Sexual Medicine

The Urology team at the University of Florida offers a full array of diagnostic and therapeutic alternatives for the characterization and treatment of a variety of causes of sexual dysfunction.

WHAT IS MALE SEXUAL DYSFUNCTION?

Any condition or set circumstances which impacts successful sexual intercourse. This can include:

  • Ejaculation disorders (premature ejaculation, impaired ejaculation)
  • Difficulties achieving or maintaining erections
  • Difficulties with orgasms
  • Low libido (loss of desire)
  • Hormonal disorders
  • Systemic disease (such as neurologic disorders, vascular disease, diabetes, hypertension)

WHAT IS MALE ERECTILE DYSFUNCTION?

As defined by the 2nd Consensus Conference on Impotence, male erectile dysfunction (ED) “is the inability to initiate and maintain an erection satisfactory for sexual intercourse.” Large studies (such as the Massachusetts Male Aging Study) suggest that 20-30 million men in the United States alone suffer at some point in their lives with ED. Many men often live with this problem for years believing the problem to be “in their heads” or an issue with their partner. As the male suffers (sometimes in silence) the partner is similarly concerned that she is no longer sexually attractive or has concerns regarding the implications for treatment. Our understanding of ED has advanced tremendously in the past several years. A much better understanding of ED as a physical (not mental) process is the result of this progress. The release of Sildenaphil (Viagra®) in 1998 and the subsequent development of more oral agents have helped draw attention to the common occurrence of ED.

OTHER MALE SEXUAL DISORDERS

Premature ejaculation – Lack of control of ejaculation which is disruptive to sexual intercourse

Anejaculation – Lack of ejaculation

Anorgasmia – Lack of orgasm

Retrograde Ejaculation – Sperm is ejaculated into the bladder rather than the urethra (urine channel)

Penile Curvature (aka Peyronie’s Disease) – Scar tissue in the penis causing pain and/or penile curvature and/or erectile dysfunction

Hypogonadism– Decreased function of testicles (male)