Penile Injections

Penile Injections, also known as intracavernosal injections, are a highly effective and minimally invasive treatment option for erectile dysfunction (ED). This procedure involves the injection of medication directly into the penis to facilitate the achievement and maintenance of an erection. By delivering medication directly to the corpora cavernosa, the spongy erectile tissue of the penis, penile injections help to enhance blood flow and promote a firm and lasting erection.

The procedure begins with the preparation of the medication, which is usually a vasodilator such as alprostadil or a combination of medications. The medication is prepared by a healthcare professional according to the prescribed dosage. Before the injection, the injection site is carefully cleaned with an antiseptic solution to minimise the risk of infection. Using a fine needle, the medication is then injected into the side of the penis, targeting one of the two corpora cavernosa. The injection site may vary depending on individual preferences and medical considerations. The medication works by relaxing the smooth muscles and dilating the blood vessels in the penis, thereby increasing blood flow and facilitating an erection. The initial dosage of the medication is determined by the healthcare professional based on various factors, including the severity of ED, individual response, and any underlying medical conditions. The dosage may be adjusted over time to achieve the desired effect. It is important to follow the healthcare professional's instructions regarding dosage and administration. After the injection, the individual may experience an erection within 5 to 20 minutes, depending on the medication used. The duration of the erection can vary, typically lasting from 30 minutes to a few hours. It is important to note that sexual stimulation is still required to initiate and maintain an erection.

Penile injections for ED have a high success rate and offer a reliable solution for men who do not respond to oral medications or other treatments. The injections can be self-administered at home once the individual has received proper training from a healthcare professional. Regular follow-up appointments are important to monitor the individual's progress, adjust the dosage if needed, and address any concerns or side effects. Penile injections for erectile dysfunction offer several benefits to individuals seeking an effective treatment option. One of the key advantages is their high success rate in achieving erections suitable for sexual intercourse, even in cases where oral medications have proven ineffective. Unlike oral medications that require advance planning, penile injections provide on-demand erections, allowing for spontaneity in sexual activity. Another advantage is the ability to customise the dosage of the medication to meet the individual's specific needs, ensuring optimal results. When administered correctly, penile injections have limited systemic side effects, with any localised effects such as minor pain or bruising at the injection site typically resolving quickly. This treatment option is suitable for addressing erectile dysfunction caused by various factors, including vascular issues, diabetes, psychological factors, or complications from surgery. 

It is essential to consult with an Andrologist at MASSH to determine if penile injections are a suitable treatment option for you. They can evaluate your specific condition, discuss the potential benefits and risks, and provide personalised guidance on the administration and management of penile injections for erectile dysfunction.