Erectile Dysfunction Treatments
The Sexual Medicine Society of North America (SMSNA) advises against the use of permanent fillers like silicone and paraffin due to potential long-term complications. And the American Urological Society (AUA) considers penile girth enhancement (PGE) using subcutaneous fat injection to be unsafe and ineffective.
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Erectile Dysfunction Treatment Options
Erectile dysfunction treatments can vary depending on the individual's needs and preferences. Common options include oral medications like Viagra or Cialis, non-invasive devices like penile pumps, and surgical procedures like penile implants. Lifestyle modifications, such as exercise, healthy eating, and stress management, can also play a role in improving erectile function. Additionally, some individuals may benefit from alternative treatments like shockwave therapy or peptide therapy.
Understanding Erectile Dysfunction Treatments
Erectile dysfunction treatments typically work by addressing the underlying causes of the condition. Oral medications, such as Viagra or Cialis, increase blood flow to the penis, allowing for erections. Penile pumps use a vacuum to draw blood into the penis, creating an erection. Penile implants provide a mechanical solution by surgically placing inflatable cylinders into the penis. Lifestyle changes can improve overall health and erectile function by addressing factors like stress, diet, and exercise.
"After looking into and searching about girth enhancement for over a year and a half, all over Texas and the country, Dr. Wierschem is absolutely the most knowledgeable Dr. to perform this procedure and his technique is hands down better than everyone in the county. Dr. Wierschem is extremely professional, courteous, and personable. His staff is also very easy to work with and happy to answer any questions and they make you feel very comfortable. They made me feel valuable and important and I was more than just another procedure. Dr. Wierschem really does care for his patients and wants the best for them. He truly is a Doctor first. I would recommend him and his staff for anything men's health related, 1000%."
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Why Choose Dallas Men’s Health?
At Dallas Men's Health, you're not just a patient; you're a partner in your healthcare journey. Led by Michael Wierschem, M.D., a board-certified urologist with over 25 years of experience, our clinic is at the forefront of men's sexual health and well-being. Dr. Wierschem is certified in Male and Female Sexual Health by the International Society for Sexual Medicine (ISSM). Our practice in Oak Lawn is a sanctuary where men can openly address their health concerns, benefiting from the latest in medical technology and innovative treatments.
Our comprehensive range of services, including Penile Enhancement with GirthPro, Regenerative Erectile Dysfunction Treatments, Hair Loss Prevention and Regeneration Solutions, Weight Management and Body Sculpting Treatments, Laser Aesthetics and more, are designed to meet your unique needs. At Dallas Men's Health we understand that every man's health journey is unique, and we are dedicated to providing personalized care to help you achieve your sexual health and aesthetic goals.
Dallas Men's Health in an International Destination for men, because of our Innovation, Expertise and Honesty.
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This map illustrates a sample of our patient demographics over the past 12 months.
Drug Treatment Options
Drug Therapy
Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly known drugs on the market today are Viagra®, Cialis® and Levitra®.
Oral Medication
There are several prescription medications that claim to help patients. These pills may help achieve erections in response to sexual stimulation:
- Pills can help you achieve an erection quickly and may have an effect on sexual intimacy.
- Do not provide automatic erections like injection drugs
- Not effective in approximately 30% of cases
- Must take at least ½ hour to one hour before anticipated sexual activity
Some patients may experience side effects, including:
- Headaches
- Facial blushing
- Upset stomach
- Mild and temporary visual effects
Injections
Some men may be able to gain an erection by self-injecting drugs into their penis, causing it to become engorged with blood. Potential side effects of injection therapy include fibrosis (scarring) and long-lasting painful erections
Advantages of injection therapy:
- It can easily be self-administered
- On-set of erection within 5-20 minutes
- Injections are shown to have a long-term dropout rate of 37% – 76%.
Reasons for dropping out of drug therapy include:
- Desire for a permanent treatment alternative
- Inadequate response
- Fear of needles
- Side effects
Non-Drug Treatment Options
Penile Pumps (Vacuum Devices)
Also called vacuum constriction devices, penile pumps are devices that are placed over the penis to draw blood into the shaft. Once the vacuum creates an erection, the retaining band is slid down to the lower end of the penis and the pump is removed. You can leave the band on for up to 30 minutes.
Advantages
- On-demand use
- Non-invasive
- Drug Free
Disadvantages
- Erection is not warm to the touch
- Learning curve
- Delayed ejaculation
Penile Implants
A penile implant is a device that is placed into a man's body and is designed to help him get an erection. A penile implant is a long-term treatment, that is covered by many insurance plans, which allows an erection as often as you like, for as long as you wish.
Advantages
- Easy to use
- Totally concealed in the body
- Erections when desired
Disadvantages
- Surgical Procedure
- No longer able to get natural erections
Other Treatment Options
Your doctor can provide you with specific details about the pros and cons of each of the following treatments:
- Lifestyle changes like stopping smoking, losing weight and eating healthier
- Oral testosterone
- Intraurethral suppositories (ex. MUSE®)
Erectile Dysfunction Treatment Options in Dallas, TX
- Oral Medications – Viagra, Cialis now come in generic form and can be very effective
- Penile Injections – These are very effective for patients when oral medication fails
- RegeneGro Therapies:
- Acellular Stem Cells
- Exosomes
- PRF
- PRP (the P-shot)
- ShockWave Therapy – A very effective way to create stronger erections in most cases!
- Peptide Therapy (Bremelanotide PT-141) – A new and exciting treatment option using naturally occurring amino acids to improve your metabolism which also includes improvement in Sexual Desire and Erectile Dysfunction.
- Human Growth Hormone or HGH (Sermorelin Acetate) – This hormone stimulates your body to produce its own HGH to higher levels which results in many benefits including: Improved Energy, Increased Sexual Desire, Stronger Erections, Improved Sleep, Increased Lean Muscle Mass, Decreased Joint Pain and Improved Mood.
General Urological Issues Treated by Dr. Wierschem
BPH – Benign Prostatic Hyperplasia
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatments for BPH may include: diet modification, medication, office based procedures and surgical procedures.
Prostate Cancer
Diagnosis/Evaluation may include: Detailed history including Family history, Physical exam to include the prostate, PSA testing, MRI evaluation and prostate biopsy.
Treatment for Prostate cancer may include: Active Surveillance/Watchful Waiting, Focal laser treatment, Surgical Removal, Radiation/Proton Therapy and medication.
Prostatitis
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatment of Prostatitis may include: Antibiotics, Anti-inflammatories, prostate medication, diet modification and other behavior modification techniques discussed with the doctor.
Vasectomy
This procedure is performed in the office by Dr. Wierschem. It is a painless procedure that typically takes less than 10 minutes. You will be set up to have your semen checked 6-8 weeks after the procedure to ensure that you are sterile. Until that time you will need to continue contraception. Please contact the office for more information.
Nephrolithiasis – Kidney stones
Diagnosis/Evaluation may include: Detailed history, Physical Exam, Urinalysis, blood tests, Radiological evaluation (e.g. plain X-ray, CT scan, Ultrasound), comparison to prior radiological studies, labs and reports.
Treatment of Kidney Stones may include: Active Surveillance/Watchful Waiting, diet modification, medical management, pain management, surgery (e.g. Shock Wave Lithotripsy (ESWL), ureteroscopy (typically with laser stone ablation), stenting (an internal tube that bypasses the obstructing stone) or even external drainage of the kidney in certain cases.
Infertility
Diagnosis/Evaluation may include: Detailed history, Physical Exam, urinalysis, semen analysis (and possible other semen studies), radiological evaluation.
Treatment of Infertility may include: Active Surveillance/Watchful Waiting, medication, diet and behavior modification and surgical intervention.
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