Inflatable Penile Prosthesis for Diabetic Men for Treatment of Impotence (ED).
Penile Implant for Men with Diabetes in New York City
Dr. Alex Shteynshlyuger is an experienced surgeon who performs penile implant insertion for men with diabetes for the treatment of erectile dysfunction.
Men with diabetes have several options for the treatment of erectile dysfunction. Oral medications, PDE5 inhibitors, such as Cialis (tadalafil), Viagra (sildenafil), Stendra (avanafil), and Levitra are effective for many men with diabetes.
Shockwave therapy for ED is a proven option that helps many men with diabetes to obtain better erections with and without medications. For men in whom oral medications do not work well, penile injections with Edex or Trimix are often an effective alternative treatment option.
Men who desire to have more spontaneity and predictability may choose a penile implant as an effective and reliable treatment option for erectile dysfunction.
What Does Penile Implant Do for Diabetic Patients?
A penile implant helps men to obtain hard erections that are sufficient for penetration. The penile implant does not improve libido or sexual interest, and it does not treat diabetic neuropathy or decreased sensation that may accompany erectile dysfunction. The penile implant does not treat ejaculation problems such as lack of ejaculation or premature ejaculation.
Effectiveness and Satisfaction of Penile Implant in Men with Diabetes
Studies show that diabetic men with erectile dysfunction report 80 to 90 percent satisfaction with a penile implant as a treatment option. Similarly, high satisfaction rates are reported for patients’ partners.
Erections obtained from a penile implant look and feel as natural as possible. However, some men who have had erection problems for a long period of time may have lost penile length as a result of erectile dysfunction. The penile implant will not restore lost penile length. However, studies show that with penile implant cycling and the use of an expandable penile implant, such as the AMS-700 LGX penile implant, men who have lost penile length may regain some of the lost length over time.
Preparation for Penile Implant for Men with Diabetes
Penile implant surgery is typically performed in a surgical center or hospital as a same-day procedure, or the patient may need to stay in the hospital for 1 to 2 days after surgery.
Diabetic men are advised to improve their diabetes control to minimize the risk of postoperative penile implant infection. Ideally, hemoglobin A1c should be less than 7.5. Patients with poorly-controlled diabetes may want to consult an endocrinologist. Patients who are taking insulin may want to consider using an insulin pump, which is associated with improved control of diabetes.
Penile Implant Options for Men with Diabetes
At New York Urology Specialists, we take an individualized approach to choosing the best option for each patient, keeping in mind each patient’s characteristics and preferences.
For younger men and men with good manual dexterity, a three-piece inflatable penile implant, such as the AMS-700 or the Coloplast Titan penile prosthesis, is the preferred treatment option. A three-piece penile implant produces the most natural-looking erections and natural feeling of the penis.
For patients with limited manual dexterity (difficulty performing fine manipulation with their fingers), inflating the pump of the three-piece inflatable penile prosthesis may prove to be challenging. Therefore, for men with arthritis, rheumatoid arthritis, gout affecting the hand, hand contracture, or history of stroke making it difficult to use two hands, a malleable two-piece penile implant is often a good option.
For men of advanced age, choosing a malleable penile implant may be advisable. In our experience, many men of advanced age who are currently in good shape and have good manual dexterity may find themselves with worsening ability to manipulate the implant a few years after implantation, due to aging. For this reason, men of advanced age may consider getting a semirigid implant, depending on their overall health status.
The durability of Penile Implants in Men with Diabetes
The mechanical durability of penile implants in men with diabetes is similar to that of other men. Over 75 percent of men do not require any revisions, and the penile implant works well 15 years after implantation.
Men with diabetes, in particular, those with poor diabetic control, are at a high risk of experiencing an early or delayed penile implant infection. We minimize the chances of postoperative infection by using appropriate antibiotics during surgery and impregnating the implant with antibiotics, which minimizes infectious complications. For this reason, we encourage our patients to work with their endocrinologist and primary care doctors to improve the control of diabetes preoperatively.
Scheduling Appointments for ED Treatment at New York Urology Specialists
We have excellent reviews from patients and their partners.
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.
by Robert Clarke on Aug 04, 2019
Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.
by Karl Henry on Jul 24, 2019
Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.
by Oliver on Jul 18, 2019
Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.
by JOHN on Jul 18, 2019
Therefore I would like to recommend you to anyone who need your services.
by Allan B. on Jul 09, 2019
Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!
by Winston on Sep 15, 2018
I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex
by Wyts on Sep 15, 2018
Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex
by Lee St. James on Sep 01, 2018
Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee
by Christopher cato on Aug 16, 2018
by Andrei on Aug 15, 2018
Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense
by juanito creque on Apr 11, 2018
I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.
by JD on Jan 15, 2018
Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis
by Jacob on Dec 05, 2017
"Cannot express how thankful I am I found Dr. Shtetnshlyuger. After undergoing surgery to correct a penile torsion I couldn't be happier with the results. A great doctor who is clearly good at what he does. With something as important as your private area, It's nice to be able to rest easy and know you are in good hands.." via HealthGrades.com 12/5/2017
by Bob Brown on Nov 19, 2017
I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.
by Clarence Brown on Sep 14, 2017
I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.
by Michael on Jul 03, 2014
I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.
by George & Sally R on Jan 07, 2013
Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013
by Joyce T on Feb 16, 2012
Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.
ED is Treatable in Nearly Every Man
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction. We understand the challenges that ED creates for our patients, their relationships and their self-esteem. We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.
Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED. We offer medical and surgical treatment for erectile dysfunction.
We Treat Some of the Most Complex ED Problems Including:
- Erectile dysfunction in men with prostate cancer after radical prostatectomy
- Impotence in men with diabetes.
- Erectile dysfunction in men with Peyronie’s disease
- Erectile dysfunction in men for whom Viagra and Cialis do not work.
- Erection problems in men with low testosterone.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods. We offer inflatable penile implant, shockwave therapy for ED and treatment for Peyronie’s disease.
He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.