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Sustain Injection for Men is a procedure which uses one of several FDA approved neuromodulators for the treatment of erectile dysfunction in men. This is considered an “Off Label” use, meaning that the FDA has not yet evaluated the use of the medication for this indication. Physicians are permitted to use medications in Off Label applications when there is good evidence for benefit, regardless of the status of FDA evaluation. This is quite commonplace in medicine in general. Botulinum toxin in particular is a medication with a history of many decades of Off Label use for a wide variety of indications. 

There have been no reports of unwanted systemic side effects from the use of botulinum toxin injection for the treatment of erectile dysfunction.

Multiple formulations of botulinum toxin have been evaluated in this way. They all appear to work well. There are no head-to-head comparisons between brands for this particular indication. 

For the formulations that have been tested, 100 units appears to produce longer lasting results versus 50 units.

The penile shaft of the human penis comprises three columns of tissue: two corpora cavernosa, one on either side of the corpus spongiosum. The urethra runs through the center of the corpus spongiosum and is the main passage for urine and semen.  The corpora cavernosa is considered erectile tissue, as it plays a major role in achieving erection.  When flaccid, the penis is actually in a “contracted state” with respect to blood flow. When the smooth muscle in the penis relaxes, blood flow increases and the penis becomes engorged. The botulinum toxin allows this to happen with greater ease and to a greater extent.

After topical numbing, a soft penis ring is placed at the base of the penis. The prepared dose of the medication is then injected into the shaft of the penis at specific sites and the ring is left in place for 15 minutes. The needle used is very small and thin. The procedure should be painless.

Botulinum toxin effects generally develop over the course of a couple of weeks.

A typical ‘standard’ dose is $1200

Yes, the botulinum toxin penile injection procedure can be performed in conjunction with other ED procedures such as the P Shot (PRP Injection) and Gainswave (Low Intensity Shcokwave Therapy).

Yes, erectile dysfunction is not a requirement in order to try this procedure. Studies to date have focused on treating men with ED. 

This procedure would be performed by Dr. Vuich or by an RN under her direct order. 

No, there are no activity restrictions after this procedure.

We cannot predict changes in penis size for any individual patient. 

It is not possible for us to guarantee a result or specific outcome. In studies evaluating men who had failed other interventions, approximately 40% were able to have sexual intercourse after receiving this type of procedure. The success rate is higher (approximately 80%) for men who do still  respond to Viagra-type medications but are looking for further improvement in function. 

This procedure to the best of our knowledge is not covered by insurance. We do not bill insurance and cannot submit any prior authorization paperwork. 

Yes, in most instances we have no difficulty processing payments via HSA/FSA cards. We are able to submit documentation of the appropriate medical use of the funds as needed.