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Axol Therapy is a modern approach to healing the body by using four types of energy: Heat, Electrohydraulic, Acoustic, and Light (HEAL).

Unfocused acoustic waves are delivered to the shaft of the penis using a treatment wand that features a patented unfocused electrohydraulic acoustic wave.

The pulsed acoustic waves are delivered through the skin into the tissue to open and repair aging blood vessels, stimulate new blood vessel growth, restore blood flow, and improve erectile quality. Axol Therapy typically takes only 20 minutes, once a week, for a total of six sessions in the physician’s office. For men who are the right candidates, Axol Therapy is a safe and effective option without the side effects often experienced with oral medications. Most patients can get the quality, rigid erections they once had with Axol Therapy’s gentle acoustic pulse treatment within just six office visits. Incremental improvement in erectile function may be seen after just a few sessions.

There are a number of significant benefits to Axol Therapy.

For men who are candidates for this treatment option, a future without erectile dysfunction is perhaps the biggest one.

The restoration of a man’s vitality and spontaneous active sex life are also major benefits of this exciting new treatment.

Erectile dysfunction (ED) is defined as difficulty in getting and maintaining an erection that is firm enough for sex.

This condition is very common, and is actually the most frequent sexual health complaint from men of all ages. At Las Vegas Urology, our team of urologists is able to offer the complete spectrum of treatment for ED that you wont find anywhere else. Generally all symptoms of erectile dysfunction will contribute to an inability to develop or sustain an erection. If you experience erectile dysfunction in rare instances, and you have no other related health conditions, you should be able to manage your ED without much trouble.

Such situations are completely normal, and should not warrant a significant amount of worry. However, if you begin to become concerned about erectile dysfunction and how much it is impacting your daily life, we encourage you to see a specialist.

ED normally stems from two separate categories of physical and mental health issues.

Most often, erectile dysfunction is the result of a physical problem. These can include a variety of different situations, but they typically relate to: Not having enough blood flow to the penis – Conditions like heart disease, diabetes, and hardened arteries can all restrict the functions of an individual’s circulatory system, which can prevent proper amounts of blood flow to certain areas of the body.

It may also be difficult for an individual to keep blood in the penis long enough to sustain an erection.

Problems with the nerve endings – Damage to the pelvic region can often lead to damage of the nerves. Injury, cancer treatments, or even a disrupted signal from the brain can all cause these nerves to malfunction and diminish a person’s senses. Side effects of medication – There is always a risk to taking a medication, but some risks can impact sexual function both temporarily and long-term. Make sure to discuss all possible side effects to a new medication with your healthcare provider.

Other cases of erectile dysfunction may be caused by emotional or psychological issues, such as: Stress Depression Anxiety Relationship problems Worry about poor sexual performance. It is certainly possible for both physical and mental factors to contribute toward a single patient’s erectile dysfunction.

Many people with ED discover that a physical issue will lead to stress in a relationship or about sexual performance, which can make their erectile dysfunction even more difficult to deal with.

This potentially endless circle can be broken by speaking with a

doctor

Treatment for Erectile Dysfunction from Las Vegas Urology.

Talking with a medical specialist is the first step in getting the proper treatment for erectile dysfunction.

This process begins with a physical exam that can include a full analysis of your vascular system, nervous system, thyroid, prostate, and genitals. Once a patient’s particular cause of ED has been identified, our urologists will be able to give their expert recommendations on which type of treatment will offer the best solution for that individual. Common treatment options include: Shockwave therapy Psychological counseling Lifestyle changes Drug therapy Penile pumps Injections Penile implants. This simple therapeutic method involves a specialized device that delivers controlled electrical impulses to the patient’s penis.

Though this may sound intimidating, shockwave therapy sessions are incredibly gentle and pain free. The electrical currents used during these sessions will help to clear away any plaque within the arteries that may be causing a blockage in blood flow to the penis. If your physician suspects a psychological cause for erectile dysfunction, they may suggest treatment from a psychiatrist, psychologist, sex therapist, or marriage counselor.

It is important to understand that counseling can many times identify and solve various underlying psychological issues causing erectile dysfunction. Such counseling may also be advised in combination with other solutions. When discussing lifestyle changes as an approach to correct erectile dysfunction, consideration of habits that may contribute to the condition need to be addressed. These include: Decreasing or limiting consumption of alcohol Dietary changes to reduce the intake of fat and cholesterol Eliminating the use of tobacco and illicit substances Losing weight Exercising regularly.

Non-invasive treatments often include the use of oral medications such as Viagra, Cialis, and Levitra.

Each of these medications are proven to improve blood flow to the penis to help produce and sustain an erection. Patients should still note that while these types of medications are often beneficial, they do not work for approximately 20 to 30 percent of men. A vacuum pump device may be prescribed as another type of non-invasive alternative. The pump device is placed over the penis and a vacuum mechanism is created to enhance the flow of blood into the penis. A rubber ring placed at the base of the penis helps to retain blood flow and keep the penis erect. These cannot be prescribed for patients with bleeding disorders, persons taking anti-coagulant medications, or those with sickle cell anemia. For this treatment, the patient or his partner injects medication directly into the base of the penis. The medication quickly relaxes muscle tissues and allows blood to flow into the penis to create an erection. If the above treatments are unsuccessful in managing symptoms of erectile dysfunction, your urologist may recommend a penile implant procedure. The implant, called a penile prosthesis, is contained within the body.

Considerations for choosing the appropriate implant include a patient’s current quality of health, their lifestyle, personal preference, and cost. To find which treatment option for erectile dysfunction is right for you, contact Las Vegas Urology today at (702) 316-1616. You can also request an appointment online by clicking here. Whatever is causing your ED, there is a treatment option that can provide a satisfying solution.

If you try one of the treatment options listed and it doesn’t work for you or you aren’t completely satisfied, don’t be discouraged and give up hope.

These treatment options have varying degrees of success for each man depending on the cause of the ED. Irreversible vessel or nerve damage may impact the success of some of these treatments.

For example, oral medications don’t work well for some men. 2 In fact, half of men who try oral medications give up on the pills or they stop working.

3 It’s important to know all of your available options and discuss them with your doctor to determine which will be appropriate for you and your lifestyle. Oral medications : There are a number of prescription medications available that may improve blood flow to the penis. Combined with sexual stimulation, this can produce an erection. Vacuum erection devices : A hollow plastic tube is placed over the penis and a pump (hand/battery-powered) is used to create a vacuum that pulls blood into the penis.

Once an erection is achieved, an elastic tension ring is placed at the base of the penis to help maintain the erection.

Penile implants : A device is implanted into the penis that is intended to allow a man with ED to have an erection. The device is entirely contained in the body so no one is able to see it and is controlled by the user to achieve an erection. This treatment is designed to allow for spontaneity and the erection is maintained for as long as the man desires.

Injections : With injection therapy, a needle is used to inject medication directly into the penis.

The medication allows blood to flow into the penis, creating an erection.

Intraurethral suppositories : An applicator containing a small pellet (suppository) is inserted in to the urethra and the pellet is released.

The pellet dissolves and increases blood flow to the penis, creating an erection.

www.auanet.org/content/ education-and-meetings/med-stu-curriculum/ed.pdf.

Men with diabetes may require more aggressive treatment for erectile dysfunction. Sexual dysfunction after radical prostatectomy: prevalence, treatments, restricted use of treatments and distress.

All trademarks are the property of their respective owners. Call Today to Speak with Erectile Dysfunction Expert Dr.

With a central office in Encino, we are centrally located to men throughout the San Fernando Valley including Tarzana, Calabasas, Lake Balboa and Woodland Hills. The gold-standard in Shock Wave Therapy for ED & Peyronie's.

At Simply Men’s Health, we strive to help patients regain their sexual vitality with a variety of customizable treatment options.

We can help you gain control of your sex life again by customizing the treatment to specific needs. This way, you do not have to sit by and let the effects of aging hinder your quality of life.

The first step to regaining sexual wellness and control is to schedule an appointment. Call us at 561-459-5356 to schedule an appointment and learn how our team can help you live your life to the fullest.

From the moment patients walk in the door to any follow-up appointments, our team strives to create a welcoming and comfortable treatment environment. We understand that some men may not be sure where to start when it comes to treating erectile dysfunction and other issues. Fortunately, our treatment can help by offering a variety of sexual vitality treatment options. At Simply Men’s Health, our team can provide testosterone and other hormone treatments to restore various factors of men’s health. Patients in West Palm Beach, Palm Beach, St Lucie, Broward and Miami Dade County can receive the customized treatment they need to function at their full capabilities when they want to. Call us at 561-459-5356 to learn about the multiple treatment options we have to benefit sexual wellness in men today. Our treatment options can help with various factors of sexual wellness and performance, such as the length of time, stiffness difficulty getting an erection and more.

We can also help to treat hair loss that is a common side effect of aging in men.

At Simply Men’s Health, we can customize the treatment to meet the needs of the patient.

Our services include erectile dysfunction treatment, male rejuvenation, RejuvaWave®, stem cell therapy, platelet rich plasma treatment, male sexual wellness and more.

During an initial appointment, we will examine the patient’s health and determine what form of treatment sildenafil online shop the patient needs.

Call us at 561-459-5356 to schedule an appointment today.

The patient needs to be honest with us and explain the specific issue they are struggling with. Once we understand the extent of the symptoms and examine the patient’s health, we will be able to customize a treatment plan. At Simply Men’s Health, our team will take time to address any concerns and questions of the patient before beginning the treatment. Our team will also help patients in West Palm Beach, Palm Beach, St Lucie, Broward and Miami Dade County with follow-up appointments when necessary.

Erectile dysfunction (ED) is defined by the National Institutes of Health Consensus Panel on Impotence as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance.(1)It is the second most common disorder of male sexual dysfunction, with nearly 30 million men affected in the United States.(2)The causes of ED broadly are psychogenic and organic (physical), but many patients have a multifactorial etiology. Organic causes of ED can include vascular, endocrine, and neurologic problems.(3) Although ED may have deleterious effects on quality of life, it remained largely an underdiagnosed disorder until recently because many men were reluctant and sometimes embarrassed to address this sensitive issue with their physician.(3)Furthermore, the treatment of ED was limited to injectable products or marginally effective oral therapy.

With the availability of effective oral therapy and greater public awareness, more patients are seeking medical help and are asking for effective medication therapy.

The purpose of this article will be to review the major drugs used to treat ED. Physiology of Erection A good understanding of erectile physiology is necessary in order to understand how medications used to treat ED work. An erection is a vascular process controlled by the central nervous system. Sympathetic nervous system activation induces erectile tissue contraction, which reduces blood flow through the corpora cavernosa, increases blood flow outside the penis, and results in a flaccid penis.

Inhibition of sympathetic tone occurs

with

Nitric oxide (NO) is an important neurotransmitter involved in erection. NO release in response to sexual stimuli by endothelial and neural cells catalyzes the production of cyclic guano-sine monophosphate (cGMP), which promotes penile smooth muscle dilatation.

Other neurotransmitters thought to be involved in the erectile mechanism include prostaglandins, vasoactive intestinal peptide, serotonin, and dopamine.

Many drugs used to treat ED work by modulation of these neurotransmitters.

Pharmacologic Treatment The 2 principal drugs used to treat ED are sildenafil and alprostadil; however, treatment can include the use of yohimbine, trazodone, papaverine, phentolamine, androgens, or bromo-criptine.

A summary of agents used to treat ED is shown in Table 1. The choice of drug therapy for ED depends on the etiology.

Phosphodiesterase Inhibitors Sildenafil citrate, the only phospho-diesterase inhibitor currently approved by the FDA for the treatment of ED, is commonly prescribed.

Sildenafil was the 46th most dispensed drug in 2001.(4)Sildenafil acts by inhibiting the cGMP-specific phos-phodiesterase type 5 (PDE5) enzyme in the corpora cavernosa, which prevents the breakdown of cGMP to an inactive compound.

The resulting increased availability of cGMP enhances the erectile response, because cGMP is able to relax the penile smooth muscle and vasodilate the penile arteries. Sildenafil does not directly induce erection of the penis but augments the response to sexual stimulation.

Results vary, depending on the cause of the ED, but studies have shown good efficacy rates for silde-nafil. A meta-analysis of 27 trials including a total of 6659 patients was 18 recently published.(5)Overall, sildenafil was more efficacious than placebo in improving erectile function.

The primary efficacy parameter, successful sexual intercourse attempts, was 57% for men given sildenafil and 21% for men given placebo. The usual dosage range for sildenafil is 25 to 100 mg daily.

Sildenafil should be taken as needed 30 to 60 minutes before sexual intercourse, no more than once daily. Patients should be informed that silde-nafil has no effect in the absence of sexual stimulation, and it should not be taken with a fatty meal because this may decrease the onset of action. Dose adjustment is necessary for men who are over 65 years old, men with hepatic impairment, men with renal impairment (creatinine clearance Alprostadil Alprostadil is a synthetic prostaglandin E1 analogue with alpha-adren-ergic blocking activity.

Alprostadil stimulates cyclic adenosine mono-phosphate (cAMP) production in the corpora cavernosa, and increased levels of cAMP relax smooth muscle and dilate the penile arteries, inducing an erection.

The intracavernosal form of alprostadil is administered with a short needle injected through the side of the penis, directly into the corpus cavernosa.

The intraurethral form of alprostadil is administered with a hand-held delivery device. An alprostadil pellet is inserted through the penile opening into the urethra and is absorbed through the urethral mucosa into the surrounding erectile tissue.

Alprostadil is highly effective in treating ED, with success rates of approximately 80% with intracaver-nosal injection(8)and 65% with urethral administration.(9) To find the optimal dose for a given patient, alprostadil dose titration is performed in the physician?s office, starting with the lowest dose and increased until erection occurs.

The usual dosage range for the intracaver-nosal form of alprostadil is 1.25 to 2.5 mcg.

The maximum dose is 60 mcg up to 3 times a week, allowing at least 24 hours between each dose. Some adverse effects include penile pain, bruising at the injection site, priapism, hematoma/ecchymosis, hypotension, headache, and dizziness.

The usual dosage range for the intraurethral form of alprostadil is 125 to 250 mcg up to a dose of 1000 mcg.

It is recommended that this system be administered after urination to facilitate absorption. Adverse effects include penile pain, urethral burning, dizziness, hypotension, minor urethral bleeding/spotting, and female partner burning/itching.

Using alprostadil is contraindicated in men with a predisposition to pri-apism, men in whom sexual activity is inadvisable or contraindicated, and men with abnormal penile anatomy/penile implants.

Men using the intraurethral form of alprostadil to treat their ED should avoid sexual intercourse with pregnant women because the alprostadil may cause harm to the unborn fetus.

Other Therapies Trazodone, which is an atypical antidepressant with serotonergic and alpha-adrenolytic activity, is thought to help erection by indirectly stimulating corporeal smooth muscle relaxation.(10,11)Reports of prolonged erection and improved sexual function have prompted use of trazodone to treat ED. Although preliminary data showed efficacy, double-blind, placebo-controlled trials have shown marginal efficacy of trazodone in treating organic ED.(12)Trazodone also may be considered for patients with psy-chogenic ED. Yohimbine, an indole alkaloid obtained from the bark of the yohimbine tree, is a centrally acting alpha(2) adrenergic-receptor antagonist. It acts at the adrenergic receptors in brain centers associated with libido and erection, and it may facilitate stimulated erections.(10)A meta-analysis of 7 randomized, placebo-controlled studies of men with erectile dysfunction showed that yohimbine was better than placebo in treating ED. This benefit was most significant, however, in patients with psychogenic ED, and efficacy was only marginal in patients with organic ED.(13)Yohimbine is generally recommended for those with psy-chogenic ED.(14) Papaverine is an opium alkaloid that inhibits phosphodiesterase at the postreceptor level and induces smooth muscle relaxation in the sinusoids and dilation of helicine arteries.(10)It increases cAMP and cGMP concentrations in penile erectile tissue, thus facilitating erection.

It is effective and low in cost but can cause significant priapism and fibrosis when used alone at higher dosages.

This adverse-effect profile limits routine use of papaverine; however, lower dosages can be utilized if used in combination with other vasoactive injection therapy. (Phentolamine, a competitive alpha(1) and alpha(2)adrenergic-receptor blocking agent, dilates arteries and abolishes sympathetic inhibition of erections. Although it does not cause erections alone, it can be used in combination with other vasoactive injection therapy.(10)Significant adverse effects with phentolamine include orthostatic hypotension and tachycardia.

Oral phentolamine has been reported to be effective in treating ED and is available in several South American countries but not in the United States. Intracavernous therapy with the lower dosages of combination papaverine and phentolamine is effective in treating ED, is better tolerated, and can be considered for patients who fail with traditional agents.

Other combinations include intracavernous therapy with papaverine and alprostadil or with phentolamine and alprostadil. The most effective combination is intracavernous therapy with papaver-ine, phentolamine, and alprostadil (also known as trimix). The response rate with trimix may be as high as 90%.(11) Conclusion ED affects a vast number of men in the United States, and it is one of the most common untreated medical disorders.

Sildenafil is a major discovery in the treatment of ED. Although not completely effective in all patients, efficacy rates are high for sildenafil. Alprostadil is another effective treatment option, but it requires patient acceptance of the route of administration.

A suitable medication therapy can be selected at the discretion of both the physician and the patient. Newer agents, such as vardenafil, will soon be available for use, and other therapies are in clinical development. Erectile dysfunction and premature ejaculation: underlying causes and available treatments.

This review examines the underlying causes associated with ED and PE and evaluates currently available treatment options and those under investigation.

Erectile and ejaculatory disorders comprise the most prevalent sexual disorders in men, with erectile dysfunction (ED) primarily affecting aging men who have coexisting morbidities such as cardiovascular disease and diabetes mellitus.

Premature ejaculation (PE) can affect men of all ages and is not typically associated with underlying organic disorders but is believed to be associated with imbalances in serotonin neurotransmission.

The availability of oral phosphodiesterase inhibitors has revolutionized the management of ED, replacing less-desirable older products associated with more side effects. Although many efficacious treatment options are currently available and recommended for the management of PE, several challenges remain in bringing the first desirable, safe, and effective FDA-approved drug to the US market.