By David Robbins, MD | Miami Urologist
Erectile Dysfunction (ED) affects millions of men in the U.S.—and it’s far more common than most realize. Whether caused by age, underlying health conditions, stress, or lifestyle factors, ED can take a serious toll on confidence, relationships, and quality of life. The good news? Effective treatment options are available, and most men can regain satisfying sexual function with the right approach.
As a board-certified urologist in Miami specializing in men’s sexual health, I help men every day navigate this sensitive condition with compassion, discretion, and results-driven care. Below is an overview of the most effective and commonly used treatment options for ED:
The first-line treatment for most men with ED involves oral medications such as:
Sildenafil (Viagra®)
Tadalafil (Cialis®)
Vardenafil (Levitra®)
Avanafil (Stendra®)
These drugs increase blood flow to the penis, helping men achieve and maintain erections in response to sexual stimulation. They’re safe and effective for most, but they may not work for everyone—especially those with certain medical conditions or who take medications like nitrates.
For men who don’t respond to pills, alprostadil injections directly into the penis or suppositories inserted into the urethra can provide reliable erections. While more invasive, these methods are effective and fast-acting.
This cutting-edge, non-surgical option uses your body’s own healing growth factors to stimulate tissue regeneration and blood flow. The P-Shot is gaining popularity among men looking for natural, drug-free enhancement. Many of our patients report improved function, sensation, and stamina after a series of treatments.
Low testosterone can be a hidden culprit behind ED. If blood tests confirm low T levels, hormone therapy may restore sexual desire and improve erectile function. TRT can be administered via:
Injections
Gels
Patches
Implantable pellets
When other treatments don’t provide adequate results, a penile prosthesis may be the best solution. This surgical option has one of the highest satisfaction rates among ED treatments. Implants are concealed entirely within the body and allow for spontaneous, on-demand erections.
At our Miami urology practice, we specialize in the most advanced, minimally invasive implant techniques and offer concierge support before and after surgery.
ED isn’t always purely physical. Anxiety, stress, or relationship issues can play a major role. In some cases, counseling or sex therapy—especially when combined with other treatments—can be highly effective.
ED is a highly treatable condition—and you don’t have to face it alone. At Urological Consultants of Florida, we offer a personalized approach to uncover the root cause and create a customized plan to restore your sexual health and confidence.
📍 Ready to take the first step?
Schedule a confidential consultation with Dr. David Robbins in Miami today.
📞 Call us at 305-672-4222
