When you were a kid with a scraped knee your mom put a band-aid over your wound and told you not to touch it. That’s because your body has amazing regeneration abilities. But with age and stress the regenerative powers of tissues and organs (including the penis) may require a boost. Regenerative medicine professionals empower your body to rebuild its own damaged cells, tissues, and organs, then nurture the whole you.
Traditional medicine treats disease symptoms of ER with pharmaceuticals. Regenerative medicine focuses on healing its root causes, and minimizing further damage. Although they have their place in extreme cases, pharmaceuticals usually come with side effects. They are often short-term solutions that cause new health issues. Regenerative practitioners enable your body to rebuild tissues and revive penile function naturally.
Dr. James Robles is one of the world’s most respected regenerative medicine practitioners.
He is one of a select few specialists on the planet to attain 14 certifications at some of the world’s most progressive institutions—including certifications in PRP and progenitor cell therapy. Dr. Robles is most proud of the countless joyful, pain-free patients he’s had the pleasure of healing.
Erectile dysfunction (ED) is the inability to get and keep an erection firm enough to have sex. This common condition generally, but not exclusively, affects men 60 and over. Male sexual arousal is a complex process involving your brain, hormones, emotions, nerves, muscles, and blood vessels. A problem with any of these systems may lead to ED.
If you are experiencing erectile dysfunction, you’re not alone. Up to 30 million American men experience ED, with incidence increasing with age. 22% of males in their 60s and 30% of males aged 70 and older experience ED at some point. One in four men seeking their first ED treatment is under the age of 40.
In many cases, ED is a temporary condition caused by excess stress, life challenges, emotional difficulty, or a number of other temporary factors. In other cases, when ED is caused by medical conditions such as nerve damage or insufficient blood flow to the penis, medications and treatments may only solve part of the problem.
Erectile dysfunction isn’t inevitable. ED may affect anyone at any time, for a wide variety of reasons. Exercising, quitting smoking, limiting alcohol, eating a nutritious diet, and maintaining a healthy state of mind can all help prevent ED. However, there is no way to predict the onset or duration of ED or how it may affect you.
As you age, blood flow to the penis may diminish, reducing your ability to achieve an erection and enjoy sexual intercourse, hampering your self-confidence and relationships.
Underlying physical or emotional conditions like diabetes, heart disease, stress, depression, or anxiety can also stimulate or intensify ED. For instance, decreased blood flow to the penis combined with a minor physical injury or condition may slow sexual response, leading to performance anxiety. Other physical or emotional causes can also lead to erectile dysfunction.
Occasional ED should not cause you serious concern. Temporary stress, relationship difficulties, or other life challenges may interfere with your ability to maintain an erection. However, frequent or distressing ED may require professional attention.
While the causes of ED can be varied and complex, its symptoms are fairly straightforward:
First, Dr. Robles will listen. After noting your symptoms and medical history, paying special attention to your heart, lungs, breathing, and blood pressure, he will examine your testes and penis, and rectum to check your prostate health. He may also recommend blood or urine tests to rule out other conditions, check hormone levels, or gather other data. Dr. Robles may discuss your emotional state, as trauma, stress, anxiety, and depression can cause or contribute to ED.
In some cases, Dr. Robles may recommend a Nocturnal Penile Tumescence (NPT) test. This portable, battery powered device attaches to your thigh and measures your nocturnal erections while you sleep. This data will help Dr. Robles determine your best course of treatment.
Dr. Robles knows that successful healing requires science backed by compassion and curiosity. Advanced Pain Relief Clinic practitioners are constantly observing case studies, reading clinical studies, and perfecting and customizing delicate techniques for each unique patient.
Centrifuge technicians, nutritionists, physical therapists, and many more dedicated staff members have been trained by Dr. Robles personally to apply his integrative holistic health expertise into his evidence-based methods to:
After examining and hearing your specific ED symptoms, Dr. Robles will suggest a custom treatment plan that may include: regenerative injections, Internal Penile Pump™, external device, or prescription medication. As with all medical procedures results will vary based on age, genetics, environmental factors and other health conditions.
For over 20 years, Dr. Robles’ successes have applied regenerative injections as an alternative to surgery and over-the-counter medications, providing patients these benefits:
Have you ever accidentally cut yourself, then watched your skin regenerate as if by magic? That’s because our bodies contain special superpowered cells that can regrow damaged tissues, veins, and nerves in your organs—including your penis.P-Shot is an ED therapy created to repair damaged tissue and veins responsible for erectile dysfunction.
Dr. Robles is a certified expert in:
Each technique offers unique benefits. Your specific medical condition may require more than one approach to fully achieve your desired results. The Journal of Sexual Medicine published a study demonstrating benefits of and lack of side effects in PRP treatment for ED.
Platelet-rich plasma contains many more platelets than typically found in blood. Platelet concentration (and growth factors) can be up to ten times greater than that of typical blood samples, so it may promote soft tissue cell regeneration and control inflammation, increasing the size and strength of your erections.
To create PRP, Dr. Robles and his technicians will draw sample of your blood and separate it from the platelets (or growth factors) in a centrifuge. These growth factors are then condensed and placed into a syringe. Then, guided by state-of-the-art ultrasound imaging, Dr. Robles will inject the P-Shot into your corpus cavernosum, the area of your penis most specific to vascular function related to erection.
Reading literature or hearing lectures can only go so far. True mastery only comes with years of experience and caring devotion. Dr. Robles’ skilled and dexterous hands have injected countless patients during his decade of practice.
The injection process takes about 30 minutes, with virtually no required downtime. You should see results within 1-3 weeks, and the effects may last up to a year.
PRP contains many beneficial cells, such as vascular endothelial growth factor (VEGF), fibroblast growth factor (EGF), transforming growth factor-beta 1 (TGF-β1) hepatocyte growth factor (HGF), and insulin-like growth factor (IGF-1). Studies show that PRP’s powerful regenerative properties may improve nerve and vascular function.
The Priapus Shot (P-Shot) is a next-generation form of ED therapy using injections of platelet-rich plasma (PRP). Your blood is mainly composed of a liquid called plasma containing red blood cells, white blood cells, and platelets. Vital for your blood’s clotting ability, platelets also contain many proteins called growth factors, which are crucial for healing injuries.
Benefits of the P-Shot include:
If you experience serious side effects, contact Dr. Robles immediately:
The Internal Penile Pump™ is a surgically implanted device filled with saline fluid. The device expands and contracts without losing elasticity, pumping water into the tubes and causing your penis to expand and become rigid. This may be a good option if you want more sexual spontaneity.
The Internal Penile Pump™ may offer these benefits:
Penile self-injection involves injecting a prescription drug called alprostadil into the shaft of your penis, expanding the blood vessels and promoting blood flow. This treatment causes an erection firm enough for sex in about 80% of cases. Another form involves placing an alprostadil tablet into your urethra, where it dissolves. This system is known as medicated urethral system for erection (MUSE).
While penile self-injection and suppository are not as popular as pills or the Internal Penile Pump™, they remain viable options if you cannot use other forms of ED treatment.
These treatments require preparation prior to sex and generally last long enough for one sexual encounter. You are also advised to limit your alprostadil to three times per week, with at least 24 hours between doses. These reasons tend to make penile self-injection and suppository less popular forms of ED treatment.
Penile self-injection presents these rare side effects:
The suppository form of alprostadil (MUSE) may present these side effects:
Also known as a penis pump, the external vacuum pump may help you achieve and maintain erections by drawing blood into the penis via air suction. Comprised of a plastic tube, a manual or battery-operated pump, and a constricting ring, this device is placed over the penis shaft and pumped to engorge the penis with blood.
Its effects may potentially last up to 30 minutes. However, pumping too hard or too often could potentially damage your penis.
While this treatment does not cure erectile dysfunction, it may enhance your ability to have intercourse. The external vacuum pump is a noninvasive treatment option that can be used alone or with other treatments. It’s often considered supplemental, as it’s generally not as effective as other ED treatment options.
Potential benefits of the vacuum pump may include:
Potential side effects or risks may include:
Before starting any medical procedure or medication, consult your medical provider to learn about the details, benefits, and potential risks involved.
For patients who prefer the traditional route, Dr. Robles prescribes Cialis, Levitra, Viagra™, and Stendra. As the first FDA-approved oral medication for ED, Viagra™ is probably the most widely known ED treatment. Stendra (avanafil) is one of the newest ED drugs available. Studies have shown it might work faster than other ED medications.
These phosphodiesterase (PDE) inhibitors block the enzyme phosphodiesterase type 5 (PDE-5) to increase blood flow to the penis, resulting in an erection at an average success rate of 77% to 84%. As with all medical procedures results will vary, and side effects are common.
These medications share the following potential side effects:
Serious side effects of ED medications are rare, but may include:
Another rare side effect of ED drugs is priapism, or a long-lasting involuntary erection. Priapism is a medical emergency that must be treated immediately, as it may cause long-term penis damage and other dangerous health effects.
You should not take ED medications if you take any form of nitrates. Alpha blockers may also interfere with ED medications. Tell Dr. Robles if you take these medications, or if you’ve ever experienced the following medical conditions:
Discuss these options with Dr. Robles to learn whether they’re right for you.
Potential benefits of Cialis include:
Potential benefits of Levitra (vardenafil) include:
Potential benefits of Viagra™ (sildenafil) include:
Some potential benefits of Stendra are:
Most insurance plans, including Medicare, do not cover the P-Shot. However, they’ll most likely cover ED medications and may fully or partially cover other ED treatment options.
Erectile dysfunction doesn’t have to mean the end of your sexual power, fulfilment, and enjoyment. Our team can craft a custom plan to help restore your sexual vigor and performance. To speak with Dr. Robles about an ED treatment that best suits your needs, call Advanced Pain Relief Clinic now at (956) 854-4483 or contact us here.