Urologist Drogo Montague, MD, is the go-to guy for penis implants. No, we’re
not talking about the get-big-quick schemes clogging your spam folder. Penis
implants enable men with erectile dysfunction, or ED, to
get an erection. Most of the 30 million men in the United States who have ED
can turn to Viagra and similar drugs. But approximately one-third of them do not
respond to medications. That’s where Montague comes in.
Montague directs the Center for Genitourinary Reconstruction in the Glickman
Thanks to advertisements for drugs that treat it, you may have heard more about erectile dysfunction than you ever cared to. But did you know that atherosclerosis -- hardening of the arteries -- is the main cause of ED?
The link between atherosclerosis and erectile dysfunction is well known to doctors. If you have ED, understanding the connection might just save your life.
Atherosclerosis and Erectile Dysfunction: Slowing the Rush
The blood supply to the penis comes from arteries in the abdomen (belly). Smaller arteries branch off to carry blood down into the penis. When it's time for an erection, these arteries dilate. More blood flows into the penis, causing it to swell.
The rush of blood creates high pressure in the penis that also slows down the flow of blood out of the penis. This produces a firm erection that can be maintained until orgasm -- if the blood vessels are healthy.
Atherosclerosis and Erectile Dysfunction: Dam Blockages?
To get and maintain an erection, blood vessels in the penis have to be robust, to rapidly increase blood flow. Erectile dysfunction usually means blood vessels everywhere aren't in perfect health. This can be a signal of increased risk, long before blockages from atherosclerosis form.
To understand what goes wrong, think of blood flow as a river over a dam. Engineers control the flow: they can increase flow to make rapids, or narrow it to a trickling stream.
A similar mechanism is at work in your arteries. In your penis, blood flow needs to open wide during sexual arousal. Likewise, you need wide open blood flow to your heart's arteries during exercise. The inside lining of blood vessels (endothelium) releases chemicals on demand to accomplish this.