Dr. Harold Reed Blog

Category Archives: Bi-mix intracavernosal injection

Penile implant for ED (erectile dysfunction)

Dr. Reed,  Have looked at your gallery of ups and downs penile implant photos on penisdoctor.com/before-after-penile-implantation
Would you recommend a penile implant for a man with ED?

Benje

Dear Benje,

A penile implant or prosthesis is the last resort for a man with ED, erectile dysfunction.  Usually this is a process which evolves, and of course the most popular option are the phosphodiesterase-5 (PDE5) inhibitors such as Viagra, Cialis, Levitra.  These are definitely contra-indicated if you are on nitrates for angina.  If you have cardio-vascular disease, you need clearance from your doctor.

You may also consider behavioral modification, avoidance of alcohol before sex, etc.  Then there is a constrictor ring and a vacuum erection device.  Lastly you may wish to consider intracorporal injections with papaverine or alprostadil or a combination called “bi-mix“.

The average duration of a penile implant is 8 years, but some require servicing (think surgical revision) before that.  With other patients they have lasted for 14 years.  This is in part related to frequency of use and over-pressuring the cylinders.

Harold M. Reed, M.D.
The Reed Centre for Ambulatory Urological Surgery – Miami
1-305-865-2000

 

051Penile implant photo, flaccid mode

052Penile implant photo, erect mode

Peyronie’s with lateral curvature and some degree of erectile dysfunction ED

    Dear Dr. Reed, I developed Peyronie’s after female above trauma.  Had some degree of erectile dysfunction ED before that, but now ED is worse.  Viagra helps somewhat but still intromission is difficult.  Randy Dear Randy, My recommendation is to have a simultaneous insertion of a Penile Implant and correction of Peyronie’s.  Chances are…Continue Reading