When ED pills are not enough, a supervised injection test dose can show whether penile injection therapy fits.
Intracavernosal injection therapy places medication directly into erectile tissue. At Innovative Urology, the pathway begins with a supervised in-office test dose and instruction on how to prepare and use the medication safely. It may fit when oral ED medication does not work, is not tolerated, or is unsafe with other medications.
Who this may fit
- Men with ED who do not respond adequately to pills.
- Patients after prostate cancer treatment who need penile rehabilitation options.
- Men who cannot use oral ED medications safely.
Evaluation before treatment
ED workup should include cardiovascular risk, diabetes, testosterone context, medication review, prostate-cancer treatment history, and relationship goals.
The initial office visit includes a supervised test dose, response assessment, and step-by-step instruction on preparation, injection site, technique, dose limits, storage, and what to do if the erection lasts too long.
Recovery and follow-up
There is no surgical recovery, but patients need clear instructions on dosing, injection technique, frequency limits, and when to seek urgent care.
An erection that reaches four hours is an emergency because delayed treatment can damage erectile tissue. Seek immediate emergency medical care; do not wait for a routine office response or appointment.
Common questions
How does injection therapy compare with pills?
It may help selected men when pills do not work, are not tolerated, or are unsafe, but it requires injection comfort, supervised teaching, and careful dosing.
What happens at the in-office test dose?
A clinician gives or supervises a small test dose, watches the response, and teaches preparation, injection technique, dosing rules, storage, and the emergency plan before home use.
What is the biggest risk?
Priapism is the emergency risk. If an erection reaches four hours, seek immediate emergency medical care rather than waiting for the office or trying another dose.
What if injections do not fit or stop working?
The next conversation may include a vacuum device or an inflatable penile prosthesis consultation. An implant is surgery and requires a separate review of health, anatomy, goals, risks, and earlier treatment attempts.
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