Penis Injections for Erectile Dysfunction (ICI) – What They Don’t Tell You + Pelvic Floor Physio

If your urologist has mentioned penis injections or intercavernosal injections (ICIs) for erectile dysfunction, it can sound terrifying. In this video, I break down exactly what these injections are, how they work, what the risks are, and how men’s pelvic floor physiotherapy can support erection quality, confidence, and recovery alongside medical treatment. I’m a men’s pelvic floor physiotherapist, and I work with men dealing with erectile dysfunction, penile pain, and post‑prostatectomy issues. This video is designed to be a clear, non‑judgmental guide so you can make more informed decisions with your urologist. 💉 What are intercavernosal penile injections? Intercavernosal injections are tiny injections of medication (often alprostadil or combination drugs) directly into the erectile tissue of the penis. They’re typically used when oral medications (like PDE5 inhibitors – Viagra, Cialis, etc.) are not working well enough or aren’t appropriate because of other medical conditions. These medications help open up blood vessels in the corpora cavernosa, allowing more blood to enter and stay in the penis, which can create a firm erection even when nerve signalling has been affected (for example, after prostate surgery). In this video, we cover: How the injections are given How long they usually take to work How often they’re typically used Why correct dosing and technique are so important ⚠️ Risks and side effects (in plain language) Before you try any erectile injection, you need to understand the potential risks and side effects so you can have an informed conversation with your urologist. We’ll talk through: Pain or bruising at the injection site Prolonged erection (priapism) and why this is an emergency Fibrosis or curvature risk with chronic use Anxiety, fear of needles, and how this affects your overall sexual experience This is not about scaring you away from treatment, but about helping you understand how to use it as safely and effectively as possible with medical supervision. 🏋️‍♂️ Where pelvic floor physiotherapy fits in Penile injections target the vascular side of erections, but many men also have issues with pelvic floor function, tension, or coordination that can affect erection quality, penetration, and orgasm. In this video, I explain: How a hyperactive or tight pelvic floor can interfere with blood flow and erection quality Why some men with ED also have pelvic pain, perineal tightness, or urinary symptoms How down‑training (relaxing) the pelvic floor can complement medical treatments How graded strengthening and coordination work can support penetration, stamina, and confidence Pelvic floor physio does not replace medical treatment, but it can help optimize the system around the penis: the muscles, nerves, breathing patterns, and nervous system state that all interact with sexual function. ✅ What you’ll take away from this video By the end of the video, you’ll have: A clear understanding of what intercavernosal penile injections are A realistic view of benefits, risks, and safety considerations A roadmap for how pelvic floor physiotherapy can support your erections, comfort, and confidence Practical strategies you can discuss with your urologist and physio 🙋‍♂️ Who this video is for Men considering or already using intercavernosal injections for ED Men after prostate surgery or pelvic surgery Partners who want to understand what their loved one is going through Health professionals interested in a pelvic rehab perspective on ED 📩 Work with a men’s pelvic physio If you’re dealing with erectile dysfunction, penile numbness, pelvic pain, or urinary symptoms and want a pelvic floor–focused assessment, look for a local men’s pelvic health physiotherapist in your area. If you don’t know where to start, ask your urologist or family doctor for a referral. 👍 Support the channel If you found this helpful: Like the video to help more men find this information Comment with your questions (or topics you want next) ⚠️ DISCLAIMER Junichi Swope produces these videos solely for educational and entertainment purposes. The content provided is not medical advice and should not substitute professional guidance from your primary care physician or healthcare provider. Always seek advice from a qualified expert before trying any exercises, techniques, or suggestions mentioned in these videos. Junichi Swope is not responsible for any actions taken or consequences resulting from the use of this content. Your health and safety are your own responsibility. TIMESTAMPS: 00:00 Are Penis Injections Right for You? 00:41 When to Use Injections? 01:22 Pelvic Floor Physio for ED 03:29 Practical Tip #1 03:44 Practical Tip #2 04:10 Practical Tip #3