im now working on getting my results and moving forward with my health as a man and taken care of myself this is a great place to start if you are having man problems with your self and if your looking for a place that cares about you and your health this is the place to reach out to they are the best and thank you John for all you have done for me. Ever since those COVID shut down started, I have had difficulties in paying for treatment due to financial reasons. With one hand, hold the syringe between your thumb and your index and middle fingers, as though you were about to throw a dart. I have been working with AAI since February of last year with nothing but absolutely fabulous results. In rare cases, priapism a prolonged erection that occurs without, or long after, sexual stimulation may occur. Confirm the prescribed dosage, which should be about 0.5 cc (or 0.50 on a 1 cc or 1 millilitre syringe). From my first contact with them to ongoing customer service to answering any questions I havethe team at AAI is amazing. Couldn't have had a better experience. Making me feel young and energetic again. This site needs JavaScript to work properly. I recently completed the assessment and scored in 30-35 age group.. not the 50 age group. To see content specific to your location, please choose your country or region. Overall, most research tended to focus on the overall effectiveness of injections across several brands instead of focusing on just one brand. However, if you are experiencing these difficulties several times a week and over several weeks, it may be time to see a doctor. Intracavernosal Injections (ICI) Introduction Prior to the advent of intracorporeal pharmacotherapy, or penile injections, penile prosthesis was the only thing other than drug therapy really available. Through my own thorough due diligence I found AAI to be the best value in the country both in price and also patient carebold statement, but it really is the truth. Admittedly, it can be daunting and confusing when choosing a provider to help attain your goals whatever those may be. I love the way I feel after starting treatment. (2019). Ive been with AAI for over 3 years now and it blows my mind how responsive and prompt they are to all my needs. My Wellness advisor Heather Behrens has made a rather difficult experience easy and seamless. It can and does cause penile scarring which creates the onset of a condition even worse than ED: Peyronie's disease. border-radius: 0px; Especially Mrs Tina, always there with help and information. They definitely will have my continued business going forward. Intracavernosal (ICI) therapy is safe in men, and has been used successfully to treat erectile dysfunction(ED) since the 1970s in the United States, Intracavernosal (ICI) therapy is non-systemic, and that this medication does not get absorbed into your body and eliminates the risk of any reactions, and that means that this medication works reliably, every time, without restrictions on food, alcohol or drugs. It is administered via intracavernosal injection and should produce an erection in 5 to 20 minutes and can be expected to last up to one hour. Even through the things that I was a bit confused and concerned about Nathan took the time to help me understand and walk me through all the steps. Really a great place. We want to be This avoids interference with the top of the shaft, where the blood vessels are, and the bottom of the shaft, where the urethra is located. Highly recommend to anyone looking to better themselves and their life. [Prostaglandin E1 in erectile dysfunction]. Med J Armed Forces India. Thanks AAI for literally turning my life around in many ways ! If you are looking for a place to get back to feeling normal, this is the place 100%. I would absolutely recommend them 10/10. Thats when I started doing my own research and came across AAI, I filled out the in depth Medical questionnaire and was contacted by Tina who Set me up for the proper testing for Low T and the proper treatment. However, the review also noted a significant drop-off or cancellation rate among participants. Intracavernosal (ICI) therapy is by far the most effective treatments available, now in days and It is safe and suitable for men with Erectile Dysfunction problems, regardless of age or medical condition Intracavernosal (ICI) therapy will work. She is a wealth of knowledge and has been very helpful in consulting me on different options. Thanks, Erica is great and very knowledge about hormone replacement and all kinds of health and wellness related subjects. The level of care and professionalism is unrivaled, especially in this type of industry. (ICI) can use without restriction to food, wine or other medicines. Great service and products. I am a new patient of AAI, but have been extremely impressed with the outstanding customer service. This time around I have been with AAI for nearly 6 months and am pleased with the results. Avoid injecting medication into an erect or semi-erect penis, and dont administer two injections on the same day. How effective are penile injections for treating ED? They listen to what is actually going on and how you feel. Healthline Media does not provide medical advice, diagnosis, or treatment. However, if the erection lasts longer than 4 hours, seek immediate medical attention. Find out everything you need to know about this doctor-prescribed medication including usage, effectiveness, and, Read on to learn where to buy Viagra and sildenafil online plus, more about how Viagra works, its alternatives, and how it compares with other ED. Im really happy I reached back out to AAI rejuvenation. I am very happy to have started with AAI Rejuvenation and will remain a loyal customer. The cost of medications can certainly change from pharmacy to pharmacy and choosing a generic form over a brand name can also help bring down your overall cost. Be the first to rate this post. It's great to speak with someone who will answer any question with passing judgement. Since I have had the experience and expertise of Erica, with my new lifestyle changes. Injections in the wrong place or at the wrong angle can reduce the medications effectiveness or cause a negative reaction. I also like that John is a go-getter and helps keep you motivated and feeling confident in yourself that you can make the changes you want to in your life. Here is what to know. Highly recommended. 8600 Rockville Pike Jere Nolan and the staff were very helpful and worked with my doctors here at home. I ordered a 6 month therapy and it came as described in packaging designed to keep it cool during shipment. In the proper conditions, a vial of medication can be stored for three to four months. Hold the syringe and vial securely in both hands, and turn the vial upside down. (2011). Using the other hand, pull the head of the penis out in front of you again. You'll feel like an expert by the time you're done speaking with him. I cannot thank Tina and the team at AAI enough for the care and attention they paid to my case. Disclaimer, National Library of Medicine You can then begin sexual stimulation, and an erection will gradually appear. So far the actual therapy itself has made me feel a million times better so I can't imagine what I will feel like when therapy is complete. Don't postpone feeling and looking better, call Nathan at AAI. The first step is to wash your hands and assemble your supplies on a clean surface. They are also not recommended for people who will have difficulty accurately performing the injection. appropriate medical care for erectile dysfunction due to organic, vice psychological or psychiatric, causes. Nathan is very knowledgeable and helpful in all areas of my requirements. In general, erections can last within a range of about 30 minutes to 2 hours. Erectile Dysfunction Of Vasculogenic, Psychogenic, Or Mixed Etiology. In most cases, Trimix injection results in a hard and lasting erection. Accessibility Im excited to start this new chapter. Benefits of (ICI) INTRACAVERNOUS for ED: Instant, and 98% powerful results Maintain full erection quickly with or without stimulation Control your construction for 30, 60 or 90 minutes Improved stamina and sexual performance No side-effects and Safe and convenient treatment No restrictions on food, alcohol or medications Thoroughly wipe the selected side of the penis using an alcohol swab. He is always following my progress and working to meet any new requirements. Hayashi S, Iwai Y, Yasumoto R, Matsuda J, Kawano M, Omachi T, Kono T, Yamamoto S, Sakakura T, Minami H. Meinhardt W, de la Fuente RB, Lycklama Nijeholt AA, Vermeij P, Zwartendijk J. Kursh ED, Bodner DR, Resnick MI, Althof SE, Turner L, Risen C, Levine SB. Since Intracavernosal (ICI) therapy is a localized form of treatment, the side-effects are minimal and local. Erectile dysfunction: Trimix injections. A syringe can be prepared in advance with the correct dosage and stored in the fridge. This video demonstrates how to use the Autoject 2 device to administer an intracavernosal injection into the penis. Let go of the head of your penis and pick up the syringe with both hands. It is important to note that an erection lasting over 4 hours may require medication attention after that length of time. Tina is very knowledgeable and always responsive, making sure that my health and well being were always addressed first. Very knowledgeable. Additional studies also support the effectiveness of penile injections. They have helped turn my life around physically and mentally with the products they offer. Jere Nolan and all the staff and doctors make you feel like family. Urol Clin North Am. <> I got in contact with this place a few weeks ago, I saw their reviews, more impressed by how fast/appropriately they responded to their customers, is what made me what to give them a shot. They are always available to answer any questions I may have about the program. PMID: 7483132 Abstract Intracavernosal injection therapy has consistently produced erections in 60% to 70% of patients in whom it is tried. Together, you can find a plan that's right for you. 1 0 obj In less than three months of following my personally designed HRT program from Nate, my assigned and always available health coach/consultant, I have already gained 20 lbs in lean muscle and regained 2 and 1/2 inches in height. Hats off to the entire team, I appreciate you all! While there is strong evidence for their effectiveness, this medication isnt guaranteed to work for everyone. Satisfaction profiles in men using intracavernosal injection therapy. Though some oral ED medications are now available in generic form, they can still cost $10 to $20 or more per dose, according to estimates on GoodRx. Would you like email updates of new search results? To successfully obtain an erection, the medication must be injected into the middle third of the penis on the side. Next, remove the cap from the vial and wipe the rubber stopper with an alcohol swab. 2001 Jan;57(1):47-51. doi: 10.1016/S0377-1237(01)80091-5. QuadMiX Injection: Papaverine HCl 150 mg, Phentolamine Mesylate 10 mg, Prostaglandin E1 100 mcg, Atropine Sulfate 1,000 mcg. Patients and methods: Each one of the 20 erectile dysfunction patients was subjected to intracavernosal injection with (30mg Papaverine + 1mg Phentolamine), where penile duplex & clinical evaluation was carried out followed by a wash out interval of 2 weeks after which each patient was subjected to the exact previous procedures using (30 mg . $ 100 fee. The length of time that you can maintain an erection after injection will vary from brand to brand and from person to person. After getting in contact with John he helped me with a step by step guide as to what therapies were available and what would be a great starting point. Laser Vaginal Rejuvenation; Post-Menopausal Vaginal Dryness Laser Treatment; Laser Treatment for Painful . Heather has always been very responsive and very patient with me. My weight was at an all-time low of 165lbs, I had no energy, and my joints were always inflamed and in pain. Regardless of your age or medical conditions, it is safe and suitable for the treatment of Erectile Dysfunction. Such provision comes with the occurrence of regular erections, either sexually-induced or physiologically-induced (REM sleep). Plenty of standard erectile dysfunction treatments exist, but many men prefer natural treatments. All rights reserved. (ICI) has an overwhelming success, it works in the majority of patients, even in those who have tried this treatment before elsewhere, The medication applied locally; hence there are no known systemic side-effects. I found AAI, I spoke with representative from AAI for years They always answered my questions, knowing I was not starting any therapy at the time. Never have I ever felt so rejuvenated and vibrant than after treatment with AAI! An intracavernous (or intracavernosal) injection is an injection into the base of the penis. 2015 May;54(5):668-75. doi: 10.1007/s00120-015-3794-3. The most effective current regimen is a mixture of papaverine-phentolamine and prostaglandin E1, that also seems to have a relatively low incidence of priapism and fibrous nodule formation. aka flower; sololearn python for data science answers. Tina is very knowledgeable regarding all of the products offered that AAI. endobj This is a common problem and the prevalence increases with age. Truly a man of his word! It consists of an intracavernosal injection, visual or manual sexual stimulation, and a rating of the subsequent erection. [Conservative therapy of erectile dysfunction]. You must try her services !! Cialis or generic tadalafil is available from online services, along with other options for people looking to buy ED medication online. I did a 20 week therapy of testosterone, HCG, HGH, Ipamorelin/Semorelin, and BCCA's.. My energy, sleep, fat lose, muscle gain, recovery time, skin, healing from injuries, STAMINA, mood and more have dramatically improved. Medications clearly labeled 1/2, 2/2 etc which coordinated with the packaging list making inventory super simple.The color instructional pamphlets were extremely easy to understand.Great service, as expected at this point. The team at AAI is beyond compare. My Advisor is knowledgeable on their products and protocol as well. The most common drug used for intracavernous injections is alprostadil. He is great to work with. If anybody's thinking about hormone therapy or just trying to feel like they used to feel before, definitely call this place. Bethesda, MD 20894, Web Policies About 4 years ago I started noticing signs of low-T like fatigue, low sex drive and muscle loss so I went to my doctor and was told that its just a part of getting older and that there werent any treatment options he could offer me. Thank you John Preston for all the time you took to explain the whole process to me. To do this: Pick up the rod-like plunger and place it within the barrel of the syringe until it touches the rubber piece. This should only be done immediately before administering each injection. Highly recommended. In some cases, this length of time can be anywhere from about 30 minutes up to 2 hours. Start by checking the expiration date marked on the vial. A full erection is a 4. 1 vial of medication (about 4 to 5 millilitres). Careers. Tina is very responsive to my questions and answers them crystal clear. An intracavernous (or intracavernosal) injection is an injection into the base of the penis, and treatment of erectile dysfunction (ED) since its initial description by Virag in 1982, First introduced in the 1980s, most recognized and most innovative men's health clinic in America, a combined intracavernous injection and stimulation test . I never got past Tina. I highly recommend their services and definitely wouldn't go anywhere else. While the thought of injecting a needle into your penis may make you cringe, a 2019 review found that penile injection therapy is generally an effective and well-tolerated treatment for ED. The two corpora cavernosa are chambers of spongy tissue that run along the sides of the penis. Highly recommend this company!! Doctors reluctant to deal with me and at best, only dealing with symptoms and not the cause.I contacted AAI Rejuvenation and was assigned a very intelligent wellness advisor by the of Heather. However, the current state and future. But combinations of these medications are also widely used. I've only started the therapy for 6 months but WOW what great results!!! Lets review Roman ED treatments and online services. Thank you AAI clinic for making me feel young again. It allows urine and semen to exit the body. Also, thank you Tina for the consistent follow up. www.urologytimes.com Urology Times is celebrating its 50th anniversary in 2022. Erectile dysfunction (ED), formerly termed impotence, is defined as the failure to achieve or maintain a rigid penile erection suitable for satisfactory sexual intercourse. The advent of penile injections began when a scientist working with dogs found that a drug injected into the penis produced an erection. Excellent service. The needle should be at a slight angle, with the plunger facing up at the 10 or 2 oclock positions. He has become a good friend. Injectable. One of my girlfriends' friends had their husband ask me about it. . We say "fill-in" - because its not suited to provide a long term solution. Those were my measurements taken for my physical right before starting my HRT program. In general, ICIs are used as a second-line treatment if conventional oral medications, such as Sildnafil, fail. Alternating sides each time you inject can also help you avoid developing scar tissue. Penile injections can generally be self-administered at home. . Youll need: Once the medication is in the syringe, gently grasp the head of your penis between your thumb and forefinger and pull it straight out in front of you. I highly recommend the PT-141. The treatment of erectile dysfunction in patients with neurogenic disease. Whoever reads this please understand the importance of having a specialist always availble for any questions you have while going through your HRT program. % Keep in mind that a valid pharmacy will require a prescription to purchase medications. Anyone who finds that TriMix is ineffective may be prescribed QuadMix, which combines Trimix and atropine. Dispose of the needle and syringe in a specialized container. Im with AAI for life! stream Intracavernosal injections have a 90% success rate. My wellness advisor John had some great suggestions about my treatment and has been instrumental in me feeling the best I have felt in a long time. Methods Literature review. John and his team have been wonderful, I have some metabolic issues that can complicate things but they have always been responsive and helpful with my treatment. The issue, and the reason you don't hear much about penile injections? endobj Many agents and combinations of agents have been used and remain available for use today. The syringe is then injected around the midpoint of the penis, which will maximize the medications effect and prevent interference with nerves or blood vessels. [1] While no specific time period is part of this definition, some have suggested that the condition needs to persist for six months. Excellent treatment options at better prices than other providers Ive researched. Im 52 now and have never felt better: built more muscle, lost fat for six pack, better skin (which people compliment all the time) and improved libido. To treat priapism, try applying an ice pack to your penis. They are friendly, knowledgeable, respond quickly to concerns, and are always there to answer any questions you may have. Intracavernosal injection (ICI) of a vasoactive agent has been an important part of the diagnosis, evaluation, and treatment of erectile dysfunction (ED) since its initial description by Virag in 1982. The doctor and staff are simply amazing. Following intracavernosal injection of 20 mcg alprostadil, . Pills for ED cost roughly $20 to $40 per dose. Bookshelf We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. People with erectile dysfunction may find that penile injections are a very effective treatment that can work much faster than some other alternatives. For example, people who develop ED after prostate cancer treatment may be eligible for coverage. highly recommend! background-color: rgba(46,166,247,1); This kind of care is hard to find and I find it to be invaluable.Thank you to Nate and the whole AAI staff! Oct 16, 2022 #1 Urology Times 50 Innovations Series: Intracavernosal injections for erectile dysfunction Joshua A. Broghammer, MD, discusses the development and use of intracavernosal injections for the treatment of patients with erectile dysfunction. I became a patient of AAI 4 years ago and thrilled I made the choice I did. John and Tina have always been readily available to answer questions and provide guidance, and skilled doctors are on call to dial in your wellness strategies. Nathan has been awesome. 25 It is thought to be of most benefit in men whose ED has a . Place the needle against the skin in the chosen area and slide the needle into the shaft. Also giving me optimal performance in my daily life and relationship.Thanks again AAI. Prices are reasonable as well. Put the syringe in the sharps container for disposal. Yes, when performed correctly, these injections are safe. He is very informative and attentive. 2. John Preston has been incredible helpful. I'm already feeling more energy, more focus, and better well being. As pressure builds up against an unyielding envelope (called a tunica albuginea), venous outflow blocked, an erection develops within a few minutes. Transl Androl Urol. Duncan C, et al. This site is amazing. Be sure to avoid an area with a visible blood vessel. Hsiao W, et al. CK`PGv[f|rl,0wOd`Y#?.WbS X,tY+4}%8EcLl) O[ { Cp(gsr9O. They tweaked it until it works perfect for me. Always begin by washing your hands with soap and water before you handle any of the equipment. There are many ways to treat ED, including lifestyle measures, psychotherapy, oral medications, surgical procedures, and penile injection therapy, also known as intracavernosal injection. Intracavernosal (ICI) Therapy and physical Erectile Dysfunction. He is very quick to respond and plan out your health regimen. However, you should follow the initial dose at least twice before determining if it needs to be adjusted. Once reconstituted with 5 mL of Bacteriostatic Water: Papaverine HCl 30 mg/mL, Phentolamine Mesylate 2 mg/mL, Prostaglandin E1 20 mcg/mL, Atropine Sulfate 200 mcg/mL. I spoke with John, who is extremely knowledgable and helped me get what I needed, as well as advised me on the best way to go about it. Federal government websites often end in .gov or .mil. Staff is friendly, helpful, knowledgeable and great with follow up, feed back and all general communication. I really feel decades younger. Do this for 2 or 3 minutes to avoid any bleeding or bruising. He is extremely knowledgeable and always available to answer any questions you may have, day or night. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. They all contain alprostadil one of the ingredients in TriMix. this treatment is effective in providing adequate erections - up to 80% of patients respond to treatment with intracavernosal alprostadil (1) erection occurs typically 5-15 minutes after penile injection and frequently last 30-40 minutes, although the duration can be dose dependent. He had answers to all of my questions as well as answers to questions I didn't know I had. Tina Montoro is a wonderful Clinical Director for AAI. They absolutely make no suggestions before they have your blood work and your current health and future health is there number one concern. Avoid injecting medication into the urethra, as this can cause pain or a burning sensation. They help treat ED by improving blood flow to the penis, which leads to firmer erections. A quick phone conversation to address my concerns about not being able to receive a parcel while traveling for work, and there was no more concern as John coordinated shipping during my off time.This Rx was filled by Empower Pharmacy. 1 Department of Urology, University of Iowa, Iowa City, USA. An erection is usually measured on a scale of 0 to 4. This is my second time working with AAI in the last few years. Adjust your hand so your thumb or index finger can push the plunger. sharing sensitive information, make sure youre on a federal Heather Behrens is my wellness adviser, she is on point and takes very good care of me. Really lucky to have found this place they were very quick in communication and John does an amazing job at answering all your questions and following up with you on a 1 on 1. (2015). Proper placement of the needle can help avoid temporary irritation and swelling. Tina and John Preston have provide me with great customer service. Initiate dosing with 2.5 mcg of alprostadil. Three friends of mine have seen the results and are planning their own return to awesomeness! I do eat well and exercise but Nathan has helped me get to another level I never did when I was younger. Intracavernosal Injection Therapy (ICI) is a well-known nonsurgical erectile dysfunction "fill-in" treatment that's been around since 1983. Nathan has been great thus far and would recommend based on the service and timely response with my concerns. They showed me several additional options I was not aware of. endobj I am very pleased with my experience. Combination medications include BiMix, which is papaverine and phentolamine, and TriMix, which contains all three medications. The entire process has been simple and very descriptive and shipping is fast as well! Looking forward to working with AAI. Gently tap the syringe to remove any air bubbles.