When a patient first comes into my office with complaints of
erectile dysfunction, there are several categories that must be
considered. After a thorough history and
physical exam, the patient can typically be placed into one of eight categories
based on what is found. Treatment will
depend on the reason or, as we say, "etiology,"... Read more
After the proper questions are asked regarding psychological
contributions to ED, the focus becomes more on the patient's pre-existing
health problems.
The second category of erectile dysfunction relates to
problems with blood vessels. In general
terms, there are two types of blood vessels, arteries and veins. ... Read more
An interesting sexual dysfunction question was posted by a young man under the age of 20. He was experiencing sexual relations for the first time. During the first sexual encounter, he did not last longer than two minutes before having an orgasm. This introduces a condition called "premature ejaculation" or "rapid... Read more
Obesity in the United States is a serious healthcare concern affecting all systems of the body. The relationship between erectile dysfunction and obesity is multifactoral. Body image plays a significant role in the psychology of erection. Low self esteem from being overweight will give the patient less confidence in achieving the optimal erection.... Read more
An interest of mine as a robotic surgeon treating prostate cancer is performing nerve sparing prostatectomy (removal of the prostate while preserving the nerves responsible for erectile function). This is perhaps the most difficult portion of the procedure. As described before, this is due to the fact that these nerves are not visible with the... Read more
