Botox for Erectile Dysfunction (Bocox)

Explore a Novel, Minimally Invasive Therapy for Improved Erections

Botox for ED, also known as Bocox, is an innovative and promising treatment using botulinum toxin—the same compound used in wrinkle reduction—to enhance penile blood flow and erection quality. This non-surgical option is ideal for men who have not responded well to traditional medications or want to reduce reliance on pills.

At our clinic in Lucknow, we’re proud to be among the first to offer this cutting-edge, experimental ED therapy with precision and care.

How It Works

Botox works by relaxing overactive smooth muscles in the penis and surrounding blood vessels:

  • In men with ED, too much muscle tone in the penile arteries may restrict blood flow.

  • Botox injections reduce this tension, allowing for better blood inflow and erectile rigidity.

  • It does not interfere with natural arousal but rather makes erections easier to attain and maintain.

Think of it as reducing the “brakes” that inhibit your erection response.

The Procedure

  • Performed under local anaesthesia or nerve block

  • Tiny injections placed at the 3 and 9 o’clock positions of the penile shaft

  • Approximately 10–15 minutes in duration

  • No hospitalization needed; go home the same day

Post-procedure, we recommend avoiding sexual activity for 3–5 days to allow the toxin to bind optimally and minimize irritation.

Expected Results

  • Effects begin in 5–7 days, peak at 2 weeks

  • Most men report:

    • Stronger morning erections

    • Easier stimulation-based arousal

    • Greater rigidity and duration of erections

  • Lasts 3–4 months, with repeat injections as needed

Botox doesn’t create unwanted erections. It supports natural ones when arousal signals are present.

Ideal Candidates

Men who may benefit include those who:

  • Do not respond well to PDE5 inhibitors (Viagra, Cialis)

  • Wish to reduce or avoid systemic medications

  • Have muscle tension-related ED, such as hard-flaccid syndrome

  • Are combining with PRP or Shockwave Therapy for added benefit

Safety and Risks

Botox for ED is considered safe when performed by a trained medical professional:

  • Botox remains localized and doesn’t impact sperm, testosterone, or orgasm

  • Side effects are rare but may include:

    • Temporary urinary leakage (very rare)

    • Mild bruising or tenderness at injection sites

  • No risk of uncontrollable or spontaneous erections

We perform a full assessment to ensure suitability, especially for men with bleeding disorders or neuromuscular conditions.

Combination Therapy Options

For more robust results, Botox can be part of a multi-modality plan:

  • Shockwave + PRP + Botox

    • PRP and shockwave promote tissue regeneration

    • Botox offers near-term improvement in performance

  • May reduce or eliminate the need for daily pills

  • Custom plans available based on your medical profile and goals

FAQs – Botox for Erectile Dysfunction

Does it hurt to inject into the penis?

Not significantly. With proper numbing cream or nerve block, most men feel only a mild pinch or pressure. The procedure is quick and well-tolerated.

How does it compare to Viagra?

They work differently:

  • Viagra increases blood flow chemically during arousal

  • Botox relaxes muscles for longer-term, baseline improvement.Many men find they need lower doses of meds or none at all after Botox.

Will I get uncontrollable erections?

No. Botox supports natural erections—you still need arousal. It doesn’t force erections or cause random ones.

What if I don’t like the effect?

The treatment is temporary. If you’re not satisfied, results fade within a few months, and no permanent changes occur.

How do I know if I’m a good candidate?

We assess:

  • Your ED history

  • Possible causes (vascular, muscular, hormonal)

May recommend penile Doppler ultrasound to evaluate blood flowIf there’s evidence of vascular resistance, Botox is a viable option.

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