Treating Erectile Dysfunction (ED)
Nasal SprayDue to its simplicity, safety and affordability, this product is rapidly becoming one of our most popular forms of treatment. It involves using combinations of vasodilators (principally Uprima and Vasomax (phentolamine) which are sprayed into the nose 15 minutes before sex. After several years of experience we have not found any major side affects and are able to use the spray in men of all ages and even in those talking nitrates with heart conditions. A qualified medical doctor must prescribe the medication. 

Intracavernous Pharmacotherapy (ICP)This is the oldest form of treatment, having been available in various forms since 1982. It is also the safest and most effective treatment and it works where other treatments fail. At the Boston Medical Group we have combined low dosages of vasodilators to improve its effectivity and simplified its use by using an auto applicator. As this treatment acts locally it is suitable for most men including those on nitrates or those with heart problems. ICP has also been heralded in a recent article as the “gold standard” of treatment in elderly men^10A.

ICP is further set apart from other treatments as it is the only treatment I am aware of that actually offers a good chance of complete recovery. One article labelled "Return of spontaneous erection during long-term Intracavernosal Alprostadil treatment' concluded that 'long term treatment improved the penile circulation, and most men reported an increase in the return of spontaneous erections^10B.

Patients wishing to use this treatment must see one of our doctors first. 

Oral MedicationViagra is a phosphodiastersse, 5 (PDE5) inhibitor and has effects on all of the body’s arteries including the cavernosal arteries of the penis. When taken it can make the heart beat faster in order to accommodate the dilation. For this reason it can be dangerous especially to people with weak hearts and those taking nitrates. It has also caused deaths in perfectly healthy individuals. In fact, the FDA estimated that there were 130 confirmed deaths in the USA and probably as many as 1300 deaths in its first 6 months of its use¹⁰.^.

10 Brownlee. S and Schultz. S. ‘News You Can Use, Dying for Sex’, U.S News & World Report, January 11, p66, 1999

10A International Journal of Impotence Research 13, pp172-175, 2001

10B Urology Volume 57 Issue 3, pp 536 - 541, March 2001