If youa€™re anxious about whether the info Ia€™m sharing with you is real, or just another online ED scama€¦thata€™s actually a good thing. And, sadly, mega drug-companies have now taken the reigns in the push to brainwash you into believing you need penis pills until the day you die (a day those same drugs might play a role in).
Before you choose drugs or herbal hooey, dona€™t you wonder how important it might be to understand the truth about what works, whata€™s utter fictiona€¦and whata€™s so dangerous ita€™s actually been implicated in more than 200 deaths worldwide. For all but a small subset of men who have either organic issues (like a radical prostatectomy) or more involved psychological issues, there is another way.
As a senior psychologist at North Shore-Long Island Jewish Health System in NY, Ia€™ve supervised a major hospitala€™s Sexuality Center for decades, treating thousands of individuals and couples with sexual challenges. Men from all walks of life, from powerful CEOs to college students, have flown in from around the word to work with me after having failed at every other type of treatment, drugs included (yes, they dona€™t always work and even when they do, ita€™s not unusual for them to stop working without notice, until you fix the REAL problem). I became so proficient at treating sexual problems deemed by so many others a€?unsolvable,a€? I was appointed to train doctoral interns in sex therapy and eventually appointed an Assistant Clinical Professor of Psychiatry on the faculty of Einstein College of Medicine and a Diplomate of the American Board of Professional Psychology.
Also, and this is really importanta€¦Ia€™m not affiliated with any pharmaceutical company or herbal remedy purveyor. I have no agenda to try to sell you on a lifetime of dependence on their supposed solutions. The reason Ia€™m writing this is to share with you an option that youa€™re not being told about.
Back in the 1990s, researchers at a major drug company discovered that a highly-aggressive class of drugs known as PDE5 inhibitors, which were developed to treat hypertension and angina, failed miserably, but seemed to have a side effect. In the context of saving your life, you might be able to justify the potential dangers posed. Watching the TV ads with silver-haired men giving their adoring wives and girlfriends that manly wink, youa€™d think medication was the dream solution. Like the fact that nearly HALF of the ad time is taken up by a laundry list of everything that can go wrong, even horribly wrong, just minutes after their prescription medication enters your system?
Before you consider resorting to drug-induced erections, you may want to know about these potential side-effects.
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Our focus is to obtain expert knowledge in the incidence and prevalence of bladder cancer in specific patient populations and implement screening tests to evaluate the predictive value of these tests. Review of efficacy and long-term compliance of multiple treatments (intracavernous injections, vacuum constriction devices, MUSE- transurethral insertion of alprostatdil and sildenafil citrate) used to treat erectile dysfunction following radical surgeries. Our Center is among the first to conduct novel study to address sexual dysfunction in subset of patients (both male and female) undergoing radical cystectomy. Our ongoing studies are focused on cutting edge issues in the management of erectile dysfunction. We are interested in investigating the potential use of vascular endothelial growth factor gene therapy to stimulate cavernous nerve regeneration after nerve sparing and non-nerve sparing radical prostatectomy and enhance the return of natural erections sufficient for sexual intercourse.


To continue our ongoing research on assessment of sexual dysfunction in male and females patients who have undergone radical cystectomy. To assess erectile function after I-125 seed radiation therapy for prostate cancer (T1-2) and the role of sildenafil citrate. Our research interests in bladder cancer are comprehensive, from screening and early detection to monitoring the treatment response of bladder cancer to BCG, to nerve sparing radical cystectomy, and to continent diversion for invasive and metastatic disease.
Our basic science research includes studies on the immunologic response to BCG and whether this response can be augmented with various interferons. We are studying the ability of targeted multicolor fluorescence in situ hybridization (FISH) to identify malignant cells in cytological equivocal cases where morphology alone does not allow definitive diagnosis. We are conducting an open comparative within patient controlled phase 3 multicenter Study of Hexvix fluorescence cystoscopy and standard cystoscopy in the detection of carcinoma in situ in patients with bladder cancer.
Our focus is to expand on this solid foundation and to obtain expert knowledge in the incidence and prevalence of bladder cancer in specific populations and implement screening tests, evaluate the predictive values of these tests, and determine the diagnostic algorithm for early detection of bladder cancer. The research laboratory is interested in the treatment of localized prostate cancer with radical prostatectomy and the associated complications of incontinence and erectile dysfunction (ED). Our clinical research includes the treatment of localized prostate cancer with radical prostatectomy, the associated complications of incontinence and ED, and quality of life issues in urological practice.
Erectile dysfunction is an important morbidity factor after the treatment of localized prostate cancer. Radical cystectomy is the treatment of choice for locally advanced but invasive cancer of the bladder. Early use of vacuum constriction device (VCD) following radical prostatectomy (RP) facilitates early sexual activity and potentially earlier return of erectile function.
Role of sildenafil citrate in the management of erectile dysfunction following I-125 seed insertion for localized prostate cancer. Role of sildenafil citrate in management of sexual dysfunction following radical cystectomy. The one where youa€™re minutes from an encounter and you have no idea if your erection is going to be there? One that will allow you to reclaim reliable erections FOR LIFE without the risk, embarrassment or cost of pills, bizarre herbal potions or permanently-inured penises.
Pop a pill, shuffle off to the bedroom, have sex, get on your hog and ride into the sunset with your manhood reclaimed.
Our recent study is focused on early treatment program following radical prostatectomy, a strategy used to help promote early nerve recovery and regeneration following radical surgery. We reported sexual function data in a contemporary radical cystectomy series by using the SHIM (IIEF-5) for males and a modified IFSF for females.
Our laboratory has been at the forefront of clinical research in the area of urinary tumor markers and their role in screening or early detection of bladder cancer.
This database identifies patients who have been screened for bladder cancer, have been treated with intravesical chemotherapy, and have undergone radical surgery with continent diversion.
In future, we would like to examine the relationship between levels of reactive oxygen species and the progression of superficial bladder cancer after intravesical therapy. Hexvix contains hexyl-5-aminolevulinate which are precursors of photoactive porphyrins preferentially taken up by bladder cancer cells, which can be utilized for identification and treatment guidance of malignant and pre-malignant lesions.


Our interests in this field have been on surgical margin status and the effect of nerve-sparing surgery on incontinence and erectile function.
Our research also involves a review of efficacy and long-term compliance of multiple treatments (intracavernous injections, vacuum constriction devices, MUSE- transurethral insertion of alprostatdil and sildenafil citrate) used to treat ED following radical surgeries. In the past, the majority of the patients were elderly, where post-radiation potency was not a major factor in their decision to undergo radiation.
Outcome data following radical cystectomy with or without orthotopic diversion has focused primarily on cure, urethral recurrence, and continence.
I want you to question what people are telling you (and trying to sell you), who they are, what their credentials are and what their agendas are. Over the last 30 years, Ia€™ve successfully treated thousands of men just like you in my New York offices.
Clinical trials were re-tooled, the FDA was put on notice, pills were approved and the pharmaceutical companies began to wage a multibillion-dollar advertising propaganda campaign in an effort to convince you to hand your sex life over to their pills and pay them for the rest of your life. The laboratory is interested in comparing the efficacy and durability of various types of continent reservoirs. We are involved in studies to assess the results of sildenafil citrate in salvaging erectile function in postprostatectomy patients. We are involved in studies to assess the results of sildenafil citrate in management of ED following radical prostatectomy.
In future we are interested in investigating the potential use of vascular endothelial growth factor gene therapy to stimulate cavernous nerve regeneration after nerve sparing and non-nerve sparing radical prostatectomy and enhance the return of natural erections sufficient for sexual intercourse. A larger percentage of younger patients are choosing radiation therapy in recent years and therefore, the issue of post-radiation potency is becoming a major concern. We were among the first to conduct this novel study to address sexual dysfunction in subset of patient's (male & female) undergoing radical cystectomy.
Because, therea€™s a parade of online scammers and back-alley hucksters selling bogus ED a€?curesa€? (in fact, if you see the words ED and cure in the same sentence, run). We were among the first to investigate the effects of this new oral medication in patients following radical prostatectomy and to study the impact of the presence or absence of the neurovascular bundles. Using a SHIM (IIEF-5) validated questionnaire for males and a modified IFSF for females, we are assessing sexual function data in a contemporary radical cystectomy series. Men come to me in tears, often having flown in from around the world, terrified of what might happen the next time theya€™re alone with a date or even a longtime lover or spousea€¦and cana€™t get an erection.
We have recently assessed long-term follow-up compliance with sildenafil citrate therapy following radical prostatectomy. We are stratifying the sexual response as per orthotopic diversion to assess the efficacy of sildenafil citrate (in male) for salvaging ED following radical cystectomy.



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