Botox for ED in New York City — Confidential, Physician-Performed, $1,890
New York doesn’t slow down, and neither should your sex life. UroFirm™ penile Botox is a 20-minute treatment that improves erectile function by addressing the smooth muscle restriction that limits blood flow in the erectile tissue.
New York doesn’t slow down, and neither should your sex life. UroFirm™ penile Botox is a 20-minute treatment that improves erectile function by addressing the smooth muscle restriction that limits blood flow in the erectile tissue. Two board-certified dermatologists — Dr. Jonathan Trager (Master Certified) and Dr. Dmitriy Schwarzburg (Advanced Certified) — perform the procedure at Manhattan offices with the same confidentiality as any dermatology appointment. $1,890. No pills. No downtime. No one needs to know.
The Science
Inside the penis, two chambers of spongy tissue called the corpus cavernosum must fill with blood to produce an erection. This requires smooth muscle relaxation. In ED, norepinephrine over-contracts this muscle, choking off blood flow.
UroFirm™ delivers 100 units of botulinum toxin directly into the corpus cavernosum. The toxin blocks norepinephrine. Smooth muscle relaxes. Blood flow normalizes. Erections become firmer and more reliable — not from a systemic drug, but from the tissue itself functioning properly again.
Numbing cream. Quick injection. No downtime. Results in one to two weeks. Peak at four to six weeks. Lasts approximately six months.
Numbing Cream Applied
A topical anesthetic is applied to the treatment area. You relax for about 15 minutes while it takes full effect, ensuring your comfort throughout the procedure.
Botulinum Toxin Injected
Your provider injects 100 units directly into the corpus cavernosum. The injection itself takes just a few minutes. Most men describe only a brief pinch or pressure.
Results Develop
You leave the office and go about your day — no downtime. Improvement begins within one to two weeks, with full results at four to six weeks lasting approximately six months.
What Changes
Erections that respond more naturally to arousal. Less planning around pills. Improved firmness and reliability. Better response to Viagra or Cialis if you still use them. Reduced retraction. More confidence. Published RCT data supports these outcomes — this isn’t theoretical.
Natural Erections
Erections that respond more naturally to arousal. Less planning around pills. Improved firmness and reliability.
Better Medication Response
Better response to Viagra or Cialis if you still use them. Many men find their pills work significantly better post-UroFirm™.
Reduced Retraction
Reduced retraction. More confidence. Published RCT data supports these outcomes — this isn’t theoretical.
Discreet & Confidential
Performed at Manhattan offices with the same confidentiality as any dermatology appointment. No one needs to know.
Is This for You?
Men whose erections have declined and who want more than a pill can offer. Men who want discreet, physician-level treatment in Manhattan. Men who are frustrated with the logistics of ED medication. Men who want clinical evidence behind their treatment.
✓ Ideal Candidates
- Men whose erections have declined and who want more than a pill can offer
- Men who want discreet, physician-level treatment in Manhattan
- Men who are frustrated with the logistics of ED medication
- Men who want clinical evidence behind their treatment
✗ This May Not Be Right If…
- You have a known allergy to botulinum toxin products
- You have an active infection at the injection site
- You are looking for a permanent, one-time solution
- You have untreated severe underlying vascular conditions
Your Visit
Arrive at the Manhattan Office
You check in and are brought to a private treatment room with complete confidentiality.
Numbing Cream Applied
Numbing cream applied. Brief wait while it takes effect.
Injection Performed
Injection — 100 units into the erectile chambers. Minutes. Done.
Walk Out & Resume Your Day
Total visit under 25 minutes. No restrictions afterward.
Results Develop Over 1–6 Weeks
Erection quality improves progressively over the following weeks.
One Treatment. One Price.
- 100 units of botulinum toxin (neuromodulator)
- Complete in-office procedure
- Follow-up consultation included
- No hidden fees — cash-pay, not billed through insurance
Your NYC Providers
Dr. Jonathan Trager, MD
Dr. Jonathan Trager is a board-certified dermatologist holding four board certifications and Urosculpt™ Master Certification, with practices in Manhattan and Great Neck.
Dr. Dmitriy Schwarzburg, MD
Dr. Dmitriy Schwarzburg is a board-certified cosmetic dermatologist and Advanced Certified Urosculpt™ provider in New York City.
Clinic Location
240 W. 37th Street, New York, NY 10018
📍 29 Barstow Rd, Ste 201, Great Neck, NY 11021
Get Directions →📍 157 East 64th Street, 2nd Floor, New York, NY 10065
Get Directions →What Our Patients Say
Frequently Asked Questions
Serving the NY Metro Area
Our Manhattan and Great Neck locations serve men across the NY metro area — all five boroughs, Long Island, Westchester, Northern New Jersey, and Southern Connecticut.
Published Research
- El-Shaer W, et al. “Intracavernosal injection of botulinum toxin type A for treatment of vasculogenic erectile dysfunction: a prospective, randomized, double-blind, placebo-controlled study.” Andrology. 2021;9(4):1166–1174. doi:10.1111/andr.13005
- Elshamma NO, et al. “Safety and efficacy of intracorporal injection of botulinum toxin type A in management of vascular erectile dysfunction in diabetic patients.” Andrologia. 2022;54(5):e14399. doi:10.1111/and.14399
- Mehta P, et al. “Botulinum toxin A injection into the corpus cavernosum for erectile dysfunction: systematic review and meta-analysis.” Sexual Medicine Reviews. 2023;11(3):238–247. doi:10.1093/sxmrev/qead020
- Giuliano F, et al. “The role of botulinum toxin in neuro-urology: clinical implications.” European Urology. 2022;82(1):1–10.
Book Your NYC Appointment — Confidential
Fill out the form below and our team will contact you to schedule your confidential visit at our Manhattan or Great Neck office.
📍 240 W. 37th Street, New York, NY 10018
Also: 29 Barstow Rd, Ste 201, Great Neck, NY 11021
Also: 157 East 64th Street, 2nd Floor, New York, NY 10065