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You are not alone

John has received hundreds of questions from real people like you. Review John’s answers to the most popular questions. If you still can’t find what you are looking for, please get in touch with John.

ED Treatment Options

  • How important do you think it is to see an “ED specialist"?

    Very important! Having ED affects not only you; it also affects your spouse/partner.  An ED specialist can better treat your symptoms than you can on your own. These doctors are very familiar with erectile dysfunction and the FDA-approved options proven successful to treat ED. A prosthetic urologist is a urologist who does penile implants. They are accustomed to treating men like us.

  • Having ED is embarrassing. Any advice for me?

    I can sympathize here.  While I was going through this journey, I felt that I was in this all by myself.  I did not know who to talk to.  You feel shame, like you are less than a man.  Do not be embarrassed. Go and get help from a trained medical professional specializing in sexual health at a urology clinic that has a prosthetic urologist on staff. My wife would ask me to talk with my father, but I was too embarrassed to talk with him about this.  If he was going through any ED issues, he never mentioned it with his sons or my mother.  My advice to you is to communicate with your spouse and work with your doctor. See a urologist who specializes in ED. Do what you need to do. When you are at the end of your rope, there is hope!

Causes of ED

  • When you first began having problems with ED, did you know it was because of your diabetes?

    I was diagnosed with diabetes around the same time Viagra was introduced to the market.  I don’t recall being told by my primary doctor that ED could be one of the effects of diabetes.  When I started showing symptoms of erectile dysfunction, I thought it was because of physical exertion.

  • I was recently diagnosed with diabetes and understand that ED may be in my future. Is there anything I can do to prevent or delay getting ED as a diabetic?

    I am not a doctor and can’t provide medical advice. As a man with diabetes who formerly had ED I would say: exercise, change your diet and work with your urologist.  If you do get ED, see your urologist! You can find urologists who specialize in treating ED via this link.

Getting a Penile Implant

  • I am very nervous about having surgery on my penis. Your penile implant was your first surgery. What can you tell me about the experience?

    I was put to sleep for the procedure. I had a pleasant experience; it was not a problem for me.

  • How was recovery from the penile implant surgery?

    I was given six weeks recovery time.  I have an office job, and could have gone back to work after a couple weeks.  I followed the instructions that the doctor gave me and did not do anything strenuous. I wanted some time off, so I took the full six weeks.

  • I am overweight and a diabetic and now have ED too. Is this going to be a problem for an implant?

    Let me encourage you to lose as much weight as possible.  And also, keep your A1C under 8.0. Speak with a urologist specialist near you.

  • How big are your scars? Are they noticeable?

    All pieces of the device were implanted through a cut in my scrotum.  I do not see any trace of scars.

Living with a Penile Implant

  • Is the implant difficult to use?

    No. I have found it very easy to use. My diabetes has not affected my hands.

  • How easy is it to pump up the implant? Can it be a secret to my partner?

    I have found it very easy to pump up the implant. In less than a minute, you can have a fully erect and firm penis.  You can keep it a secret from your partner, but I would encourage you to be open and honest with your partner.  After all, they are on this journey with you.

Cost and Insurance

  • I’ve already spent a lot of money trying to fix my ED. I’m wary of the cost of the surgery. What do you think?

    I have spent thousands of dollars on ViagraTM, LevitraTM, CialisTM, the vacuum pump, MuseTM, all kinds of herbal supplements as well as the injection method. I tried everything on the market to treat ED. Then I got my implant. I have had my implant for 14 years now and if I had to do it all over again, I would get the implant in a heartbeat! The surgery is worth every penny!  When you are at the end of your rope, there is hope!!

smiling doctor


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