Erectile Dysfunction (ED)

Erectile dysfunction, or ED, is the inability to achieve or maintain an erection firm enough for sexual activity. It is one of the most common male sexual health conditions, and although it can feel difficult to talk about, you are not alone. Millions of men experience ED, and nearly one in ten will deal with long term erectile dysfunction at some point in their lives. Beyond the physical symptoms, ED often carries emotional and psychological weight, affecting confidence, intimacy, and quality of life.

While medications or injections can help some men, many eventually find that these options are no longer effective. When ED does not improve with conservative treatment, it may be caused by underlying nerve injury, vascular issues, or structural changes that require advanced care. At The Institute for Advanced Reconstruction, our specialists go beyond temporary fixes by identifying the root cause of ED and offering innovative surgical solutions, including minimally invasive nerve transfer procedures that can restore natural erectile function.

Those with erectile dysfunction experience persistent symptoms, which can include:

• Inability to achieve an erection
• Inability to maintain an erection
• Getting an erection sometimes, but not every time you want to have intercourse
• Loss of erection before sexual intercourse is completed
• Reduced sexual desire and drive
• Anxiety about sexual intercourse

If these symptoms are persistent, it’s important to seek care. Many men assume ED is untreatable, but effective, advanced options are available.

Talk to a Reconstructive Urology Surgeon About Your Symptoms

Erectile dysfunction may be caused by:

• Nerve injuries from pelvic surgery, trauma, or radiation
• Vascular issues reducing blood flow to the penis
• Anatomical changes from trauma, Peyronie’s disease, or reconstructive surgery
• Underlying medical conditions such as diabetes or cardiovascular disease
• Psychological factors that can compound physical issues

Many patients who come to us have already tried oral medications or injections without lasting success.

Many men find us after years of trying medications or less effective therapies. Our team specializes in advanced surgical solutions that restore function and confidence.

Genitofemoral to Cavernous Nerve Transfer
Our signature approach reconnects a healthy nerve to the damaged cavernous nerve, restoring erectile function through natural nerve regeneration. This outpatient procedure, pioneered by our team, offers a long-term solution for men whose ED is caused by nerve injury or interruption. Nerve regeneration is expected to occur in less than a year, though each case is unique.
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Inflatable Penile Prosthesis (IPP) Placement
An advanced implant that allows patients to achieve an erection on demand, with a natural appearance and feel. Considered the gold standard for patients with ED unresponsive to medications.
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The right approach depends on your health, anatomy, and goals. Our specialists will guide you through your options and recommend the path most likely to restore your quality of life.

You may be a candidate for nerve transfer surgery to address erectile dysfunction if you:

• Are over 18 years old 
• Have seen a general urologist and been prescribed oral medications and/or injections but these are no longer working. 
• Would like to discuss surgical options with reconstructive surgeons. 
• Are free from tobacco use, alcoholism, and other forms of substance abuse

Not sure if this applies to you? Our specialists evaluate even the most complex cases to find the right path forward. Schedule a consultation to explore your options.

Can organic ED be reversed?

In some cases, organic ED can be reversed through lifestyle changes such as quitting smoking, losing weight, and reducing stress. Medications like Viagra can also help reverse ED symptoms.

How do I know if I’ve got erectile dysfunction?

Those with erectile dysfunction will have symptoms of ED, which may include difficulty getting or maintaining an erection during sexual activity. Seeking medical advice can help diagnose ED.

How does erectile dysfunction begin?

ED often begins with decreased blood flow to the penis. Contributing factors include diabetes, heart disease, anxiety, depression, nerve damage, and certain medications.

Can you heal erectile dysfunction?

Treatments like medications, devices, lifestyle changes, and surgery can help manage ED, and many men find significant improvement in functioning as a result.

Who's at risk for erectile dysfunction?

Your risk for erectile dysfunction increases with age, obesity, smoking, diabetes, cardiovascular disease, sedentary lifestyle, depression, and some medications.

Can I prevent erectile dysfunction?

Quitting smoking, maintaining a healthy weight, exercising, reducing alcohol intake, and managing chronic conditions may help prevent erectile dysfunction.

What can I do if my partner has erectile dysfunction?

Being patient, communicating openly, exploring medical options, investing in foreplay, and trying alternatives to intercourse can help partners cope with ED.

How do I check myself for erectile dysfunction?

Physical exam, review of symptoms, blood tests, and other diagnostic tests by a doctor can check for erectile dysfunction. At home, the inability to get an erection during arousal may indicate ED.

Does prostate cancer cause ED?

While prostate cancer doesn’t directly cause ED, certain treatments for prostate cancer can lead to erectile dysfunction. Nerve damage during prostate removal can occur, and some prostate cancer medications have ED as a common side effect.

What is the average age for erectile dysfunction?

Erectile dysfunction most commonly occurs in men over 50, with 1 in 4 men experiencing symptoms of ED from ages 50 to 59, and 2 in 5 men reporting symptoms beginning from ages 60 to 69.

Do I need a referral to see a specialist at The Institute?

No referral is required. Patients may request an appointment directly. If another doctor referred you, we will collaborate with your care team to ensure seamless communication.

How do I know if The Institute is the right place for me?

Patients travel to us from across the country and around the world because of our rare expertise in pelvic and urologic nerve surgery. If you’ve been struggling without answers, our team can provide a clear diagnosis and treatment plan.