
Exosomes for Erectile Dysfunction
The Sexual Medicine Society of North America (SMSNA) advises against the use of permanent fillers like silicone and paraffin due to potential long-term complications. And the American Urological Society (AUA) considers penile girth enhancement (PGE) using subcutaneous fat injection to be unsafe and ineffective.
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What is Exosome Therapy?
Exosome therapy is a revolutionary approach to treating erectile dysfunction that utilizes exosomes, small extracellular vesicles containing billions of growth factors, cytokines and other signaling molecules that treat the underlying causes of ED. The exosomes are extracted from donated human mesenchymal stem cells (MSCs), but unlike in traditional stem cell therapy, they are sterilized before use.
When injected into the penile tissue, exosomes stimulate tissue regeneration, improve blood flow, promote formation of new blood vessels and enhance overall erectile function. This advanced treatment offers a non-invasive and highly effective solution for men seeking to overcome erectile dysfunction and restore their sexual vitality.
Ideal Candidates for Exosome Therapy
Exosome therapy is suitable for men of various ages who are experiencing erectile dysfunction or related issues. Typical candidates include men who:
- Are seeking a non-surgical solution for erectile dysfunction
- Have ED caused by vascular or tissue-related issues
- Prefer a natural and minimally invasive treatment option
- Are looking to ease symptoms of Peyronie's disease
Contraindications may include certain medical conditions or allergies, which will be evaluated during your consultation with our specialists.
"After looking into and searching about girth enhancement for over a year and a half, all over Texas and the country, Dr. Wierschem is absolutely the most knowledgeable Dr. to perform this procedure and his technique is hands down better than everyone in the county. Dr. Wierschem is extremely professional, courteous, and personable. His staff is also very easy to work with and happy to answer any questions and they make you feel very comfortable. They made me feel valuable and important and I was more than just another procedure. Dr. Wierschem really does care for his patients and wants the best for them. He truly is a Doctor first. I would recommend him and his staff for anything men's health related, 1000%."
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Why Choose Dallas Men’s Health?
At Dallas Men's Health, you're not just a patient; you're a partner in your healthcare journey. Led by Michael Wierschem, M.D., a board-certified urologist with over 25 years of experience, our clinic is at the forefront of men's sexual health and well-being. Dr. Wierschem is certified in Male and Female Sexual Health by the International Society for Sexual Medicine (ISSM). Our practice in Oak Lawn is a sanctuary where men can openly address their health concerns, benefiting from the latest in medical technology and innovative treatments.
Our comprehensive range of services, including Penile Enhancement with GirthPro, Regenerative Erectile Dysfunction Treatments, Hair Loss Prevention and Regeneration Solutions, Weight Management and Body Sculpting Treatments, Laser Aesthetics and more, are designed to meet your unique needs. At Dallas Men's Health we understand that every man's health journey is unique, and we are dedicated to providing personalized care to help you achieve your sexual health and aesthetic goals.
Dallas Men's Health in an International Destination for men, because of our Innovation, Expertise and Honesty.
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This map illustrates a sample of our patient demographics over the past 12 months.





Complimentary Aesthetic
Service with Each Package!
Aesthetic Services are available for men and woman, and are easily transferrable.


What to Expect from Your Exosome Therapy Experience
Exosome therapy at Dallas Men's Health involves a structured process designed to ensure your comfort and maximize treatment efficacy. Here's what you can expect:
Consultation
We start with a thorough consultation with our experienced team. During this session, we'll discuss your medical history, symptoms of erectile dysfunction and treatment goals. Our specialists will conduct a physical examination and may recommend additional tests to assess your condition and determine if this therapy is the right option for you.
Procedure
The Exosome Therapy procedure is straightforward and minimally invasive:
- Preparation: You'll be positioned comfortably, and the treatment area will be cleaned and sterilized. Local anesthesia will be used to minimize discomfort.
- Exosome Injection: Using a fine needle, Dr. Wierschem will inject the exosomes directly into the penile tissue. The injections are typically well-tolerated.
- Post-Treatment Care: After the injections, you may experience mild swelling or bruising at the injection sites. This is normal and usually resolves within a few days.
Most patients can resume their normal activities immediately after the procedure, although we recommend avoiding strenuous activity for a few days to allow the body to heal properly. Our team will provide you with detailed post-treatment instructions to ensure a smooth recovery process. The entire procedure typically takes less than an hour, and you'll be able to return home shortly afterward.
Follow-Ups
Follow-up appointments will be scheduled to monitor your progress and evaluate the treatment's effectiveness. Our specialists will assess your response and may recommend additional sessions based on your individual needs. We're committed to providing ongoing support and guidance throughout your treatment journey to help you achieve the best possible outcomes.
Alternative Regenerative ED Treatments
Dallas Men's Health offers several regenerative ED treatments, each taking a slightly different approach to enhancing sexual function. At your consultation, we'll discuss which therapy or combination of therapies will be most effective for you.
The P-Shot (Priapus Shot) is another injectable ED treatment. While exosome therapy uses growth factors from donor cells, the P-Shot involves injecting platelet-rich plasma (PRP) derived from the patient's blood into the penile tissue to improve erections.
Similarly, PRF (Platelet-Rich Fibrin) therapy uses a concentration of platelets, white blood cells and growth factors from the patient's own blood to achieve similar goals. The fibrins in PRF offer the potential for more sustained effects, as opposed to PRP, which is more immediate.
Cost of Exosome Therapy in Texas
The cost of Exosome Therapy varies depending on individual treatment plans and factors such as the severity of erectile dysfunction and the number of sessions required. At Dallas Men's Health, we strive to provide transparent pricing and flexible payment options. Contact us for more information on pricing and financing options, or to discuss alternative proven and effective treatments, like Acellular Stem Cell Therapy.
General Urological Issues Treated by Dr. Wierschem
BPH – Benign Prostatic Hyperplasia
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatments for BPH may include: diet modification, medication, office based procedures and surgical procedures.
Prostate Cancer
Diagnosis/Evaluation may include: Detailed history including Family history, Physical exam to include the prostate, PSA testing, MRI evaluation and prostate biopsy.
Treatment for Prostate cancer may include: Active Surveillance/Watchful Waiting, Focal laser treatment, Surgical Removal, Radiation/Proton Therapy and medication.
Prostatitis
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatment of Prostatitis may include: Antibiotics, Anti-inflammatories, prostate medication, diet modification and other behavior modification techniques discussed with the doctor.
Vasectomy
This procedure is performed in the office by Dr. Wierschem. It is a painless procedure that typically takes less than 10 minutes. You will be set up to have your semen checked 6-8 weeks after the procedure to ensure that you are sterile. Until that time you will need to continue contraception. Please contact the office for more information.
Nephrolithiasis – Kidney stones
Diagnosis/Evaluation may include: Detailed history, Physical Exam, Urinalysis, blood tests, Radiological evaluation (e.g. plain X-ray, CT scan, Ultrasound), comparison to prior radiological studies, labs and reports.
Treatment of Kidney Stones may include: Active Surveillance/Watchful Waiting, diet modification, medical management, pain management, surgery (e.g. Shock Wave Lithotripsy (ESWL), ureteroscopy (typically with laser stone ablation), stenting (an internal tube that bypasses the obstructing stone) or even external drainage of the kidney in certain cases.
Infertility
Diagnosis/Evaluation may include: Detailed history, Physical Exam, urinalysis, semen analysis (and possible other semen studies), radiological evaluation.
Treatment of Infertility may include: Active Surveillance/Watchful Waiting, medication, diet and behavior modification and surgical intervention.
Exosome Therapy for erectile dysfunction is an innovative treatment option within the field of regenerative medicine. As of the latest information, the FDA is still in the process of evaluating the broader applications of Exosome Therapies, including treatments for ED. Dallas Men's Health operates within the current regulatory guidelines to ensure safety and compliance.
Exosome Therapy is considered safe and is associated with minimal risk of side effects. Some patients may experience mild swelling or bruising at the injection sites, which typically resolves within a few days. Rarely, allergic reactions or infection may occur, but these are extremely uncommon.
Results from Exosome Therapy may vary depending on individual factors such as the severity of erectile dysfunction and your body's response to the treatment. Some patients may begin to notice improvements in erectile function and sexual performance within a few weeks to months after treatment.
The duration of results from Exosome Therapy may vary depending on individual factors and lifestyle habits. While some patients may experience long-lasting enhancements in erectile function and sexual performance, others may require periodic maintenance treatments to sustain their results over time.
Yes, this therapy can be effectively combined with other erectile dysfunction treatments, including low-intensity extracorporeal shockwave therapy, other forms of regenerative medicine and even medications like Cialis or Viagra, to enhance results and address multiple aspects of the condition.
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