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50% of Men Won’t Get Worthwhile Erections from Old-School Solutions. That’s Where We Come in!

Oral Medications for Impotence

There are numerous medicines available by shot (or orally) that can improve your ED symptoms temporarily but they do not heal your problem. Instead, they provide a transitory fix and establish a basis for a lifetime of prescription dependence. That’s not healthy and it’s expensive and time consuming. Common pills include Viagra, Cialis, Levitra and over the counter medications.

Penile Implants: The Pro’s

cialis-packageAs for penile implants, they are an end of the road and once done there are no other alternatives. You are stuck with a mechanical device with its own issue so they last 3-7 years and they must be replaced. As you continue getting surgery you’ll continue to lose size. An implant replaces the sponge in the penis with a silicone water filled device with a pump in your scrotum. Once you get an implant you cannot go the other way. People usually jump to implants because they’ve taken medicines that don’t work so they just want to be healed. Presently four basic types of implants are available: the semi-rigid malleable prosthesis, the simple self-contained inflatable prosthesis, and the more complex two and three piece inflatable prostheses. Semi-rigid malleable implants are relatively simple devices, and the first implants to be used on a large scale. Most incorporate rods made of an inert plastic material. When one is surgically placed into the penis, a permanent erection results. The penis and implant can be bent down close to the body so that it will not be noticed under most clothing. When intercourse is desired the penis is merely straightened. The main advantages are cost and surgical procedure, which is much simpler.

Penile Implants: The Con’s

The main disadvantage is the permanent erection. The simple self-contained inflatable implant consists of two cylinders that are inserted entirely within the penis. Each cylinder contains an inert hydraulic fluid. When an erection is desired it is easily obtained by squeezing the end of each rode located near the front of the penis. The erection can be eliminated by bending the penis at its base or by pressing the relief valves within the mechanism. This offers the advantage of an erection that can be controlled at will. A possible disadvantage is that it doesn’t provide a particularly full erection, compared to other inflatable implants, as there is not increase in the length or girth of the penis. Another disadvantage is that at times the device ma deactivate on its own during intercourse. The two piece inflatable implant contains two basic elements, two parallel hollow cylinders that are surgically placed in the penis and a bulb shaped chamber containing both a reservoir for the hydraulic fluid and a pump which is placed within the scrotum. A major advantage is that it provides a more naturally appearing erection and it does not necessitate the surgical placement of a hydraulic reservoir in the lower abdominal cavity as the three piece inflatable implant does. The biggest disadvantage is that it is more surgically advance and there are more parts to possible malfunction.

Inflatable Implants

3-piece-penile-implant-indina-working-deviceThree piece inflatable implants contain three basic elements. The first consists of two parallel hollow cylinders that are placed within the penis. The second is a pump and valve mechanism that is placed within the scrotum close to the testicles. The third is a spherical reservoir containing hydraulic fluid that is placed inside the lower abdomen. Three tubes entirely inside the body connect the reservoir to the pump and the pump to each cylinder. This device is inflated by squeezing the pumping mechanism inside the scrotum a number of times which results in fluid moving into the cylinders. When the erection is no longer desired it’s easily deactivated by compressing the release valve on the side of the pump. The fluid then returns to the reservoir and the erection disappears. This offers the advantage of maximum control and the most authentic erection in terms of added penis length and increase girth. The disadvantages are higher cost and more involved surgical procedure. Also since the device is more complex there is a greater possibility of malfunction.

Vacuum Pumps

air-vacuum-penile-pump-with-pressure-gaugeWhen a flaccid penis is surrounded by a vacuum, blood is drawn into the erectile tissues and the penis will grow in size and rigidity resulting in an erection. External vacuum devices have gained in medical respectability and such devices are now recognized as a possibly effective ED treatment option for some men. The better devices today are obtained only by medical prescription. External vacuum devices provide a simple and relatively inexpensive way of obtaining an erection. Disadvantages are complaints that sometimes the erections obtained aren’t of sufficient rigidity for satisfactory intercourse. Other complaints include impaired ejaculation and discomfort in use.

Affirmall® ED treatments are an actual healing paradigm: we developed technology that actually repairs loose loses and tissue fittings from a non-invasive manner. Thus, we resolve the long-term problem. Our three-step process is unique, patented and only available at a Morganstern Medical in Atlanta, GA – and includes a process for improving overall circulation, revascularization and collagen care. We also provide customized hormone care and select performance enhancers as needed.

ED Treatments to Avoid

I’m assuming you’re naturally skeptical of ads for a pill that requires no prescription that will somehow magically cure your ED or perform similar to Viagra or Cialis? There’s no such thing: period!

Men’s Health Clinics – The Biggest New Scam in Erectile Dysfunction

Unfortunately, not every problematic solution comes from obvious con-artists – even well recognized clinics with licensed medical practitioners offer treatments with questionable outcomes.

Years back, a pair of clinic operations leveraged men’s vulnerability from ED into full-scale fraud – including Dr. Kevin Hornsby and Boston Medical. Newer versions of these same concepts now occur at places like Low-T Centers and Men’s Specialty Clinics: some even offer high-tech sounding solutions to your problems. At the end of the day? They’re in the business of a pre-disposition for create a diagnosis for services they sell which are administered by third-rate providers: it’s not good health care!

The most common problems we see today are derived from the onslaught of new specialty clinics for men’s health. In fact, 43% of the ED patients treated at Morganstern in 2015 – were forced to endure “repair” work we had to perform because they started their journey at one of several from “Men’s Health Clinic”. Those patients faced were additional time plus expenses that are typically almost 300% higher than men who didn’t travel this less than ideal path.

All that’s legally required to open a clinic “specializing” in Men’s sexual health is a business plan, adequate capital for a slick promotion budget, a good sales person and a Nurse Practitioner, Physician’s Assistant or General Practitioner licensed to dispense related prescription drugs and perform treatments.

How do you know you’re caught in a Men’s Health Clinic “bait and switch”?

If you don’t receive your diagnosis and treatment plan face-to-face with a certified Urologist who specializes in Men’s Sexual Health?


Erectile dysfunction is a condition of the penis – which is a very complex vascular organ that’s dependent upon a variety of inputs to function optimally. While any licensed clinic can offer and provide the same tools available to most patients – knowing which is best suited in each case isn’t simple science. The causes of erectile dysfunction can be classified as psychogenic, organic (neurogenic, hormonal, arterial, venous or cavernosal and drug-induced), and mixed psychogenic and organic. A mixed version of these etiologies for ED are the most common. Thus, a non-specialist simply doesn’t have the skills to evaluate the proper tandem. Mistakes in this regard can cause key penile function to improve for awhile – then eventually mis-fire or shut-down: the horror stories we witness are endless.

Nurse Practitioners, Physician’s Assistants and General Practitioners are suited to perform the testing and evaluation to set-up your diagnosis but it takes a very skilled urologist to determine your best treatment solution.

Make no mistake: the most-skilled scammers will make it sound like they have a urologist on staff. They’ll say he reviews all their charts, etc. These places are all about increasing numbers – and you’ll likely end up an ugly statistic.

Priapus® or P-Shots®

One of our most common ED “repair” projects stem from patients who’ve been getting Priapus® or “P-Shots®”. This treatment is commonly provided as the be-all for any penile issues: from Peyronie’s Disease to ED – and numerous providers cite extensive studies that support these amazing outcomes.

Where did it come from? A few years ago, the same entrepreneur who launched “The Vampire Facelift®” branded and launched his own version of platelet rich plasma injections as something novel and did a great job promoting this new marketing beast as something wonderful. Lots of cash-starved physicians and urologists were all to happy to provide this well marketed service. Worse still? Lots of other physicians tried hopping on this train wreck with their own even less developed approaches to platelet rich plasma injections.

Guess what?

The only supporting medical evidence for the efficacy of these treatments was from an 11-patient panel, performed in less than ideal standards by an unaccredited Medical School.

Thus, it’s simply a branded, trademark protected and licensed inched novelty that’s helping cash-starved non-urologists make extra money.

Dr. Morganstern was one of the first urologists to test platelet rich plasma injections into the penis in the 1980’s. After extensive testing and research, he found results were not beneficial and presented the potential for penis trauma by injected a foreign material into the sensitive tissue (which can lead to Peyronie’s disease).

It does offer a short-lived “placebo effect” since the injection of your reconstituted blood temporarily adds increased girth and a sense of a harder penis. Alas, the potential for damage far outweighs this temporary outcome – not to mention the constant hit to your bank account.

None of the recognized urologic leaders in erectile dysfunction offer this service – for good reason.

Don’t fall for this treatment!

Simply stated: this shot is pretty much worthless and will probably eventually end up classified like most marketing gimmicks: a mistake.