Erectile Dysfunction Treatment in Dallas-Fort Worth, TX
As a specialist in men's sexual health, reconstructive urologist Allen Morey will approach your ED case from a total health perspective. Dr. Morey takes a comprehensive approach to treating ED from mild cases that can be treated with medications, to severe cases which can require a penile prosthesis. That's why men from all over Texas and the United States trust Dr. Morey to help them overcome ED.
Dr. Morey is also active nationally in urologic education, serving as the 2013 President of the South Central Section of the American Urological Association (AUA) and the 2014 President of the Society of Genitourinary Reconstructive Surgeons (GURS). He is Chair of the AUA Urotrauma Guidelines Committee, and won the 2016 AUA Distinguished Contribution Award. He is on the Board of Directors of the Sexual Medicine Society of North American (SMSNA)
He was named a Super Doctor by Texas Monthly in 2010 – 2023.
Dr. Morey specializes in the complete treatment of erectile dysfunction in his office near Dallas. Rather than giving quick, ineffective fixes, Dr. Morey works with you to develop a customized treatment plan that helps you reach your long-term goals. Contact our office in near Dallas at (877) 416-0441 and schedule your ED consultation today!
How is Erectile Dysfunction Diagnosed?
When it comes to effectively treating erectile dysfunction, it’s important to identify the cause.
Dr. Morey and his team use the most modern and innovative diagnostic tools available in the Dallas area to reach a diagnosis. This includes a physical examination, blood work, and cardiac electrocardiograms (EKGs) to evaluate your general health to get to the bottom of the underlying conditions. Call our urology clinic at (877) 416-0441 to schedule an appointment.
ED Treatment Options
Erectile dysfunction (ED) is not an inevitable part of aging.1 There are several treatment options depending on the reason for your ED.2 It's important to explore and learn about all alternative treatment options. Your doctor will be able to explain all your options and help you choose the best option for you. There are many options and suggestions your doctor may give you, such as making lifestyle changes (diet, exercise, better habits), trying medication or a vacuum erection device, or a penile implant.2, 3 |
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Penile Implants
A penile implant offers a long-term solution for ED.4 It is an erection assistance device that is placed inside the body during an outpatient implant procedure. It allows for spontaneity and puts the man back in control of his body. Penile implants were designed to mimic the look and performance of a natural erection.5
For more information about penile implants, visit the Penile Implants page.
Oral Medication
Pills like Viagra™, Cialis™, Levitra™, or Stendra™ may help achieve erections in response to stimulation. They generally should be taken at least half an hour to one hour before anticipated sexual activity. Potential side effects include headaches, facial blushing, upset stomach, back pain/muscle aches, and nasal congestion.10
TM* Third party brands are property of their respective owners.
Penile Injections
A penile injection is placed into the penis to inject medication to create an erection. This produces an erection within 5-20 minutes.6 Potential side effects include priapism (erection lasting 4 hours or more), penile pain, numbness or irritation, bruising at the injection site, and penile fibrosis (deformed penis shape).7
Vacuum Erection Devices
Vacuum erection devices are external pumps placed over the penis to help with ED. The device, consisting of a cylinder and pump, creates a vacuum that pulls blood into the penis creating an erection and a constriction ring that helps maintain the erection. Patients who use vacuum erection devices may experience penile discomfort, penile numbness, and an erection that is not warm to the touch, among other potential side effects.9
Insertable Medication
Insertable medications are another ED solution available but are not as commonly prescribed. A small pellet (suppository) is inserted into the urethra using an applicator and the pellet is released allowing for increased blood flow, creating an erection. Erections usually start within 10 minutes and last between 30-60 minutes. Side effects can include burning and aching in the penis and groin.8
Titan® and Titan® Touch Inflatable Penile Prosthesis – Important Safety Information
A penile implant, also called a penile prosthesis, is concealed entirely within the body to address erectile dysfunction (impotence). The implant requires some degree of manipulation before and after intercourse to make the penis erect or flaccid.
Indications
The Titan and Titan Touch Inflatable Penile Prosthesis is indicated for male patients suffering from erectile dysfunction (impotence) who are considered to be candidates for implantation of a penile prosthesis.
Contraindications
The Titan and Titan Touch Inflatable Penile Prosthesis is contraindicated in patients who have one or more of the following: (1) Patients with an active infection present anywhere in the body, especially urinary tract or genital infection. (2) Patients with a documented sensitivity to silicone. (3) Patients with unresolved problems affecting urination, such as an elevated residual urine volume secondary to bladder outlet obstruction or neurogenic bladder. (4) Patients unwilling to undergo any further surgery for device revision.
Warnings
Implantation of the device may make latent natural erections, as well as other interventional treatment options, impossible. Men with diabetes or spinal cord injuries, as well as immunocompromised patients, may have an increased risk of infection associated with a prosthesis. Implantation of a penile prosthesis may result in penile shortening, curvature or scarring.
Precautions
Removal of an implanted prosthesis without timely reimplantation of a new prosthesis may complicate subsequent reimplantation or may make it impossible. MRI quality may be compromised if the area of interest is in the exact same area or relatively close to the position of the Titan, and Titan Touch IPP. Be sure to consult with your physician. Patients should discuss all available treatment options and their risks and benefits with their physician. Health conditions which hamper sexual activity, such as severe chest pain (angina), may prevent successful use of this device. The prosthesis should not be implanted in patients who lack the manual dexterity or strength necessary to operate the device. Trauma to the pelvic or abdominal areas, such as impact injuries associated with sports (e.g., bicycle riding), can result in damage of the implanted device and/or surrounding tissues. This damage may result in the malfunction of the device and may necessitate surgical correction, including replacement of the device. The device may be used in the presence of Peyronie’s Disease.
Potential Complications
Penile implants are surgical solutions requiring a healing period that have risks associated with surgery such as scrotal swelling, auto-inflation, discomfort, angulation/curvature, swelling (edema), device malfunction, chronic pain, difficulty with ejaculation, transient urinary retention, fever, migration, patient dissatisfaction, infection at surgical site or wound, deflation, swelling of clotted blood or clear fluid (hematoma/seroma), wound leakage, bleeding, delayed wound healing, narrowing of the opening of the foreskin (phimosis), sensory loss, cylinder malfunction, formation of thick tissue (fibrous capsule formation), over/under inflation, erosion, scrotal reddening (erythema), genital change, and inguinal hernia.
This treatment is prescribed by your physician. Discuss the treatment options with your physician to understand the risks and benefits of the various options to determine if a penile implant is right for you.
Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.
References
- Definition & Facts for Erectile Dysfunction. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/definition-facts. Accessed March 2023.
- Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, Heidelbaugh J, Khera M, McVary KT, Miner MM, Nelson CJ, Sadeghi-Nejad H, Seftel AD, Shindel AW. Erectile Dysfunction: AUA Guideline. J Urol. 2018 Sep;200(3):633-641.
- Treatment for Erectile Dysfunction. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/treatment. Accessed March 2023.
- Miller LE, Khera M, Bhattacharyya S, Patel M, Nitschelm K, Burnett AL. Long-Term Survival Rates of Inflatable Penile Prostheses: Systematic Review and Meta-Analysis. Urology. 2022 Aug;166:6-10.
- Data on file at Coloplast
- CAVERJECT® IMPULSE Medication Guide. ©2022 Pfizer Inc.
- CAVERJECT® IMPULSE What are the causes of and treatments for ED? ©2022 Pfizer Inc.
- MUSE™ (alprostadil) urethral suppository IFU. Meda Pharmaceuticals, Inc. Revised April 2018.
- Yuan J, et al. Vacuum therapy in erectile dysfunction – science and clinical evidence. International Journal of Impotence Research. 2010; 12: 211-219
- Cialis.™ Highlights of Prescribing information. Lily USA, LLC. Revised February 2018.
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Schedule Your Erectile Dysfunction Treatment in McKinney
Successful treatment of Erectile Dysfunction requires a thorough assessment by highly trained men's health specialists like Dr. Morey. Our clinic is one of the only clinics in the Dallas area that provides an A to Z solution for ED. To schedule your consultation at our urology clinic in McKinney, TX, please call 877-416-0441. Dr. Morey will take the time to determine the cause of your ED and determine the treatment that best fits your needs.