Penile Injection Therapy (PIT) is a shot (injection therapy) that you take for erectile dysfunction (ED). It is used when the nerves or blood vessels in the penis do not work normally. Did you know?
Does it work?
According to the AUA (American Urological Association), injection therapy is among the most effective nonsurgical treatment options for ED.
What are the advantages?
It works fast — PIT can give you an erection in just 5 to 20 minutes
You inject it yourself — The first shot will be given in your healthcare provider’s office. After that, you can inject PIT, or your partner can help you inject
It is a local injection — PIT contains an ingredient (alprostadil, PGE, Papaverine, or a combination). It helps keep blood vessels open and your blood flowing in the penis and not all over your circulation.
What kind of Instructions do patients have to follow after injection?
Do not use more than 3 times a week
Wait at least 24 hours between doses
Do not change the dose without talking to your healthcare provider
Do not use any leftover solution
Do not reuse the syringe or needle
Do not let anyone else use your syringes and medications
Do not stop taking any prescription medications unless your healthcare provider tells you to do so
If you have been advised not to have sex, do not use Penile Injection medicines
If you have an erection lasting more than 4 hours after injection, contact your healthcare provider right away
What can a patient expect after using PIT?
Expect Results: Over 80% of men experienced an erection
Maintaining an erection is just as important as getting one. PIT can help with both. That’s why you can feel confident when you ask your doctor about it. But that’s not the only reason why. Here are a few more:
Worked over 80% of the time in a study for men with erectile dysfunction
Can work in as fast as 5 to 20 minutes
It is a local injection
Only 3% of men found it painful enough to stop using it
Who should not use Penile Injection Therapy?
Any man who is allergic to alprostadil, papaverine, PGE or any injectable medication (the active ingredient) or anything else in the supplied compound.
Men who have been told by their healthcare provider not to have sex
Children, infants, and women
Men with conditions that might result in long-lasting erections that can damage the penis, such as:
Sickle cell anemia or sickle cell trait
Leukemia (white blood cell cancer)
Multiple myeloma (bone marrow cancer)
Abnormally shaped penis, a penis implant, or other problems of the penis
Can Penile Injected Therapy work for men with ED and other related health conditions?
Yes it can work in men with the following conditions:
High blood pressure
Spinal cord injury
High cholesterol levels
What should I tell my urologist at Brooklyn Urology?
About all your medical conditions
About all your medicines, including over-the-counter medicines, vitamins, and herbal products
If you’ve ever had erections that lasted more than 4 hours
If you have sickle cell anemia, sickle cell trait, leukemia, or multiple myeloma
If you have a penis implant
What are possible Side Effects?
Like many prescription medications, there are some side effects:
An erection that lasts more than 4 hours is dangerous. If this happens to you, see a doctor right away. Without treatment, there could be lasting damage to the penis. You may lose potency.
The most common side effect is pain: 37% of men reported pain in the penis, at least once, after injection. It was usually mild to moderate. Few men stop the treatment because of pain.
Other side effects include:
Small amount of bleeding where the shot is given. This increases the risk of passing on diseases carried in blood, such as HIV (human immunodeficiency virus)
Small bumps or hard tissue in the penis
Infection. With any shot, there is a risk of infection
Low blood pressure and dizziness may be observed at higher doses
What other Precautions should I take?
Treatment should be discontinued in patients who develop penile angulation, cavernosal fibrosis (penile scars), or Peyronie’s disease.
Use offers no protection from the transmission of sexually transmitted diseases.