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[29] If PDE5 inhibitors are ineffective or contraindicated, alternative options include intracavernosal injections, intraurethral suppositories, vacuum erection devices, or referral to urology for consideration of penile prosthesis in refractory cases

Most of the information available comes from smaller studies on related compounds or anecdotal reports from patients

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Following these instructions consistently is essential for achieving the results seen in clinical trial data