Improving Male Sexual Health

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Male Sexual Health

The Male Sexual Health Program in the Department of Urology at the UW School of Medicine and Public Health offers comprehensive treatment for a number of conditions that impair a man’s ability to have a satisfying sexual relationship with his partner.


Both medical and surgical therapies are offered for problems including erectile dysfunction, Peyronie’s disease, premature ejaculation and hypogonadism.


Erectile dysfunction, also commonly referred to as impotence, is the inability to achieve or maintain an erection that is firm enough or lasts long enough for satisfactory sexual intercourse. It can be devastating to a man’s self image, and many men don’t seek treatment out of fear, embarrassment or a concern that nothing can be done to help.


Dr. David Paolone, co-director of the UW Health Male Sexual Health Program provides patient consultation on devices including the inflatable penile prosthesis, a premier treatment option for post-prostatectomy erectile dysfunction.Erectile dysfunction is also recognized as a condition with a close relationship to cardiovascular disease. Many of the risk factors for erectile dysfunction, including high blood pressure, diabetes, elevated cholesterol, smoking and obesity, are the same risk factors for coronary artery disease.


Other conditions that may lead to erectile dysfunction include neurological diseases such as Parkinson’s disease or multiple sclerosis, use of certain medications or drugs, hormonal imbalances and a history of pelvic surgery or radiation to treat cancer.


Erectile dysfunction following surgery for prostate cancer is an unfortunate and devastating side effect that can occur immediately after the procedure and last for months or longer. UW Health urologists offer the latest techniques in post-prostatectomy penile rehabilitation strategies to improve a man’s chances of recovering the same level of sexual functioning he had before surgery.


Post-prostatectomy penile rehabilitation involves the early use of treatments for erectile dysfunction in a structured and scheduled manner to reduce penile scarring and loss of smooth muscle that occur if a man does not have erections for extended periods of time. UW Health urologists David Paolone, MD, and Daniel Williams, MD, founders and co-directors of the Male Sexual Health Program, also offer the latest surgical techniques and devices for those men who require placement of a penile prosthesis for satisfactory treatment of erectile dysfunction.


Peyronie’s disease is a connective tissue disorder that presents with penile pain with erections, curvature of the penis with erections and a palpable plaque or nodule along the penile shaft. Since this scar tissue lacks the elasticity of the normal covering of the spongy erectile tissue, filling of the penis with blood during an erection results in the penis bending toward the scar tissue.


Oral medications lack effectiveness in treating Peyronie’s disease, so UW Health urologists offer other treatments including verapamil injections into the scar tissue to help soften it and reduce penile curvature as well as surgical approaches to achieve penile straightening.


The UW Health Male Sexual Health Program provides expertise and experience in caring for men with any sexual health complaint. An integrated approach allows a comprehensive assessment of each man to better understand the exact nature of his sexual dysfunction and screen for associated cardiovascular, metabolic and endocrine conditions. UW Health urologists provide specialized medical and surgical care to help each man regain a satisfying and fulfilling sexual life.