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Sexual Health Institute of The Carolinas
United States
Приєднався 21 жов 2021
Sexual dysfunction can involve a complex physical and emotional collection of conditions and symptoms. Dr. Ashley Tapscott and her team at the Sexual Health Institute of The Carolinas are uniquely qualified to treat both men and women at our office in Huntersville, NC. We not only diagnose and treat the condition, but also are advocates who educate each patient AND their partner to make sure there is a full understanding of the care plan.
Visit SHICarolina.com
Visit SHICarolina.com
Erectile Dysfunction: An Overview
Erectile dysfunction, also known as ED, is a men’s sexual health issue that affects more men than you might think. Nearly 1 in every 4 men over the age of 65 will experience some degree of erectile dysfunction.
Dr. Ashley Tapscott understands what you are going through and can confidently say that virtually all men can be successfully treated for ED and resume a normal sex life.
Learn more and schedule a visit at shicarolina.com/mens-content/what-is-erectile-dysfunction/
Transcript:
erectile dysfunction is the inconsistent ability to achieve or maintain an erection
erectile dysfunction affects over 30 million men in america
erectile dysfunction is a very common medical condition in men
one in four american men have erectile dysfunction and that's 30 million men in the united states
there are many things that may contribute or cause your diagnosis of erectile dysfunction
these include medical conditions such as high blood pressure high cholesterol or diabetes
there are also neurologic or vascular conditions such as parkinson's disease or a history of stroke or perhaps history of a heart attack
there are post-surgical conditions that may contribute to your diagnosis of erectile dysfunction this may include colon surgery or prostate surgery
and finally certain medications use of other substances and hormonal imbalances may also contribute to a diagnosis of erectile dysfunction
there are several things that we can do in my office to help correctly diagnose
your erectile concerns and also offer appropriate treatment options
we may look at your hormonal factors such as testosterone we may look at diabetic control blood pressure and your cardiovascular lipid profile
in addition in my sexual health clinic we may perform a penile doppler ultrasound which looks at the penile blood vessels identifying the absolute appropriate therapy and diagnosis for
your concerns
i want patients to know that there are several benefits of seeing a specialist for erectile dysfunction
i am fellowship trained which means that i spent extra time outside of my basic urology training to focus in men and women in sexual health
also for erectile dysfunction i use some advanced diagnostic techniques to help us really identify your specific problem to help my patients with treatment options that are directed towards their
specific problem
we won't waste time on treatments that i don't think work for you and most importantly we won't waste money and frustration for you and your partner on things that won't work for you
i also spend time at multiple society meetings and with other erectile dysfunction specialists not only in the country but around the world to see how we may offer you the best in gold standard advanced health care for your medical condition
those are the benefits of seeing a specialist for erectile dysfunction
those are the benefits of having a passionate physician advocate for your health care needs
there are several different treatment options for your erectile dysfunction
oral medications are an option and there are several brands and types
they are to be taken at different times on various schedules
there are also penile injection therapy, vacuum erection device therapy, and a definitive solution in penile implant surgery
every man with erectile dysfunction deserves a customized and individualized treatment approach
the way that we decide about the right treatment option for you depends on several factors including those of your partner so we may certainly look at hormonal studies
we may look at vascular or other medication options and together we will decide as a team on the right treatment option for you
there are various percentages to patient and partner satisfaction when it comes to different types of erectile dysfunction treatment
i can tell you that the penile implant surgery has well over 90 percent patient and partner satisfaction ratings
when i talk to my patients in my practice i think there are several long-term consequences to not having erections aside from just the physical and intimate concerns
i find that it can create a lot of relationship disparity frustration and distancing with the patient
themselves and of their partners i also find that men have a terrible problem with confidence when they don't have functional consistent erections
[Music]
Dr. Ashley Tapscott understands what you are going through and can confidently say that virtually all men can be successfully treated for ED and resume a normal sex life.
Learn more and schedule a visit at shicarolina.com/mens-content/what-is-erectile-dysfunction/
Transcript:
erectile dysfunction is the inconsistent ability to achieve or maintain an erection
erectile dysfunction affects over 30 million men in america
erectile dysfunction is a very common medical condition in men
one in four american men have erectile dysfunction and that's 30 million men in the united states
there are many things that may contribute or cause your diagnosis of erectile dysfunction
these include medical conditions such as high blood pressure high cholesterol or diabetes
there are also neurologic or vascular conditions such as parkinson's disease or a history of stroke or perhaps history of a heart attack
there are post-surgical conditions that may contribute to your diagnosis of erectile dysfunction this may include colon surgery or prostate surgery
and finally certain medications use of other substances and hormonal imbalances may also contribute to a diagnosis of erectile dysfunction
there are several things that we can do in my office to help correctly diagnose
your erectile concerns and also offer appropriate treatment options
we may look at your hormonal factors such as testosterone we may look at diabetic control blood pressure and your cardiovascular lipid profile
in addition in my sexual health clinic we may perform a penile doppler ultrasound which looks at the penile blood vessels identifying the absolute appropriate therapy and diagnosis for
your concerns
i want patients to know that there are several benefits of seeing a specialist for erectile dysfunction
i am fellowship trained which means that i spent extra time outside of my basic urology training to focus in men and women in sexual health
also for erectile dysfunction i use some advanced diagnostic techniques to help us really identify your specific problem to help my patients with treatment options that are directed towards their
specific problem
we won't waste time on treatments that i don't think work for you and most importantly we won't waste money and frustration for you and your partner on things that won't work for you
i also spend time at multiple society meetings and with other erectile dysfunction specialists not only in the country but around the world to see how we may offer you the best in gold standard advanced health care for your medical condition
those are the benefits of seeing a specialist for erectile dysfunction
those are the benefits of having a passionate physician advocate for your health care needs
there are several different treatment options for your erectile dysfunction
oral medications are an option and there are several brands and types
they are to be taken at different times on various schedules
there are also penile injection therapy, vacuum erection device therapy, and a definitive solution in penile implant surgery
every man with erectile dysfunction deserves a customized and individualized treatment approach
the way that we decide about the right treatment option for you depends on several factors including those of your partner so we may certainly look at hormonal studies
we may look at vascular or other medication options and together we will decide as a team on the right treatment option for you
there are various percentages to patient and partner satisfaction when it comes to different types of erectile dysfunction treatment
i can tell you that the penile implant surgery has well over 90 percent patient and partner satisfaction ratings
when i talk to my patients in my practice i think there are several long-term consequences to not having erections aside from just the physical and intimate concerns
i find that it can create a lot of relationship disparity frustration and distancing with the patient
themselves and of their partners i also find that men have a terrible problem with confidence when they don't have functional consistent erections
[Music]
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Відео
Guide to Erectile Dysfunction
Переглядів 8693 роки тому
The inability to achieve and maintain an erection can cause difficulties in even the best relationships. The first step is to talk to an expert like Dr. Tapscott to find the root cause and discover treatment options. Learn more and schedule a visit at shicarolina.com/mens-content/treatment-options-for-erectile-dysfunction/. Transcript: erectile dysfunction is the inconsistent ability to achieve...
Penile Implant Surgery: Post-Operative Instructions
Переглядів 14 тис.3 роки тому
Dr. Ashley Tapscott discusses post-operative instructions for penile implant surgery. It is important to follow the recommendations that your physician gives to you to ensure the best outcome. Learn more and schedule a visit at shicarolina.com/mens-content/is-a-penile-implant-right-for-you/. Transcript: [Music] after the surgery to manage any discomfort you will be prescribed anti-inflammatorie...
Penile Implant Surgery: Pre-Operative Instructions
Переглядів 9 тис.3 роки тому
Dr. Ashley Tapscott discusses pre-operative instructions for penile implant surgery. If you live near Charlotte and are considering a penile implant, contact penile prosthesis expert Dr. Ashley Tapscott today! Learn more and schedule a visit at shicarolina.com/mens-content/is-a-penile-implant-right-for-you/. Transcript: [Music] i recommend penile implants as treatment for my patients with erect...
Peyronie’s Disease: What Men Should Know
Переглядів 36 тис.3 роки тому
When scar tissue develops under the skin of the penis due to trauma or minor injury, Peyronie’s disease may occur. As the scar tissue forms, the penis may become bent or indented during an erection, which can cause increased pain. Dr. Ashley Tapscott is a fellowship-trained board-certified urologist with extensive experience diagnosing and treating patients for Peyronie’s Disease. Learn more an...
Stress Urinary Incontinence in Men
Переглядів 1,5 тис.3 роки тому
Over 2 million men suffer from incontinence. Knowing the truth about incontinence can help relieve any embarrassment of the condition. Dr. Ashley Tapscott understands how hard dealing with urinary incontinence can be for men. She is also a board-certified urologist who knows how to help. Learn more and schedule a visit at shicarolina.com/mens-content/what-is-urinary-incontinence/ Transcript: st...
Penile Implant Surgery: What Patients Should Know
Переглядів 221 тис.3 роки тому
When other erectile dysfunction treatment options have proven to be ineffective, a penile implant may be the solution. If you live near Charlotte and are considering a penile implant, contact penile implant expert Dr. Ashley Tapscott. Transcript: a man that is a great candidate for a penile implant is any patient that desires a long-term or definitive solution for their erectile dysfunction the...
I dont wanna lose my d
I first noticed this in Oct 2024. Back then it was a dip in the shaft. I had GP appointment in Dec 2024, during which I was referred to Urology. Since then I have heard nothing from the urology dept about when I might get an appointment. In the mean time, the lump is harder, erections are getting more painful, full erections are impossible and the curvature is worse week by week. I dont feel I'm coping very well. I feel very distressed having to just sit here and watch this happen.
Do you notice the dip in the shaft while having an erection and also when soft?
Boston Scientific makes a malleable implant that does not require pumping. Check it out.
Thank you for such a professional and informative video!
please can someone one help me, im 23 and i have ED i want to get this done but im scared, have alot of questions, been talking to my doctors but i hear alot of different things all the time, if some has had it done, please tell me
I had been told by word of mouth that the penis, after implant can be cold. Is this true?
Is a candidate for implant only if no natural erection can occur? What happens if you can on occasion still get an erection and activate the inflatable device?
where is your clinic?
Good info
DO NOT GET THIS PROCEDURE!!! This is a BULLSHIT scam to sell worthless devices!!! I got the three piece device and this is easily the "worst" decision I have ever made in my life! My penis is now less than half of what it once was, seriously about 4-5 inches lost! No exaggeration, I can now hide my entire semi-erect penis (limp is the best I can achieve) inside my closed fist! Girth is essentially non-existent now, not much bigger than my thumb! My girlfriend said the extremely smaller penis is clearly noticeable during oral sex, and the act of love making it feels like I'm only fingering her and she can no longer achieve an orgasm with what I have now! Additionally at 8 months post-op there is a considerable amount of pain even when not using it! Furthermore sex itself is painful and is NOT pleasurable for me or my girlfriend. My penis implant results are far more embarrassing than not being able to get erect at all. This has been the most emotionally, physically, and mentally devastating thing I have ever gone thru, so much so I have contemplated suicide, especially when I was told the procedure is irreversible...once you get an implant, you can never achieve a natural erection ever again, meaning once you get an implant, you will always need an implant! I've now accepted the fact I will "never" be able to satisfy a woman ever again, and quite possibly never be able to have sex again! I want this damn penis implant removed because it is useless and painful. AGAIN DON'T GET THIS PROCEDURE!!!
I am from Pakistan. Need to talk to you about some sexual issues.
where are your offices located and if medicare does't cover the cost what would the cost be
I'm so frustrated at is point that I do want to try something........I have a high PSA count in which the VA is monitoring, and I constantly am getting a half-hard erection. I've tried pills but no luck. I'm ready to talk to my Urologist about the implant. I'm 65 and in great shape. I did have a reversal on the vasectomy years ago and believe this could be part of the problem. Thanks for a great vid. Doc., Greg
REDUCE SWELLING ??? But it doesn't swell up on its own . That's the reason for the surgery ! Please let me keep the swelling ! I'm so confused !!
WILL OUR IMMUNE SYSTEM ATTACK PENILE IMPLANT LIKE IN BREAST IMPLANT ... WILL IT CAUSE AUTOIMMUNE DISEASE , BRAIN FOG OR OTHER SIDE EFFECTS... PLEASE SHARE OPENLY DOCTER
WILL OUR IMMUNE SYSTEM ATTACK PENILE IMPLANT LIKE IN BREAST IMPLANT ... WILL IT CAUSE AUTOIMMUNE DISEASE , BRAIN FOG OR OTHER SIDE EFFECTS... PLEASE SHARE OPENLY DOCTER
U only talk without any sample or right action of implant device,
How about people who were born with curved penis?
@jelilibarakat3173 gimme the link pls
Hello doctor how are you ?! Is it ok to let the penile implant inflated for to long or is it better to inflate and deflate each time i have sex ?! Because i inflate once and i do sex 3 or 4 times.
What a wonderful information to learn from🤙🏻
Remote control? Not even close. Many men complain about the pump and how they operate.
I don't take advice from female "doctors".
I just had mine done on 4/29/24 ( not by her) and holy hell the swelling is crazy! I was pulling on the pump a little here and there but the bruising and pain was too much to handle.
How did it end up going? I'm seeing a specialist on fri. Is it positive?
@@diamondd2778 Well...I had a leak in the pump and had to have a revision two months after my first surgery...Second surgery was nothing compared to the first one. It was so much better. Now I can pump it as hard as a rock! So far so good. Fingers crossed it last a long time.
Wow!! Excellent presentation. 👍🎩👍🙏
She forgot to mention that Xiaflex isnt covered by insurance. So at $3,000-$5,000 per injection, at 5-8 injections that is a bit expensive. Noone told me as a youngster that when i reach my sixties id have to fork over $15,000-$40,000 to keep my penis working.
No one told me about this disease at all or what to do to make sure it didn't happen .. wtf. Men are treated like absolute garbage in our society. I never knew about this until I had to go find out....
They also don't tell you that xuiflex can be very hit and miss and cause damage and further shortening. There's a reason it's only available in America ...I
Is this suitable for someone who has sunken or hidden penis
I like to have this done
Very informative. Thank you.
I have the coloplast titan one touch and I have “dog ears” when it’s deflated/flaccid. Does that do any damage to the cylinders overtime?
Dear doctor I’m Kamrul hasan chowdhury from bangladesh. I had a road accident and I got urethra injury on July 2012 . Major injury was pelvic fracture and urethra injury. After I did my operation ( on December 2013) for urethra injury my erection is not working . It is now 10 to 20 percent works . My age is 48 years old and also a diabetic patient. And have no children.I need to have your suggestion and what would I do to get natural erection like before. Waiting for ur reply
Hey, Very informative. At age 77 am I too old for Penile Implant Surgery? Thanks Chief Ken Bauer, USAF (Ret)
Depends on your over all health. I had one at 76.
No age limit I was told.
Infection yeah! It damn near killed me!
We know all about stress incontinence that’s why we are on this site. We want to know about how to stop stress incontinence. So much info we already know.
why is this in my reccomended
Good news! It is treatable at HOME! Look up the Phoenix. It is a device that heals this by breaking up the plaque and restoring the tissue. It supposedly has a 94% success rate wkth No bad side effects! Look it up yoursrlf, please. Good luck! It CAN be fixed, no doctors needed!
My husband died from getting those implants…He had horrible pain, his member swelled and became deformed to the point that he ended up with a bag to urinate in… 🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️🤦🏻♀️ this is not for everyone..
Can you be more specific.. was he overweight did he have any illnesses.. did he smoke drink ect?
Doc how long do they last, years wise. Is there break downs.
Will I still be able to lead an active lifestyle? I'm 65, male, and enjoy mountain biking and lap swimming.
Very informative! Every question you covered was exactly what I wanted to know. Thank you so much for pouring this video together. Signed, a prostate cancer survivor who wants to get back in the game
It is about between 23,000 to 25,000 Dlls. Maybe more,depending who and where you get the procedure done...
I have had 8 inflatable implants both coloplast and AMS they have all failed for various reasons I have had full surgeries to completely remove each one of them over a 20 year period. I am currently using a AMS that has been in for 4 years with no problems. If I was going to do it again I would seriously consider the new Tractra Sami ridged implant . The pump and the tubing seem to be the problem with the inflatables.
What are the overall reasons that led to your stent failure?
How is your 😅úu
That is a lot of surgery. I would try a rigid if the one I have fails.
WILL OUR IMMUNE SYSTEM ATTACK PENILE IMPLANT LIKE IN BREAST IMPLANT ... WILL IT CAUSE AUTOIMMUNE DISEASE , BRAIN FOG OR OTHER SIDE EFFECTS... PLEASE SHARE OPENLY DOCTER
I am on day 5 after implant change to the three piece system. The pain is manageable but tenderness near the device and shaft head I assume will last awhile. Just when I get comfortable, a brush of any fabric has me yearly eyed. Still I hope to enjoy the success I read in the comments.
What happened to your first one... please share your experiences with first one..
What about when you have a curve in the pennies can that be straighten.
Is there any data available about examination of perones plaque under microscope. Is microscopic parasites involved or included in this disease?.
What’s the ballpark figure price on the 3 piece inflatable one.
I have the three piece implant. Not ridgid enought; so its useless. Wished I had never had it put in! Any advice?
Take it out then................not what you want to hear.
@@Brockton153How about you take your brain out?
How can it not be rigid enough? Is it an AMS LGX?
@@Materva-hv6sz LGX. Its like a halfway hard on.
Thank you Doctor, this is one of the better videos I’ve seen on this procedure. Very informative.
Open your mouth...
If you had prostate cancer and your prostate was removed very little of this presentation applies. There is NO ejaculation or orgasim. My penile device is as effective as a piece of wood. My satisfaction rate is about 10%
Thank you for your thorough presentation also. I have to have an AMS800 installed on November 21st of this year because a urologist cut my sphnicter on two operations back on Oct 9th 2019 Doing a Green Laser Surgery and then again on Nov 4th after doing a Turp. I have been to Hell and Back with all of this Incontinence and to say the least, It has ruined me emotionally and sexually. I had a 20 centimeter penis before this and now, I'm just about 14.5 centimeters and the new Urologist that is doing the AMS 800 says that I will never get my size back ever. He and all of the other 8 Urologists,, that I have seen in the cesspool capital of the world " Florida" all told me that I would never have my old penis length back again. I was also told that even if I had an orgasm, that it would be about 25% as good as before only and that no sperm will ever come out of me again because my urethra will be closed off with the cuff to stop my incontinence , so Being that us men only have ONE urethra, I will never be able to have any sperm come out but my orgasm will just flow right back into my bladder and be excreted out in my urine... Are both of these statements TRUE??? I would like to know the truth. I guess I don't have a choice either way. I just want my penis size back. I don't want a little 5.5 inch penis when I had an 8 inch penis before the butcher ruined me. Please be honest with me Miss!