Your Health Matters - UCSF Department of Urology

Your Health Matters

Successful Self Penile Injection

Hints, Questions and Answers

Greetings!

5IJTEPDVNFOUXBTQSFQBSFEUPNBLFUIFQSPDFTTBTFBTZBOEQBJOMFTTBTQPTTJCMFGPSNFOXIP

IBWFEFDJEFEUPVTFJOKFDUJPOUIFSBQZGPSFSFDUJMFEZTGVODUJPO5IJTEPDVNFOUTIPVMEBMTPCFVTFGVMUP

UIPTFDPOTJEFSJOHUIFVTFPGJOKFDUJPOUIFSBQZ

"UUIFFOEPGUIFEPDVNFOUZPVXJMMGJOEBMJTUPGDPOUSJCVUPST BSFRVFTUGPSGFFECBDL BOEBOJOEFY

*UTIPVMEBMTPCFOPUFEUIBUJUJTOPUOFDFTTBSZUPIBWFBOFSFDUJPOUPIBWFBOPSHBTN"WJCSBUPSBOE

PSBDSFBUJWFQBSUOFSDBOCFIFMQGVM

:PVNBZXBOUUPSFGFSUP5PN'-VF .%TFYDFMMFOUCPPL"1BUJFOUT(VJEFUP.BMF4FYVBM

%ZTGVODUJPOGPSNPSFEFUBJM5IJTCPPLJTBWBJMBCMFPOMJOFBUBNB[PODPN CBSOFTBOEOPCMFDPNPS

PSEFSFEUISPVHIZPVSMPDBMCPPLTUPSF*4#/ LFZXPSET.BMF4FYVBM%ZTGVODUJPO

AFTER SURGERY

2"GUFSBOFSWFTQBSJOH1SPTUBUFDUPNZ XJMMJOKFDUJPOTIFMQSFDPWFSZPGNZOBUVSBMFSFDUJPOT

":FT JGZPVSOFSWFTXFSFTQBSFE UIFVTFPGJOKFDUJPOT XIJDITUJNVMBUFUIFGMPXPGCMPPEUPUIF

QFOJT NBZIFMQUIFSFDPWFSZPGZPVSOBUVSBMFSFDUJPOT

28IBUJTUIFPQUJNBMUJNFBGUFSTVSHFSZUPCFHJOJOKFDUJPOUIFSBQZ

""TTPPOBTZPVSFDPWFSGSPNTVSHFSZBOEGFFM0,UPTUBSUBTFYVBMSFMBUJPOTIJQBHBJO VTVBMMZUP

XFFLTBGUFSTVSHFSZ

28JMMJOKFDUJPOTXPSLPONFOXJUIOPOOFSWFTQBSJOHQSPTUBUFDUPNJFT

":FT*OKFDUJPOTXPSLJOEFQFOEFOUMZPGUIFOFSWFT

4%630 r 3FWJTFE

AFTER RADIATION

2"SFUIFSFEJGGFSFOUSFDPNNFOEBUJPOTGPSUSFBUJOHFSFDUJMFEZTGVODUJPOXJUIJOKFDUJPOTGPSFSFDUJMF

EZTGVODUJPOSFTVMUJOHGSPNSBEJBUJPOUIFSBQZ

"/P UIFSFJTOPEJGGFSFODF

1

Find a Doctor: (888) 689-8273 ? Patient Education Library: education

INJECTION MEDICATIONS AND MECHANISM

2*UTFFNTUIBUUIFSFBSFTFWFSBMEJGGFSFOUNFEJDBUJPOTTVJUBCMFGPSJOKFDUJPOT8IBUBSFUIFZBOEXIBU

BSFUIFEJGGFSFODFT

"&BDIPGUIFTFNFEJDBUJPOTXJMMXPSLUPIFMQZPVBDIJFWFBOFSFDUJPO:PVTIPVMEBMXBZTDPOTVMU

ZPVSQIZTJDJBOUPEJTDVTTXIJDIJTCFTUGPSZPV4PNFPGUIFNFEJDJOFTDVSSFOUMZJOVTFJODMVEFUIF

GPMMPXJOH

 1BQBWFSJOFJTBWBJMBCMFBUBSFMBUJWFMZMPXDPTUBOEJTTUBCMFBUSPPNUFNQFSBUVSFCVUJTMFTT

FGGFDUJWFUIBOUIFPUIFSNFEJDBUJPOTBOENBZIBWFBIJHIFSUFOEFODZUPDBVTFTDBSSJOH

GJCSPTJT 

 1BQBWFSJOFQMVTQIFOUPMBNJOF #JNJY JTNPSFQPUFOUUIBOQBQBWFSJOFBMPOFCVUXJUIUIFTBNF

QPUFOUJBMTJEFFGGFDUTTVDIBTQSJBQJTN TFF2GPSEFGJOJUJPO BOETDBSUJTTVFGPSNBUJPO

 "MQSPTUBEJMSBSFMZDBVTFTQSJBQJTNCVUXJUIJUTVTFQBJOJTNPSFDPNNPO "MQSPTUBEJMJTBMTP

LOPXOBTQSPTUBHMBOEJO&PS1(& JOQPXEFSFEGPSNJUNBZCFDBMMFE$BWFSKFDUPS&EFY 

 1BQBWFSJOFQMVTQIFOUPMBNJOFQMVT"MQSPTUBEJM 5SJNJY JTUIFNPTUQPUFOUCVUSFRVJSFT

SFGSJHFSBUJPOBOEIBTUIFTBNFTJEFFGGFDUTBT1BQBWFSJOFBOE"MQSPTUBEJM

2)PXEPUIFTFNFEJDBUJPOTXPSLUPQSPEVDFBOFSFDUJPO

"5IFTFESVHTDSFBUFBOFSFDUJPOCZSFMBYJOHUIFTNPPUINVTDMFTBOEXJEFOJOHUIFCMPPEWFTTFMTJO

UIFQFOJT5IFZBSFOPUEFQFOEFOUPOOFSWFTUJNVMBUJPO'PSBNPSFDPNQMFUFEJTDVTTJPOPGIPXUIF

QFOJTGVODUJPOTTFFPVS:PVS)FBMUI.BUUFSTEPDVNFOUFOUJUMFE .BOBHJOH*NQPUFODF"1BUJFOU(VJEF

"WBJMBCMFBUUIF6$4'6SPMPHZ$MJOJDBU1BSOBTTVT UIF6$4'6SPMPHJD0ODPMPHZ$MJOJDBU.JTTJPO#BZ

PS UIF6$4'$BODFS3FTPVSDF$FOUFSBU.U;JPOPSGSPNUIF6$4'6SPMPHZ8FCTJUFBUIUUQVSPMPHZ

VDTGFEVQBUJFOUDBSFDBODFSQSPTUBUFDBODFS

2"SFUIFSFMPOHUFSNTJEFFGGFDUTUPUIFVTFPGJOKFDUJPOT 

"0OFQPTTJCMFTJEFFGGFDUJTUIFEFWFMPQNFOUPGDVSWBUVSFJOUIFFSFDUQFOJT XIJDIDBOCFQBJOGVM

BOEJOUFSGFSFXJUIJOUFSDPVSTF5IJTJTDBMMFEi1FZSPOJFhT%JTFBTFu*UJTDBVTFECZBCVJMEVQPGQMBRVF

PSTDBSUJTTVFJOTJEFUIFQFOJTJOUIFMJOJOHPGUIFDPSQPSBDBWFSOPTB5IFTFBSFUIFUXPTQPOHFMJLF

DZMJOEFSTSVOOJOHUIFMFOHUIPGUIFQFOJTJOUPXIJDIUIFNFEJDBUJPOJTJOKFDUFE*UJTSFMBUJWFMZSBSFBOE

DBOCFUSFBUFE:PVDBONJOJNJ[FUIFSJTLPGHFUUJOH1FZSPOJFTCZMFBSOJOHUPJOKFDUDPSSFDUMZ5IJTJTOPU

EJGGJDVMU

2"SFUIFSFNFEJDBMDPOEJUJPOTUIBUQSFDMVEFUIFVTFPGJOKFDUJPOT

":FT4FWFSFTDBSSJOHPGUIFQFOJT



"MMFSHZUPBOZPGUIFNFEJDBUJPOT

 "DUJWFJOGFDUJPOPSTPSFTPOUIFQFOJT

/PUF#MPPEUIJOOFSTTVDIBTBTQJSJOBOE$PVNBEJODBOJODSFBTFCMFFEJOH.FONBZVTFJOKFDUJPO

UIFSBQZXIFOUBLJOHUIFTFNFEJDBUJPOT*'UIFZDPNQSFTTUIFJOKFDUJPOTJUFGPSBUMFBTUNJOVUFT

2

ERECTIONS FROM INJECTIONS

28IBUQFSDFOUBHFPGNFOXJMMHFUBVTFGVMFSFDUJPOGSPNBOJOKFDUJPO %PJOKFDUJPOTXPSLGPS

FWFSZPOF

"*GUIFNFEJDBUJPOJTQSPQFSMZEPTFE UIJTJTEPOFCZZPVSQIZTJDJBO BOEQSPQFSMZJOKFDUFE BVTFGVM

FSFDUJPOTIPVMEPDDVSJOBUMFBTUPGNFO

2%PFTUIFNFEJDBUJPODPOUJOVFUPXPSLJOEFGJOJUFMZPSJTBUPMFSBODFDSFBUFESFRVJSJOHJODSFBTJOH

EPTBHF

"*UEFQFOETPOUIFQFSTPO#PUISFTVMUTDBOPDDVS

2)PXMPOHXJMMUIFFSFDUJPOTMBTU

"5IJTEFQFOETPOBOVNCFSPGGBDUPSTJODMVEJOHPOFhTHFOFSBMIFBMUI DVSSFOUQIZTJDBMTUBUVT 

XIFUIFSUIFQSPQFSEPTBHFXBTQSPQFSMZJOKFDUFEBOEUIFQSFTFODFPGPUIFSTUJNVMBUJPO&SFDUJPOT

HFOFSBMMZBQQFBSJOUPNJOVUFTBOEPOBWFSBHFMBTUBQQSPYJNBUFMZNJOVUFT

2$BOJOKFDUJPOTCFVTFEXJUIWBDVVNFSFDUJPOEFWJDFT

"%0/05VTFBWBDVVNFSFDUJPOEFWJDFBGUFSJOKFDUJOH4FSJPVTCMFFEJOHDBOSFTVMU5IFSFNBZCF

FYDFQUJPOT1MFBTFDPOTVMUZPVSEPDUPS

2.ZNFEJDBUJPOSFRVJSFTSFGSJHFSBUJPO)PXMPOHDBOJUCFMFGUVOSFGSJHFSBUFE

"5ISFFIPVST

2*G*BNUSBWFMJOH BSFUIFSFNFEJDBUJPOTUIBUEPOhUSFRVJSFSFGSJHFSBUJPOUIBU*DBOVTFJOQMBDFPGNZ

SFHVMBSNFEJDBUJPO

"*GZPVSTUBOEBSENFEJDBUJPOJT"MQSPTUBEJM 1SPTUBHMBOEJO UIFO$BWFSKFDUPS&EFYDBOCFVTFE

5IFTFBSFNJYFEGSPNBQPXEFSBUUIFUJNFPGVTF1BQBWFSJOF QIFOUPMBNJOF #JNJY EPFTOUOFFE

SFGSJHFSBUJPO

28IBUJTUIFEFGJOJUJPOPGQSJBQJTN

"*UJTBQSPMPOHFEFSFDUJPO5IJTJTBOFBTJMZNBOBHFECVUJTBQPUFOUJBMMZTFSJPVTDPNQMJDBUJPO

*GJHOPSFE JUNBZSFTVMUJOTFWFSFQBJOBOEDPNQMFUFJNQPUFODFOFDFTTJUBUJOHQMBDFNFOUPGBQFOJMF

QSPTUIFTJT5IFSFGPSF JUJTWFSZJNQPSUBOUUIBUJGZPVEFWFMPQBGVMMFSFDUJPOMBTUJOHGPSNPSFUIBO

IPVST ZPVTIPVMEDBMMZPVSEPDUPSBUPODFPSHPUPUIFFNFSHFODZSPPN

2*WFIFBSEUIBU4VEBGFEBOE#FOBESZMBTXFMMBT5FSCVUBMJOFDBOSFEVDFBQSPMPOHFEFSFDUJPO

8IFOTIPVMEUIFTFCFVTFE 

"*GUIFFSFDUJPOMBTUTNPSFUIBOIPVST*GJUJTTUJMMBQSPCMFNBGUFSIPVSTDBMMZPVSEPDUPSPSHPUP

UIFFNFSHFODZSPPN

2$BO*VTFBOJDFQBDLUPSFEVDFBOFSFDUJPO 8IFSFBOEIPXTIPVMEJUCFBQQMJFE

":FT POUIFQFOJTPSJOOFSQBSUPGUIJHIT "DPMETIPXFSBMTPXPSLT "HBJO JGJUJTTUJMMBQSPCMFN

BGUFSIPVSTDBMMZPVSEPDUPSPSHPUPUIFFNFSHFODZSPPN

3

INJECTION MECHANICS

2)PXDBO*NBLFJUFBTJFSUPXJUIESBXUIFNFEJDBUJPOGSPNUIFHMBTTWJBM 

"8IFOGJMMJOHUIFTZSJOHF UIFQMVOHFSTIPVMECFQVMMFEEPXOUPUIFDDNBSLCFGPSFQVTIJOHUIF

OFFEMFUISPVHIUIFSVCCFSTUPQQFS0ODFUIFOFFEMFJTQVTIFEUISPVHIUIFSVCCFSTUPQQFS UIFQMVOHFS

TIPVMECFQSFTTFEPO QVTIJOHUIFBJSJOUPUIFWJBMCFGPSFXJUIESBXJOHUIFNFEJDBUJPO

28IFSFJOUIFQFOJTEP*XBOUUIFNFEJDBUJPOUPHP 8IBUTUSVDUVSFTBN*BJNJOHGPSBOEXIJDI

EP*XBOUUPBWPJE 

""MUFSOBUFCFUXFFOJOKFDUJOHBUUIFBOEPDMPDLQPTJUJPOT:PVXJMMCFJOKFDUJOHJOUPUIFDPSQVT

DBWFSOPTVN FSFDUJMFCPEJFT 8IFODIPPTJOHBOJOKFDUJPOTJUF BWPJEBOZBSFBXFSFBCMPPEWFTTFMJT

DMFBSMZWJTJCMF.JETIBGUJTNPTUDPOWFOJFOUGPSNPTUNFOCVUEPOPUJOKFDUUIFWFSZTBNFTQPUFWFSZ

UJNFUPBWPJETDBSSJOH

Correct Place to Inject

5IFTZSJOHFOFFEMFTIPVMECFPSJFOUFEQFSQFOEJDVMBSMZ

UPUIFTIBGUBOEJOTFSUFEGVMMZFOUJSFMZ BTTIPXO

1FOJMFBOBUPNZ5IFUBSHFUJOKFDUJPOTJUFGPSUIF

FSFDUPHFOJDNFEJDBUJPOJTJOUPUIFDPSQPSBDBWFSOPTB

5IFJOKFDUJPOTIPVMECFEJSFDUFEJOUPUIFQSPYJNBM

IBMG BC PGUIFQFOJMFTIBGU BUUIFTJEFNPTU

FEHFPGUIFTIBGUBUFJUIFSUIF TIPXO TIBEFE

BSFBT PSQPTJUJPO

Art by Jeanne Koelling with input from Maurice Garcia, MD, MAS; Tom F. Lue, MD, ScD (Hon), FACS and advocate Stan Rosenfeld

2#FTJEFTUIFBOEPDMPDLQPTJUJPOT *hWFBMTPCFFOUPMEUIBU*DBOJOKFDUBU  BOE

PhDMPDLQPTJUJPOT%PFTJUNBUUFS 

"   BOEBSFBMM0, CVUBOEBSFUIFCFTU



28IBUTIPVME*GFFMXIFO*JOKFDU 8JMMJUIVSU 4IPVME*GFFMSFTJTUBODF $BO*GFFMJGUIFOFFEMFJTJO

UPPEFFQPSUPPTIBMMPX 

""TUIFSFBSFGFXOFSWFFOEJOHTGPSQBJOJOUIJTBSFB UIFSFXJMMQSPCBCMZCFKVTUBTMJHIUNPNFOUBSZ

EJTDPNGPSU5IFOFFEMFTIPVMECFQVTIFEGJSNMZVOUJMJUJTGVMMZJOUIFQFOJT TMJHIUSFTJTUBODFNBZCFGFMU

"OBVUPJOKFDUPSNBZSFEVDFFWFOGVSUIFSUIJTNPNFOUBSZQBJO 4FF2

2"SFUIFSFBOZDVFTZPVDBOHJWFNFUPUFMMXIFO*hNJOUIFSJHIUQMBDF 4PNFUJNFT*GFFMNPSF

SFTJTUBODFUPUIFQMVOHFSUIBOPUIFSUJNFTXIFOUIBUIBQQFOT UIFJOKFDUJPOVTVBMMZGBJMT8IZ 8IBU

TIPVME*EP 

"5IFBNPVOUPGSFTJTUBODFUPQVTIJOHUIFQMVOHFSJTPOFPGUIFCFTUJOEJDBUPSTPGHPPEOFFEMF

QMBDFNFOU*GBMPUPGSFTJTUBODFJTGFMUUIFOUIFOFFEMFNBZCFJOUPPGBSPSOPUGBSFOPVHI1VMMUIF

OFFEMFCBDLBMJUUMFPSQVTIJUJOGVSUIFS*GUIBUEPFTOPUXPSLXJUIESBXUIFOFFEMFBOESFJOTFSUJUJO

BOPUIFSTVHHFTUFEQMBDF5IFQMVOHFSTIPVMEEFQSFTTRVJUFFBTJMZ:PVSEPDUPSDBOEFNPOTUSBUF%P

OPUJOKFDUJGUIFSFTJTUBODFJTTUSPOH

2*G*EPOhUHFUBOZSFTQPOTFUPBOJOKFDUJPODBO*GPMMPXVQXJUIBOPUIFSJOKFDUJPONBZCFUPB

EJGGFSFOUTJEFPGUIFQFOJTBOEQFSIBQTVTJOHBTNBMMFSEPTF

"/P UIFGJSTUJOKFDUJPONBZIBWFQVODUVSFEUIFVSFUISBPSPUIFSUJTTVF"TFDPOEJOKFDUJPONBZ

DBVTFNPSFCMFFEJOHJOUIFXSPOHBSFB5IFOFYUUJNFZPVJOKFDU POBOPUIFSEBZ EPJUPOUIFPUIFS

TJEFPGUIFQFOJT

2*hNCPUIFSFECZUIFQBJOPGUIFJOKFDUJPO BSFUIFSFUPQJDBMBOFTUIFUJDTUIBU*DBOVTF

":FT BOZMPDBMBOFTUIFUJDTVDIBTYZMPDBJOFKFMMZPSDSFBNXJMMIFMQ&.-" BDPNCJOBUJPOPG

MJEPDBJOFBOEQSJMPDBJOF JTBWBJMBCMFXJUIBQSFTDSJQUJPO&-".BY PSMJEPDBJOFJT

BWBJMBCMFPWFSUIFDPVOUFS XJUIPVUBQSFTDSJQUJPO

2"SFUIFSFUIJOOFSOFFEMFTBWBJMBCMFUIBUDPVMECFVTFEUPSFEVDFEJTDPNGJU

"5IJTJTOPUSFDPNNFOEFE/FFEMFCSFBLBHFIBTCFFOSFQPSUFEXJUIHBVHFOFFEMFTBOETNBMMFS

5XFOUZFJHIUHBVHFJTVTVBMMZVTFE

28IBUhTBOBVUPJOKFDUPSBOEIPXNJHIUJUIFMQNF

""OBVUPJOKFDUPSJTBTQSJOHMPBEFEEFWJDF XIJDIJOTFSUTUIFOFFEMFJOUPUIFQFOJTWFSZRVJDLMZ 

NJOJNJ[JOHUIFEJTDPNGPSUBOEQTZDIPMPHJDBMiIFTJUBODZu*UDPNFTJOUXPGPSNT BTJNQMFOPO

QSFTDSJQUJPOEFWJDFEFTJHOFEUPJOTFSUUIFOFFEMFGPSZPVBOEBQSFTDSJQUJPOSFRVJSFEEFWJDFUIBUBMTP

EFQSFTTFTUIFQMVOHFSGPSZPV:PVDBODIFDLXJUIZPVSMPDBMESVHTUPSFUPPCUBJOUIFTJNQMFBVUP

JOKFDUPS OPQSFTDSJQUJPOSFRVJSFE 

.PSFPWFS NBOZNFOQSFGFSUIFBVUPJOKFDUPSUIBUEPFTOPUJOKFDUUIFNFEJDBUJPOTGPSUIFNCFDBVTF

UIFZNBJOUBJOUIFOFDFTTBSZGFFMUPLOPXUIBUUIFZIBWFJOKFDUFEJOUIFSJHIUQMBDFBOEUPUIFSJHIU

EFQUI 5IFQBUJFOUTUJMMQVTIFTUIFQMVOHFS UIFSFJTOPQBJOBTTPDJBUFEXJUIUIJT *GUIFQMVOHFSEPFT

OPUQVTIFBTJMZ BTIBQQFOTPOPDDBTJPO XJUIESBXUIFOFFEMFBMJUUMFBOEUSZUIFQMVOHFSBHBJO*GJUJT

TUJMMEJGGJDVMUUPQVTIUIFQMVOHFSUIFOVTFUIFBVUPJOKFDUPSJOBEJGGFSFOUMPDBUJPOJOUIFQFOJT



................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download