Erectile Dysfunction

30M+

Men Affected in the U.S.

40%

Men Over 40 Experience ED

90%

Treatment Success Rate

15–30 min

Average Consultation

What Is Erectile Dysfunction?

Erectile Dysfunction (ED) is the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It’s a common condition that affects men of all ages — but it’s also highly treatable.

At Down There Urology, Dr. Jagan Kansal provides a discreet, results-focused approach using the latest medical and procedural treatments to restore your confidence and intimacy.

What are the causes of Erectile Dysfunction?

1. Cardiovascular disease: Conditions such as high blood pressure, high cholesterol, and diabetes can damage blood vessels, making it difficult for blood to flow to the penis.
2. Neurological conditions: Conditions such as multiple sclerosis, spinal cord injury, and Parkinson's disease can affect the nerves that control erections.
3. Hormonal imbalances: Low levels of testosterone or other hormones can contribute to ED.
4. Medications: Certain medications, such as antidepressants and blood pressure medications, can cause ED as a side effect.
5. Psychological causes: Stress, anxiety, and depression can all contribute to ED.
6. Lifestyle factors: Obesity, smoking, and excessive alcohol consumption can all contribute to ED.
7. Prostate Cancer: Treatment for prostate cancer, such as radiation therapy, surgery, or hormone therapy, can cause damage to the nerves or blood vessels that are essential for an erection, leading to ED.

Treatment options

Treatment options for erectile dysfunction (ED) vary depending on the underlying cause of the condition.

1. Medications: Oral medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) can help improve blood flow to the penis, making it easier to achieve and maintain an erection.
2. Hormone therapy: In men with low testosterone levels, testosterone replacement therapy can be used to improve sexual function.
3. Vacuum erection devices: These devices use a vacuum to draw blood into the penis, creating an erection.
4. Penile injections: Medications can be injected directly into the penis to improve blood flow and achieve an erection.
5. Penile implants: A surgically implanted device can be used to achieve and maintain an erection.
6. Psychological counseling and lifestyle changes: In cases where psychological factors are contributing to ED, counseling or therapy can be helpful in addressing underlying emotional issues.
7. Shockwave therapy: This is a newer restorative option that uses low-intensity shockwaves to stimulate the growth of new blood vessels in the penis and improve blood flow. This treatment is also known as low-intensity extracorporeal shockwave therapy (Li-ESWT)

It is important to consult with a healthcare provider to determine the best treatment option for you, as some treatments may not be suitable for everyone and some may require a combination of treatments.

What to Expect

Evaluation

Comprehensive health review and hormone testing to identify the root cause of ED.

Diagnosis

Advanced diagnostics, including penile Doppler or vascular testing, as needed.

Treatment

Medical, procedural, or regenerative options tailored to your comfort and goals.

Ongoing Support

We track your progress, optimize results, and ensure lasting improvement.

Why Choose Us

The DTU Difference

VIDEO VISITS AVAILABLE

What Men Commonly Ask

Is ED permanent?

Not necessarily. Many causes of ED — like poor circulation, low testosterone, or psychological stress — are reversible with proper treatment.

What treatments are available?

Options include oral medications, injections, shockwave therapy, PRP, and penile implants — depending on your condition.

Is treatment covered by insurance?

Most consultations and medically necessary procedures are covered. Our team will help you understand your benefits.

Got a Question? Call 312 620 1803

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What Our Patients Say

I feel very comforted to have Dr. Milhouse as my providers. She has been nothing but professional and compassionate to me. Going above and beyond my expectations. I’ve been in the medical field for ten years, and you can tell when you’re lucky enough to come across providers at this caliber.

Dr. Kansal and his staff are amazing! They are knowledgeable, attentive and real seem to care about the patient and the patient experience. I highly recommend.

I have been a patient of Dr. Kansal’s for the past 2 plus years. Whenever you have to make an appointment with a urologist to talk about a problem or problems “down under there”, it’s not the easiest thing to talk about. First of all, Dr. Kansal makes it easy and relaxed to talk about the issues at hand. He takes the time to listen to your concerns and then comes up with a plan to help address the problem. He is up to date on all the latest men’s health issues especially “down under

I have nothing but good to say about Dr Millhouse. I had been seeing urologists since 2014 without getting anywhere with my issues along with being told incorrect diagnosis. I was actually totally incontinent the first time I saw her. I didn’t even leave the house. I was lost and so depressed. Dr Millhouse is a strait shooter. She diagnosed my on my first visit, resulting in a cure of my I continue and I stopped taking all urologic meds.