Erectile dysfunction is common and treatable.
If you’re dealing with erectile dysfunction (ED), you’re not alone: Approximately 40% of men in their 40s and nearly one in four men over the age of sixty-five will experience some degree of erectile dysfunction.
Erectile dysfunction is the consistent inability to maintain an erection sufficient for sexual intercourse. Erectile dysfunction can range from mild to severe.
Erectile dysfunction can be:
What are the treatment options?
As an erectile dysfunction subspecialist, I am the only one who offers the full range of treatments for any type of erectile dysfunction. The goal is to provide you with individualized treatment based on your condition to solve the problem and improve your erection.
Treatment options for erectile dysfunction (ED) vary depending on the cause:
Premature ejaculation (PE) is when ejaculation occurs earlier than a man or his partner would like during sexual activity. Although PE is not a cause for concern, it can be very frustrating, can lead to anxiety and affect your relationship with your partner.
This is divided into two categories:
Treatment of premature ejaculation may include a combination of medical treatment options and sex therapy.
It is important to keep in mind that everyone is different and treatment for premature ejaculation should be customized to individual needs and circumstances.
Low sexual desire, also known as decreased sexual desire, refers to a persistent or recurrent decrease in interest in sex and sexual activity.
This decrease in sexual desire can affect both men and women and can be caused by a variety of factors, both physical and psychological.
The causes of lack of sexual desire can vary from person to person and can be physical, psychological, or a combination of both.
Some common causes of lack of sexual desire include:
Treatment for lack of male sexual desire will depend on the underlying cause.
Some common treatment options include:
Vasectomy is a surgical procedure performed for male sterilization, which means that it prevents a man’s ability to have children. During vasectomy, the vas deferens, which are the tubes that carry sperm from the testicles to the urethra, where they are released during ejaculation, are cut and closed.
When the vas is cut, there is no way for the sperm to be released from the penis. This procedure is considered a permanent form of birth control, but reversal surgery is possible if the patient changes his mind in the future.
The use of male (condoms) or female (medication) contraceptive methods is no longer necessary.
The procedure is almost 100 percent safe to prevent pregnancy.
It is much less expensive than female sterilization.
Shared responsibility: Vasectomy allows couples to share the responsibility for contraception. Vasectomy allows men to take an active role in family planning and contribute to contraceptive choices.
It is recommended that men have a vasectomy only when they are certain they no longer wish to have children.
The procedure is usually performed under local anesthesia and is an outpatient procedure, which means the patient can go home the same day.
The surgeon makes a small incision in the skin and small pieces of the vas deferens are cut and the tubes are ligated or cauterized to close them so that they can no longer carry sperm.
Immediately after a vasectomy, there may be bruising and swelling, but these symptoms should subside after a few days. It is recommended that the patient rest from physical activity for at least 3 days. Painkillers are also used and ice packs are applied to the genital area for the first 24-48 hours.
Wait at least one week before having sexual intercourse. This may help avoid pain in the testicles. The absence of sperm in the semen will take 4-6 weeks, during which time the patient will still be fertile. The use of birth control is recommended until the doctor indicates otherwise. A sperm analysis will be required 6 to 8 weeks after the procedure to confirm the success of the vasectomy.
It is important to emphasize that vasectomy will not affect your erections, libido or orgasms.
Shockwave therapy is a non-invasive treatment for erectile dysfunction that uses pulses of high-frequency, low-energy acoustic waves to stimulate blood flow to the penis.
This non-surgical treatment is a safe and effective alternative.
If you frequently experience erectile dysfunction that has not responded to medications, shockwave therapy may be the right solution.
Shockwave therapy administers low-intensity shockwaves to the blood vessels within the penis. These pulses target the blood vessels and trigger your body’s natural healing response to:
Shockwave therapy is conducted over a series of sessions, with each session lasting around 30 minutes. The procedure is painless and does not require anesthesia, making it a safe and effective alternative to other erectile dysfunction treatments.
During the treatment, a small device emitting targeted soundwaves is used to stimulate penile tissue and enhance blood flow, which can also expedite the healing process. Low-intensity shockwaves have been proven to stimulate the growth of new blood vessels and enhance blood flow in the penis, which is essential for erections.
Every case is unique, but most men require up to 12 shockwave therapy sessions to experience lasting relief from erectile dysfunction. You can anticipate symptom improvement with each session, and the treatment plan will be adjusted based on your response to the therapy.
Following a Shockwave Therapy procedure for Erectile Dysfunction (ED), patients can expect to resume their normal activities immediately.
The procedure is typically painless and doesn’t require anesthesia or downtime. However, some men might experience mild discomfort or tingling sensations during the procedure.
Benefits of the procedure:
Kidney stones or renal calculi are stones that are formed from minerals and salts typically found in urine, such as calcium and uric acid. The most common type of stone is composed of calcium oxalate, followed in order of decreasing frequency by uric acid, infectious stones known as “struvite” stones, and cystine stones.
They can form anywhere in the urinary tract, from the kidneys to the ureters and bladder. These deposits can range in size from as small as a grain of sand to as large as a golf ball and can cause a lot of pain and even kidney failure if left untreated.
Kidney stones are composed of:
Some of the main causes of kidney stone formation are:
Symptoms of kidney stones can vary depending on the size, location and number of stones. Some of the most common symptoms of kidney stones include:
Treatment for kidney stones depends on the size, location and number of the stones, as well as the severity of the symptoms they cause. In some cases, the stones may be small and can pass through the urinary tract without treatment, while in other cases medical intervention may be necessary.
Some treatment options for kidney stones include:
Testosterone is a male sex hormone that is responsible for the development and maintenance of male sexual characteristics. Low testosterone is not a problem in older men only. It is known that after the age of 30, many men begin to have low testosterone levels.
The American Urological Association defines low testosterone as blood levels of testosterone below 300 nanograms per deciliter (ng/dL). This decrease in testosterone value may be the cause of patients complaining of decreased sexual desire and energy level.
There are several treatment options for increasing testosterone levels in men.
Here are some common treatments:
Testosterone replacement therapy offers many potential benefits such as fat loss, improved energy, enhanced sexual function and increased mental acuity. Together, these factors can improve your physical well-being and quality of life.
With a passion for medical excellence and a deep understanding of individual needs, Dr. Perez Roman specializes in state-of-the-art procedures including penile enlargement and thickening. Our comprehensive and discreet care ensures a welcoming and confidential environment for each individual seeking our services.
Whether you want to improve your self-confidence, enhance your sexual satisfaction or address intimate aesthetic concerns, Dr. Andres Perez Roman’s cosmetic urology offers outstanding results backed by the highest quality of care. Come discover a new version of yourself at our state-of-the-art facility and live a full and confident life.
The scrotum is the sac or pouch of skin located at the base of the penis that encloses and protects the testicle. The scrotum also plays an important role in male fertility by regulating the temperature of the testicle.
It is a surgical procedure in which a reconstruction or modification of the scrotum is performed. It can be performed for a variety of reasons, such as to correct damage or deformities in the scrotum, or for cosmetic purposes. The procedure involves removing or reshaping scrotal tissue, correcting asymmetries or reconstructing the scrotum to give it a more natural or satisfactory appearance.
This procedure is recommended for men with the following conditions:
A testicular prosthesis, also known as a testicular implant, is a medical device that is surgically implanted into the scrotum to replace a missing or damaged testicle.
It is primarily used to restore the appearance of the scrotum and provide comfort and psychological confidence to individuals who have undergone testicular removal (orchiectomy) due to conditions such as testicular cancer, trauma or congenital anomalies.
The primary purpose of a testicular prosthesis is to replicate the natural appearance, size and texture of a real testicle. It is usually made of a silicone-based material that mimics the feel and weight of a natural testicle.
The main benefit of a testicular prosthesis is aesthetic, as it restores the appearance of the scrotum and helps maintain a balanced, natural appearance. It can also help alleviate psychological distress or self-esteem issues that may arise from the loss of a testicle.
Circumcision is the removal of the foreskin, the skin covering the head of the penis. In most cases, baby boys are circumcised at birth. However, some parents choose not to circumcise their sons due to religious beliefs or other personal reasons. So, if you are an adult who was never circumcised as a baby, you may want to have the procedure done now.
If you believe that the appearance of your penis would be improved by circumcision, or you feel that your sex life would improve with a circumcised penis, you are a good candidate for the circumcision procedure for cosmetic reasons.
Men may opt for circumcision in adulthood for a variety of reasons, including:
A testicular prosthesis, also known as a testicular implant, is a medical device that is surgically implanted into the scrotum to replace a missing or damaged testicle.
It is primarily used to restore the appearance of the scrotum and provide comfort and psychological confidence to individuals who have undergone testicular removal (orchiectomy) due to conditions such as testicular cancer, trauma or congenital anomalies.
The primary purpose of a testicular prosthesis is to replicate the natural appearance, size and texture of a real testicle. It is usually made of a silicone-based material that mimics the feel and weight of a natural testicle.
The main benefit of a testicular prosthesis is aesthetic, as it restores the appearance of the scrotum and helps maintain a balanced, natural appearance. It can also help alleviate psychological distress or self-esteem issues that may arise from the loss of a testicle.
The frenulum is a small fold of skin on the underside of the penis. It is located at the 6 o’clock position and joins the foreskin to the head of the penis. It also contains a small artery called the frenular artery.
If you have a short frenulum it can pull on the foreskin during erection. This can cause pain during intercourse.
Dr. Andres Perez Roman is the only certified provider of PhalloFILL™, and among the few elite specialists nationwide authorized to perform PhalloFILL™.
PhalloFILL™ is an innovative non-surgical procedure designed to increase penile girth. Utilizing the latest technology in dermal fillers, PhalloFILL offers men a safe and effective solution to enhance the size and appearance of their penis.
It is a quick procedure that is performed in the doctor’s office under local anesthesia in as little as 30 minutes. The procedure involves injecting FDA-approved hyaluronic acid (HA) fillers into the shaft of the penis to add girth and improve its overall appearance.
Unlike other male enhancement procedures, PhalloFILL™ is customizable, requires minimal recovery time and is very safe.
Immediate results: gives you the thicker, more satisfying penis you’ve always wanted. A safe and effective solution for men who want to increase the size of their penis without undergoing major surgery. Customizable: with PhalloFILL™, Dr. Perez Roman can customize the results to your preferences.PhalloFILL™ offers men the SAFEST and HIGHLY EFFECTIVE way to enhance their penis and increase their confidence in the bedroom.
Patients can expect an average girth increase of 1/4 to 1/3 inch per session, with a total increase of 1 to 1 1/2 inches or more after several sessions, depending on individual goals.
PhalloFILL® augmentation offers semi-permanent results with a multi-year duration and filler retention.
Patients have reported that they have maintained some level of hyaluronic acid filler retention for up to 4-6 years. The favorable aesthetic results associated with PhalloFILL® are due to unique injection principles and specialized post-treatment care, combined with previous advances from leading urologists around the world.
Your PhalloFILL® augmentation can be touched up at any time as needed. Most touch-ups require a fraction of the amount of filler used in the initial PhalloFILL® augmentation.
Sexual activity can be resumed after one week.
CHOOSING THE RIGHT PROVIDER:
Dr. Perez Roman has sub-specialization in sexual health and penile prostheses. I believe in providing personalized care when it comes to male sexual health treatment. Therefore, all treatment options will be discussed with you before considering penile girth enhancement in order to help you create a treatment plan that best fits your sexual and quality of life goals.
CollapseBenign Prostatic Hyperplasia, or BPH, is not cancer and does not increase the risk of prostate cancer. BPH is a common condition in men in which the prostate gradually enlarges over time. The prostate is a male gland located below the bladder and in front of the rectum. As it enlarges it can put pressure on the urethra causing a blockage in the urinary tract. This can cause uncomfortable urinary symptoms, such as difficulty urinating, frequent urination, weak urine flow and the sensation of not completely emptying the bladder. This can greatly affect men’s quality of life.
Treatment of BPH can range from lifestyle changes, medications to relieve symptoms, to surgical procedures in more severe cases. If experiencing symptoms related to BPH, it is important to consult a physician to obtain a proper diagnosis and determine the best treatment approach.
The cause of an enlarged prostate or benign prostatic hyperplasia (BPH) remains a mystery. It is not known with certainty, but is believed to be related to hormonal changes that occur as men age.
Known risk factors include:
Symptoms of enlarged prostate or benign prostatic hyperplasia (BPH) can vary from person to person, and some men may experience no symptoms at all.
However, the most common symptoms of enlarged prostate include:
Treatment of benign prostatic hyperplasia (BPH) depends on the severity of symptoms and the size of the prostate.
Some treatment options include:
