Botox is administered via injection of 100 units of BoNT-A in 2 ml of saline at four points along the penis shaft, followed by massage and tourniquet application.

“Process: + A tourniquet was applied at the base of the penis, the treatment dose (100 units of BoNT-A in 2 ml of saline) was distributed along 4 points, right and left distal and proximal shaft using a 23G insulin syringe. + The solution was injected into 4 different injection sites 1 inch proximal to corona and 1 inch distal to pubo-penile junction at right and left cavernosa, respectively. Following injection, a fine massage was applied to the injection sites for 5 min and the band was removed after 20 min.”