Penis Injection Therapy for Treatment of ED in Men in NYC

by Dr. Alex Shteynshlyuger 

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.

At New York Urology Specialists we have successfully treated thousands of men who previously suffered from problems with erections. All treatment is confidential.

Penile Injection Treatment for Erectile Dysfunction: What You Need to Know

When oral pills such as Viagra, Cialis, and Levitra do not work well, injectable medications can be used to directly deliver medications that improve blood flow to the penis and allow men to get excellent erections.  These medications are self-injected directly into the penis at home, typically 10-15 minutes before sex.

Penile injection therapy results in high satisfaction rates among men for whom oral medications do not work well.  Men who experience severe side effects from oral medications, such as sildenafil and tadalafil, can use penile injections to get good erections.

The part of the penis that creates erections is called “corpus cavernosum”. Injectable medications used in the treatment of ED are injected directly into the part of the penis where erections occur.

Penile Injections for ED in NYC: How to Get Started

At New York Urology Specialists, we offer penile injection therapy with Trimix, Quadmix, Edex and other effective preparations for the treatment of erectile dysfunction.

Schedule an appointment for an evaluation to see if you are a good candidate for penile injection treatment for ED.  At New York Urology Specialists you may save thousands of dollars by learning facts about other penile injections such as “platelet injections” that are offered for ED.

Benefits of Penile Injections For Treatment of Erectile Dysfunction.

Erectile dysfunction treatment with injections offers a number of benefits to men.  Penis injections allow many men to obtain excellent erection quality (hardness) when oral pills and supplements do not work as well.  Using injection therapy for erectile dysfunction can also allow men to maintain erections for a prolonged period of time without losing it even after ejaculation.  This is helpful to men with premature ejaculation.

Many men are worried about the pain of self-injecting medications in the penis. Fortunately, using tiny needles, penile injections are nearly painless.

Treatment with Penis Injection Therapy

At New York Urology Specialists, we offer therapy with penile injection therapy as one of the many options for men who experience difficulty obtaining erections that are sufficient for intercourse.  Our procedure for men who are interested in penile injections for ED:

  • Schedule an initial appointment for evaluation; necessary tests and blood work are ordered
  • Penile Doppler ultrasound is performed to evaluate the cause of ED and a test injection is given
  • Another test injection may be necessary to select a correct dose of medications.
  • If a patient wants to use penile injections at home for treatment of ED, the patient can order penile injections to be used at home.  The patient will be taught how to self-inject correctly.

Our experienced urologists have treated hundreds of men with penile injection therapy.

Penis Injections for Treatment for Weak Erections

A few different medications are available to choose from that can be injected into the penis to produce a good erection.  We use our extensive experience and patient preferences to determine the most appropriate medication for each patient.

Medications used for penile injections act on the blood vessels to improve blood flow to the penis.  Injectable medications used for ED treatment include in order of potency:

Each medication (Prostaglandin, Bimix, Trimix, Quadmix) is available in multiple concentrations (strengths); medications obtained from different pharmacies are not interchangeable.

Getting Penile Injections

Medications used for penile injections require a prescription. At New York Urology Specialists we require a full evaluation before penile injections are prescribed.  It is important that you fully understand all options available for the treatment of ED as well as the risks and benefits of penile injection therapy for impotence.

Before we prescribe penile injections, the correct medication and the correct dose need to be selected. In general, when choosing medication our goal is to select the medication and dose to provide an excellent erection that does not last more than 1 hour (to avoid the risk of priapism).  This is typically performed during a penile Doppler ultrasound study to evaluate the severity and cause of erection problems.

Retail pharmacies such as CVS, Walgreens and others do not carry Bimix, Trimix and Quadmix; these need to be custom-ordered from special pharmacies. At New York Urology Specialists we only use FDA-certified pharmacies.  Retail pharmacies carry EDEX and Caverject but tend to be very expensive compared to generic prostaglandin

For the convenience of our patients, we work with pharmacies that offer less expensive injectable medications that require refrigeration; we also work with pharmacies that offer more expensive medications that do not require refrigeration which is convenient for men who travel extensively.

Side Effects of Penile Injection Therapy

Injectable medications for ED are highly effective but they are associated with some side effects which do not occur with oral medications.  

A small number of men may experience pain after penile injections if the erections are too strong. Lowering the dose of medications usually solves this problem. 

When prostaglandin is injected alone, 30-40% of men report pain which occurs when the medication starts working, typically 10-15 minutes after injection This pain is rare with Trimix and does not occur with Bimix.  Pain typically goes away after a few hours. Pain is dose-dependent. If a small dose of prostaglandin does not cause pain, a higher dose might cause penile pain.  For men who experience pain with alprostadil, the medication is usually changed to Bimix or Trimix.

Additional risks of injectable medications are priapism (an erection that lasts more than 3-4 hours). Should an erection last more than 3-4 hours, the patient needs to go to the nearest emergency room for treatment.  Typically, the first few doses of these medications are administered in our office and the patient is observed; the goal is to choose a dose of medication that creates a good erection that lasts under an hour.  This minimizes the risk of priapism.  We require patients to have phenylephrine injections at home to self-inject in case erections last more than 2 hours to make erections go away.  

Long-term use of penile injections is also associated with a risk of developing scarring in the penis which can lead to penile curvature, narrowing, or shortening (Peyronie’s disease).

Who is a Good Candidate for Penile Injection Therapy for ED

Penile injection therapy is a well-tolerated treatment for ED with high effectiveness.  It is appropriate for men who do not achieve desirable results with oral treatment options such as Viagra, Cialis, Levitra, and Stendra or for whom shockwave therapy for ED does not work.  

Penile injection is a good alternative for men who experience unpleasant side effects from oral medications such as sildenafil, tadalafil, and avanafil. Penile injections are also used as part of penile rehabilitation therapy after radical prostatectomy.  Men for whom penile injection therapy does not work or they are unwilling to self-inject can be effectively treated with a penile implant.

Please read important considerations about penile injection therapy. Learn about other treatment options for impotence in men.

Read answers to common questions about penile injections, considerations when traveling with Trimix, and the logistics of penile injections.

Where to Get Treatment for ED in NYC?

At New York Urology Specialists, we offer specialized treatment for ED for men. Same-day appointments are available.

Call/text today: 1-646-663-5211 or make an appointment online.  

We treat sexual and erection problems and offer comprehensive STD testing for infections.  We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty. We offer confidential appointments.

Our prices are ED treatment prices are affordable with or without insuranceLow-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.  We offer free insurance verification.

Read Real Stories of Men who Underwent Treatment for ED at New York Urology Specialists.

We offer ED treatment to patients within driving distance to our offices as well as from other states and countries.  Our patients come from New York, New Jersey, Pennsylvania, and Connecticut, and over 30 countries worldwide.

What do Penile Problems Look Like?

You can find pictures of penile problems including before and after treatment images in our image gallery.

What You Need to Know:

Why Choose New York Urology Specialists for Treatment of Erectile Dysfunction?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of ED, premature ejaculation, and other sexual problems using medical therapy, minimally invasive therapies, lasers, and surgery.
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual, and erection problems in men.
  • We offer diagnostic testing in our office which avoids hospital costs.
  • Extensive Experience: Thousands of men have treated successfully using medical therapy, shockwave therapy for ED, penile injections with Trimix, and penile implant surgery.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual and erection problems in men.
  • We are conveniently located within 30-60 minute commute to men who are seeking ED treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

Scheduling Appointments for ED Treatment at New York Urology Specialists

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable prices with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.

We offer weekday, weekend, and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation, and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.

Patients Reviews

Overall Rating:


Total Ratings


Total Reviews



Ease of Appointment: Bedside Manner:
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Accurate Diagnosis:

best urology doctor
by on Feb 14, 2021

Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.

solved my problem with ED
by on Jan 29, 2021

Dr. Shteynshlyuger helped to solve my problem with ED

Very Pleased
by on Jan 21, 2021

Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S

by on Jan 11, 2021


treatment from New York Urology
by on Jan 07, 2021

My problem with ED is gone with my treatment from New York Urology!

What went well

Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions

What could be improved

recommend Dr. Shteynshlyuger
by on Jan 04, 2021

Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.

I would highly recommend it to anyone
by on Oct 11, 2020

I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don't regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! quick story after the procedure I was in soo much pain and called the office on a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me.

highly qualified diagnostician
by on Sep 23, 2020

I have been observed by Dr. Alex for many years and I must say that he is a highly qualified diagnostician, and also several times I have received qualified microsurgical assistance and very useful advice. The only reason I put 4 with a plus is a somewhat long wait for the reception.

very friendly staff
by on Apr 12, 2020

excellent doctor and all very friendly staff

Doctor Shteynshlyuger provided me with the care I needed
by on Mar 11, 2020

The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.

Patient review
by on Jan 24, 2020

Shang Ring circumcision
by on Oct 29, 2019

Overall, it was a good experience. Dr. Shteynshlyuger (Dr. Alex) was very nice, warm and helpful. He performed a Shang Ring circumcision for me and the procedure went well. I'm pleased with the results and there were no complications. If anyone is interested in the shang ring circumcision in the tristate area, then I'd recommend him. The whole procedure is $1850, which includes the initial consultation (provided that ther are no complications) and every follow up visit up to six months.

What went well

Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions

What could be improved

Office very convenient location
by on Aug 13, 2019

Office very convenient location Don’t have to wait for long Staff very friendly Dr shteynshyuer very experienced I had my serviced done in 3 visits now I feel good now Than you Dr. shteynhlyuger

Peronis Disease
by on Aug 04, 2019

Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.

3P Removal
by on Jul 24, 2019

Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.

by on Jul 18, 2019

Therefore I would like to recommend you to anyone who need your services.

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

by on Jul 09, 2019

Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!

Friendly , courteous, effiecient and professional
by on Sep 15, 2018

Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex

Satisfied Patient
by on Sep 15, 2018

I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex

Surgical Procedure
by on Sep 01, 2018

Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee

by on Aug 16, 2018

Outstanding service

A very good doctor
by on Aug 15, 2018

Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense

urology services
by on Apr 11, 2018

I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.

My wife was elated
by on Jan 15, 2018

Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis

by on Dec 05, 2017

"Cannot express how thankful I am I found Dr. Shtetnshlyuger. After undergoing surgery to correct a penile torsion I couldn't be happier with the results. A great doctor who is clearly good at what he does. With something as important as your private area, It's nice to be able to rest easy and know you are in good hands.." via 12/5/2017

by on Nov 19, 2017

I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.

Dr visit
by on Sep 14, 2017

I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

Thank you for excellent care
by on Jan 07, 2013

Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013

We love you!
by on Feb 16, 2012

Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.

ED is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction.  We understand the challenges that ED creates for our patients, their relationships, and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex ED Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.

We offer weekday, weekend, and evening office hours.


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