In a recent publication Dr. Kelli Gross, a fellowship-trained urologist specializing in Male Infertility and Men’s Health at University of Utah Health, she shed light on the complexities of erectile dysfunction (ED) and its impact on men’s health.
Dr. Gross says that erectile dysfunction is essentially the inability to maintain an adequate erection for desired sexual activities. For some men, this manifests as difficulty achieving an erection at all. For others, it may mean struggling to maintain an erection for a sufficient length of time or achieving an erection that lacks the rigidity they desire.
She emphasized the prevalence of this condition, noting that erectile dysfunction is incredibly common, particularly as men age. Research indicates that about 40% of men over the age of40 experience ED, with the percentage increasing significantly among older age groups.
When discussing the causes of erectile dysfunction, Dr. Gross mentioned that it is often linked to vascular changes, which can occur due to aging, heart disease, or high blood pressure. In certain cases, she noted that factors like pelvic surgery or radiation treatment—such as those related to prostate cancer—can also lead to erectile dysfunction.
Additionally, some medications, particularly those for high blood pressure, can have an impact, along with hormonal changes.
Dr. Gross explained that the diagnosis of erectile dysfunction primarily relies on an extensive medical history and a physical examination. While she mentioned that advanced tests, like penile ultrasounds, could be performed, she underlined that a thorough history and physical assessment usually suffice.
The conversation turned to risk factors, where Dr. Gross pointed out that some factors are modifiable. While she acknowledged that a healthy lifestyle cannot guarantee prevention, adopting good habits—such as a nutritious diet, regular physical activity, and avoiding smoking—can significantly mitigate risks.
Dr. Gross serves as a specialist in the field, well-versed in various treatment options tailored to individual needs. She shared that many men opt to start with oral medications due to their affordability and ease of use. However, for those experiencing psychogenic erectile dysfunction, she suggested sex therapy as a beneficial approach.
Further options discussed included injections directly into the penis, which can be effective for many men. Dr. Gross noted that penile prostheses—surgical interventions for severe cases—are another effective solution, with high satisfaction rates among those who choose this route, ranging between 92 to 97%.
Other treatments for male enhancement like urethral suppositories and vacuum erection devices were mentioned, although Dr. Gross expressed that these options are less commonly utilized due to their costs and varying satisfaction levels. She also addressed shockwave therapy, clarifying that while it is a topic of much debate, it remains largely experimental, with many marketed methods lacking robust scientific backing.In terms of treatment selection,
Dr. Gross emphasized the importance of personalizing solutions based on individual lifestyles and specific concerns. For example, men who travel frequently may find injections cumbersome due to the logistical requirements of the equipment.
Dr. Gross concluded the conversation by highlighting the significance of having regular erections for maintaining penile health. She explained that the lack of penile engorgement can lead to long-term health consequences, including potential loss of length over time. As a fellowship-trained urologist at University of Utah Health,
Dr. Kelli Gross is committed to advancing men’s health, particularly in addressing sensitive issues like erectile dysfunction, ensuring that patients receive individualized care and effective treatment options. University of Utah Health is renowned for its comprehensive approach to men’s health, combining state-of-the-art medical care with compassionate support.
