Erectile Dysfunction

Why Yale Urology

At Yale Urology, we understand that erectile dysfunction takes many forms and has many causes. Our team members are dedicated to providing the compassionate care, support, and information you need to move forward confidently with your treatment process. 

Almost all cases of erectile dysfunction are treatable. The greatest impediment to treatment is embarrassment. Yale Urology offers care without judgment and is committed to helping patients with ED restore erectile function.

Innovative Methods

Yale Urology offers a host of advanced medical and surgical procedures to address erectile dysfunction. Most cases of ED are effectively addressed by correcting the underlying health condition, or through commonly available medications. 

When other treatments prove ineffective, our surgeons can provide this safe and effective way to restore sexual function. Minimally invasive penile implant surgery is regularly performed by our surgeons with most patients recovering full sexual function in four to six weeks. 

Our doctors are at the forefront of research in men’s health issues, including research for erectile dysfunction and cardiovascular disease and the vascular biology of erectile dysfunction. We continually integrate the latest in science-based medicine and innovative approaches into our practice to offer patients safer and more effective treatments.

About Erectile Dysfunction

Erectile dysfunction, also known as impotence, or “ED” for short, refers to “the inability to achieve or maintain an erection sufficient for sexual intercourse.” Nearly 1 in 5 men suffer from a form of erectile dysfunction, a disorder that is in almost all cases readily treatable. 

Erectile dysfunction usually has a physical cause, which can sometimes be part of an underlying health condition for which you should seek treatment, such as a heart condition or diabetes. Because of its deeper health implications, erectile dysfunction should never be ignored.

Treatment Options for Erectile Dysfunction

Penile Injection Therapy

Penile injection therapy is one treatment option for erectile dysfunction. This treatment has been available to men with ED for over 25 years, although many patients are not aware of this option.

You may consider penile injection therapy if you have had:
  • Lackof improvement using oral medications such as Viagra or Cialis
  • Significant side effects to oral medications
  • Contraindications to oral medications such as use of nitroglycerin products for the heart

In our practice, over 70% of men with ED will have a good result with this treatment. The treatment protocol requires a trial injection in the office. The medication is placed directly into the side of the penis with a tiny needle. It is virtually painless. If you have a good response, you will be taught to self-inject and then be given a prescription to fill and use at home.

You will be offered a compounded medication that may include prostaglandin E1, papaverine, and phentolamine.  These medications have been used to treat this condition for over 25 years and are very safe.


Penile Implant Therapy

When considering a penile implant for erectile dysfunction, it is critical to find the best urologic surgeon. At Yale Urology, our program is run by Dr. Stanton Honig, who has over 22 years of experience in placement of state-of-the-art penile prostheses. This is usually an outpatient procedure. Candidates for penile implant include patients with problems relating to blood flow to the penis, nerve injuries, and side effects of prostate cancer. It is indicated in men who did not have a good response to oral medications and/or second line therapies, such as penile injection therapy, vacuum erection device, etc. It is also indicated in patients who feel that these treatment options are not a reasonable option for them.

Excellent patient satisfaction rates of over 90% are seen with the placement of a penile prosthesis. There is a small but serious risk of an infection associated with penile prosthesis placement. All patients undergoing this procedure are at risk for this, but Dr. Honig uses a “no touch” technique that lowers the risk of this to about 2 to 3%. Patients are usually able to use their prosthesis within six to eight weeks of placement. 

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