Evidence map›Paper›PMID 41185533›Full record

SynthesisAndrology2026

A Systematic Review on Administration of Botulinum Toxin in the Management of Male Sexual Dysfunctions.

Margarida Henriques, Simone Cilio, Pedro Ramos, Georgios Tsampoukas, Marco Capece, Luca Boeri, Edoardo Pozzi, Savio Domenico Pandolfo, Paolo Verze, Andrea Salonia and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Andrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Margarida HenriquesServiço De Urologia, Centro Hospitalar Universitário São João, Porto, Portugal.
Simone CilioU.O.C. Clinica Urologica, A.O.U. San Giovanni Di Dio e Ruggi D'aragona "Scuola Medica Salernitana", Salerno, Italy.
Pedro RamosServiço De Urologia, Centro Hospitalar Universitário São João, Porto, Portugal.
Georgios TsampoukasDepartment of Urology, Homerton University Hospital NHS Trust, Homerton, UK.
Marco CapeceMediterranea Clinic, Naples, Italy.
Luca BoeriDepartment of Urology, Foundation IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Edoardo PozziDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Savio Domenico PandolfoDepartment of Urology, University of L'Aquila, L'Aquila, Italy.
Paolo VerzeU.O.C. Clinica Urologica, A.O.U. San Giovanni Di Dio e Ruggi D'aragona "Scuola Medica Salernitana", Salerno, Italy.
Andrea SaloniaDivision of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Carlos Martins-SilvaServiço De Urologia, Centro Hospitalar Universitário São João, Porto, Portugal.
Afonso MorgadoServiço De Urologia, Centro Hospitalar Universitário São João, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMale sexual dysfunctions (SDs) like erectile dysfunction (ED), premature ejaculation (PE), and Peyronie's disease (PD) are highly prevalent conditions affecting the quality of life of men and their partners. Botulinum toxin (BTX) is emerging as a promising injectable therapy to treat male SDs.

objectiveTo systematically review the current evidence on the use of BTX in the treatment of male SDs. MATERIALS AND

methodsPubMed, Cochrane, and EMBASE databases were queried for all published studies indexed up to October 2024 using predefined keywords.

resultsOf 108 identified articles, 9 (6 on ED, 2 on PE, and only 1 on PD) met our inclusion criteria. In ED, BTX improved International Index of Erectile Function-Erectile Function domain (IIEF-EF) scores in 41%-57.4% of patients, with benefits lasting up to 6 months. In PE, BTX increased ejaculation latency and subjective satisfaction at 1-3 months, but the effects diminished by 6 months. In PD, a single study showed a significant reduction in penile curvature (-7.9°), plaque thickness, and penile pain. Adverse effects were mild and local, reported in less than 10% of cases.

conclusionsBTX injections demonstrate promising improvements in erectile function, ejaculation latency, and penile curvature with a favourable safety profile. However, current evidence is limited by small, heterogeneous studies and the absence of large randomized controlled trials. Further research is needed to establish optimal dosing, timing, and patient selection.

Indexed as

Botulinum ToxinsBotulinum Toxins, Type AErectile DysfunctionPenile IndurationSexual Dysfunction, PhysiologicalHumansMalePremature EjaculationBotulinum ToxinsBotulinum Toxins, Type ABotoxbotulinum toxinerectile dysfunctionmale sexual dysfunctionPeyronie's diseasepremature ejaculation

Identifiers

PMID41185533
PMCPMC13432675

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.