Oral Drug Therapy

Drug therapy includes prescription medications (PDE5 inhibitors) such as:

• Viagra® (sildenafil citrate)
• Cialis® (tadalafil)
• Levitra® (vardenafil hydrochloride)
• Stendra® (avanafil)

These pills may help achieve erections in response to sexual stimulation but do not always work and cannot produce an immediate erection like shots or the penile implant.

Penile Injections

With a penile injection, medication is delivered directly to the penis through a syringe.  The onset of the erection is typically between five and 20 minutes.  Risks include erections lasting 4 hours or more, pain, numbness, swelling, irritation, sensitivity, bruising at the injection site, and penile fibrosis to name a few.  You should be trained by a medical professional before attempting to deliver the injection.

Vacuum Erection Devices

Vacuum erection devices can be used to deliver on-demand erections, is non-invasive and cost-effective, however, the erection is not warm to the touch, there can be inconsistent ejaculation and there is a learning curve associated with using the device.

Penile Implant

A penile implant is a surgical option that provides an on-demand erection, allows for spontaneity, and is completely concealed within the body.  It is available as either a one-piece malleable implant or an inflatable implant.   The implant has a 98% satisfaction rate with patients and a 94% satisfaction rate with partners. Risks include those associated with surgical procedures and undergoing anesthesia as well as device migration, malfunction, erosion, and chronic pain.

Any treatment option should be discussed with a medical professional to fully understand the risks and benefits and what would be most suitable for you.