Erectile Dysfunction Specialist in Miami, FL

Erectile dysfunction (ED) is defined as the inability to attain and/or maintain penile erection sufficient for satisfactory sexual performance. The prevalence of any degree of ED is reported as high as 52% of all men. There is a well-established increase in rates of ED with increasing age in men, increasing to over 60% for men older than 70.

There are multiple risk factors for development of ED. Men with comorbid conditions that affect the health of peripheral arteries and nerves are more likely to develop ED at a younger age. These conditions include coronary artery disease, stroke, high blood pressure, diabetes, and high cholesterol. There are also some medications that have been associated with development of ED.

Surgery for ED

Men who are contemplating surgery have usually failed nonsurgical treatment options for their ED. Nonsurgical treatment options include pills, injections, and vacuum-erection devices. The standard of care for surgical treatment of ED is the penile prosthesis, also known as the penis pump or penile implant.

The two most common types are the malleable implant and the three-piece implant. The malleable implant is comprised of two flexible rods that are inserted into the penis. They are rigid in the erect state but can be bent downward when not in use. Because they are not inflatable, it is not possible to truly have a “flaccid” or soft state with a malleable implant.

The three-piece penile implant is inflatable and more closely mimics the feel of a natural erection. There are three parts: a fluid-filled pelvic reservoir, the inflatable penile cylinders, and a scrotal pump. The three-piece inflatable implant cycles fluid from a reservoir into the penile cylinders via a scrotal pump to produce rigidity of the penis.

Risks of Surgery for ED

The established risks of surgery for ED include device infection, device malfunction, erosion through urethra or glans, bladder or bowel injury, and malpositioned device. These risks are minimized by high volume surgeons.

Dr. Shirin Razdan completed a fellowship in minimally invasive surgery with a subspecialty in prosthetic surgery. She has completed over 200 surgeries for penile prostheses and slings and employs techniques that allow for optimizing outcomes and happy patients. Dr. Razdan also performs penile length and girth preservation techniques at the time of implant insertion. If you are interested in learning more about her holistic approach to penile prosthesis surgery, call the office today at   305-468-3314 .