阴茎注射治疗勃起功能障碍没有效果怎么办

亚历克斯医生(Alex Shteynshlyuger MD)


如果您有任何问题, 需安排咨询,请 联系我们 或致电/短信: 1-646-663-5211

我们有来自患者及其伴侣的一致好评。 州外和国际患者信息咨询。 查看我们的办公时间或诊室路线。 

我们的价格合理,无论您是否有保险。 我们为患者提供实惠的伟哥(西地那非,Viagra)和希爱力(他达拉非,Cialis)。


阴茎注射不起作用的原因 

阴茎注射PGE1(前列腺素1,prostaglandin 1)或者3P混合剂Trimix(罂粟碱 Papaverine、及酚妥拉明 Phentolamine和前列腺素E1prostaglandin E1)同属于治疗勃起功能障碍的有效手段。 

阴茎注射药物通常在口服药物无效时可起到治疗效果,比如希爱力(Cialis)不再有效,或者伟哥(Viagra)无效

阴茎注射治疗ED 不再有效的最常见原因有:

由医生操作阴茎注射有效,但患者自行注射却无效的情况,最常见的原因是注射方式不对阴茎注射 PGE1 治疗ED,如凯威捷(Caverject)3P混合剂Trimix深入注射到阴茎内部血管(海绵体内)。 

通常患者注射时针头不够深入,或角度错误,导致药物只注射到了皮下,没有到达正确的位置。 

纽约泌尿专家中心(New York Urology Specialists),我们全力教会患者正确的注射技巧,通常药物有效时能达到很好的疗效。 请预约了解您是否需要帮助。

用于治疗勃起功能障碍的阴茎注射药物分为两种:需要冷藏的和不需要冷藏的。 当药物需要冷藏时,正确地储存药物很重要。  如果需要冷藏的药物没有得到正确的保存,可能会失去药效,治疗效果大打折扣。 前列腺素特别容易失去效力。

用错了阴茎注射液的剂量。 类似Bimix 混合剂、3P混合剂Trimix、QuadMix混合剂是配置的复合药物, 不同的药房配置的配方和浓度不同。 

因此, 不同药房配的药不能相互替换。  当您需要使用新药房配的药时,请在我们诊室进行试用,以确定正确的剂量。  在纽约泌尿专家中心(New York Urology Specialists),我们会为所有患者进行试用,已确保药物剂量合适,不会过量,避免 阴茎勃起过久

阴茎注射无效的 常见原因。

引起勃起功能障碍的主要原因有两个:动脉供血不足(arterial insufficiency)下体静脉闭塞不全(corpora-venous occlusive insufficiency)

阴茎注射对于由动脉供血不足引起的勃起功能障碍有很好的效果。 小部分有严重动脉供血不足的男性可能会觉得阴茎注射不适合自己,对于这部分男性,阴茎假体通常是最有效的治疗方案。

使用3P混合剂Trimix 等阴茎注射药物对于有轻微下体静脉闭塞不全的男性来说通常是有效的。 对于患有中等或严重下体静脉闭塞不全的男性,阴茎注射通常不管用。 这也是进行阴茎多普勒超声检查的重要性。检查可以确定引起勃起功能障碍的原因,帮助患者得到恰当的治疗。

对于患有佩罗尼氏病的男性,特别是有严重沙漏外形的,通常使用3P混合剂Trimix 和前列腺素PGE1 进行阴茎注射时,在靠近阴茎头部位置有效果,但在引起沙漏外观的癜痕部位不能达到足够的勃起。

阴茎注射对于低睾酮( Low-T)男性的效果会有些折扣。 治疗低睾酮可能会提高阴茎注射的效果。

阴茎注射无效时的治疗方案

患者学会正确注射前列腺素E1和3P混合剂Trimix 等药物十分重要。 美国泌尿外科协会(American Urological Association)的ED 治疗指南建议,阴茎注射要在诊室进行滴定测量,以确定合适的药物剂量。

对于低睾酮患者, 建议进行睾酮替代疗法。  同样,对于激素分泌异常的患者,如甲状腺素偏低或偏高、催乳素水平偏高等,应矫正激素异常。  想要全面治疗勃起功能障碍,还需同步进行减肥、高血脂和高血压治疗。

ED 冲击波疗法是一种新的治疗方法。 冲击波疗法对于患有血管性勃起功能障碍且阴茎注射不管用的男性来说可能会有好的效果,能帮助患者重新获得阴茎注射和口服药物的效力。

阴茎假体是阴茎注射的有效替代方案

通常,在使用阴茎注射方案前,患者通常会尝试口服药物,如伟哥(Viagra)、希爱力(Cialis)和艾力达(Levitra)。  大多数患者进而使用阴茎注射治疗ED 的原因是 口服药物,如西地那非(伟哥)不起作用。  真空勃起装置(VED)也是一种方案,不过大多数男性尝试一小段时间之后就会放弃使用,因为用起来不方便。  通常,真空勃起装置没有阴茎注射或伟哥、希爱力等口服药物有效。

对于 阴茎注射(Bimix、前列腺素E1、 3P混合剂Trimix 和 Quadmix)治疗勃起功能障碍不管用的患者来说,最可靠有效的方式阴茎假体植入。  有两种阴茎假体:可屈性和可膨胀性。  类似 AMS 700康乐保Titan Touch 可膨胀阴茎假体,患者的满意度很高。 不管ED 的病因是什么,阴茎假体对于男性都有效。 阴茎植入物还可帮助患有糖尿病高血压、肾衰竭等其他问题的男性重获性能力。

亚历克斯医生(Alex Shteynshlyuger MD)是美国为数不多可提供阴茎假体手术的顶级泌尿科医生。为患有勃起功能障碍、佩罗尼氏病引起的ED、勃起异常引起的阴茎纤维化患者提供治疗。

在纽约哪里可以治疗ED ?

在纽约泌尿专家中心(New York Urology Specialists),我们为男性提供专业的ED 治疗。 可当天预约。

今天致电/短信: 1-646-663-5211 或 在线预约 。  

我们治疗性问题和勃起问题, 提供全面的性病(STD)检查。 我们治疗男性阴茎问题,包括包茎、龟头炎、阴茎刺激和发红。 我们提供无刀输精管切除术,输精管切除术逆转手术,包皮环切术包皮切除修复和阴茎系带成形术。 我们提供保密会诊。

我们治疗ED 的价格合理,无论您是否有保险。 我们为患者提供实惠的伟哥(西地那非,Viagra)和希爱力(他达拉非,Cialis)。 我们免费提供保险核验

查看纽约泌尿专家中心(New York Urology Specialists)男性患者接受ED治疗的真实案例。

我们为患者提供ED 治疗,附近患者可开车直达我们的诊室,其他州及国外的患者也可方便接受治疗。  我们的患者来自纽约、新泽西、宾夕法尼亚和康涅狄格州以及全球30多个国家。

阴茎问题长什么样?

您可以在我们的图库中找到阴茎问题的图片,包括治疗前后的对比图。

您需要知道什么:

为什么选择纽约泌尿专家中心(New York Urology Specialists)治疗勃起功能障碍?

  • 所有 治疗由认证泌尿科专家进行。我们的泌尿科专家经验丰富,擅长使用药物疗法、微创疗法、激光和手术治疗男性ED、早泄、和其他性问题。
  • 我们是纽约地区为数不多可为男性提供性疾病和勃起问题全面诊疗的机构。
  • 我们在诊室提供诊断检测,避免医院的高花费。
  • 丰富的经验:我们使用药物治疗、ED 冲击波疗法、阴茎注射3P混合剂(Trimix)和阴茎假体植入手术等方式,成功治疗了成千上万男性患者。
  • 我们的服务保密又贴心。 我们深知大部分患者希望保护隐私。  我们接诊各类患有泌尿系统疾病的患者。 我们会对您的来访目的完全保密。
  • 我们是纽约地区为数不多可为男性提供性疾病和勃起问题全面诊疗的机构。
  • 我们的诊室交通便利,对于曼哈顿、布鲁克林、皇后区、斯塔顿岛、韦斯特切斯特、长岛、布朗克斯和新泽西寻求ED治疗的男性,仅需30-60分钟往返时间

预约纽约泌尿专家中心(New York Urology Specialists) 治疗ED


如果您有任何问题, 需安排咨询,请 联系我们 或致电/短信: 1-646-663-5211

我们有来自患者及其伴侣的一致好评。 州外和国际患者信息咨询。 查看我们的办公时间或诊室路线。 

我们的价格合理,无论您是否有保险。 我们为患者提供实惠的伟哥(西地那非,Viagra)和希爱力(他达拉非,Cialis)。

我们提供工作日、周末、晚班出诊服务。

亚历克斯医生(Dr. Alex Shteynshlyuger)是 行业认证的泌尿科医师, 擅长治疗男性各方面性问题,包括ED、早泄和其他性问题。  他成功治疗了数百名男性患者的性问题,包括勃起障碍(ED)和性冷淡。


Patients Reviews

Overall Rating:

4

Total Ratings

4

Total Reviews

32

Ratings

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

penis
by on May 12, 2022

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best urology doctor
by on Feb 14, 2021

Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.

solved my problem with ED
by on Jan 29, 2021

Dr. Shteynshlyuger helped to solve my problem with ED

Very Pleased
by on Jan 21, 2021

Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S

THEY TREAT YOU LIKE FAMILY
by on Jan 11, 2021

THEY TAKE GOOD CARE OF YOU AND THEY TREAT YOU LIKE FAMILY AND LOOK OUT FOR YOU

treatment from New York Urology
by on Jan 07, 2021

My problem with ED is gone with my treatment from New York Urology!

What went well

Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions

What could be improved

recommend Dr. Shteynshlyuger
by on Jan 04, 2021

Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.

I would highly recommend it to anyone
by on Oct 11, 2020

I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don't regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! quick story after the procedure I was in soo much pain and called the office on a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me.

highly qualified diagnostician
by on Sep 23, 2020

I have been observed by Dr. Alex for many years and I must say that he is a highly qualified diagnostician, and also several times I have received qualified microsurgical assistance and very useful advice. The only reason I put 4 with a plus is a somewhat long wait for the reception.

very friendly staff
by on Apr 12, 2020

excellent doctor and all very friendly staff

Doctor Shteynshlyuger provided me with the care I needed
by on Mar 11, 2020

The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.

Patient review
by on Jan 24, 2020

Shang Ring circumcision
by on Oct 29, 2019

Overall, it was a good experience. Dr. Shteynshlyuger (Dr. Alex) was very nice, warm and helpful. He performed a Shang Ring circumcision for me and the procedure went well. I'm pleased with the results and there were no complications. If anyone is interested in the shang ring circumcision in the tristate area, then I'd recommend him. The whole procedure is $1850, which includes the initial consultation (provided that ther are no complications) and every follow up visit up to six months.

What went well

Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions

What could be improved

Office very convenient location
by on Aug 13, 2019

Office very convenient location Don’t have to wait for long Staff very friendly Dr shteynshyuer very experienced I had my serviced done in 3 visits now I feel good now Than you Dr. shteynhlyuger

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.

Recommendation
by on Jul 18, 2019

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

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.

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!!!

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

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

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.

男性ED 几乎都是可以治疗的

卓越-Urology_Care横幅2在纽约泌尿专家中心(New York Urology Specialists),我们的泌尿科医生在评估和治疗勃起功能障碍方面受过专门训练。 我们了解ED 如何影响患者的关系和自尊。  我们帮助您找到适合您需求、生活方式和偏好的勃起功能障碍治疗方案。

泌尿科医生是专门治疗男性勃起功能障碍的医生。 凭借我们的经验和技术,我们可以为几乎所有男性提供有效的ED 治疗方案。  我们为勃起功能障碍患者提供药物和手术治疗。

我们治疗一些最复杂的 ED 问题,包括:

预约亚历克斯医生(Dr. Shteynshlyuger):

今天致电/短信:1-646-663-5211  或在线预约 

亚历克斯医生(Dr. Alex Shteynshlyuger)是行业认证的泌尿科医师,擅长使用先进有效循证方案治疗男性勃起问题。 我们提供可膨胀性阴茎假体植入手术、冲击波疗法治疗勃起功能障碍和佩罗尼氏病。

他在纽约地区备受业内顶尖的外科医师推崇。 如果您或身边的朋友患有泌尿系统症状,请预约  亚历克斯医生(Dr. Shteynshlyuger)咨询他的专业意见。 请随时 联系我们 咨询任何问题。


如果您有任何问题, 需安排咨询,请 联系我们 或致电/短信: 1-646-663-5211

我们有来自患者及其伴侣的一致好评。 州外和国际患者信息咨询。 查看我们的办公时间或诊室路线。 

我们的价格合理,无论您是否有保险。 我们为患者提供实惠的伟哥(西地那非,Viagra)和希爱力(他达拉非,Cialis)。

我们提供工作日、周末、晚班出诊服务。

 

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