Erectile dysfunction affects an estimated 30 million men in the United States. It becomes more common with age but is not an inevitable consequence of aging, and it is almost always treatable. If you have been struggling with ED and are not sure where to turn, or if you have tried medications that did not work and assumed there were no other options, there is more available to you than you may realize.
At Urology Associates of Green Bay, we offer the full spectrum of ED treatment, from oral medications to penile injection therapy to penile prosthesis surgery. Your care is overseen by board certified urologists who can evaluate the underlying cause, not just treat the symptom. We are not a telehealth subscription service or a pop up clinic. We provide face to face evaluation, individualized treatment, and long term follow up.
Ready to take the next step? Schedule a confidential consultation. Call (920) 433-9400 (De Pere) or (715) 732-3420 (Marinette), or request an appointment online.
Understanding the Cause
ED can be an early warning sign of cardiovascular disease, diabetes, or other systemic conditions, sometimes appearing years before a cardiac event. That is why a proper evaluation matters beyond just addressing the symptom. Our evaluation includes a thorough medical and sexual history, assessment of contributing factors such as medications, cardiovascular risk, diabetes, hormonal status, and psychological factors, and targeted lab work when indicated.
Oral Medications
First line treatment for most men is an oral PDE5 inhibitor such as sildenafil (Viagra) or tadalafil (Cialis). These medications are safe, effective, and widely available as affordable generics. We prescribe them routinely and help you find the best price. Generic versions have become very affordable at local pharmacies, and we help you find the best option. We do not steer you toward expensive brand names or proprietary formulations, and we do not upcharge on prescriptions or require you to buy through our office.
Penile Injection Therapy
For men who do not respond adequately to oral medications, or who cannot take them due to medical contraindications, penile injection therapy with trimix is an excellent next step. Trimix is a compounded medication containing three vasoactive agents that is injected directly into the side of the penis using a very small needle. The injection produces a reliable, firm erection within 5 to 15 minutes that typically lasts 30 to 60 minutes.
While the concept understandably gives men pause, most patients report that the injection is far less uncomfortable than they expected, and the reliability of the result makes it worthwhile. We teach you the technique in our office and adjust the dose until we find what works.
Penile Prosthesis: The Gold Standard for Refractory ED
For men who do not respond to medications or injections, or who want a permanent, on demand solution, the penile prosthesis is the gold standard. It is the treatment with the highest satisfaction rates in all of sexual medicine, with patient and partner satisfaction consistently exceeding 90 percent.
We implant the Coloplast Titan inflatable penile prosthesis. The device consists of two inflatable cylinders placed inside the erectile bodies of the penis, a small pump in the scrotum, and a fluid reservoir. To achieve an erection, you squeeze the pump. When you are finished, you press a release valve and the device deflates. The entire device is completely concealed inside the body. It is not visible, not detectable by a partner, and does not affect sensation or orgasm.
Dr. Mian is our experienced prosthetic surgeon and performs penile implant procedures at Emplify Health in Green Bay. The surgery typically takes about an hour, and most men go home the same day or the next morning. Recovery takes approximately four to six weeks before the device is activated. For men who have been living with ED that does not respond to other treatments, the prosthesis is often described as life changing.
No Subscriptions, No Markups
We do not make money on your medications. We do not sell supplements or proprietary formulations. We do not require unnecessary recurring lab panels. Your care is overseen by board certified urologists who can offer the full range of treatment, from a prescription all the way through prosthesis surgery. That is the difference between a men’s health brand and a urology practice.
Frequently Asked Questions
Is a penile prosthesis visible or detectable?
No. The device is completely concealed inside the body. It is not visible, not detectable by a partner, and does not affect sensation or orgasm. Patient and partner satisfaction rates exceed 90 percent.
Is ED a sign of something more serious?
It can be. Erectile dysfunction is often an early warning sign of cardiovascular disease, sometimes appearing years before a cardiac event. It can also indicate undiagnosed diabetes or other systemic conditions. This is one of the reasons a thorough evaluation matters beyond just treating the symptom.
At what age does ED typically start?
ED can occur at any age, though it becomes more common after 40. Younger men more often have psychological or hormonal contributors, while vascular causes become more prevalent with age. Regardless of age, ED is treatable, and you should not assume it is something you have to live with.
Do you see patients from outside the Green Bay area?
Yes. We see patients from across northeastern Wisconsin and the Upper Peninsula of Michigan. Call our De Pere office at (920) 433-9400 or our Marinette office at (715) 732-3420.
You Do Not Have to Live With This
Erectile dysfunction is treatable at every stage, and effective options exist even when pills have failed. A confidential consultation can give you a clear picture of what is going on and what can be done about it. Call our De Pere office at (920) 433-9400 or our Marinette office at (715) 732-3420.
Urology Associates of Green Bay. From evaluation to advanced surgical treatment, all under one roof.