A private conversation
Erectile dysfunction care in Snellville and Conyers
ED is hard to bring up, and our urologists hear about it every day. We treat the conversation with discretion, look for the cause, and lay out every option so you can choose what fits your life.
What is erectile dysfunction?
Erectile dysfunction (ED) is trouble getting or keeping an erection firm enough for sex. It can come with lower desire, and it is common as men get older, though it is not an inevitable part of aging.
What causes ED?
Erections depend on blood flow, nerves, hormones and mood working together, so many things can interfere. Common contributors include heart disease, diabetes, high cholesterol, high blood pressure, smoking, extra weight, low testosterone, some medicines, and stress or anxiety.
Because erections rely on healthy blood vessels, ED can be an early hint of heart disease. Dr. A. Dev Mally explains the link in ED and your heart.
How do our urologists evaluate ED?
We start with your medical and sexual history and the medicines you take, then an exam and blood tests for sugar, cholesterol and hormones. Some men have a penile ultrasound to check blood flow or night-time erection testing.
Which ED treatments does Advanced Urology offer?
Advanced Urology offers the full range, from lifestyle changes and medicines to devices and surgery. Our urologists explain how each works and its trade-offs.
- Lifestyle changes: exercise, weight loss, quitting smoking and less alcohol
- PDE5 inhibitor medicines such as sildenafil and tadalafil
- Low-intensity shockwave therapy to improve blood flow
- Penile injections and vacuum erection devices
- Hormone therapy when testosterone is low
- Penile implants, inflatable or malleable, when other treatments do not work
What is recovery like after a penile implant?
Expect several weeks of healing before an implant is used. Your urologist gives you written instructions and sees you at follow-up to show you how the device works.
Is there a video about erectile dysfunction?
Yes. This short video is from the official Advanced Urology channel.
Watch: Dr. Greenstein on Erectile Dysfunction What the video covers: Dr. Greenstein talks about erectile dysfunction.
Which of our urologists see patients for this?
These urologists list it on their Advanced Urology profiles and see patients in Snellville or Conyers.
- Jitesh Patel, MD · Snellville
- A. Dev Mally, MD · Snellville
- Moshe Shapiro, MD · Snellville
- Vik Sabarwal, MD · Snellville
- Marc Greenstein, DO · Conyers
- Kushan Radadia, MD · Conyers
Physician assistants and nurse practitioners who help with it: Hayden Drake, PA-C, Erin Favinger, FNP, Hunter Woodard, PA-C, Lucy Choi, PA-C, Bailey Murry, PA-C, Sierra Blanton, PA-C, Jordon Blackmon, PA-C, Madelyn Murphy, PA-C, Krina Patel, FNP. They are not urologists.
Which articles go deeper on this?
Short answers from Advanced Urology on the questions we hear most.
What do people ask us about erectile dysfunction?
Is ED a normal part of getting older?
It becomes more common with age, but it is not inevitable, and it is treatable.
Can ED be a sign of heart disease?
It can. ED sometimes appears before heart symptoms, so our urologists may suggest a check with your primary care doctor.
Do ED pills work for everyone?
No. They help many men, and other treatments are available when they do not.
What is shockwave therapy for ED?
A non-invasive treatment that sends sound waves into the penile tissue to encourage better blood flow.
Can I take ED medicine with heart medicines?
Some heart medicines interact with ED pills. Always tell us every medicine you take.
Does insurance cover ED treatment?
Coverage varies, and some plans exclude ED treatment. Please check your benefits before your visit.
More from Advanced Urology: Erectile dysfunction · Penile implant
Related care: Low testosterone · Peyronie’s disease · Prostate cancer · All care
Where we see you: Snellville office and surgery center · Conyers clinic · What to bring and insurance
Ready to talk it through?
Get to know our team, then give us a call. We’ll gladly find a day and time that work for you.