Erectus BotX™

Sexual Intercourse and Health

When considering treatments for erectile dysfunction, it is crucial to be aware of their potential impact on blood pressure in erectile tissue. High blood pressure, also known as hypertension, is a common risk factor linked to erectile dysfunction. Medications like testosterone replacement therapy and medical treatments used to treat erectile dysfunction (E)D can sometimes lower blood pressure too much, which can be dangerous for individuals already managing hypertension. Therefore, it is essential to consult with a healthcare provider to ensure that the chosen treatment is safe and effective.

Additionally, addressing mental health is vital in the context of erectile dysfunction. Stress, anxieties, and other mental health concerns can interfere with sexual feelings and exacerbate erectile problems. Understanding both the physical and psychological aspects of erectile dysfunction can help determine the underlying cause and improve treatment outcomes. Open communication with a doctor or partner about the condition can also support mental health and strengthen relationships.

Causes of Erectile Dysfunction

Penile erection is caused by the relaxation of the cavernosal smooth muscle. This muscle is located inside the penis (Corpus Cavernosum) and during the flaccid state, it remains contracted so that only a small amount of blood enters the penis. When the muscle relaxes, blood can flow more freely into the penile shaft, causing an erection. If the cavernosal is unable to relax properly, this could cause ED since the penis is unable to fill with blood and become erect.

Other medical conditions such as cardiovascular disease, high blood pressure, diabetes, and high cholesterol have also been linked to ED. A poor diet with a high intake of sugar can damage the blood vessels and nerves necessary for an erection. Similarly, smoking, stress, and certain medications could decrease blood flow and cause ED. Prostate cancer and other prostate issues are also possible erectile dysfunction causes.

Botox for Erectile Dysfunction

Botox is a neuromodulator designed to prevent muscle contractions. Since the physiological cause of ED is the tonic (semi-permanent) contraction of muscles in the penis, there has been recent interest in BOTX ability to improve erectile function.

During the Erectus BOTX procedure, a topical numbing cream will first be applied so that you do not experience any discomfort. Next, Botox or Dysport will be injected into the Corpus Cavernosum (inside the penis) to help the muscles relax and allow more blood to flow into the penis. The Corpus Cavernosum is one of a pair of sponge-like regions of erectile tissue that contain most of the blood in the penis during penile erection.

In clinical trials, participants saw about 4 inches of growth in the length of their penis while being erect. Maximum improvements were seen after 3 months with men having harder erections and the ability to engage in sexual intercourse for longer periods of time.

This is an off-label use of Dysport/Botox and it has unknown consequences/effects. The suggested mechanism of action is that Dysport or Botox blocks the release of acetylcholine and norepinephrine, stimulating the parasympathetic system that signals “relax” contrary to the sympathetic system (“flight or fight”).

Activation of the parasympathetic system improves the erection process by increasing the expression of vascular endothelial growth factors that cause vasodilation (opening of the blood vessels) and then facilitating the blood into the penis. These growth factors also allow for endothelial proliferation (El-Shaer, et al., 2021).

Are There Side Effects from Erectus BOTX?

The risks of Erectus BOTX include scarring (with repeated injections), penile pain at the site of injection as expected, bruising might happen. No systemic side effects have been reported.

Dr. Mercado will assess your medical history at your consultation to check for underlying health conditions and an allergy to botulinum toxin so that he can best prevent an adverse reaction. If you are not a candidate for Erectus BOTX, he will be happy to discuss other ED treatments offered at Eterna MD.

Other Treatments for Erectile Dysfunction

Dr. Mercado is excited to bring his personally designed treatment for ED to his patients at Eterna MD. If you have been struggling with ED and want your erectile dysfunction treated effectively, you can rely on compassionate care and effective treatment from Dr. Mercado and our team. Schedule a consultation today by calling our office or filling out an online contact form.