Watch a clip of
Dr. Rosenthal from the Discovery Health Channel.



There are several possible causes of erectile dysfunction. These include physical causes:
Diabetes, high blood pressure, vascular disease, hormonal disorders, neurological disorders, smoking, use of recreational drugs or excessive alcohol, and side effects from medications, particularly anti-hypertensives and anti-depressants. Possible psychological causes include: depression, fear of intimacy, stress and anxiety, and marriage difficulties.

We offer a wide variety of therapies for the treatment of erectile dysfunction. Oral medications that have widespread popularity include Viagra, Levitra, and Cialis. For patients who do not respond or have medical contraindications to oral therapy, we also offer penis injection therapy. Injectable medications that have been shown to be effective include papaverine, phentolamine, and prostaglandin E, either alone or in combination.

For patients who do not respond to either oral or injectable medications, we also offer penis implant surgery. There are several types of penis implants available and include malleable implants, 2-piece inflatable implants, and 3-piece inflatable implants. The advantages of the malleable implant include its ease of insertion, longer durability, and lower cost compared to inflatable implants. The advantage of the inflatable implants include its superior concealability due to the ability to inflate and deflate the device.

Premature Ejaculation
Premature ejaculation is believed to be the most common male sexual disorder affecting an estimated one in four American men (young or old). Premature ejaculation occurs when one ejaculates before he wants to (usually less than 2 minutes) on a consistent basis which causes him anxiety or difficulty in relationships. Premature ejaculation is believed to be caused by low levels of serotonin in the brain. Medications that are currently being used for treatment of premature ejaculation include clomipramine (Anafranil), sertraline (Zoloft), and paroxatine (Paxil). These medications, however, are not FDA-approved for the treatment of premature ejaculation. Dapoxetine is currently being reviewed by the FDA for the treatment of premature ejaculation. For patients in whom oral medications are ineffective, contraindicated or discontinued due to side effects, penis injection therapy may be used to prolong erections.