Nonsurgical Treatment of Erectile Dysfunction (cont.)
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Penile Injection Therapy
Although many substances are touted as male sexual boosters, the modern age of such drug therapies began in 1993.
At that time, papaverine, a drug that produces vasodilatation (widening of the blood vessels), was shown to produce erections when injected directly into the penis. Soon afterward, other vasodilators were demonstrated to be effective as a treatment of erectile dysfunction.
Self-injection of these drugs has been very beneficial. Penile injection therapy represents the most effective way to achieve erections in a wide variety of men who would otherwise be unable to obtain adequate rigid erections. In fact, if the vascular structure of the penis is healthy, the use of injectable drugs is almost always effective. Note that men on anticoagulant medications (blood thinners) cannot use this therapy.
Your doctor will determine an appropriate dose. The dose is adjusted to achieve an erection with adequate rigidity for no more than 90 minutes. The injection cannot be done more often than 3 times a week.
Side effects include:
If you choose this therapy, your doctor will teach you how to perform the injections. Even though the injection itself is painless, many men are still uncomfortable with penile injection therapy.
Stephen W Leslie, MD, FACS
Bradley Fields Schwartz, DO, FACS
Mary L Windle, PharmD
Martin I Resnick, MD
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