
Shameless Sex #377 Scrotox, Dicktox, and Erections - with Dr. Paul Gittens
Apr 16, 2024
Dr. Paul Gittens, a specialist in sexual function, discusses Scrotox, Dicktox, and erections. They cover treatments for erectile dysfunction, Botox for genitals, mental health's impact on ED, and sexual future after prostate cancer. The podcast also explores BDSM accessories, male genital cosmetic procedures, and innovative treatments for ED.
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What Erectile Dysfunction Really Is
- Erectile dysfunction is inability to initiate or maintain an erection adequate for sex and varies in severity and pattern.
- Causes include age, vascular disease, hormones, Peyronie's, neurological issues, medications, and anxiety.
Start With A Targeted Medical Workup
- Evaluate ED with labs, physical exam and penile ultrasound to identify inflow versus venous leak and nerve issues.
- Use pumps, shockwave therapy, PRP, Botox, and tailored steps to rehabilitate circulation before escalating to implants.
Use Restorative Off-Label Therapies
- Consider off-label therapies like low-intensity shockwave, PRP, and intracavernosal Botox to improve penile blood flow and relaxation.
- Use these as part of a restorative plan, understanding they lack full FDA approval for penile use.

