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Erectile Dysfunction

Dr. Kaplan, recognized previously as “Top Doctor” by Las Vegas Magazine and “Consultant of the Year” by the state Family Practice Association, has a vast experience in the management and treatment of erectile dysfunction. He has served as a consultant to the pharmaceutical industry and is a former national speaker. He has enormous experience in vasoactive injection therapy. Dr. Kaplan specializes in penile prosthetic surgery. He serves as a consultant to the leading penile implant manufacturer, teaching surgery to other urologists.

ED Treatments Are Available

Erectile dysfunction affects more than 100 million men worldwide. Now, with the advancement of treatment options for erectile dysfunction (ED) and the wide spread publication of the success of these treatments, more men are seeking treatment and returning to normal sexual activity. Dr. Michael S. Kaplan, M.D., a board certified urologist has been a frontrunner in the treatment of ED since he established his practice in 1989 where he has helped his patients relieve the frustrations and embarrassment caused by ED.

Treatment for Erectile Dysfunction is on the rise - Erectile Dysfunction is common. YOU ARE NOT ALONE. Treatment of erectile dysfunction should be personal and private. Dr. Kaplan believes in treating every patient with thoughtful personal attention, and treatment is tailored for every patient’s personal needs. As a board certified urologist, we offer the full spectrum of treatments ranging from pills to implant surgery.

PE Treatments Are Also Available

Promescent is a fast acting, FDA approved treatment for premature ejaculation that requires no prescription. This product is recommended by top urologists, including Dr. Kaplan. For more information or to order, please visit Promescent.

Physical Causes for Erectile Dysfunction

  • Vascular Diseases – Arteriosclerosis (hardening of the arteries), high blood pressure, high cholesterol
  • Diabetes – Alters nerve function and blood flow
  • Prescription Drugs – Blood pressure, cardiac and psychiatric medications and antihistamines
  • Substance Abuse – Excessive smoking, alcohol and illegal drugs constrict blood vessels
  • Neurological diseases - Multiple sclerosis and Parkinson’s disease may interrupt nerve impulses
  • Surgery – Prostate, colon, bladder and other pelvic surgery can damage nerves and blood vessels
  • Spinal injury – Interruptions of nerve impulses from the spinal cord to the penis
  • Other – Hormonal imbalance, kidney failure and dialysis may reduce testosterone levels
  • Psychological – Unpleasant past sexual experiences, stress, depression and anxiety

How is Erectile Dysfunction treated?

A physical exam and the patient’s medical history will enable the physician to determine the appropriate treatment option for each individual. Advances in oral medications, intraurethral suppositories, injectable medications, implants, and vacuum devices have expanded the options for men seeking treatment for ED. Most important for the treatment of ED is the patient’s willingness to seek help by scheduling an exam.

Erectile Dysfunction FAQs

Most men wait a very long time to treat their ED (Erectile Dysfunction). They do this because they are ashamed or embarrassed of their performance in bed. The fastest solution to solve this problem is to speak with a specialist immediately. There is no reason to delay, if you are feeling as though you are not performing as well as you believe you can, or should be able to.

Why is it difficult to get, and keep, an erection now?

Erections begin with thoughts, typically. Sexual thoughts induce a reaction in the nervous system, which release chemicals in the penis. These chemicals cause the penis to fill with blood, causing an erection. ED results in a problem somewhere along this process.

I am very fit. This shouldn't be happening to me. Why is it?

To be able to adequately diagnose the problem, a qualified ED specialist will have to identify the cause of the problem. The nerve connection from the brain to the penis have to be intact. These nerves can be damaged through excessive alcohol, pelvic surgery, neurological disorders, diabetes, and brain damage. Smoking, high cholesterol, and high blood pressure can also lead to ED related difficulties.

How can I tell if the problem is psychological or physical?

If you have no problem with erections when you are alone, or in certain circumstances, and then cannot achieve an erection in other circumstances, then you are probably suffering for psychological ED. For more information, speak with an ED specialist.

My ED is really negatively impacting my relationship. Can you help?

More often than not relationships are adversely affected because members of the couple feel like they are responsible. If you are suffering from physical ED, than this is not the case. The best way to resolve this issue quickly is to see your doctor immediately.

How are Viagra, Levitra and Cialis different?

Although they work in similar ways, each of these medications has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors when deciding if one of these medications is a good choice for you. Your doctor will also consider any health problems you have and possible interactions with other medications you take.

Viagra: Take without food, no more than once a day / wait 60 minutes or longer before sex.
Levitra: Take without food, no more than once a day / wait 30 minutes or longer before sex.
Cialis: Take with or without food, no more than once a day / wait 30 minutes or longer before sex.
Side Effects: The vast majority of those that take these medications do not suffer side effects, but may include:

  • Headache
  • Flushing
  • Indigestion
  • Stuffy or Runny Nose
  • Back Pain and Muscle Ache (Levitra)
  • Temporary vision changes, including "blue vision" (Viagra)

In a small number of cases, men taking Viagra, Levitra or Cialis have reported more serious side effects, such as:

  • Hearing loss or vision loss. Some men have had sudden loss of hearing or loss of vision after taking one of these medications. However, it isn't clear whether vision or hearing loss was directly caused by taking the medication or by a pre-existing condition. If you're taking one of these medications for erectile dysfunction and have sudden loss of hearing or vision, seek medical help right away.
  • An erection that doesn't go away on its own. Called priapism, this rare condition can be painful and requires medical treatment to avoid damage to your penis. If you have an erection that lasts more than four hours, seek medical attention.

When should I see my doctor about ED?

If you are feeling anxiety regarding your ED, then you should see your doctor immediately. Waiting for a solution may only compound the problem. Take advantage of the medical expertise available to you.

Make an appointment today!