Dr. Harold Reed Blog

Category Archives: Erectile Dysfunction (ED)

Shock wave therapy for erectile dysfunction (ED)

While not FDA approved, Urology Times has had a succession of articles on penile shock wave therapy for erectile dysfunction (ED), using 1/10th the amount normally used for urinary calculus breakup (lithotripsy).  Even if not completely successful those patients in whom PDE-5 inhibitors (Viagra, Cialis, Levitra) has not worked can now use them effectively.  

The shock waves break up scar tissue which is replaced with new vascular growth (angiogenesis).  The number of treatments can vary from 6 to 12, and 2 treatments can be done a week.  Nurses can deliver the treatment.  Each session lasts about 30 minutes.  Everyone in the room needs to wear heavy duty ear protection because the sound generated is very loud.  Ultrasound jelly placed on the penis as the transmitting agent.  While a “severely affected group” of patients might not respond, if patients are treated early enough, ED might never progress.

This information is put out as a news article, as this treatment is only being given in the United States at research centers.

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

Is it safe for a hemophiliac to have simultaneous penile implant and circumcision revision?

Dr. Reed,  Is it safe for a hemophiliac to have simultaneous penile implant and circumcision revision?  My present circ status is “too loose.”  Emil from Denmark Dear Emil, I live in a world of genital surgery and am very flattered by your question with clinical history. First you should know a penile implant is the last resort…Continue Reading

Need penile implant and length for erectile dysfunction (ED)

Dear Dr. Reed,  Looked at before and after photos of your penile implants and penile lengthening procedure.  Can both be done at the same time.  Jim Dear Jim, Thank you for visiting our web-site penisdoctor.com.  Please keep in mind a penile implant is the last resort for erectile dysfunction (ED).  While malleable implants should last…Continue Reading

(FAQ) Penile size after penile implant surgery

Dr. Reed, Will my penile size after penile implanmt surgery be enhanced? Alejandro Dear Alejandro, Please be assured I am dedicated to optimizing your penile size after penile implant surgery.  You should be aware a penile implant .is a last resort for erectile dysfunction (ED).  A 35% success rate has been reported with better diabetic control…Continue Reading

Erectile dysfunction and shock wave therapy

Taken from Urology Times, September 4th Does shock wave therapy have a future in the treatment of ED (erectile dysfunction)? August 30, 2017 By Karen Nash   Urology Times reached out to three urologists (selected randomly and asked them each the following question: Does shock wave therapy have a future in the treatment of ED? Dr.…Continue Reading

FAQ | Dr. Harold Reed M.D. | Penile Implant

Dr. Reed,  I believe I need a penile implant.  Been looking at your penile implant pictures on penisdoctor.com/before-after-penile-implantation  Have tried Viagra and other PDE-5 inhibitors, a vacuum erection device, and Tri-Mix without success.  Neville Dear Neville, Thank you for vising penisdoctor.com and looking at penile implant pictures.  We will also make some recommendations to preserve penile…Continue Reading

Peyronie’s non-operative treatment

Dr. Reed,  Have upward curvature during erections. Is there any non-operative treatment you can rem comment.  Noah Dear Noah,   Some angulation of erection (Peyronie’s) is noted in 3% of men.  The most common causes are female above trauma or perhaps rolling over during nocturnal erections.  Most urologists would say, upward curvature if any is…Continue Reading

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…Continue Reading

Peyronie’s with lateral curvature

Dear Dr. Reed,  What approach would you recommend for Peyronie’s with lateral curvature.  Have had the condition for about 3 years, and has not worsened after the initial sexual trauma.  Can feel some plaque on the right, and curves to the right.  Able to have sex in  limited positions with occasional discomfort as noted by…Continue Reading

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