WHAT TO DO WHEN IT WON’T WORK: PELLETS

There are men who are needle phobic. They just cannot bring themselves to self-inject anywhere, let alone into their penises. They would rather be impotent, for these men there is a gentle alternative. They can achieve the same effect by inserting a tiny gel pellet into the eye of the penis. This transparent white pellet looks like a grain of rice and, depending on the dosage, is either 3 mm or 6 mm long.

After the pellet has been inserted with a small, lightweight applicator, an erection usually begins building within 7 to 12 minutes. The duration that the resulting erection lasts varies among individuals but is usually between 30 minutes and an hour.

This system is called MUSE, which is an acronym formed from Medical Urethral System for Erections.

Using pellets is, apparently, not difficult, and only in rare cases does a narrowing in the urethra prevent insertion. When this happens, force should never be applied.

Common side effects of MUSE are relatively minor and include burning and aching in the penis and groin, redness in the penis due to increased blood flow and blood spotting due to improper administration.

It uses a single drug called prostaglandin, which is now considered the gold standard for treatment of erectile difficulties and is a well-tested, safe drug.

One thing most men want to know is if it will hurt. At first there may be some discomfort using MUSE, but with repeated use administration usually becomes easier. There are techniques for reducing discomfort.

Men also want to know if it is safe for their partners. During the trials, about 6 per cent of women complained of vaginal burning or itching. It was unclear whether this was caused by MUSI! or by resuming sexual intercourse after a prolonged interval.

MUSE cannot be used with safety more than twice a day.

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