Male sexual dysfunction

Are sexual problems causing you distress?

Are you dealing with issues like premature ejaculation, penile curvature or erectile dysfunction? Are you concerned that these problems may be affecting your relationship with your partner? While you may be hesitant to discuss sexual dysfunction with your doctor, seeking treatment from an experienced medical professional is the fastest and surest way to restore your quality of life.

Ejaculatory dysfunction

If your ejaculatory function is painful, premature or delayed, it is important to speak to your doctor to help determine the cause and explore treatment options.

The most discussed problem is premature ejaculation, which is defined as less than one minute of sexual activity prior to ejaculation. Treatment for premature ejaculation typically starts with medications, as well as reviewing a patients medical history. The most common causes of premature ejaculation include medication and surgery. Treatment in this case would be changing medication or waiting for complete recovery from surgery to see if function improves.

If we feel the problem may be resolved through counseling, we can refer patients to our board-certified sex therapist. We can also provide patients with information about certain practices that can help delay ejaculation or prescribe numbing medication, if necessary.

Penile curvature

Penile curvature, or Peyronie's disease, usually occurs following an injury to the penis, surgery on the penis, or exposure to radiation. It results from a strong inflammation or inflammatory reaction that causes scar tissue to develop deep inside the penis tissue. This causes the penis to curve, bend or rotate. Penile curvature usually develops slowly. You may first notice curvature or pain during an erection. Treatment can not be offered immediately following the injury, but after the curvature has developed over time.

Penile curvature usually poses no health risk to patients. There is no need for treatment unless the condition causes undue psychological distress or physical pain (to you or your partner) during sexual intercourse.

Surgery used to be the primary treatment for Peyronie's disease. While there is no oral medication for this condition, we can now offer patients an injectable medication. This treatment requires a series of injections into the affected area to help break down the plaque. It is much less invasive than surgery, and has been proven to work well for many patients.

Why Choose Nebraska Medicine for Treatment of Peyronie's Disease or Premature Ejaculation?

We treat the whole patient

At Nebraska Medicine, you will be treated by a board-certified doctor who is experienced in the treatment of patients with erectile dysfunction. We treat the whole patient, beginning with a careful evaluation of your overall health, lifestyle and medications. You will also receive proper screenings for conditions such as heart disease, diabetes and high blood pressure, in order to determine the root cause of your symptoms and improve your overall health.

We treat you as an individual

When it comes to male sexual dysfunction there is no one-size-fits-all approach to diagnosis and treatment. Proper medical care must be customized to the individual. We take the time to get to know our patients well before we suggest a treatment, rather than applying the same treatment to every person who walks through our door.

We provide multidisciplinary care

Poor erectile functioning is often a complication of conditions that need specialty attention. If your evaluation for erectile dysfunction reveals any issues related to heart disease, diabetes, or other medical conditions, we can easily refer you to a specialist within our health system. If lifestyle changes are recommended, we can also connect you with a board-certified sex therapist, nutritionist, smoking cessation expert or others who can support you in making the changes you need to enjoy better health.

Accreditations and Awards

Nebraska Medicine is ranked among the nation’s best. Each year, U.S. News & World Report surveys the nation’s roughly 5,000 hospitals to come up with the year’s list of Best Hospitals. Just 3 percent of the hospitals analyzed for Best Hospitals earn national ranking in even one specialty. We were:

  • Ranked nationally in urology in 2014 U.S. News & World Report Best Hospitals
  • Recognized as high-performing in urology in the 2011, 2012 and 2013 U.S. News & World Report Best Hospitals