Erectile Dysfunction (ED) Treatment Options – New York Urology Specialists

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call/text: 1-646-663-5211.

When it comes to the treatment of erectile dysfunction – New York Urology Specialists are a step ahead.  Better Science Means Better Care.   


Understanding Treatment for Erectile Dysfunction

More than 18 million men in the US suffer from erectile dysfunction (ED), commonly known as impotence. The prevalence of ED is higher in middle-aged and older men, but it can affect men as young as 20.

Erections depend on good blood flow to the penis. When men experience erection problems such as erections that are not hard enough or erections that do not stay up, the underlying problem is blood flow.

Problems with blood flow can occur as a result of medical problems such as high blood pressure, low testosterone or diabetes. There are two major causes that prevent men from getting great erections: (1) inadequate blood flow to the penis also known as arterial vascular disease, and (2) venous leak erectile dysfunction caused by the failure of the erection maintenance mechanism.  Underlying depression and anxiety can cause situational ED through a different mechanism. Some prescription medications cause ED as a side effect.

An occasional inability to get or maintain a firm erection is not a cause for alarm. This could be the result of general tiredness or of having had one drink too many. If this is a more persistent problem, however, there are treatments available. Treatment options for impotence in men include lifestyle changes, medications, mechanical vacuum erection devices, penile injections, and 3-piece inflatable penile implants.

Medical Evaluation in Men with Impotence

Prior to starting any therapy for ED, a comprehensive medical evaluation is necessary to look for treatable causes of impotence which may include hypertension (high blood pressure), diabetes, low testosterone, abnormal thyroid function, and many other conditions.

At New York Urology Specialists, we ask all patients to provide a comprehensive medical and social history. You may fill it out at home.  You can expect a thorough physical exam and blood work which may include hormonal evaluation (testosterone, thyroid gland testing (TSH), and lipid profile (cholesterol/triglyceride testing) at a minimum. Blood work needs to be performed in the morning on an empty stomach.

Some men may require additional testing depending on our findings which may include penile ultrasound with doppler.

Treatment Options for ED include:

Medications: Viagra, Cialis, Levitra, and Stendra

Oral medications such as Viagra (sildenafil), Levitra (vardenafil) or Cialis (tadalafil) are usually the first line of treatment. They are effective in more than 85% of men.  If oral medications do not work well, other options that include injection of medications in the penis, vacuum pump, and penile implant are available.

Nonsurgical treatment alternatives include vacuum erection devices and penile self-injections.   Vacuum erection device works well for many men but long-term satisfaction is low. Self-injection of medications such as prostaglandin or trimix into the penis is also effective for many men.    These treatments are not effective for all men. Some men find these options inconvenient. Dissolvable medications and chewing gum are available in some countries but not FDA approved and not available in the US.

Intraurethral alprostadil (MUSE): is a small pill inserted in the urethra (pee hole) which produces an erection within 5-10 minutes.  MUSE is not a popular choice among men as it is expensive and not very effective.

Intracorporeal Injection Therapy (ICI): using a small needle medication such as prostaglandin or Trimix is injected into the penis. This produces an erection within 5-10 minutes that can last around 1 hour.  The injection is almost painless.

Shockwave Therapy for ED

Shockwave therapy for the treatment of erectile dysfunction is a fairly new treatment option. Shockwave for ED has been shown to be effective in rigorous scientific studies. Shockwave therapy can be used in place of medications such as Viagra and Cialis (tadalafil), or in addition to medications such as sildenafil (Viagra). 

Shockwave therapy does not cause any side effects, unlike oral pills which makes it a popular choice for men who cannot tolerate side effects of medications such as Viagra or Cialis or for whom medications do not work well.

Penile Implant

Penile prosthesis implantation offers effective treatment for ED for men who do not respond to oral medications and for whom vacuum or ICI either do not work or do not provide adequate satisfaction.  For these men, prosthesis implantation offers effective treatment for erectile dysfunction.

A three-piece inflatable penile prosthesis is a fluid-filled inflatable device consisting of two penile cylinders, a scrotal pump, and an abdominal fluid reservoir.  AMS-700 inflatable penile implant has a very good track record and high patient satisfaction.  Similarly, Coloplast Titan inflatable penile implant offers many years of service for many men.  

Treatments that Do Not Have Scientific Evidence that They Work

Certain treatments are offered to men for treatment for erectile dysfunction without strong scientific evidence from long-term randomized controlled studies that they work. These treatments include stem cell therapy for ED, and PRP or platelet-rich plasma therapy also marketed as Priapus shot.  

What You Need to Know:

Over-the-counter herbal preparations are sold in many stores and gas stations.  There is no scientific evidence that these work.  However, some of the herbal preparations that have worked well were found to have active prescription medications illegally mixed in.  Please be careful as these can actually be dangerous for some men for example if they are taking nitroglycerin.

Learn More About:

What You Need to Know:


Scheduling Appointments for ED Treatment at New York Urology Specialists


If you have any questions about erectile dysfunction treatment, schedule a consultation, contact us or call/text: 1-646-663-5211.  We have excellent reviews from patients and their partners. 


Patients Reviews

Overall Rating:

4

Total Ratings

4

Total Reviews

18

Ratings

Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

Peronis Disease
by 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.

3P Removal
by 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.

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Recommendation
by on Jul 18, 2019

Therefore I would like to recommend you to anyone who need your services.

Outstanding
by 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!!!

Satisfied Patient
by 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

Friendly , courteous, effiecient and professional
by 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

Surgical Procedure
by 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

Review
by on Aug 16, 2018

Outstanding service

A very good doctor
by 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

urology services
by 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.

My wife was elated
by 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

Thankful
by 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

Review
by 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.

Dr visit
by 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.

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

Thank you for excellent care
by 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

We love you!
by 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

Excellence-Urology_Care-banner2At 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:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5211 or make an appointment online

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.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call/text: 1-646-663-5211.

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.

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