Sexual dysfunction is a common problem which affects millions of men of all ages. Sexual dysfunction can affect one's quality of life, self image, confidence, and result in problems with interpersonal relations. Many men suffer in silence without seeing qualified specialist in sexual medicine, thus missing a chance to have fulfilling sexual life.
Erectile dysfunction is no longer a synonym with sexual problems, and the Weill Cornell Medical College Sexual Medicine Program offers compassionate, state-of-the art diagnostic facilities, consulting and therapeutic services for men with broad spectrum of problems related to sexuality and desire.
The program is run by board-certified and fellowship-trained urologist Dr. Darius A. Paduch, MD,PhD. Dr. Paduch has been a pioneer in evaluation and treatment of disorders of arousal and ejaculation in men. He designed a new methods of evaluation of ejaculatory and orgasmic function in men who have problems with delayed ejaculation, retrograde ejaculation, premature ejaculation, and anejacualtion. He also sees large number of patient who suffer from problems with low sexual drive or erectile dysfunction after prostatectomy.
Nursing support is provided by Mr. Joseph Kiper, RN, who has extensive experience in education, coordination of care, and patient support for men suffering from sexual dysfunction.
Administrative support is provided by Ms. Jasminda Alvarez, who schedules appointments and coordinate insurance and administrative issues.
The Sexual Medicine Program is dedicated to the comprehensive evaluation and treatment of men with disorders of sexual function. The program specializes in the care of the following disorders:
- Erectile dysfunction
- Pevronie's disease (penile curvature)
- Penile fracture
- Penile deformities and complications of circumcisions
- Retrograde ejaculation
- Premature ejaculation
- Delayed ejaculation
- Lack of ejaculation (anejaculation)
- Problems with orgasm (orgasmic dysfunction)
- Disorders of arousal (excitement)
- Low sex drive
- Low testosterone levels
- Klinefelter syndrome
- Reproductive hormonal and genetic disorders of children
- Reproductive male adolescent medicine
The program is associated with specialists in other areas of medicine related to the field of sexual function; such as neurology, endocrinology, cardiology, sleep medicine, psychology and psychiatry. The program has at its disposal state-of-the-art equipment for the investigation of the above conditions. The investigations available include:
- Biothesiometry – to measure sensation in penis
- State of the art newest 2009 Duplex Doppler penile ultrasound
- Dynamic infusion cavernosometry and cavernosography
- Selective internal pudendal arteriography
- Nocturnal penile tumescence and rigidity monitoring
- Somatosensory evoked potentials
- Pudendal electromyography
The program is one of few centers in the world performing ejaculatory and orgasmic study using a proprietary ultrasonographic algorithm. We also perform ultrasound assisted biofeedback therapy for premature ejaculation.
The psychological needs of our patients are met by Dr. Martin Cohen who closely collaborates with Dr. Paduch and provides the critical component of care of men with sexual dysfunction.
Martin V. Cohen, Ph.D. is a clinical psychologist who specializes in sexual and relationship issues. He received his sex therapy training with the late Helen Singer Kaplan, M.D. and Clifford Sager, M.D., and has been on the voluntary faculty since 1982. The experience of a sexual dysfunction is a very frightening experience for men who for either psychogenic or organic reasons are not able to feel confidence in their sexual performance. The behavioral approach to treatment of such difficulties involves a collaborative approach with the patient wherein attempts are made to minimize factors interfering with current functioning while at the same time introducing the patient to specific skill developments in communication and function. If patient is married or has a significant other attempts are made to involve the partner in the therapeutic process. The approach involves educational aspects, assertiveness training, home exercises, conflict resolution skills, relaxation training and approaches to sexual enhancement. Creative problem solving and self acceptance are important and encouraged for success. The overall goal is to attempt to maximize functioning in the here and now, whatever the patient's physical status may be.
Martin V. Cohen, Ph.D.
The program is actively involved in clinical trials assessing new drugs and devices for the treatment of various sexual dysfunctions. The program has extensive experience with various forms of drug and device therapies for sexual dysfunction including:
- Oral 5-phosphodiesterase inhibitors (like Cialis, Viagra, Levitra)
- Penile injection therapy
- Medications for premature ejaculation
- Medications for painful orgasm
The program's physicians specialize in the following operations:
- Penile implant surgery
- Penile artery bypass surgery (revascularization)
- Venous ligation surgery
- Penile curvature correction surgery
- Peyronie's plaque incision/excision and grafting surgery
- Vasectomy reversal
- Varicocele ligation
- Sperm extraction.
- Testicular biopsy/cryopreservation
Preservation of fertility in children and adolescents
The philosophy of the program is to tailor treatment to the individual patient and to encourage patients and their partners to be pro-active in the decision-making regarding treatment. All patients are strongly encouraged to bring their partner to the initial consultation.
All appointments are made through Jasminda Alvarez (212.746.5309) and she can give you directions. Parking is available at the hospital and surrounding areas for a fee. As previously mentioned; you are strongly encouraged to bring your partner to the initial consultation. Upon arrival you will be asked to register (if you have not previously done so at this institution) and complete the specialized questionnaires. Therefore, we suggest that you arrive 20-30 minutes prior to the time of your scheduled appointment. It is important that you bring with you all records pertaining to the problem for which you are being seen. These items may include laboratory results, radiology reports (or films), notes from previous consultations and a list of all medications that you are currently using. If you are uncertain what items to bring with you please ask the staff prior to your arrival. Following the consultation, recommendations will be made regarding testing and treatment. Should blood-work be required, it may be conducted in the Brady Urologic Health Center. Generally any further testing will need to be scheduled for a later date. If you are going to be late for an appointment, we ask that you call and inform us of this. While we try to be accommodating, however, in this circumstance you may need to be rescheduled. We ask that you give us at least 24 hours notice if you need to cancel or reschedule an appointment.
Our telephone system is designed to minimize delays and ensure prompt handling of emergencies. For information on the Sexual Medicine Program and for all scheduling and billing issues, contact Jasminda Alvarez at 212.746.5309.
For all questions pertaining to prescriptions, medication ordering and dose titration or to discuss test results contact Joseph Kiper, RN 212.746.7585. If you call outside of office hours the call will be directed to the answering service where you can leave a message or should there be an emergency, please call 911 or leave a message at 212-746-5309 and a covering physician will return your call. In case of emergency and you can't get in touch with a physician in the practice we strongly encourage patient to go to the nearest Emergency Department. Every effort is made to return phone calls promptly, however phone calls are screened with the most urgent ones being addressed first.
Please speak with Jasminda Alvarez at 212.746.5309 regarding insurance companies that are accepted. Fees for office consultation can be obtained from the scheduling staff prior to the office visit. We accept most credit cards, personal checks and cash.