfunction. 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)
    7. Sildenafil (Viagra), Vardenafil (Levitra), and Tadalafil (Cialis)
    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

    For more information on AMSD contact:
    E. Douglas Whitehead, M.D., F.A.C.S., Medical Director
    Association for Male Sexual Dysfunction
    24 East 12th Street, Suite 2 - 1
    New York, NY 10003
    Phone: 212-879-3131
    Fax: 212-983-2476



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    Disclaimer: The content, illustrations and references to male sexual dysfunction, Viagra, penile implants and penis enlargement including penis straightening, in this website are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis or treatment. To schedule a male sexual dysfunction consultation or a penile enlargement consultation with Dr. Whitehead, a noted phalloplasty surgeon, call 1-800-575-1112.