Dr. Michael Safir Southern California Center For Advanced Urology

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Erectile Dysfunction - Treatment

Erectile Dysfunction Drugs

Once the diagnosis of erectile dysfunction has been confirmed, it’s time do something about it! First-line treatment for erectile dysfunction is usually one of three drugs, Viagra, Levitra, or Cialis. These pills cause dilation of blood vessels in the penis, improving blood flow and making erections easier to achieve and maintain. Viagra and Levitra must be taken 30-60 minutes before you have sex. Cialis is longer-acting, giving you more flexibility in timing. These ED drugs are effective in about 70% of ED patients, but they are not right for everyone; like any drugs, they have risks and side effects.

Other Remedies for Treating Erectile Dysfunction

If oral erectile dysfunction drugs don’t work for you, we may suggest alternatives such as injectable medications or penile implants. Caverject (alprostadil) is injected directly into the penis and produces an erection in just minutes.

Penile Implants


A highly effective solution for many patients is the Titan inflatable penile implant, a two- or three-piece device that is also commonly called a penile prosthesis. Using a minimally invasive procedure, the inflatable cylinders are placed in the erectile tissue. The patient activates the device with just a few pumps. Sterile water fills the cylinders, and an erection is achieved. A “one-pump” deflation reverses the process, causing the penis return to a flaccid state. Like other urology procedures, penis implants are covered by Medicare and by most private insurance carriers.

The Difference That Dr. Safir Brings...

Dr. Michael Safir is not only a board-certified urologist; he is also a nationally-renowned urologic surgeon. He specializes in the rapidly developing field of reconstructive urology. Dr. Safir is one of only a handful of urologists worldwide to have completed separate fellowship training in reconstructive female urology surgery (at UCLA) and male genitourinary surgery (at UCSF). The American Board of Medical Specialties has just recently recognized female pelvic reconstructive surgery as a distinct subspecialty.

Dr. Safir lectures at medical conventions and seminars, and travels throughout the country training other urologists and gynecologists in the latest, advanced techniques for surgical treatment of urinary incontinence and pelvic prolapse.

Dr. Safir has also trained with some of the nation's leading urologists, including Dr. Paul E. Perito www.peritourology.com.

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Video Blog

Michael Safir, M.D. speaks candidly about various urological conditions and the advanced surgical procedures used in his practice.

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