II. Indications

  1. Psychogenic Impotence
  2. Neurogenic Impotence
  3. Vasculogenic Impotence

III. Contraindications

IV. Preparation

  1. Transurethral preparation
    1. Inserted 3 cm into Urethra with plastic applicator
  2. Semi-solid pellet
    1. Diameter: 1.4 mm
    2. Length: 3-6 mm

V. Efficacy

  1. Successful intercourse in 65% of 1511 tested
  2. Placebo success rate: 19%
  3. Less effective than injectable alprostadil

VI. Adverse effects

  1. Hypotension (3%)
  2. Dizziness (2%)
  3. Mild Erectile discomfort (32%)
  4. Minor Urethral burning or bleeding
  5. Priapism is rare

VII. Dosing

  1. Dose 125-1000 ug ($114-$137 for 6 units)

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