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Urology/erectile dysfunction


My husband had issues with ED mostly caused by his high blood pressure meds that were never resolved. He then got cancer and had a prostratectomy. He has total ED now. Our doctor said he'd need medical help. OUr insurance won't pay for a penile implant. Would a penile vacuum work? Is a prescription needed? Which one to buy?


It's rare that insurance will not cover a penile implant after radical prostate surgery for cancer.  But we usually start with penile rehab using an external vacuum device and viagra.  Penile injection therapy with or without viagra can also be tried.  Only when all of these fail do we even consider a penile implant.  He needs to contact his urologist to look into the various treatments available to him at this point.  Good luck.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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