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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: <\/strong>1-646-663-5211<\/span><\/a>.<\/strong><\/p>\n We have excellent reviews from patients <\/a><\/strong>and their partners. Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n We offer affordable appointment prices<\/a> with or without insurance. Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.<\/strong><\/span><\/p>\n When it comes to the treatment of erectile dysfunction<\/a><\/b> \u2013 New York Urology Specialists<\/a> are a step ahead<\/b>. Better Science Means Better Care. <\/p>\n Erections depend on good blood flow<\/strong> to the penis<\/a>. When men experience erection problems such as erections that are not hard enough<\/strong> or erections that do not stay up<\/strong>, the underlying problem is blood flow.<\/p>\n Problems with blood flow<\/strong> can occur as a result of medical problems such as high blood pressure<\/strong><\/a>, low testosterone<\/a> or diabetes<\/strong><\/a>. There are two major causes that prevent men from getting great erections: (1) inadequate blood flow to the penis<\/strong> also known as arterial vascular disease, and (2) venous leak erectile dysfunction<\/a><\/strong> caused by the failure of the erection maintenance mechanism. Underlying depression and anxiety can cause situational ED<\/strong> through a different mechanism. Some prescription medications cause ED as a side effect.<\/p>\n An occasional inability to get or maintain a firm erection is not a cause for alarm.<\/strong> 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<\/strong> in men include lifestyle changes, medications, mechanical vacuum erection devices, penile injections<\/a>, and 3-piece inflatable penile implants<\/a>.<\/p>\n Prior to starting any therapy for ED, a comprehensive medical evaluation is necessary<\/strong> to look for treatable causes of impotence which may include hypertension (high blood pressure)<\/a>, diabetes, low testosterone<\/a><\/strong>, abnormal thyroid function, and many other conditions.<\/p>\n At New York Urology Specialists, we ask all patients to provide a comprehensive medical and social history.<\/a><\/strong> 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. <\/strong><\/p>\n Some men may require additional testing depending on our findings which may include penile ultrasound with doppler<\/a><\/strong>.<\/p>\n Oral medications<\/strong> such as Viagra (sildenafil), Levitra (vardenafil) or Cialis<\/a> (tadalafil) are usually the first line of treatment. They are effective in more than 85% of men<\/strong>. If oral medications do not work well, other options that include injection of medications in the penis<\/a>, vacuum pump, and penile implant are available. <\/span><\/p>\n Nonsurgical treatment alternatives include vacuum erection devices<\/a> and penile self-injections.<\/a> Vacuum erection device works well for many men but long-term satisfaction is low. Self-injection of medications such as prostaglandin or trimix<\/a> into the penis is also effective for many men. <\/strong> 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.<\/span><\/p>\n Intraurethral alprostadil (MUSE)<\/a><\/strong>: is a small pill inserted in the urethra (pee hole) which produces an erection within 5-10 minutes<\/strong>. MUSE is not a popular choice among men as it is expensive and not very effective<\/strong>.<\/p>\n Intracorporeal Injection Therapy (ICI)<\/a>:<\/strong> using a small needle medication such as prostaglandin or Trimix <\/a>is injected into the penis. This produces an erection within 5-10 minutes<\/strong> that can last around 1 hour. The injection is almost painless.<\/p>\n Shockwave therapy for the treatment of erectile dysfunction<\/a><\/strong> is a fairly new treatment option. Shockwave for ED has been shown to be effective in rigorous scientific studies<\/strong><\/a>. Shockwave therapy can be used in place of medications such as Viagra and Cialis (tadalafil), or in addition to medications such as sildenafil (Viagra). <\/p>\n Shockwave therapy does not cause any side effects<\/strong>, unlike oral pills which makes it a popular choice for men who cannot tolerate side effects of medications such as Viagra or Cialis<\/a><\/strong> or for whom medications do not work well.<\/p>\n Penile prosthesis<\/strong> implantation<\/a> offers effective treatment for ED for men who do not respond to oral medications<\/strong> 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.<\/p>\n A three-piece inflatable penile prosthesis<\/a> is a fluid-filled inflatable device consisting of two penile cylinders, a scrotal pump, and an abdominal fluid reservoir. AMS-700 inflatable penile implant<\/strong><\/a> has a very good track record and high patient satisfaction. Similarly, the Coloplast Titan inflatable penile implant<\/a><\/strong> offers many years of service for many men. <\/p>\n Certain treatments are offered to men for treatment for erectile dysfunction without strong scientific evidence<\/strong> from long-term randomized controlled studies that they work. <\/p>\n What You Need to Know:<\/span><\/p>\n Over-the-counter herbal preparations<\/strong> are sold in many stores and gas stations. There is no scientific evidence that these supplements work<\/strong>. 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<\/strong> for example if they are taking nitroglycerin.<\/p>\n At New York Urology Specialists, we offer specialized treatment for ED for men<\/strong>. Same-day appointments are available.<\/p>\n Call\/text today: 1-646-663-5211<\/span><\/a><\/span> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online. <\/span><\/span><\/strong><\/p>\n We treat sexual and erection problems<\/a><\/strong> and offer comprehensive STD testing<\/a><\/strong> for infections. We treat penile problems in men<\/a><\/strong>, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy<\/strong>, vasectomy reversal, cosmetic circumcision<\/strong><\/a>, circumcision revision<\/a><\/strong>, penile frenuloplasty. We offer confidential<\/strong> appointments.<\/p>\n Our prices are ED treatment prices<\/a> are affordable with or without insurance<\/strong>. Low-cost<\/strong> Viagra (sildenafil) and Cialis (tadalafil) are available to our patients. We offer free insurance verification<\/strong>.<\/p>\n We offer ED treatment to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, and Connecticut, and over 30 countries worldwide.<\/p>\n You can find pictures of penile problems including before and after treatment images in our image gallery<\/a><\/strong>.<\/p>\n If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: <\/strong>1-646-663-5211<\/span><\/a>.<\/strong><\/p>\n We have excellent reviews from patients <\/a><\/strong>and their partners. Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n
\nUnderstanding Treatment for Erectile Dysfunction<\/h1>\n
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More than 18 million men<\/strong> in the US suffer from erectile dysfunction (ED), commonly known as impotence<\/strong>. The prevalence of ED is higher in middle-aged and older men, but it can affect men as young as 20<\/a>.<\/p>\nMedical Evaluation in Men with Impotence<\/h2>\n
Treatment Options for ED include:<\/h1>\n
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Medications: Viagra, Cialis, Levitra, and Stendra<\/h2>\n
Shockwave Therapy for ED<\/h2>\n
Penile Implant<\/h2>\n
Treatments that Do Not Have Scientific Evidence that They Work<\/h2>\n
Where to Get Treatment for ED in NYC?<\/h2>\n
Read Real Stories of Men who Underwent Treatment for ED at New York Urology Specialists.<\/h2>\n
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What do Penile Problems Look Like?<\/h2>\n
What You Need to Know:<\/strong><\/h2>\n
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Why Choose New York Urology Specialists for Treatment of Erectile Dysfunction?<\/h2>\n
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Scheduling Appointments for ED Treatment at New York Urology Specialists<\/h2>\n
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