Erectile Dysfunction Specialist in Indianapolis, Indiana
Helping Men Overcome Sexual Dysfunction
If you are experiencing problems achieving or sustaining an erection, board-certified urologists Alex J. Tatem and Jason R. Kovac can help. They have been treating hundreds of men with ED for years at their offices in Indianapolis. Dr. Tatem and Dr. Kovac combine their extensive experience with a compassionate approach to care.
As a couple of Indianapolis’s leading urologists, Dr. Tatem and Dr. Kovac have the training and expertise needed to effectively treat ED. We understand how stressful and difficult erectile dysfunction can be. Our supportive staff and state-of-the-art ED treatment methods are here to help men regain a healthy and enjoyable sex life. Schedule your appointment in Indianapolis today by calling our urology clinic in Indianapolis at (877) 362-2778.
What is Erectile Dysfunction?
Erectile dysfunction is something that no man wants to talk about, but most men will have to deal with at some point in their lives. Defined as difficulty achieving or maintaining an erection sufficient for intercourse, erectile dysfunction will affect as many as 50% of men by age 40 and up to 70% of men by age 70. When combined with other health issues, such as low testosterone, this can have a devastating effect on a man’s self-image, confidence, and relationships with the ones he loves.
Fortunately, erectile dysfunction is NOT something that you have to just ‘deal with’ as part of getting older. There are several proven, effective therapies that are available to men no matter what stage of life you’re in. It’s important that you see a men’s health expert who can offer you a comprehensive evaluation and a detailed treatment plan tailored to fit your needs and lifestyle, not just a neighborhood ‘shot clinic’.
How Do Erections Work?
In order to understand erectile dysfunction, it’s important to understand how erections are supposed to work.
Looking at this illustration, you can see that the penis is actually made up of of 3 separate tubes. There is a tube that carries urine, known as the urethra (the red tube on the bottom), and two tubes that provide erections (the two purple tubes). These are known as the corpora cavernosa. When a man is stimulated, an electrical signal from the brain travels down the spinal cord, through the nerves of the pelvis that attach to the prostate, to the penile arteries (the red dots inside the purple cylinders). The penile arteries then dilate, becoming many times larger than they are at rest. This allow a large rush of blood that cause the corpora cavernosa to expand and become more rigid, blocking the veins that normally drain the blood from the penis and providing an erection sufficient for intercourse. Although this mechanism may sound simple, it’s actually quite complex!
How Can Things Go Wrong?
The penile arteries are unique in that they are the smallest functional arteries in the human body that don’t have a ‘back-up’. This means that when there’s a problem with a man’s penile arteries, there’s going to be a problem with his erections. As men age and begin to collect more and more ‘miles on the odometer’ the penile arteries lose their flexibility and ability to dilate. This problem can be made worse by a number of common medical issues including diabetes, heart disease, high blood pressure, and smoking.
Damage to the nerves that supply erections can also cause erectile dysfunction. This is mostly commonly seen in men who have undergone treatment for prostate cancer. The nerves that supply erections are directly attached to the prostate and are frequently injured or stretched when the prostate is removed or treated with radiation. This can be devastating to men who have beaten cancer only to be faced with the prospect of losing their sex life and intimacy with the ones they love.
As erectile dysfunction progresses, the penis enters what is known as a ‘hypoxic state’. This means that the sensitive tissues responsible for erection are denied the oxygen that they need to remain healthy. This can cause progressive scarring or fibrosis of the erectile tissue. This results in a progressive loss of both length and girth over time! Although this process is difficult to reverse, the sooner men seek treatment, the more penile size can be preserved or restored.
Fortunately, no matter what has caused your erectile dysfunction, there is a solution! No man is ever too far gone. No matter what your circumstances are, you deserve to have a fantastic sex life that works on your schedule, not the other way around.
I’ve Tried The Pills But They Didn’t Work, What Other Options Do I Have?
Most men struggling with erectile dysfunction are familiar with oral medications. Known as phosphodiesterase inhibitors, these medications increase the body’s natural pro-erectile signaling pathways and are a huge benefit to most men suffering from mild to moderate erectile dysfunction.
What most people don’t know is that these medications fail in anywhere from 15-50% of the men who try them. For those men, there are many other therapies that are still available to them. These include injections, a more direct form of medication administration, and the penile implant.
What is the Penile Implant?
Male arousal is a complex exchange of hormones, chemicals, and electrical signals that allow two natural cylinders in the penis (known as the corpora cavernosa) to fill with blood and become stiff and rigid. When a man is deficient in any of these areas, he can begin to experience erectile dysfunction.
The penile implant is an elegant solution that can fix virtually every man’s erectile dysfunction by going straight to the source. During a small outpatient procedure, Dr. Tatem will reinforce your body’s natural inflatable cylinders (the corpora cavernosa mentioned above) with ones that can inflate on command using a small pump that is hidden inside the scrotum. The end result is a completely hidden and private solution that enables a man to instantly have an erection on command and (for the first time in his life) maintain it as long as he desires, even after orgasm.
What Issues Can I Expect After the Procedure?
You could experience soreness in the affected region for a few days after the procedure. The recovery time can last approximately one month.
Who Can I Contact With General Questions About the Procedures?
You will be provided with a procedure coordinator who will provide you with information about scheduling, insurance, and notes for preparation and recovery, including a list of any products you may want to purchase before the procedure.