Erectile Dysfunction and Sexual Health

Men’s Sexual Health Services

The Family Urology Clinic and our medical experts in the GTA are specialized in caring for a wide variety of sexual health disorders. We understand how important our sexual health is and how much it impacts on our physical and emotional well-being.

Dr. Robert Payne, a board-certified urologist, is an expert in assessing and treating sexual health concerns and dysfunction in men. He knows how challenging it is to discuss these sensitive issues and is committed to providing each patient with the respect and dignity they need to share their concerns.

We specialize in treating


Premature Ejaculation


Low Testosterone


Peyronie’s Disease

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What is Erectile Dysfunction?

Erectile Dysfunction (ED), also called impotence, is defined as the inability to achieve or maintain an erection adequate for satisfactory sexual performance. ED affects about 50% of men by the age of 50 and typically progresses over time. Current research indicates that ED will impact 322 million men worldwide by 2025.

ED often starts with mild symptoms that come and go where erections are possible but sexual performance is not always as reliable or good as it used to be. If left untreated, ED can evolve to severe dysfunction making treatment less effective and more invasive.

Current treatment options available:

  • Lifestyle changes to decrease personal risk factors (i.e. smoking cessation, control of Diabetes and Hypertension, start exercising)
  • Sexual Psychotherapy
  • Vacuum devices
  • Low-intensity Extracorporeal Shockwave Therapy (i.e. DUO® device)
  • Oral Medications (i.e. Viagra and Cialis)
  • Injectable medications (placed directly into the penis with a needle)
  • Surgical options (i.e. inflatable penile prosthesis)

Your treatment plan should be individualized and based on the root cause and severity of your erectile difficulties.

The Family Urology Clinic is devoted to providing our patients with the best and most innovative therapies available when treating your sexual dysfunction. We have an extensive list of treatment options available to help tailor a treatment plan specific to your health concerns and sexual wellbeing.

Please contact us if you would like to speak with Dr. Robert Payne about your treatment options.

Couples Problem With Sex

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the alma duo® using low intensity extracorporeal shockwave therapy

The Family Urology Clinic is proud and excited to be the first clinic in Canada to offer our patients the newest and most innovative treatment option for Erectile Dysfunction.

The Alma Duo®

This impressive technology helps to restore sexual function without a pill, needle, or surgery, allowing men to regain the spontaneity and confidence they once had.

The Alma Duo outperforms available devices on the market today in 3 major ways:

Deeper tissue penetration

  1. The Duo penetrates to a depth of 135 mm compared to other devices that only reach 15 mm.
  2. This means ALL erectile tissue is targeted and treated.


  1. Full treatment is complete in only 6 sessions compared to 12 sessions using older technology.
  2. Each session takes only 15 minutes to perform!


  1. Other devices require pre-treatment with a numbing cream to minimize discomfort.
  2. The Duo is completely completely painless with NO downtime!

Medical Evidence

The Alma Duo uses low-intensity extracorporeal shockwave therapy (LI-ESWT) to promote angiogenesis (new blood vessel growth) within the penile tissue, treating the root cause of erectile dysfunction in most men.

  • This leads to better erections that last longer without the use of pills
  • No bothersome side effects

Clinically proven to increase erectile function in over 90% of study participants.

  • 70% demonstrated significant improvements
  • 35% demonstrated profound improvements
  • Clinical improvements can last up to and beyond 12 months
  • Over 95% patient satisfaction

We are the first clinic in Canada to offer our patients the newest and most innovative treatment option for erectile dysfunction. Be one of the first men in Canada to receive this revolutionary treatment!

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