May 23, 2019 at 3:30 pm PDT | by Susan Hornik
ED affects gay men too, but Dr. Alexander Gershman offers a fix

Dr. Alexander Gershman.

It’s very disappointing when right when you are in the throes of passion, you notice your penis isn’t as hard as you want it to be, Sadly, nine million men in the United States suffer from erectile dysfunction, with virtually no benefit from using Viagra or Cialis.

Noted West Hollywood urologist, Alexander Gershman is a tireless advocate to combat this serious issue. After many years of teaching, researching, and conducting clinical studies in lapsroscopic surgery around the world, the doctor amassed a vast amount of knowledge and experience in the diagnosis and treatment of the whole spectrum of urologic conditions.

In 1999, he founded the Institute for Advanced Urology, a state of the art facility featuring a full range of modern diagnostic and therapeutic equipment, and an injections center. Among the thousands of patients who Dr. Gershman had treated at the Institute for Advanced Urology are numerous Hollywood celebrities, famous musicians, and professional athletes.

Dr. Gershman attributes the cause of erectile dysfunction to damaged, smooth muscle tissue and surrounding blood vessels in the penis. “This could have happened due to disease or injury.”

The veteran doctor has utilized “The CaverStem,” an outpatient procedure which uses stem cells harvested from a patient’s own bone marrow, the body’s own natural source of stem cells, to regenerate damaged tissue. As part of the treatment, hehas developed an individualized treatment plan for each patient, based on the results of comprehensive diagnostic testing.

Treatment may include a caverstem procedure, pharmacological therapies, hormonal stabilization, intracorporeal injections and reconstructive surgery.

Gershman injects the stem cells directly into the penis. “Treatment with stem cell therapy is performed to restore the individual’s ability to have natural erections. For men who do not benefit satisfactorily from using Viagra® or other first-line oral medications, stem cell therapy can revive erectile function and allow the individual to avoid second-line treatment options that are unnatural, invasive or irreversible.”

Stem cells have healing properties to promote the growth and repair of damaged tissue throughout the body, said Gershman.

“Delivery of a concentrated source of stem cells directly into the penis allows for the full healing potential of these cells to be realized,” added Gershman. “Research has shown that stem cell therapy for treating erectile dysfunction can safely and effectively restore the areas of the tissue that absent or damaged, including smooth muscle, blood vessels, and nerves. We have achieved 70 – 80 per cent success in restoring sexual function with this procedure.”

Gershman acknowledged the psychological hurdles gay men face in addressing what is happening.

“It may be very difficult for a gay man to admit to having any problems with sex. After all, our sexuality is part of what makes us gay men. It is a myth that we are all sexual athletes, always ready for sex and always able to perform at a moment’s notice. But because this false view exists, we tend to measure ourselves against it.

He continued: “If something goes wrong, some men feel they are ‘letting their side down’ if they ask for help. Asking for help with a sexual problem is the same as asking for help with any other medical problem and our needs are as important as anyone else’s.”

Erectile dysfunction is also common in HIV-infected men.

“The exact causes of erectile dysfunction in patients with HIV are poorly understood. However, they could include the effects of HIV infection itself, treatment with antiretroviral drugs, and most especially, protease inhibitors.”

The prevalence of erectile dysfunction in patients treated with HIV medications was 53.4 per cent, similar to that obtained in other HIV-positive cohorts. Both older age (p = 0.01) and treatment with a protease inhibitor (p = 0.04) remained significantly associated with erectile dysfunction, when the investigators restricted their analysis to patients with longer duration of HIV infection.”

Gershman’s office:

Cedars Sinai Medical Office Towers
8631 West 3d Street
Los Angeles, CA 90048

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