In my last article we discussed the use of injected medications for E.D. called Bi-mix and Tri-mix. The article before that we covered Viagra and Cialis. In this article I would like to cover the surgical interventions for E.D. Why is this important? Because 30% of men will have some level of E.D. by the age of 50! It can start as difficulty initiating an erection, or unable to maintain it, or not robust enough for penetration, and worse case scenario, no erection at all.

Surgery is typically the last line of interventions, after having failed oral medications and injections. The good news is that 95% of penile implant surgeries are successful, allowing the person to engage in intercourse while sparing the sensation so you can still get full enjoyment. There is also minimal scaring on the underside of the penis. You may notice upon close examination, but no one in the locker room will be able to tell you have had surgery. Downside is they are permanent changes and there is no reversing these procedures.

One of the two options are to have two silicone and metal rods implanted, replacing the corpora spongiosum, the spongy parts of the penis that typically would fill with blood. The flexible nature allows the person to point down for urination or make it upright for sex.

Instead of flexible, semi-rigid implant the person can opt for a pump. There is a small reservoir of fluid in the abdomen is connected to a bulb pump in the scrotum. Similar to the flexible rods, the corpora spongiosum are removed and each is replaced with an inflation cylinders. Simply use the scrotal pump to transfer the fluid from the reservoir to the cylinders for the desired level of firmness.

There is also the option of microsurgical penile revascularization. The ideal candidate for this procedure is under 40 years old and has suffered a traumatic injury to the region that affects the penile vessels.

Leaving no stone unturned….you could also use a vacuum pump. Blood is drawn into the penis by creating a negative pressure around the outside of the penis. It is non-surgical, non-medication, and no injections needed. Downside is slight bruising if you are too vigorous with the pump, causing a blood vessel or two to burst.

I have a question for you. Considering you have read this much of the article; it is safe to say you have a vested interest in E.D. Do you also have what is known as Post Void Dribble (PVD)? This is when you think you have shaken enough but more pee comes out. Believe it or not, pvd and E.D. can be related and can be improved simultaneously! Typically, men will come to see me for either E.D. or post void dribble but we end up improving both at the same time! Pelvic floor muscles need to be kept in shape just like any other muscle in your body. You can’t wake up and decide you are going to run a marathon that day, you have to train for it. Same goes for sexual performance. Pills, injections and surgery only mask the underlying problem of weak pelvic floor muscles. You need a special level of physical therapy, called pelvic physical therapy, to treat the underlying cause of your E.D.

For more information, join me on May 9th at 10am as I host an E.D. Zoom meeting. Email me for the link at charles@dudleypt.com. learn more about a more natural way to treat ED without pills, injections, nor surgery, from the convenience and comfort of your own home!

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