Erectile dysfunction (ED) is one of the most common men’s health issues, affecting millions of men across the U.S., including many right here in Kansas City. While it’s a personal and sometimes uncomfortable topic, it’s important to remember that ED is highly treatable. Whether caused by aging, medical conditions, or lifestyle factors, there are several effective options available—and for many men, a penile implant offers a safe, long-term solution when other treatments fail.
At Kansas City Urology and Oncology (KCUC), our team of board-certified urologists is committed to helping you restore your sexual health and confidence with compassionate, patient-centered care. Here’s what you need to know about ED, its causes, treatment options, and how a penile implant may offer a permanent path forward.
Understanding Erectile Dysfunction
Erectile dysfunction is the inability to achieve or maintain an erection firm enough for sexual intercourse. While it’s more common with age, ED isn’t just a normal part of getting older—it often has an underlying medical or psychological cause that should be addressed.
Common Causes of ED Include:
- Cardiovascular disease
- Diabetes
- Obesity
- Low testosterone
- Smoking or alcohol use
- Side effects of medications
- Depression, anxiety, or stress
- Neurological conditions (e.g., Parkinson’s or multiple sclerosis)
Because ED can be a symptom of another health condition, it’s important to speak to a healthcare provider who can help uncover the root cause and recommend the most appropriate treatment.
ED Treatments Offered at KCUC
At KCUC, we provide a wide range of ED treatments tailored to each individual’s needs and medical background. The best treatment depends on the cause of ED and your lifestyle preferences. Let’s explore your options:
1. Oral Medications (PDE5 Inhibitors)
Common Brands:
- Viagra (sildenafil)
- Cialis (tadalafil)
Levitra (vardenafil)
These medications work by increasing blood flow to the penis. They’re effective in about 85% of men and are often the first step in ED treatment.
Considerations:
- These are not instant fixes. They require proper timing and sexual stimulation.
- Side effects may include headache, flushing, nasal congestion, or upset stomach.
- Men taking nitrates for heart conditions should not take these medications, as the combination can cause a dangerous drop in blood pressure.
2. Vacuum Erection Devices (VEDs)
A VED is a non-invasive device that uses suction to draw blood into the penis, creating an erection. A constriction ring is then placed at the base to maintain it.
Pros:
- Drug-free
- Can be used in combination with other therapies
Cons:
- Some men find the process awkward or unnatural
- Erection may feel different or less spontaneous
3. Urethral Suppositories and Injections
- Urethral Suppositories: Small medicated pellets containing alprostadil are inserted into the urethra to increase blood flow.
- May cause a burning sensation or discomfort in some men.
- Penile Injections: Medication is injected directly into the base or side of the penis.
- Highly effective with a high satisfaction rate.
- The idea of self-injection can be intimidating, but many patients adjust quickly with proper guidance.
Penile Implants: A Long-Term, Permanent Solution
When other treatment options like pills, pumps, or injections aren’t effective—or simply aren’t the right fit—a penile implant may be the best option. This surgical solution is highly effective and allows men to regain control over their sexual health with confidence and discretion.
What Is a Penile Implant?
A penile implant, or penile prosthesis, is a medical device that is surgically placed inside the penis. At KCUC, we offer inflatable penile implants, which are the most popular and natural-feeling type.
The device consists of:
- Two inflatable cylinders placed inside the penis
- A fluid reservoir implanted in the abdomen
- A pump hidden in the scrotum
When you squeeze the pump, fluid moves from the reservoir into the cylinders, creating an erection. After intercourse, the system can be deflated easily, allowing the penis to return to a flaccid state.
Why Choose a Penile Implant?
For men who haven’t had success with other ED treatments, penile implants offer several benefits:
- Spontaneity: No pills or preparation—just squeeze the pump for an erection when you want it.
- Discreet: The entire device is internal and invisible to others.
- Preserves Sensation and Orgasm: You’ll still be able to feel sensation and ejaculate normally.
- High Satisfaction: Over 90% of men and their partners report satisfaction with the results.
While the penile implant may result in some penile shortening, this concern is often outweighed by the restored ability to enjoy intimacy.
Risks to Consider
Like all surgeries, penile implant placement carries some risk:
- Infection (higher in patients with uncontrolled diabetes)
- Mechanical failure, though modern devices are very reliable
- The potential need for revision or replacement surgery
Still, for many men, the long-term benefits far outweigh the risks, especially when performed by an experienced urologic specialist.
KCUC Is a Designated AMS 700 Center of Excellence
KCUC has been recognized as an AMS 700 Center of Excellence, a prestigious designation that acknowledges our team’s expertise with the AMS 700 Inflatable Penile Prosthesis, manufactured by Boston Scientific.
Dr. Nate Ballek, a board-certified urologist at KCUC, is a leading expert in penile implant surgery and men’s sexual health. With advanced surgical techniques and compassionate care, Dr. Ballek helps patients reclaim their confidence and improve their quality of life through this highly effective solution.
Patient-First, Compassionate Care at KCUC
At KCUC, our commitment to excellence extends beyond medical expertise. We understand the emotional and physical challenges of urologic and oncologic diagnoses and we believe in treating each patient as a whole person. We know that ED affects more than just your body, it can impact your confidence, relationships, and emotional well-being. That’s why we take a whole-person approach to care, treating not just the condition but the person experiencing it.
With ED, we encourage open communication, involving both patients and their partners in the decision-making process. Whether you’re exploring oral medications or considering a penile implant, we’re here to guide you through every step with compassion, expertise, and respect.
Our care model is built on:
- Advanced medical expertise from board-certified urologists and oncologists
- Emotional support to reduce stress and anxiety
- A comfortable office setting that’s less intimidating than a hospital
- A commitment to helping patients achieve the best possible outcomes
We call it Patient-First Care, and it’s the foundation of everything we do at KCUC.
Regain Confidence with KCUC’s Expert ED Treatment
Erectile dysfunction is common, but it doesn’t have to take away your ability to enjoy a fulfilling and intimate life. Whether you’re just beginning to explore treatment options or you’ve tried medications and devices without success, a may be the lasting solution you’ve been looking for.
At KCUC, we offer state-of-the-art erectile dysfunction treatments in a private, comfortable setting. Our team includes some of the top urologists in Kansas City, including Dr. Nate Ballek, an expert in penile implant procedures. You don’t have to settle for less intimacy or less confidence. Help is available, and you deserve it.
Schedule Your Appointment Today
With over 30 KCUC Urology and Oncology locations throughout Kansas and Missouri, expert care is never far away. If you’d like to learn more about KCUC and our ED treatment options, contact one of our KCUC Urology and Oncology locations and schedule an appointment to see Dr. Ballek or one of our other board-certified urologists. Explore your ED treatment options and regain confidence in your sexual health. At KCUC, you see the best in KC.

