Posts Tagged ‘Viberect’

Viberect Medical Stimulation Device For ED

December 13, 2015

Andrew Siegel MD   12/13/15

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Our greatest wealth is health and an important part of overall health is sexual health, a topic I have been blogging on for a number of years.

My entry on 9/19/15 reviewed medical use of vibrational devices: https://healthdoc13.wordpress.com/2015/09/19/medical-use-of-vibrational-stimulation-devicesand-more-2/.

My entry on 12/5/15 was on the topic of using vibratory nerve stimulation in conjunction with pelvic floor muscle exercises in men undergoing prostate surgery in order to hasten recovery of sexual function: https://healthdoc13.wordpress.com/2015/12/05/erection-recovery-program/.

Of note, this non-pharmacological program Erection Recovery Program is equally appropriate for any man who wishes to improve erectile function, regardless of the underlying cause.

Viberect is the first FDA certified medical male vibratory nerve stimulation system for erectile dysfunction. Dual vibration heads stimulate the pudendal nerve and induce nitric oxide release that causes a penile erection and with continued stimulation, ejaculation and orgasm.

The Viberect is available without a prescription and I am pleased to announce that Reflexonic (the manufacturer) has offered my readers a 15% discount (good through February 29, 2016) using discount code VIBERECT20 at checkout.

To learn more about Viberect: http://www.viberect.com

Wishing you the best of health,

2014-04-23 20:16:29

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Erection Recovery Program

December 5, 2015

Andrew Siegel MD   12/5/15

Reviresco – (Latin, re- + viresco) “I become green or verdant again”; “I am renewed or revived.”

Outliving Your Penis

It is very possible that you will “outlive” your penis. It will always be there for you in terms of a “spigot” to allow you the privilege of standing up to aim your urinary stream with reasonable accuracy, although this too suffers the ravages of time. However, in terms of being able to obtain or maintain an erection, your penis may perish decades before you do, for a variety of reasons.

The focus of today’s blog is ED due to prostate cancer treatment, although it is equally relevant to any man suffering with ED for any reason.  Having one’s prostate removed is a highly successful means of curing prostate cancer.  However, despite advances in technical and surgical approach, trauma to nerves, blood vessels, and muscular tissue during surgery can compromise sexual function, with ED being the most common complication.  The effect of radical prostatectomy on the penis is not unlike the effect of a stroke on the brain: in both situations a neuro-vascular (nerve/blood vessel) event occurs that may profoundly disturb function.  90% of men experience some degree of ED in the early post-surgery recovery period. The good news is that there are effective “rehab” and even “prehab” methods to optimize preservation and return of sexual function.  

Even if your penis has “expired” in terms of becoming rigid, it is still capable of being stimulated to ejaculation and orgasm, a phenomenon eventually discovered by many men. This is a small consolation (pun intended) for suffering with ED.

If your penis is not completely lifeless, it may be impaired such that you can obtain an erection, but lose it prematurely, or you can obtain at best a partially firm, non-penetrable erection. As if having a crippled penis were not severe enough punishment, to add insult to injury one of the consequences of lack of erections and sexual inactivity is further compromise of the future potential for erections. In other words, you need to obtain erections in order to maintain erections.

Use It Or Lose It

Erections not only provide the capacity for penetrative sex, but also serve to keep the erectile chambers (erectile smooth muscles and vascular sinus tissues) richly oxygenated, elastic and functioning. If one goes too long without an erection, damage to this erectile apparatus can result in penile atrophy (shrinkage) and compromised function. In a vicious cycle, the poor blood flow from disuse induces scarring and further damage to erectile smooth muscle and sinus tissues that often gives rise to venous leakage (rapid loss of erections as blood cannot be properly trapped within the erectile chambers). The bottom line is that in the absence of regular erections, one will likely lose length, girth and function, with the penis hobbled by its inability to properly trap blood.

As an aside, one of the functions of sleep erections—the spontaneous nocturnal erections that occur during REM (rapid eye movement) sleep in healthy men—is to maintain the erectile chambers in good working order. As sleep has an important restorative function for the human body, so sleep erections have a vital restorative function for the human penis.

Penile Resurrection

Achieving erections when they fail to occur by natural means is vital for sexual “resurrection” (l like the sound of this word—say it slowly). In time, the nerves that were “stunned” and/or injured by radical prostatectomy will usually heal and during this convalescing time, obtaining erections will help preserve erectile tissue. The implication is that even if you are sexually inactive, if you anticipate being sexually active in the future, you need to keep the penis and erectile apparatus fit.

Many urologists recommend penile “rehabilitation” when healed up after radical prostatectomy. Traditional rehab involves a combo of pills, injections and vacuum therapy, a.k.a. vacuum suction device (VSD). Some men use one, two or all three of these rehab strategies.

The oral ED medications (Viagra, Levitra, Cialis, and Stendra) can help maintain penile blood flow and provide the benefits that derive from maintaining tissue oxygenation. However, they are double-edged swords as they cannot be used in the face of certain medical conditions, have side effects, are expensive (costing about $40 per pill) and are not effective in all comers.

For those who do not respond to pills, the next step is often penile injections. Vasodilator drugs are injected directly into the erectile chambers to induce an erection. A mixture of one or more medications is often used for this purpose. Unfortunately–despite its effectiveness–many men are not fond of putting a needle in their penis and often nix this means of treatment.

The VSD is the third traditional rehab element. Starting 6 weeks or so after surgery and pursued for 10 minutes daily, the VSD mechanically engorges the penis in an effort to keep the erectile chambers healthy.

The Erection Recovery Program

“Prehab” is a means of pre-rehabilitation that is started shortly after the diagnosis of prostate cancer, during the time period when one awaits being operated upon. Instead of waiting for after-the-fact rehab, prehab intends to maximize sexual function before surgery in an effort to hasten recovery of erectile function after surgery. Committing to the erection recovery program before the trauma of surgery permits one to go into the operation optimally prepared.

The Erection Recovery Program combines two non-pharmacological, non-invasive tools—vibratory nerve stimulation and pelvic floor muscle training—to stimulate the nerves that produce erections and to strengthen the muscles that contribute to erectile rigidity, respectively. The traditional rehab program can be highly effective; however, it addresses primarily blood flow, a vital element of erectile physiology, while not focusing on nerve stimulation and pelvic floor/perineal muscle function, important contributors to the erectile process.

Vibratory-tactile nerve stimulation in men was originally conceived (pun intended) for spinal cord injured patients who desired to father children but were incapable of doing so because of their inability to ejaculate. However, vibro-tactile nerve stimulation is equally effective in inducing erection as well as ejaculation/orgasm in the non-spinal cord injured population and its use has been expanded to the general male population.

The pelvic floor/perineal muscles activate at the time of sexual stimulation, compressing the deep roots of the penis and fostering hypertensive blood pressures in the erect penis in excess of 200 mm, responsible for rock-hard rigidity. Pelvic floor muscle training has been used to bolster the strength, power and endurance of these muscles in order to optimize erectile rigidity and durability. Without well functioning pelvic floor/perineal muscles, full rigidity will not occur.

Oral meds, injection and/or vacuum therapy help prevent erectile tissues from losing elasticity and becoming scarred and less functional from the absence of erections. Similarly, nerve stimulation and pelvic floor/perineal muscle training help maintain the integrity of the erectile tissues as well as help prevent the pelvic floor/perineal muscles from atrophying in the absence of erections.  By keeping the pelvic floor/perineal muscles fit, when erections ultimately do return, function can be optimized.

The combination of nerve stimulation and pelvic floor muscle strengthening is a powerful alliance that is prescribed “prehab” as well as after radical prostatectomy to shorten the time it takes to recover erections. Its merits are its simplicity, safety, efficiency and the fact that it is actually pleasurable to pursue. It does not preclude the use of the traditional rehab program, which can be used in conjunction with the Erection Recovery Program.

Specifically, the Erection Recovery Program consists of the Viberect nerve stimulation device and the Pelvic Rx pelvic floor muscle training program. Viberect, manufactured by Reflexonic, is an FDA-certified hand-held penile vibro-tactile nerve stimulation device that triggers erection and ultimately ejaculation. The Pelvic Rx program, manufactured by Adult Fitness Concepts, is a FDA-registered, comprehensive, interactive follow-along exercise program to increase pelvic floor muscle strength, tone, power, and endurance. Basic Training strengthens the pelvic floor muscles with a series of progressive “Kegel” exercises, while Complete Training provides maximum opportunity for gains via resistance equipment.

Bottom Line: 

The critical principle for erectile recovery is achieving an erection for at least several times weekly during the recovery period after prostate surgeryPenile vibro-tactile nerve stimulation coupled with pelvic floor muscle training is a synergistic combination that promotes initiation and maintenance of erections, respectively. 

This Erection Recovery Program is used prehab (prior to radical prostatectomy) and continued after surgery.  It offers a non-pharmacological option for erection recovery, but can also be used in conjunction with traditional penile rehab programs that use medications.  The Erection Recovery Program is also appropriate for any man who wants to improve sexual function, regardless of the underlying cause.  

To obtain the Erection Recovery Program:

http://www.viberect.com/erection-recovery-program-combo-pack.html

Wishing you the best of health,

2014-04-23 20:16:29

http://www.AndrewSiegelMD.com

A new blog is posted every week. To receive the blogs in the in box of your email go to the following link and click on “email subscription”: www.HealthDoc13.WordPress.com

Author of Male Pelvic Fitness: Optimizing Sexual and Urinary Health: available in e-book (Amazon Kindle, Apple iBooks, Barnes & Noble Nook, Kobo) and paperback: www.MalePelvicFitness.com. In the works is The Kegel Fix: Recharging Female Pelvic, Sexual and Urinary Health.

Co-creator of Private Gym, a comprehensive, interactive, FDA-registered follow-along male pelvic floor muscle training program. Built upon the foundational work of Dr. Arnold Kegel, Private Gym empowers men to increase pelvic floor muscle strength, tone, power, and endurance: www.PrivateGym.com or Amazon.

Vibrators and Kegels: Not Just For The Ladies

August 1, 2015

Andrew Siegel MD   8/1/2015

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At least 30 million men in the USA suffer with erectile dysfunction (ED) and with longevity on the rise, more and more men will have sexual issues. Traditional ED treatments focus on increasing blood flow to the penis, which is essential to erectile function.  However, other vital contributing factors include the roles of the nervous system and the pelvic floor muscles, which can now be tapped into to our advantage, thanks to emerging technologies.

Traditional Management of Erectile Dysfunction

Most conventional forms of management of ED focus on enhancing penile blood flow. This can be achieved via a variety of pharmaceuticals– oral ED medications (Viagra, Levitra, Cialis, Stendra), penile urethral suppositories (M.U.S.E.–alprostadil) and penile injection therapy (Caverject, Edex, Bimix, Trimix, etc.). The vacuum suction device is a mechanical means of filling the penis with blood, using a manual or battery-powered vacuum. Negative pressure engorges the penis with blood and a constriction ring placed around the base of the penis maintains the erection by trapping the blood.

Despite the emphasis on manipulating blood flow to the penis to manage ED, it is important to understand that erections are much more than simply a vascular (blood flow) event. Obtaining and maintaining an erection is a nerve-blood vessel-muscle event, dependent upon functioning nerves that provide sensation and muscle contraction, proper spinal cord and brain function; intact artery and vein blood supply to the penis; and well-functioning erectile smooth muscle within the penis and erectile skeletal muscles surrounding the roots of the penis. In addition to nerves, blood vessels and muscles essential to the process, additional influencing factors are hormones and the psycho-emotional state of the individual. All elements are integrated and provide the functional basis for an erection.

 Deconstructing the Erection Process

Obtaining and maintaining a rigid erection results from a complex interplay of the following elements within the human body:

Nerves: When the penis is stimulated by touch, sensory nerves (dorsal nerve and perineal nerve, which join up to form the pudendal nerve) relay this information to spinal cord centers, which reflexively (via the cavernous nerves) relay to the penile arteries the message to increase blood flow, resulting in the penis engorging with blood. Tactile stimulation of the penis is also conveyed directly to the brain, enhancing this reflex response. Brain-induced erotic stimulation (visual cues, sounds, smells, touch, thoughts, memories, etc.) leads to further stimulation of the penis via cavernous nerve stimulation from excitatory pathways that descend from the brain. The bulbo-cavernosus reflex is important in terms of initiating and maintaining an erection (governed by sensory and motor branches of the pudendal nerve): with stimulation of the head of the penis, there is a reflex contraction of the pelvic floor muscles that causes more blood to be pushed into the penis.

Blood vessels: The cavernous nerve stimulation causes the arteries to the penis and those within the vascular sinuses (erectile tissue) of the penis to substantially increase blood flow.

Smooth muscle: The erectile smooth muscle within the sinuses relaxes to allow filling of the sinuses with blood. Veins that drain the sinuses are occluded, trapping blood within the sinuses. This smooth muscle relaxation results in penile blood pressure becoming equal with systolic blood pressure and an engorged penis, plump but not rigid.

Skeletal muscle: There is no bone in the human penis as there is in many mammals, so nature has evolved a brilliant trick to generate erectile rigidity—the use of readily available blood as a pressure medium under sky-high pressures. To achieve maximal penile rigidity, penile blood pressure must exceed systolic pressure by 100 mm of mercury. This means a penile blood pressure in excess of 220 mm must be achieved for the average man. The penis is the only place in the body where high blood pressure is desirable and necessary for proper function! A hypertensive penis is an erect penis and a happy penis! This explains why blood pressure pills are the most common medications associated with ED.

How exactly does one achieve a hypertensive penis? This is where the “rigidity” muscles come into play, the ischiocavernosus and bulbocavernosus pelvic floor muscles muscles that surround the deep roots of the penis. In response to penile stimulation via the bulbocavernosus reflex, these muscles contract rhythmically, clamping venous outflow and squeezing the deep roots of the penis, pushing more blood into the erect penis, resulting in penile high blood pressure and full-fledged rigidity. Without the rigidity muscles, the penis would be engorged, but not rigid.

Hormones: Testosterone is “male rocket fuel.” A normal level of testosterone is important in terms of both sex drive and the facilitation of erections, although it is possible to obtain erections even in the face of low testosterone levels.

Psycho-emotional factors: Psychological and emotional status has a significant effect on erectile function. Mood, stress levels, interpersonal and relationship issues, etc.—acting via the mind-body connection and the release of a “cocktail” of neurochemicals—can influence erectile function for better or worse. Stress, for example, induces the adrenal glands to release a surge of adrenaline. Adrenaline constricts blood vessels, which has a negative effect on erections, the basis for the common occurrence of adrenaline-fueled performance anxiety.

The Down Side of Traditional Erectile Dysfunction Treatments

Medications undoubtedly can be very helpful for ED. However, they are expensive and are getting increasingly so, have side effects and there are a number of clinical situations in which they cannot be used. Other issues are lack of spontaneity and the need for chronic use. Pills are easy to swallow, but many men find the thought of inserting a suppository in their urethras or putting a sharp needle in their penis less than satisfactory.

Vacuum suction devices do not permit rigidity of the roots of the penis and therefore cause a pivoting and unstable erection. The skin of the penis can become cool and dusky because of the constriction ring, which can be uncomfortable and impede ejaculation. As of July 1, 2015, the vacuum device and accompanying tension ring were statutorily excluded from Medicare coverage and thus not payable when billed to Medicare.  Since the vacuum suction device is no longer covered by Medicare it has become a costly alternative.

These treatments that deal only with the blood flow component of erections neglect the important contributions of nerve stimulation and the “rigidity” muscles.

 New Treatment Options Beyond Drugs & Pumps

An alternative strategy is to focus on nerve stimulation and the rigidity muscles.

Vibratory genital stimulation has been used successfully for many years to enhance sexual response and induce climax in females, so why should it be any different for the male gender? Vibrators applied to the penis have traditionally been used for spinal cord injured patients who wish to father children, but cannot ejaculate. The use of vibratory genital stimulation has recently been expanded to ED, impaired rigidity, sexual dysfunction after radical prostatectomy and orgasmic/ejaculation issues.

Viberect, made by Reflexonic, is an FDA-certified hand-held penile vibratory stimulation device useful for triggering erection and ejaculation. It provides simultaneous stimulation of the genital nerves at both the dorsal (top) and ventral (bottom) surfaces of the penis. Penile vibratory stimulation stimulates the reflex between the penis and the spinal cord (pudendal-cavernosal reflex), resulting in tumescence (gradual filling of the penis with arterial blood). Penile vibratory stimulation of the head of the penis also contributes to erectile rigidity via inducing rhythmic contractions of the ischiocavernosus and bulbocavernosus via the bulbocavernosus reflex. By enhancing the bulbocavernosus reflex and triggering neural activity in the brain, spinal cord and peripheral nerves, vibratory stimulation provokes erection and ultimately, ejaculation.

Pelvic floor muscle training—which has also been used successfully in females for years—is capable of optimizing function of the male “rigidity” pelvic floor muscles. The Private Gym program, made by Adult Fitness Concepts, is the go-to means of increasing pelvic floor muscle strength, tone, power, and endurance. It is a comprehensive, interactive, easy-to-use, medically sanctioned and FDA-registered follow-along exercise program that builds upon the foundational work of Dr. Arnold Kegel. It is the first program of its kind designed specifically to teach men exactly how to perform the exercises. A clinical trial has demonstrated its effectiveness in fostering more rigid and durable erections, improved ejaculatory control and heightened orgasms. The Basic Training program strengthens the pelvic floor muscles with a series of progressive “Kegel” exercises, while the Complete Training program provides maximum opportunity for gains via resistance equipment.

Both the Viberect and the Private Gym are unique sexual management tools—approaches that go beyond the conventional blood flow enhancement treatments of ED—that work on different aspects of the many facets of erectile physiology. Combining use of the Viberect and the Private Gym is a partnership with great harmony and synergy that works on both the initiation of erection via Viberect’s ability to stimulate neurovascular cavernous reactivity as well as the maintenance of erection via Private Gym’s ability to enhance venous occlusion, penile blood pressure and durability of erectile rigidity. Using the Viberect – Private Gym combination does not in any way preclude using additional therapies such as the aforementioned medications. Both Viberect and Private Gym are safe, non-invasive, sustainable and cost-effective treatments with the Viberect costing $299 and the Private Gym $99.

 Preparing For and Recovering From Radical Prostatectomy

Having your prostate removed is an effective means of curing prostate cancer. Unfortunately, because of the prostate’s precarious location – – at the crossroads of the urinary and genital tracts, connected to the bladder on one end, the urethra on the other, touching upon the rectum, and nestled behind the pubic bone in a well-protected nook of the body – – it’s removal has the potential for causing unwanted and undesirable side effects.

Oftentimes, urologists are more focused on removing the prostate cancer (and saving the patient’s life) than spending time educating patients on how to minimize the negative effects of the surgery. Prior to and after radical prostatectomy, by using the combination of nerve stimulation in conjunction with strengthening the pelvic floor muscles, negative side effects can be greatly reduced.

It can take several years to recover maximal sexual function after radical prostatectomy. Post-prostatectomy ED seems to be on the basis of many factors including trauma to nerves, blood vessels, and muscular tissue that can compromise sexual function (and urinary control). The poor tissue oxygenation that results from the penis being flaccid for long periods of time can cause loss of erectile smooth muscle function, scarring and venous leakage (a condition in which there is rapid loss of an erection as blood is not properly trapped within).

Penile rehabilitation (“rehab”) is commonly used to get the blood flowing and maintain penile tissue oxygenation and elasticity, expediting erectile recovery. Treatment modalities that have been used for rehab include oral medications, urethral suppositories, penile injections and the vacuum suction device.

The partnership of Viberect neural stimulation and Private Gym pelvic muscle training is a welcome addition to the penile “rehab” regimen. Viberect stimulates the nerves that help induce an erection, while Private Gym strengthens the muscle system that powers, supports, and controls erectile rigidity. This combined treatment provides a safe, non-invasive, natural solution without side effects and does not preclude the use of traditional ED management.

Furthermore, using the Viberect and Private Gym together before and after prostate surgery can have a significant positive psychological impact on the patient. Once diagnosed with prostate cancer, men often have anywhere from four to eight weeks before surgery. This period of waiting and worrying about the upcoming surgery is often a very emotional and psychologically disruptive time. The same is true during the recovery process. Using Private Gym and Viberect enables patients to take an active role in preparing for surgery as well as facilitating recovery in the post-operative period, empowering them throughout the process.

Wishing you the best of health,

2014-04-23 20:16:29

http://www.AndrewSiegelMD.com

A new blog is posted every week. To receive the blogs in the in box of your email go to the following link and click on “email subscription”: www.HealthDoc13.WordPress.com

Author of Male Pelvic Fitness: Optimizing Sexual and Urinary Health: available in e-book (Kindle, iBooks, Nook, Kobo) and paperback: http://www.MalePelvicFitness.com.  In the works is The Kegel Fix: Recharging Female Sexual, Urinary and Pelvic Health.

Private Gym: http://www.PrivateGym.com -available on Amazon as well as Private Gym website

Viberect: http://www.Reflexonic.com-available on Amazon as well as Viberect website

What’s Up And Coming In Male Sexual Dysfunction?

May 30, 2015

Andrew Siegel MD  5/30/15

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Technological advances and innovations have occurred in the field of sexual medicine. Trending and novel approaches to ED will be reviewed and my comments will follow (in blue).

Many treatments for ED are essentially “Band-Aids” that do not correct the problem at its root cause, but manage the problem on an on-demand basis, typically beneficial for one sexual encounter. This is the case with all of the new technologies that will be discussed with the exception of pelvic floor muscle training (PFMT) and shockwave therapy, both of which provide an ED management that can be rehabilitative or curative.

Exercises To Improve Your Sexual Function

You go to the gym for cardiovascular health and strength training, but who thinks about the important group of muscles that contribute to erectile rigidiity, erectile durability, and healthy ejaculatory function?  Pelvic floor muscle training (PFMT) is a natural, safe, non-invasive means of empowering men, improving many sexual and urinary conditions. These exercises will gradually achieve the status, traction and common use in men as Kegel exercises have in women through PFMT programs like Private Gym (www.PrivateGym.com).  PFMT can help fix one of the common underlying factors that contribute to ED—poorly functional pelvic floor muscles. Impaired pelvic floor muscles promote the outflow of penile blood from the erectile chambers and result in lower erectile blood pressures and softer erections.

PFMT is strongly trending to become a routine first-line approach for the management of male sexual dysfunction. I predict that in the near future, many men with healthy sexual function will use PFMT to maintain healthy function and to help prevent  typical age-related declines, just as exercise in general is used to maintain health and wellness and slow the aging process.

External Penile Support Devices

The Erektor, manufactured by Global Life Technologies (www.erektorforlife.com), is an externally applied mechanism that provides length and rigidity to the penis. It is worn during intercourse in order to permit sufficient rigidity for penetration. It consists of two cylindrical rings attached to a rigid rod that is customized to one’s penile length. The penis is stretched and placed within the rings and the rod sits on the undersurface of the penis.

Think scaffolding…Functional, but not much of a crowd pleaser! What is she going to think? Great name, though…Erektor.

The Penile Cast is an external cast that the penis is placed into to gain the ability to penetrate. It provides rigidity to the shaft and some sensation is possible through cutouts.

Think hollow dildo. She’d probably prefer using this one alone, without you attached to it!

Penile Vibrator

Penile vibratory stimulation is a means of provoking an erection in men who suffer with ED. Additionally, it is a mechanism to provoke ejaculation in men who have a spinal cord injury rendering them incapable of ejaculating. Developed by Reflexonic (www.reflexonic.com), the Viberect was FDA approved for ED in 2011. The device has two arms that are placed in contact with the penile shaft that apply the vibrations, and the vibratory stimulation will cause an erection and ultimately ejaculation.

The company was kind enough to send me a sample device, which I have in the office. It is somewhat bulky and cumbersome, appearing like an oversized stapler. It is a bit on the noisy side, but effectively causes an erection and ejaculation. Perhaps the next generation will be smaller and quieter. It may prove useful in penile rehabilitation after radical prostatectomy.

Penile Shockwave Therapy

Shockwaves are acoustic waves carrying energy that can be focused and targeted. For many years, urologists have used shockwave therapy to pulverize kidney stones. Low intensity shockwave therapy is a novel treatment for ED that when applied to the penis causes cellular micro-trauma and mechanical stress, which causes growth of new blood vessels and improved blood flow.

It has been used in the treatment of chronic wounds, neuropathy, cardiac disease and has been recently trialed for ED. A pilot study in humans applied the shockwaves to five separate sites on the penis resulting in an increase in rigidity and durability of erections using the International Index of Erectile Function as a metric. An additional study showed positive short-term effects in men who previously responded well to oral ED medications. Clinical trials have shown both subjective improvement in ED as well as objective increased penile blood flow and erectile rigidity. Shockwave therapy has the potential of altering one of the underlying causes of the ED, poor arterial inflow of blood.

Intriguing, with promising results from preliminary trials with further clinical investigation necessary and need for optimal treatment protocols to be determined.

Impulse Magnetic Therapy

Certain types of magnetic fields are capable of enhancing blood circulation and increasing cellular oxygen uptake. Magnetic stimulation thus has the potential for inducing increased blood flow to the penis with studies suggesting that magnetic field therapy can improve ED.

Also interesting, with promising results from preliminary trials with further clinical investigation necessary and the need for intensity, frequency and duration protocols to be established.

Tissue Engineering

There is abundant ongoing research in the field of creating—in the lab—biological substitutes to replace injured, diseased or malfunctioning tissues and organs. Although the future appears encouraging, as of now there are no bioengineered tissue substitutes applicable to poorly functioning or damaged penile tissues.

Not ready for prime time when it comes to the penis.

Nanotechnology (Nanoparticle Delivery System)

Nanoparticles are packaged molecules—comparable in size to viruses—that can encapsulate biologically active materials, such as the oral ED medications or nitric oxide, the chemical mediator of erections. A gel that contains such nanoparticles can be applied to the skin of the penis to achieve an erection. This has the potential advantage of the active medication being delivered to the target organ and not distributed throughout the body, avoiding side effects. To date this technology has only been tested in laboratory animals.

Any word preceded by “nano-“ sounds very cutting edge and high tech! Great concept, but who knows? Human clinical trials need to be performed. Testing has resulted in excellent quality erections in our rat friends.

Endovascular Treatment

One cause of ED is blockage of pelvic arteries by fatty deposits, which do not permit sufficient blood flow to achieve an erection. Endovascular treatment is a non-invasive therapy of focal vascular lesions (small and localized areas of arteries that are clogged), an alternative to open surgery to bypass obstructed vessels. A drug-eluting stent (a device that not only bypasses an obstruction, but also releases medication) is placed in a blocked internal pudendal artery. The stent elutes Zotarolimus, a medication that is used to prevent the artery from reblocking. An initial clinical trial has shown improvement in ED in appropriate patients with focal vascular lesions.

In a patient with arteriogenic ED due to pudendal artery blockage, this may prove advantageous, just as drug-eluting stents have been beneficial for coronary artery blockages that would otherwise have required open coronary bypass. The jury is still out, with expanded clinical trials necessary.

The “P-Shot”

Named after the Greek God of Fertility, the Priapus Shot or the “P-Shot” claims to increase the size of the penis by 10-20% and produce harder and longer lasting erections. Platelet rich plasma (PRP) is extracted from the patient’s own blood and injected into the penis. The patient is required to use a penis pump over the course of the treatment. The premise is that growth factors in the PRP promote the growth of new blood vessels to the penis. Providers of the P-Shot claim it is the most significant advancement in cosmetic surgery in decades.

The claims are anecdotal, hypothetical, with little scientific research and evidence supporting them. The jury is still out on this one, but it sure sounds interesting.

Wishing you the best of health,

2014-04-23 20:16:29

http://www.AndrewSiegelMD.com

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A new blog is posted every week. To receive the blogs in the in box of your email go to the following link and click on “email subscription”: www.HealthDoc13.WordPress.com

Author of Male Pelvic Fitness: Optimizing Sexual and Urinary Health: available in e-book (Kindle, iBooks, Nook, Kobo) and paperback: http://www.MalePelvicFitness.com

Co-founder of Private Gym: http://www.PrivateGym.com–available on Amazon and Private Gym website

The Private Gym is a comprehensive, interactive, follow-along exercise program that provides the resources to properly strengthen the pelvic floor muscles that are vital to sexual and urinary health. The program builds upon the foundational work of Dr. Arnold Kegel, who popularized exercises for women to increase pelvic strength and tone. This FDA registered program is effective, safe and easy-to-use: The “Basic Training” program strengthens the pelvic floor muscles with a series of progressive “Kegel” exercises and the “Complete Program” provides maximum opportunity for gains through its patented resistance equipment.