Penile Botox for Erectile Dysfunction in Sacramento — Master Certified Provider
Your erections used to be automatic. Now they require planning, pills, and patience — and even then, the results aren’t what they once were. UroFirm™ penile Botox addresses erectile dysfunction at the tissue level.
Your erections used to be automatic. Now they require planning, pills, and patience — and even then, the results aren’t what they once were. UroFirm™ penile Botox addresses erectile dysfunction at the tissue level, injecting botulinum toxin directly into the erectile chambers to relax the smooth muscle that’s been limiting blood flow. Dr. Jack Friedlander, one of Northern California’s most experienced men’s health providers, performs the procedure at his Roseville clinic for $1,890. Twenty minutes. No pills. Months of improved function.
How Botox Treats ED
The erectile tissue of the penis — the corpus cavernosum — is lined with smooth muscle that must relax to allow blood in. Norepinephrine, a naturally occurring neurotransmitter, contracts this muscle. In men with ED, the balance is off: too much contraction, not enough blood flow.
UroFirm™ corrects this by injecting 100 units of botulinum toxin into the corpus cavernosum. The toxin blocks norepinephrine at the nerve-muscle junction. Smooth muscle relaxation improves. Blood flow improves. Erections improve. Published research confirms the mechanism — Doppler ultrasound studies show measurably increased penile blood flow, and SHIM scores rise.
Numbing cream first. Injection takes minutes. No downtime. Results over 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 to Expect from UroFirm™
Harder erections. More spontaneity. Potentially less need for medication. Better response to medication you’re already taking. Less retraction. More confidence. Clinical data behind it — not just anecdotal reports. Quick, non-surgical, repeatable.
Harder Erections
Harder erections. More spontaneity. Potentially less need for medication. Better response to medication you’re already taking.
No Daily Pills
Quick, non-surgical, repeatable. No daily commitment. One visit delivers months of improved function.
Less Retraction
Less retraction at rest. More confidence throughout the day.
Clinical Data
Clinical data behind it — not just anecdotal reports. Published research with Doppler ultrasound confirmation.
Is This for You?
If erections have become a source of frustration rather than confidence, this is worth considering. UroFirm™ is for men who want better function without depending more heavily on pills. It’s for men who want a targeted treatment rather than a systemic medication. It’s for men in the Sacramento region who want access to this procedure from a provider who has performed thousands of men’s health procedures.
✓ Ideal Candidates
- Men whose erections have become a source of frustration rather than confidence
- Men who want better function without depending more heavily on pills
- Men who want a targeted treatment rather than a systemic medication
- Men in the Sacramento region who want access from a provider with thousands of procedures performed
✗ 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 Roseville Clinic
You check in and are brought to a private treatment room.
Numbing Cream Applied
Numbing cream. Brief wait while it takes effect.
Injection Performed
Injection — 100 units into the erectile tissue. Done in under 25 minutes.
Walk Out & Resume Your Day
No restrictions. Resume all activities immediately.
Results Develop Over 1–6 Weeks
Improvement over the following weeks. Peak effect at four to six 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 Sacramento Provider
Dr. Jack Friedlander, MD
Dr. Jack Friedlander is a Urosculpt™ Master Certified provider based in Roseville. One of Northern California’s most experienced men’s health procedure specialists, he performs UroFirm™ alongside the full range of Urosculpt™ treatments.
Clinic Location
5 Medical Plaza Dr, Ste 150, Roseville, CA 95661
What Our Patients Say
Frequently Asked Questions
Serving the Sacramento Region
Our Roseville clinic serves men throughout the Sacramento region and surrounding communities.
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.
Schedule Your Sacramento Area Appointment
Fill out the form below and our team will contact you to schedule your visit at our Roseville clinic.
📍 5 Medical Plaza Dr, Ste 150, Roseville, CA 95661