Erectile Dysfunction · Expert Care · New Orleans
ED affects over 30 million American men — and there are more effective treatment options today than ever before. This is the straightforward information you deserve.
"Erectile dysfunction is not a life sentence — it's a medical condition with real solutions. Whether you're managing it conservatively or considering a permanent fix, understanding your options is the first step."
Your Options, Explained
Every man is different. The right treatment depends on your health history, lifestyle, and personal goals. Below is a straightforward breakdown of the four main approaches — no guesswork, no jargon.
PDE5 Inhibitors (Viagra, Cialis, Levitra)
Phosphodiesterase type 5 inhibitors are the most commonly prescribed ED medications. They work by relaxing smooth muscle and increasing blood flow to the penis in response to sexual stimulation. They don't cause automatic erections — arousal is still required.
Best Suited ForMen with mild-to-moderate ED, without cardiovascular contraindications. Works best when some natural erectile function remains.
External Pump Therapy (VED)
A vacuum erection device uses negative pressure to draw blood into the penis, followed by a constriction ring to maintain the erection. No medication, no surgery — it's a purely mechanical approach that has been used effectively for decades.
Best Suited ForMen who prefer a non-pharmaceutical approach, those with contraindications to medications, or as a rehab tool after prostate cancer treatment.
ICI · Alprostadil · Tri-Mix
Injectable medications are delivered directly into the erectile tissue of the penis and produce reliable erections within 5–15 minutes — regardless of arousal. Though the concept sounds intimidating, most men find the needle is very fine and discomfort is minimal.
Best Suited ForMen who haven't responded to oral medications, those with neurogenic ED (post-prostatectomy, spinal cord injury), or as a penile rehabilitation strategy.
Inflatable Penile Prosthesis (IPP)
A penile implant is the gold-standard, permanent solution for erectile dysfunction — particularly for men who have not responded to other therapies. The AMS 700 Inflatable Penile Prosthesis delivers on-demand erections with a natural look and feel. Over 500,000 devices have been implanted worldwide, with a 95% patient satisfaction rate.
Best Suited ForMen with moderate-to-severe ED who have failed other treatments, or those who want a permanent, medication-free solution. Especially effective after radical prostatectomy, radiation, or diabetes-related ED.
LiSWT · UroGold · Non-Invasive Regeneration
Low-intensity shockwave therapy (LiSWT) is an emerging, non-invasive treatment that uses acoustic pressure waves to stimulate the growth of new blood vessels in erectile tissue. Unlike treatments that simply manage ED symptoms, LiSWT addresses the underlying vascular cause — making it one of the only therapies with the potential to restore natural erectile function.
Dr. Mutter utilizes the UroGold shockwave platform — one of the most advanced LiSWT systems available — delivering precise, focused low-energy acoustic waves to penile tissue. The UroGold protocol has been featured in leading urology publications and is used in Dr. Mutter's practice as part of a comprehensive approach to male pelvic health and erectile rehabilitation, particularly following cancer treatment.
Best Suited ForMen with mild-to-moderate vasculogenic ED, post-prostatectomy or post-radiation patients seeking penile rehabilitation, and men who prefer a medication-free, non-surgical approach to restoring natural erectile function.
Matthew J. Mutter, MD
Urologist · Metairie, LouisianaYour Physician
A New Orleans native, Associate Professor of Urology, and Director of Cancer Survivorship & Men's Health — with a subspecialty focus in male sexual health and prosthetic surgery.
Dr. Matthew J. Mutter is a board-certified urologist and Associate Professor of Clinical Urology at LSU Health Sciences Center in New Orleans. He serves as Director of Cancer Survivorship and Men's Health at Mary Bird Perkins Cancer Center in Metairie. A Jesuit High School graduate and LSU alumnus, Dr. Mutter completed his medical degree at LSUHSC before finishing his urologic residency at the University of Tennessee Health Science Center in Memphis in 2015.
He served as Clinical Instructor of Urology at UT-Memphis before joining LSU as Assistant Professor in 2016, where he was promoted to Associate Professor in 2023. Dr. Mutter holds an active medical license in Louisiana, Mississippi, Alabama, and Texas, and is board certified by the American Board of Urology (2018; recertification 2028).
Dr. Mutter is a recognized national leader in prosthetic urology. He serves as Treasurer of the Society of Urogenital Prosthetic Surgeons (SUPS), Surgical Committee Member of the Sexual Medicine Society of North America (SMSNA), and President-Elect of the Louisiana Urological Society. He is a Member-at-Large on the Board of Directors of the Southeastern Section of the American Urological Association (2026–present), and a Scientific Advisory Board Member of the Cancer Advocacy Group of Louisiana.
He has co-authored chapters in the landmark Textbook of Urogenital Prosthetic Surgery, published peer-reviewed work in Urology and the Ochsner Journal, and has been invited faculty for the SMSNA Cadaver Lab in prosthetic urology (2021, 2022, 2023). In 2024, he gave Louisiana Senate and House Insurance Committee testimony on HB 508, which passed and created meaningful health policy legislation for male cancer survivors in Louisiana.
Dr. Mutter holds the AMS 700 Center of Excellence designation from Boston Scientific — awarded to a select group of urologists who demonstrate exceptional procedural volume, superior surgical outcomes, and commitment to patient education in penile prosthetic surgery. This designation requires implanting a minimum of 25 inflatable penile prostheses annually with verified outcomes data.
Verify on EDCure.com →Don't Wait
ED is more than a bedroom issue — it's often a signal that something deeper is going on with your health.
ED is frequently an early indicator of cardiovascular disease. Addressing it can lead to the discovery and treatment of underlying arterial issues before a more serious event occurs.
Up to 75% of men with diabetes experience ED. It often appears years before other diabetic complications. Treating ED may prompt earlier blood sugar management.
Untreated ED contributes significantly to depression, anxiety, and relationship strain. Effective treatment has a measurable impact on quality of life and self-confidence.
ED due to vascular or nerve damage rarely resolves on its own. Earlier intervention — particularly with penile rehabilitation — leads to significantly better outcomes over time.
Patient Education
Evidence-based information on erectile dysfunction, treatment options, and men's sexual health — written by Dr. Mutter for patients who want to understand their choices.
Sildenafil and tadalafil work the same way — but differ significantly in onset, duration, food interactions, and dosing strategy. Here's how to choose and use them correctly.
Prostatectomy and radiation frequently cause ED. Early, structured penile rehabilitation — using a combination of therapies — significantly improves long-term erectile recovery.
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