Sexual Healing by Dr. Margarita Kressin

This is a general response to a question posted by one of our readers.

There are many options for erectile dysfunction. Most urologists typically follow an algorithm, starting with pills — the PDE-5 inhibitors (better known as Viagra, Levitra, Cialis), then with either the injection therapy or vacuum device, and then a penile implant when the other therapies no longer work or the patient chooses to have the implant done.

Once the implant is in, the other options will no longer work. (Although sometimes the pills are used for engorgement of the head of the penis, but that will definitely not work on the shaft.)

The implant, like any other mechanical device, will break at some point. The longevity of most implants is upwards of 15-20 years because of better technology and materials. The implants are typically replaceable when they break.

Finally, just a reminder that we cannot dispense medical advice in our blogs, and our goal is to dispense information. Always consult with your physician for specific problems.