And surgery was more than I was ready to think about. The vacuum pump is simple to use and noninvasive, but it is cumbersome and provides a wobbly erection because the vacuum does not affect the half of the penis within the body. And the band should be left on for no more than 30 minutes at a time. I finally chose the Caverject. There are needles, of course, but they are short and fine, and virtually painless.
Erection occurs within a few minutes and lasts an hour or so.
I am more than content. Last month, a new therapy called Muse entered the market. It, too, is self-administered and relies on alprostadil, but instead of being injected through a needle, the drug is delivered by a tiny plunger that is slid an inch or so down the urethra. Kan. These clinics are mainly staffed with primary-care physicians. Dr. Burns says that the Kansas center is the largest in the field, with 30 clinics in 18 states.