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Urology/erectile dysfunction


I'm 27 and feel horny but can't get erections anymore. Its been going on for months and I'll only get semi hard with my gf or masturbation and ejaculate while soft.  I had bloodwork and urinalysis that all came back normal.  Could this by physical or nerve damage or psychological?  I also have a weak urine flow and hemroids and don't know if thats related?  I've been drinking alot for the past 5 years but before that everything worked fine w my previous gf.  I smoke a cigar a day.  Otherwise I'm healthy and athletic and have cut down on alcohol.

The heavy drinking can have a direct impact on erectile function, a cigar a day will not effect erections that has been documented. I recommend to drastically reduce alcohol consumption and see what happens. The other issue is psychogenic ED, this is a condition where a man has many stresses and an increase of adrenaline (vaso constrictor) during the day that narrows blood vessels and reduces blood flow velocity. Erections require vaso-dilation and smooth muscle relaxation for the penis to become erect so therefore when one has lots of adrenaline surging its not uncommon to have ED in a young man. Psycho therapy is a good tool for dealing with these stresses and subsequently reduces adrenal output of the hormone responsible for reducing the blood flow to the penis. Heavy alcohol consumption is common in people self medicating to deal with stress. You can see a general doctor for a PDE5 inhibitor prescription like (Viagra, Cialis, Levitra or Staxyn) this usually is very helpful but not a magic bullet. Root causes do not change when the symptom is fixed so the PDE5 drug is only a proverbial band aid, get therapy and reduce the alcohol for a long term fix. Best wishes.  


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Thomas A Suppe RDMS CLT


Invervential urologic radiology , urologic laser surgery, cryotherapy of the prostate and kidney, extracorporal shockwave lithotripsy, holmium laser lithotripsy, urodynamics (video-non video),male infertility, erectile dysfunction, Peyronies disease, hypogonadism ,kidney stones, prostate cancer detection, BPH, voiding dysfunction, bladder cancer and continent diversions.


For the past 20 years performing intervential and diagnostic uro-radiology for a multitude of urologic surgeons from New York, New Jersey, Lousianna and Texas. Founder of DMS medical LLC introducing the Texas Medical Center to the first high power Green Light laser for the treatment of BPH just after its release by the FDA from Laserscope and its sucessful trials at the Mayo Clinc.

American Registery of Diagnostic Medical Sonographers (ARDMS), American Urologic Assocoation (AUA), American Medical Systems (AMS) Laserscope,Oncura, Allergan and Auxilliam pharmaceuticals.

Comprehention of Urologic Ultrasonography for the Resident Physician (Journal of Urology 2012), Author of the syllabus for the uro-radiology residency course at The Scott Dept of Urology at Baylor College of Medicine Houston Texas (2010 to present). Past Clinical Studies: Principal radiology investigator Allergan Inc for "The treatment of BPH with intra-prostatic injections of Botox" with Larry I Lipshultz MD 2011-2012, principal radiology investigator for Allergan Inc for "The treatment of Peyronies disease by intra-lesional penile injections of Botox" with Mohit Khera MD MBA MPH (2011-2012). Current studies: Principal investigator of "Blood pressure risk factors of intra cavernosal injections of Trimix and PGE1 during Penile Duplex's.

BS from Ramapo College of NJ, Registered diagnostic medical sonographer with the ARDMS, 2 year fellowship of Uro-Radiology and intervential sonography at Baylor College of Medicine Houston TX, laser safty officer in state of Texas and certified in KTP, Holmium and Lithium Tri-boride laser systems from Laserscope San Jose, California and American Medical Systems Minnatonka Minnasota, trained and certified by Oncura Inc Isreal in ultrasound guided argon cryotherapy of the prostate and kidney.

Awards and Honors
Honorary instructor of GU ultrasound course 2012 international meeting of the American Urologic Association. Author of the the AUA course for "Ultrasonography of the Testes and Scrotum" 2012.

Past/Present Clients
Baylor College of Medicine (BCM) Lousianna State University (LSU), LSU Medical Center Shreeveport LA, The Methodist Hospital Houston Texas, St Lukes Episcopal Hospital Houston Texas, Memorial Herman Health Systems Houston Texas, Palestine RMC Texas, Doctors Regional Hospital Corpus Christi Texas, Valverde Regional Medical Center DelRio Texas, Current instructor/technologist for two internationally recognized urologists : Larry I Lipshultz MD and Mohit Khera MD, MBA, MPH at Baylor College of Medicine. I served as intervential sonography consultant for Oncura Inc cryotherapy systems. Former lead trainer for Urosource mobile medical services , training new surgeons in PVP or photo-selective vaporization of the prostate for BPH, BNCs and urethral stricture vaporization.

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