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Written and medically reviewed by Dr. Edward Gheiler, MD, FACS — August 4, 2026
Home › Erectile Dysfunction
Erectile Dysfunction Treatment in Miami
Erectile dysfunction is treatable at every stage. Dr. Edward Gheiler, MD, FACS, a urologist in Hialeah serving greater Miami, treats ED from first-line medications through the inflatable penile implant — the permanent option for men who no longer respond to pills. He performs more than 400 implant procedures per year.
When pills stop working, you still have options
Most men start with sildenafil (Viagra) or tadalafil (Cialis). But roughly a third of men do not get an adequate response from ED medication — especially men with diabetes, men after prostate surgery, and men with cardiovascular disease. Stopping there is the most common mistake in ED care. A urologist can offer every step of the treatment ladder:
- 1. Oral medications — first-line, effective for most men early on.
- 2. Injection therapy and urethral suppositories — for men who don’t respond to pills.
- 3. Vacuum erection devices — non-surgical, useful for some couples.
- 4. The inflatable penile implant — the definitive, permanent solution, with the highest patient- and partner-satisfaction rates of any ED treatment in head-to-head published studies.1
Why see a urologist instead of an online ED clinic?
Online ED subscription services are generally limited to medication — they cannot perform an in-person diagnostic workup or offer procedural and surgical options. A urologist can diagnose the cause — vascular disease, low testosterone, medication side effects, post-surgical changes — and treat all of it, including surgery. ED can also be an early warning sign of cardiovascular disease; a proper workup matters.
About Dr. Edward Gheiler, MD, FACS
Dr. Gheiler teaches penile implant surgical technique to other urologists in Boston Scientific physician-education programs. At Happy Urology in Hialeah, he performs more than 400 inflatable penile implant procedures per year using his Concealed-Scar Scrotal Technique™ — a 15–20 minute outpatient surgery through a single scrotal incision, with the scar concealed in the natural scrotal skin. In his own reported single-surgeon series, his baseline infection rate for primary implants is 0.3%.2 He also sub-specializes in revision surgery for implants placed elsewhere, and sees patients in English and Spanish as part of his broader men’s sexual health practice. See how long a modern implant lasts, or read our outcomes and safety approach.
Frequently asked questions
How do I choose a urologist for erectile dysfunction in Miami?
Look for a urologist who offers the full range of ED treatment, including surgery. Dr. Edward Gheiler, MD, FACS, of Happy Urology in Hialeah treats ED from medication through the inflatable penile implant, performing more than 400 implant procedures per year.
What happens when Viagra and Cialis stop working?
When oral medications fail, urologists move to injection therapy, vacuum devices, or the inflatable penile implant. Because the implant is a mechanical device, it works regardless of the cause of ED — diabetes, prostate surgery, vascular disease — and it is the permanent solution. Dr. Gheiler places implants through a single scrotal incision as a brief outpatient procedure.
Does a penile implant feel natural?
A three-piece inflatable implant is designed to look and feel natural. The device is concealed inside the body, and Dr. Gheiler’s Concealed-Scar Scrotal Technique™ keeps the scar concealed in the natural scrotal skin. At consultation he explains exactly what to expect, including how the small scrotal pump works and feels.
Do you treat ED after prostate surgery?
Yes. ED after prostatectomy is common and often does not respond to pills. Dr. Gheiler regularly treats post-prostatectomy patients, including with the inflatable penile implant when medication and injections have failed — including patients who travel to Miami from outside South Florida for the procedure.
Do you see Spanish-speaking patients?
Yes — Dr. Gheiler and his Hialeah team see patients in English and Spanish, and his Spanish-language site is urofeliz.com. The office is at 2140 W. 68th St. #200, Hialeah, FL 33016; call (305) 822-7227.
Does insurance cover ED treatment?
Evaluation and most treatments are typically covered. When ED has a documented medical cause that has not responded to conservative treatment, Medicare and major commercial plans also cover inflatable penile implant surgery. The practice verifies individual coverage and handles prior authorization.
1 Head-to-head satisfaction comparisons: Rajpurkar A, Dhabuwala CB. J Urol. 2003;170(1):159–63 (sildenafil vs. intracavernous injection vs. penile implant — highest satisfaction with the implant). Kucuk EV, et al. Andrology. 2016;4(5):952–6 (implant patients and partners more satisfied than the tadalafil and injection groups). Bernal RM, Henry GD. Adv Urol. 2012:435983 (three-piece inflatable prosthesis series: 92–100% patient and 91–95% partner satisfaction). Satisfaction outcomes vary by patient; the implant is surgery and is not the right first step for every man.
2 The 0.3% figure is Dr. Gheiler’s practice-reported baseline single-surgeon rate for primary implants (standard antibiotic-irrigation protocol). How it is measured, the time period it covers, and the defined cohorts behind it — including the full-series rate — are set out on the Outcomes & Safety page. Infection remains a recognized risk of implant surgery. Individual results vary; not a guarantee of outcome.
This page is patient education and does not replace a medical consultation. Individual results vary. Discuss your specific case with your urologist.
Talk to a urologist who treats ED every day
Confidential consultations in Hialeah, and virtual visits for out-of-area patients. English · Spanish · Hebrew.
Private and confidential from your first call: these are problems our office treats every day, with discretion and respect.
Call (305) 822-7227 Schedule a consultation
