Penile Botox for Erectile Dysfunction in Seattle — Firmer Erections Without Pills
If your erections aren’t what they used to be — less firm, less reliable, slower to respond — you are describing the experience of nearly half of men over 40. UroFirm™ penile Botox is a single in-office treatment that addresses the root cause: restricted blood flow in the erectile tissue.
If your erections aren’t what they used to be — less firm, less reliable, slower to respond — you are describing the experience of nearly half of men over 40. UroFirm™ penile Botox is a single in-office treatment that addresses the root cause: restricted blood flow in the erectile tissue. Botulinum toxin is injected directly into the corpus cavernosum, relaxing smooth muscle and allowing blood to flow more freely. Two Urosculpt™ Master Certified physicians — Dr. Adriana Rosales and Dr. Amit Grover — perform UroFirm™ at their Bellevue clinic, giving men across the Seattle metro a 20-minute alternative to daily pills.
How Penile Botox Improves Erections
Erections depend on blood flow. When you become aroused, the smooth muscle inside the corpus cavernosum — the two erectile chambers running the length of the penis — needs to relax to allow blood in. In men with ED, norepinephrine keeps this smooth muscle contracted, restricting the blood flow that produces firm erections.
UroFirm™ works by injecting 100 units of botulinum toxin (Botox, Xeomin, Dysport, or Letybo) directly into the corpus cavernosum. The toxin blocks norepinephrine release at the nerve-muscle junction, allowing the smooth muscle to relax more fully. The result: blood flows into the erectile chambers more freely, producing firmer, more reliable erections.
The procedure takes 15 to 25 minutes. A topical numbing cream is applied beforehand — most men report minimal discomfort. There is no downtime; you return to normal activities the same day. Results develop over one to two weeks, peak around four to six weeks, and last approximately approximately six months. The treatment can be repeated every four to six months to maintain results.
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 UroFirm™ Can Do for You
UroFirm™ targets erectile function at the tissue level — not by masking symptoms with a pill. Men who undergo the treatment commonly report firmer, more spontaneous erections without needing to plan around medication timing. Some men find they can reduce or eliminate their use of PDE5 inhibitors like Viagra and Cialis. Others who still use those medications report that they work significantly better after UroFirm™.
Beyond erection quality, many men notice reduced penile retraction — a fuller resting appearance due to improved baseline blood flow. The confidence that comes with reliable sexual function often extends beyond the bedroom. And unlike daily medication, UroFirm™ is a single treatment with effects lasting months — no refills, no timing, no daily routine.
Firmer Erections
UroFirm™ targets erectile function at the tissue level — not by masking symptoms with a pill. Men commonly report firmer, more spontaneous erections without needing to plan around medication timing.
No Daily Pills
Unlike daily medication, UroFirm™ is a single treatment with effects lasting months — no refills, no timing, no daily routine. Some men reduce or eliminate their use of PDE5 inhibitors like Viagra and Cialis.
Reduced Retraction
Many men notice reduced penile retraction — a fuller resting appearance due to improved baseline blood flow. The confidence that comes with reliable sexual function often extends beyond the bedroom.
Enhanced Medication Response
Men who still use Viagra or Cialis report that those medications work significantly better after UroFirm™. The treatment works through a completely different mechanism, complementing existing therapies.
Who Is UroFirm™ For?
UroFirm™ is designed for men whose erections have become less reliable — whether that means difficulty getting fully hard, losing firmness during sex, or needing medication every time. It is also for men who respond partially to Viagra or Cialis but want better results, and for men who are tired of planning their sex life around a pill’s timing window. If your erectile function isn’t where you want it and you prefer a non-surgical approach, this treatment is worth exploring.
✓ Ideal Candidates
- Men whose erections have become less reliable — difficulty getting fully hard or losing firmness during sex
- Men who respond partially to Viagra or Cialis but want better results
- Men tired of planning their sex life around a pill’s timing window
- Men who need medication every time and want a non-surgical alternative
- Men who prefer a treatment approach over daily medication
✗ 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 Bellevue Clinic
You check in and are brought to a private treatment room. Your provider reviews the procedure and answers any final questions.
Numbing Cream Applied
A topical numbing cream is applied to the penis. You relax for roughly 15 minutes while it takes full effect.
Injection Performed
Your provider injects 100 units of botulinum toxin into the corpus cavernosum. The injection itself takes just a few minutes.
Walk Out & Resume Your Day
The entire visit is about 15 to 25 minutes, start to finish. No restrictions, no recovery period. You leave the office and go about your day.
Results Develop Over 1–6 Weeks
Improvement begins within one to two weeks. The full effect develops around four to six weeks after the injection, lasting approximately six months.
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 Seattle Providers
Dr. Adriana Rosales, MD
Dr. Adriana Rosales is a Urosculpt™ Master Certified provider — the highest credential in the network — performing UroFirm™ penile Botox at their Bellevue clinic. Board-certified in family medicine with extensive procedural experience in men’s health.
Dr. Amit Grover, MD
Dr. Amit Grover is a Urosculpt™ Master Certified provider — the highest credential in the network — performing UroFirm™ penile Botox at their Bellevue clinic. Board-certified in family medicine with extensive procedural experience in men’s health.
Clinic Location
1600 116th Ave NE, Bellevue, WA 98004
What Our Patients Say
Frequently Asked Questions
Serving the Seattle Metropolitan Area
Our Bellevue clinic serves men throughout the Seattle metropolitan area, including communities across King and Snohomish counties.
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 UroFirm™ Appointment in Seattle
Fill out the form below and our team will contact you to schedule your visit at our Bellevue clinic.
📍 1600 116th Ave NE, Bellevue, WA 98004