• Dr. Naureen Akhtar General Practitioner MBBS,MRCGP,DRCOG
Botox for erectile dysfunction

Two Canadian urologists believes that the wildly popular wrinkle eraser Botox can help men struggling with impotence. They believe that if it works for men what it so far done among aged male rats, it may provide a persistent, long-acting mean to bring back erectile function.

Their initial data suggests that botulinum toxin or Botox can increase blood flow to the penis by relaxing the nerves that causes penile smooth muscles to contract. Erection relies mainly on a good blood flow.

The benefit of Botox for erectile dysfunction is that if you inject once, it could last potentially for six months. While there are other forms of penile injection therapy, men have to do it themselves every time they want to have sexual contact. Viagra and other similar pills belonging to the class PDE-5 inhibitors act on the chemical signal that stimulate the penile blood vessels and they have to be taken daily or before sex. Side effects from taking this drug such as heartburn and headache may also be experienced. Furthermore, Viagra does not work for more than 30 percent of the men who tried it.

More so for men with prostate cancer surgery and those with diabetes.

Botox for erectile dysfunction may help those who don’t respond to Viagra. French urologist Francois Giuliano told ‘Botox could be a potential game changer for ED’. Others fear drugs for ED are already propagating narrow social norms of male sexuality and masculinity – such idea that somehow, to be a real man’, you need to be a penetrative force.

Men usually do not talk to their partners about the problem before they look for ED drugs, or keep their use secret. However, studies show that when men talk to their partners, their partners responded openly with the change or they are open to exploring other sexual activities.

Some men are using Botox for treatment overactive bladders by relaxing the smooth muscles in the bladder. The Botox treatment could last up to nine months. Experts wondered whether it could work in a similar way to penis by letting smooth muscles to relax, dilate and allow blood flow to quickly fill the penis.

Based on the rat study, the result showed improved erections, exactly what has predicted. However, the animal subject is not the same for humans. Though much more research has to be done, they hope to begin clinical trials in men as soon as possible.

But still, Botox for erectile dysfunction is not completely safe and harmless. It is made from the bacteria that cause botulism and it can spread out in other areas. When given in high dosage, it can leak into the bloodstream, potentially killing you since it can paralyze everything.

The plan is to administer a very minimal dose because there is a potential risk of causing a permanent damage such as priapism or prolonged erection without sexual stimulation.