Erectile Dysfunction (ED)
ED Treatment at Philadelphia Center for Sexual Medicine
Erectile dysfunction (ED), or impotence, is the consistent or recurrent inability of a man to attain and/or maintain a penile erection for sexual performance. ED is not uncommon, and over 50% of men between 40-70 experience it at some point in their lives. Many men may get a few blue pills from their primary care doctors, but find they are insufficient, or don't address the issue in its entirety.
That's where the Philadelphia Center for Sexual Medicine is different. Dr. Gittens is an expert in the field of sexual health. Generalists tend to gloss over the root causes. Dr. Gittens specializes in getting to the root cause of the problem and then working with you to create a treatment plan based on his findings. This is the only viable strategy for a comprehensive, long term solution to ED. Unfortunately, many practitioners push only one or two treatment methods (those which are easiest or more lucrative). Dr. Gittens spends significant time and effort to pinpoint the causes and will stick with you during treatment to ensure that your performance not only returns, but returns to the fullest potential possible.
During your evaluation, Dr. Gittens will perform a thorough health history and a targeted exam. ED can sometimes be a harbinger of an underlying issues such as diabetes or heart disease. He may also perform vibration and sensory testing which allows him to determine if your problem stems from a nerve issue. He also performs vascular testing to evaluate the blood flow that is entering and leaving your penis. This allows him to inform you if the problem is a blood flow issue.
Dr. Gittens has extensive knowledge in all treatments of ED that range from oral medications to direct therapy into the penis, intraurethral therapy, and vacuum devices. He also may combine different therapies to obtain more effective results.
Dr. Gittens is a leading expert in treating erectile dysfunction. He is board certified and fellowship trained in sexual dysfunction and recognized by the American Academy of Surgeons. Dr. Gittens has performed hundreds of penile prosthesis or penis pump surgery with exceptional results.
Schedule a consultation with Dr. Gittens today, and begin to take back your sex life.
Risk factors for Erectile Dysfunction
There are a number of risk factors that predispose men to having erectile dysfunction. In order to diagnosis your problem, Dr. Gittens performs a thorough history and physical exam, along with laboratory studies.
High blood pressure
Coronary artery disease
Peripheral vascular disease
Trauma or surgery to the back
Trauma to the Pelvis
Treatment Options for Erectile dysfunction (ED)
At Philadelphia Center for Sexual Medicine we have a multi-dimensional approach to your ED. We will identify risk factors that may be the cause of your erectile difficulties. Depending on your individual problem, we will recommend a treatment plan that may contain lifestyle modifications, medication alterations, erectile function medications and possible hormonal manipulation.
Oral Therapy for Erectile dysfunction (ED)
There are four oral medications that are FDA approved for the treatment of erectile dysfunction. These classes of medications are called phosphodiesterase inhibitors (PDE5) and include sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and Avanafil (Stendra). PDE5’s may take from 30 minutes to two hours to begin working and sexual stimulation is needed.
Intraurethral Medication for ED
Another alternative for erectile dysfunction are medicated urethral suppositories, also known as MUSE. This is administered directly into the penile urethra through a specialized applicator system and is then absorbed directly into the penis. After using MUSE, erection can occur within ten minutes.
Vacuum Erection Device for ED
The vacuum erection device works by placing a cylinder over the penis and applying negative (vacuum) pressure. After the penis becomes engorged with blood, an erection is formed. A band is then placed at the base of the penis and the cylinder is removed to have intercourse.
Platelet Rich Plasma Therapy
PRP stimulates a man’s own growth factors in his blood to recruit his body’s stem cells to the penis causing regeneration of tissue and blood vessels. Learn more about PRP.
Regenerative therapy for the penis can lead to more natural erections and may allow for discontinuation of your current medication or improvement in response. Learn more about Regen E.D.
Penile injections are an effective solution for treating erectile dysfunction. By using a combination of medications directly placed into the penis, a sustainable erection can be achieved. The medications Dr. Gittens uses are tailored to the individual patient’s erectile needs.
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