Male Sexual Health
While sexual health may be hard for some men to discuss, the best specialists know how to hear each patient’s concerns, reach the right diagnosis, and customize the most successful treatment plan. At Mount Sinai-Union Square, our urology team is skilled in providing comprehensive care in every aspect of male sexual health, including erectile dysfunction (ED), ejaculation disorders, Peyronie’s disease, and more. From advanced diagnostics to the newest surgical techniques, our team combines leading-edge care with personalized attention.
Male Sexual Health Conditions We Treat
We start by discussing your symptoms, performing a careful physical exam, and conducting thorough diagnostics that may include blood and semen tests, urinalysis, and ultrasound.
Our teams have deep experience in the full range of male sexual health conditions, including the following:
- Ejaculation disorders: These include premature ejaculation, delayed or inhibited ejaculation, and retrograde ejaculation (semen entering the bladder instead of exiting the penis). Causes could range from stress and depression to medication side effects and nerve disorders.
- Erectile dysfunction: ED is the inability to get or maintain an erection. It could be caused by a range of factors, including cardiovascular disease, stress, nerve disorders, and unhealthy lifestyle.
- Low libido: This decreased interest in sex could be caused by factors that include low testosterone levels, stress or depression, medication side effects, and certain chronic illnesses.
- Peyronie’s disease: This is a condition of focal scarring inside the penis, which can cause curvature and/or indentation of the penis when it is erect. These structural changes can be associated with significant pain, both physical and psychological. We offer a full array of treatments, which can be surgical and non-surgical, mechanical, and medical.
- Orchalgia/Chronic prostatitis/Chronic pelvic pain syndrome: Many men experience pain or discomfort at their genital or pelvic organs, which may originate at these structures or be referred from other parts of the body. With thorough diagnostic evaluation, we are able to define the cause(s) of discomfort and address them. Our therapeutic approach is holistic and multidisciplinary; in addition to providing medical and surgical therapies, we coordinate with other specialists as needed to optimize your care.
We are also skilled in treating less common conditions, such as testicular and penile pain, as well as post-orgasm illness syndrome.
Male Sexual Health Treatments at Mount Sinai-Union Square
Once we’ve determined the cause of your condition, we work with you to choose the right treatment plan together. We may decide together that approaches such as lifestyle changes (including diet and exercise), counseling, or oral medications are the best place to start.
Our specialists provide the full range of men’s sexual health treatments, including the following:
- Hormone replacement: Testosterone replacement therapy may be used to treat problems including low sex drive, ED, and orgasm dysfunction. It could be administered via injections, implanted pellets, or gels or patches that are applied to the skin.
- Intraurethral agents: These medications increase blood flow to the penis to treat erectile dysfunction. They are administered in the form of a suppository the patient inserts into the penis before intercourse.
- Penile injections: Using a very fine needle, the patient injects medication into the penis before intercourse in order to increase blood flow.
- Penile implants: Also called penile prosthesis, implants may be used to treat erectile dysfunction if other options haven’t worked. There are three types of implants (non-inflatable or malleable, two-piece inflatable, and three-piece inflatable) and your doctor will discuss the best option for you. The implant is placed during outpatient surgery and is entirely concealed within the body.
- Low-intensity extracorporeal shock wave therapy (ESWT): This therapy involves the sequential delivery of acoustic energy waves to the erectile tissue of the penis. These impulses, which are virtually painless, are designed to encourage the growth of new blood vessels, in order to improve penile perfusion and erectile function. ESWT can also be used to improve chronic pelvic pain in select patients.
Male Sexual Health Specialists at Mount Sinai-Union Square
Our committed team of doctors, nurses, and staff includes the following male sexual health specialists.
Barbara Chubak, MD
Assistant Professor of Urology, specializing in sexual health, genital and pelvic pain, and lower urinary tract symptoms