Erectile Dysfunction (ED) Treatments in Brooklyn, New York

Erectile dysfunction (ED) refers to a condition in which men can’t successfully attain or sustain an erection persistently. As a result, they can’t enjoy sexual intercourse. A common problem, ED produces a low quality of life and emotional angst in the affected men.

The condition afflicts 10 percent of middle-aged men, usually older than 35. The older you get, the more likely you’ll suffer from erectile dysfunction. As many as 70 percent of men older than 69 suffer from ED. For many of these men, the cause is tied to peripheral artery disease or other circulation problems, which obstruct the arteries that provide blood and nutrients to the penis.

If you have trouble achieving an erection due to an underlying peripheral artery disease, you can benefit from a revascularization procedure on the arteries supplying your penis. Seek an evaluation by Dr. Sergei Sobolevsky an endovascular specialist at the Downtown Vein & Vascular Center in Brooklyn. He specializes in targeted image-guided vascular procedures, and he offers a range of treatments at his practice serving all Brooklyn and greater New York City.

At the Downtown Vein & Vascular Center, you can count on a discrete approach as Dr. Sobolevsky evaluates and manages your ED. Depending on the clinical context, your erectile dysfunction treatment may include:

• Lifestyle changes. Sometimes, simply making changes to your life — like exercising regularly, eating a healthy diet, quitting smoking and limiting your alcohol consumption — improves your ED.
• Your doctor may prescribe medications such as Viagra, Cialis or Levitra to treat your ED. These medications increase blood flow to your penis, allowing you to achieve and maintain an erection.
• Testosterone replacement. Increasing testosterone levels in your body may ease your ED symptoms.
• Endovascular revascularization. When the arteries supplying your penis have narrowed due to atherosclerosis, endovascular balloon angioplasty The goal of this procedure is to improve blood flow to your penis.

Due to the many causes of ED, managing the condition is most effective your physician collaborates with several other specialists. At the Downtown Vein and Vascular Center, Dr. Sobolevsky works in close collaboration with urologists, endocrinologists, psychologists and other specialists to identify and address the underlying physiological and psychological causes of erectile dysfunction.

The procedure that revascularizes the arteries supplying your penis is a minimally invasive procedure. During this angiography procedure, you’re given medication to relax, but you remain awake. The duration of the procedure varies, based on your anatomy and the number of arterial blockages. During the procedure, you can expect:

1. After a local anesthetic is applied, your endovascular specialist gains access to an artery in your arm or groin.
2. A series of thin catheters and guidewires are inserted into the artery.
3. Your doctor uses live x-ray video imaging to navigate the catheters and wires through your arterial tree.
4. Contrast dye is used to help the doctor see the blockages.
5. After identifying the narrowed areas, the specialist inserts a tiny catheter equipped with a miniature balloon into the affected artery.
6. The doctor performs a balloon angioplasty to mold the artery to a desired shape. Sometimes, the doctor also performs an endovascular stenting to keep the artery open.
7. Once all instruments are removed, your doctor closes and dresses the arterial puncture wound.

After the procedure, you stay at the outpatient center for one to three hours, where you’re monitored while you rest. When your doctor decides you’re ready to go home, you receive additional instructions that include:

• Plan to rest and drink plenty of fluids
• Watch for unusual pain, swelling or bleeding at the insertion site
• Keep the insertion area clean and dry
• Avoid strenuous activities for up to a week