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Erectile Dysfunction


Experience Counts - Located in Jacksonville, Florida, we are the leader in Adult Stem Cell and Platelet-Rich Plasma (PRP) Procedures. We have performed these procedures for more than ten years with over 90 % results and ZERO side effects.

Top Stem Cell Center in the World: Unique Proven Clinical Protocols, over ten years of experience and hundreds of satisfied patients is why people from around the world come to us for their adult stem cell and Platelet-Rich Plasma Procedures. 

FIVE reasons you need to know before you decide. You will see why people around the world choose us over other Clinics.

Glaring Differences




Other Leading Stem Cell Clinics 

1. Gene and Cellular tests to evaluate your stem cell functions.



2. Use BOTH Bone Marrow and Fat Stem Cells, along with PRP.



3. Process Your Stem Cells with safety and use no dangerous chemicals like collagenase.



4. Use Dynamic Ultrasound Guided Injections for Precision and safety (and NOT use X-Rays that can damage your cells).



5. Improve body functions with proprietary Hormones and Supplements, so you get the best possible clinical outcome.




What is Erectile Dysfunction or ED?

Erectile Dysfunction, sometimes called 'impotence', is the repeated inability to get or keep an erection firm enough for sexual intercourse. The word 'impotence' may also be used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm. Using the term erectile dysfunction makes it clear that those other problems are not involved.

Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of a disease, is the most common cause of erectile penile dysfunction. Diseases such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease, account for about 70 percent of erectile dysfunction cases. Between 35 and 50 percent of men with diabetes, experience erectile dysfunction.

At SmartChoice® we believe that cost should not be an obstacle to getting your quality of life back. We put these procedures within reach of most budgets.

Treatment costs less
than you might think.
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These treatments are already extensively used by people with sports injuries and orthopedic conditions, for faster recovery times and better results.

Over 95% success rate
for joint restoration.
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Last year, I successfully performed SmartChoice® Procedure on my son, Neil for a ligament injury near his shoulder. Yes, these procedures are safe.

Patient safety is our
number one priority
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What causes ED?

Defects preventing an appropriate erectile tissue response can interfere with reproductive capability. Erection of the penis is a hemodynamic action that tissue of the corpora cavernosa and the corpus spongiosum. This tissue consists of smooth muscle, endothelial cells, fibroblasts, and nerves that interact in order to enhance and maintain an accessory blood supply causing erection. Given the need for the blood flow during this response, it is clear that vascular insufficiency can decrease erectile capability.

In fact, vascular insufficiency may be a common pathology of erectile dysfunction. It is estimated that up to 80% of the cases of erectile dysfunction can be attributed at least in part to a reduced blood flow, typically due to an underlying vascular disease.

Pharmacological methods have been used to treat erectile dysfunction including the use of vasodilators. Such vasodilators include Viagra and Cialis. However, vasodilators induce only a temporary response and are not effective in many patients due to the underlying endothelial damage. Not to mention the fact that these medicine can have serious side-effects including heart attack, stroke and may even cause death.

Therefore treatments like Platelet-Rich Plasma (PRP) Procedures that address tissue defects and/or vascular disease aspects of erectile dysfunction may provide a longer term therapy or even provide a permanent effect in comparison to other treatments.

ED is frequently related to Diabetes?

Erectile dysfunction is significantly common in men who have diabetes which damages nerves and blood vessels. Erectile dysfunction can also be linked to other conditions common in men who have diabetes, such as high blood pressure and coronary artery disease. ED is three times more common in patients with diabetes mellitus. ED in diabetes strongly correlates with the level of glucose control, duration of disease and diabetic complications.

Some other causes of ED

Some of the causes other than diabetes are:

How is Erectile Dysfunction diagnosed?

A comprehensive medical history and a physical exam are needed before we can diagnose and recommend appropriate treatment for ED.

Some of the tests that we may do to diagnose the underlying cause of you ED include:

What are the different approaches for treatment of ED?

Drugs and Medical Treatments for ED - 
 Pharmacological methods have been used to treat erectile dysfunction including the use of vasodilators. Such Nitrous Oxide enhance vasodilators include Viagra, Levitra and Cialis. However, vasodilators induce only a temporary response and are not effective in many patients due to the underlying endothelial damage. Not to mention the fact that these medicine can have serious side-effects including heart attack, stroke and may even cause death.

Other options include - Injectable medicine like Alprostadil, Caverjet, Edex, Alprostadil penis suppository intraurethral (MUSE) and Testosterone replacement (cream or injectable). Penile pumps or a vacuum constriction device and Penile Implants may be options for some patients.

Several alternative treatments are used to treat ED, but more studies are needed to see if these are really effective and safe. These options include: 
Acupuncture, Korean red ginseng (Panax ginseng); Yohimbine; Ginkgo, L-arginine and DHEA (dehydroepiandrosterone). These herbs can be risky and can interact with your medications or cause other problems.

For years the treatment has been either medical/drugs or surgical. Today the Regenerative Medicine offers you a new approach: Stem cells from your own fat or bone marrow, Platelet rich plasma (PRP) from your own blood can be used to repair the problem rather than simply putting a band-aid on this problem with drugs like Viagra or Cialis 

The SmartChoice® Adult Stem Cell Procedure for ED

Stem cells are cells found in every part of the body. These cells function as regenerative and repair cells in our bodies, replacing damaged cells and repairing injured tissues.

In the SmartChoice® procedure, we use your own adult bone marrow stem cells as well as mesenchymal stem cells found in high concentrations in the fat are used to rejuvenate, to repair and to regenerate the penile tissues.

We only use your own (Autologous) Adult stem cells. All of your cells are used during this same procedure. We do NOT store or culture these cells. Also, we do NOT add any medicine (e.g. Growth Hormone or any sort of steroids) or chemicals or modify or manipulate these stem cells, and we do NOT use LED or other light source either.

Most physicians in United States do NOT practice stem cell therapies as we do. It is important to follow safe and FDA allowed guidelines when performing these procedures.

Because YOUR OWN bone marrow, fat and blood cells are being used at our clinic, there is no risk of any transmissible infection or tissue rejection by your body.

Adult (Autologous) Stem cells – Your Own Cells

Stem cells are naturally occurring cells in the body that help to create new cells in existing healthy tissues. They also help repair tissues that are injured or damaged. They are the basis for the specific cell types that make up each organ in the body. Stem cells are distinguished from other cells by a few important characteristics:

Adipose (Fat) Derived Stem Cells – ADSC

Adipose Tissue (Fat) is very rich in stem cells; primarily mesenchymal stem cells. Fat harvesting for ADSC therapy is done with a very simple process called lipoaspiration. It is important to understand that lipoaspiration is vastly different from liposuction. Liposuction removes a very large volume of fat and is intended for a cosmetic result. Lipoaspiration uses a small amount of local anesthetic, a small instrument slightly larger than a hypodermic needle, removes a very small amount of fat (10 – 20cc), and does not render any visible change in appearance. The fat is then concentrated using a simple, sterile gravity method. The entire process is painless and takes under ten minutes.

Bone Marrow Stem Cells

Bone marrow contains stem cells; primarily hematopoietic stem cells. Bone marrow is harvested from the hip (iliac crest) using local anesthetic and a specialized needle. It is important to understand that bone marrow harvesting for BMAC is vastly different from bone marrow harvesting for transfusion for cancer therapies. In bone marrow harvesting for transfusion, a hematologist, oncologist, or surgeon removes a very large amount of bone marrow. BMAC requires only a very small amount of bone marrow. Surprisingly, the procedure is not painful, takes under ten minutes, and causes only mild soreness afterward. It has an excellent safety profile.

Platelet-Rich Plasma (PRP)

PRP is an acronym for Platelet Rich Plasma. Plasma is essentially blood without the red blood cells. Platelets are cells found in the blood that are essential for clot formation and wound healing. PRP, the mix of concentrated platelets and serum, contains factors that promote repair of tissues. PRP is injected into the targeted area for repair.

Packed with growth and healing factors, platelets initiate repair and attract the critical assistance of stem cells. PRP therapy’s natural healing process, by providing required growth factors, intensifies the body’s efforts to renew and rejuvenate your aging face. To create PRP therapy, a small sample of your blood is drawn (similar to a lab test sample) and placed in a centrifuge that spins the blood at high speeds, separating the platelets from the other components. The concentrated platelet rich plasma (PRP) is then injected into and around the point of injury, jump-starting and significantly strengthening the body’s natural healing signal.

The Procedure:

During SmartChoice® Procedure for the treatment of ED, we combine your own adult stem cells from bone marrow and fat with PRP. Stem Cells use your body’s own natural reparative factors to harness the healing resources of the body to repair injured tissues. PRP secrete growth factors and send signals which boost the natural healing process in the body. Stem cells not only secrete growth factors and other intercellular signals to command and coordinate the repair process, they can also replace and regenerate tissues by themselves directly.

After we obtain bone marrow aspirate and blood, these are then spun in special centrifuge at specific G-force. The stem cells and PRP are then separated respectively. Lipoaspirate is decanted and fat stem cells are then taken out and mixed with PRP and BMAC. All this is done in strict sterile environment. For most procedures, we blend PRP, ADSC, and BMAC.

Hormone supplementation

We also use hormone supplementation (only if medically indicated) and Dr. Garg’s specially formulated immune boosting complements before and after this procedure.

Hormone therapy replenishes the hormones our body needs to function properly using various hormones like bioidentical hormones, estrogen, progesterone, testosterone, DHEA, melatonin, pregnenolone, hcg, human growth hormones etc. Through state-of-the-art diagnostic hormone testing, using blood, urine and/or saliva analysis, we can determine your hormone levels and your unique bioidentical hormone needs. Hormones are prescribed ONLY if tests clearly reveal that your body is deficient in hormones.


Results are usually visible in 2 to 4 weeks and improve gradually over months with improvement in erection and performance.

Expect minimal swelling, bruising and redness for 12-24 hours after the procedure. There can also be some pinkness or redness of the skin following the therapy.

Treatment results vary and some patients may require PRP booster, however in most patients the results last for several years.

Does it leave scars?

No. There are no scalpel or knives used in the procedure. Specially designed blunt instruments are used to inject the fat and stem cells to sculpt the body areas as desired.

Do I need to be put to asleep?

No. The procedure is minimally invasive and does not require general anesthesia. We use local anesthetic solution (lidocaine) to numb your skin. For very anxious patients, an oral sedative may be given.

Is it safe?

Yes. Since it is your own body’s tissues that we use, there is no allergic or adverse reaction or rejection that can happen from the stem cells. Also, since there is no need for general anesthesia, serious risks associated with general anesthesia and being put to sleep are eliminated.

Is it painful?

Most of my patients report feeling mild pressure during the injection that is controlled with local anesthesia and some soreness in the areas treated for up to 5 to 7 days after the procedure that does not require pain medication.

How long is the recovery?

You will be able to resume your normal daily life immediately, limited by the degree of swelling that you experience after the procedure. Most patients have noticeable swelling in the areas treated from 5 to 7days depending on the extent of the procedure and individual healing response.

How long will the result last?

The results should last for several years. The results are affected by your lifestyle, habits and genetics. Smoking and weight fluctuations diminish the results.

Is Stem Cell Therapy Approved by FDA?
FDA does not regulate medical procedures performed by qualified and licensed doctors. Currently, there are no clear protocols to treat any disease with adult stem cells in the U.S. We ONLY use your own adult stem cells (not Embryonic stem cells) and we don’t alter, manipulate or store your stem cells and we use your cells during the same procedure - therefore FDA does not object to these procedures.

Does insurance cover these procedures? What is the cost?

These procedures are not covered by health insurance plans. With financing, many patients can get SmartChoice® Adult Stem Cell Procedures for a minimum investment. There are a variety of different financing options available, and we can help you find the best one for you.

One of the questions that many people have is “how much does this procedure to treat my ED cost?”

The cost for our SmartChoice® Procedure for ED starts at a  price of $6,500 for PRP injections. The cost of SmartChoice® Procedure for ED using your own adult stem cells Starts At $9,500 depending on the number of injections needed, severity and duration of the ED, and whether you would need one or more types of stem cells to achieve the best possible results.

A consultation with Dr. Garg, M.D. is needed to decide the best treatment option for you and the exact costs.

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