Because of the sensitivity to using needles this alternative has received limited acceptance by impotent men. This method's trade name is muse. It uses a device that inserted into the tip of the penis to place an alprostadil suppository in the urethra. Although needles aren't involved, many find this method painful and uncomfortable, and side effects include pain in the urethra. If other treatments fail or are unsatisfactory, a surgical implant is an alternative.
Implants consist of one or two silicone or polyurethane cylinders that are placed inside the penis.
Vascular Surgery Physicians can sometimes surgically correct impotence caused by an obstruction of blood flow to the penis. However, this procedure is appropriate only for a small number of cases. Long-term success is unclear. The new treatment involving the use of a drug called suldenafil, is an oral medication that received FDA approval in early 1998. The drug may enhance natural response to sexual stimulation by blocking the effect of an enzyme that causes a male to lose their erection.