ED Diagnostic Evaluation:
Erectile Dysfunction can be associated with common systemic conditions such as hypertension (high blood pressure), diabetes, or previous surgery such as prostatectomy. It often presents as a side effect of medication you may be taking. At our initial evaluation we take a careful history and perform an examination that includes a routine physical exam of the genitalia and scrotum. We draw blood to test your levels of testosterone to make certain that they are adequate and we assess your PSA as a screen for Prostatic Cancer. We also test to make certain that your sense of sensation is adequate and intact by assessing your ability to perceive subtle vibration (Thesiometry). And, we test to make certain that there is adequate blood flow using a doppler ultrasound both before and after a test dose of medication designed to increase blood flow and achieve an erection.

Intracorporeal Pharmacotherapy is a technique in which we inject medication directly into the erectile bodies to assess your ability to achieve a satisfactory erection.

Penile Rejuvenation Program – designed to improve vascularity and to restore function:
The Penile Rejuvenation is an innovation of our. Platelet Rich Plasma helps to return vascular integrity to the the erectile bodies so that you can achieve a satisfactory erection naturally. A one –time injection of PRP is not sufficient and often will not allow you to achieve the desired results. We administer PRP every 6 weeks for a year, coupled with vacuum assistance and add Pulse Wave Therapy . The desired result is the restoration of normal function.

Hormone Replacement Therapy for Men – Pellets, Injections
Men with low levels of testosterone notice low libido or sex drive and the inability to achieve a satisfying erection. They may also find it difficult to penetrate or sustain an erection and they may not ejaculate normally. When we determine that your testosterone levels are low, we offer a variety of testosterone replacement options including creams, injections and pellet therapy which we favor because the insertion of testosterone pellets under the skin with local anesthesia provides a more physiologic solution and is the most convenient option for the patient. Pellets typically last 4-6 months before replacement is necessary.

Sublingual PDE Inhibitor Therapy
Phosphodiesterase Inhibitors such as Viagra, Levitra and Cialis can be formulated as a sublingual tablet to achieve rapid absorption and response. We offer these as options for our patients who want instant results.

PulseWave Therapy + PRP (Platelet Rich Plasma) Therapy combined, an Effective Treatment for ED
PulseWave Therapy, is a clinically proven alternative treatment that uses mild acoustical waves to increase blood flow. PulseWave therapy has been shown to have angiogenic properties, which means creating new blood vessels.

Platelet Rich Plasma (PRP) is packed with healing factors and special growth stimulating proteins. PRP therapy’s natural healing process intensifies the body’s efforts to renew and rejuvenate penile tissue.

These therapies combined provide better, longer lasting results for
erectile dysfunction (ED) and are Drug-free and Surgery-free.

Nitric Oxide Restoration Therapy
Erections depend on the presence of Nitric Oxide to act on the local blood vessels. Diminished levels of Nitric Oxide result in hypertension and erectile dysfunction. We test for adequate levels and advise you on supplementation that increases native Nitric Oxide levels. Many or our patients are able to either to get off of or reduce their blood pressure medication and as a result achieve more satisfying erections.

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