Non-Surgical Erectile Dysfunction Treatment in Syracuse: UroFirm™ Penile Botox
There is a reason the same men refill their Viagra prescriptions month after month even when they’re not entirely satisfied with the results: until recently, there wasn’t a better option. UroFirm™ changes that.
There is a reason the same men refill their Viagra prescriptions month after month even when they’re not entirely satisfied with the results: until recently, there wasn’t a better option. UroFirm™ changes that. This penile Botox treatment targets the smooth muscle inside the erectile tissue directly, relaxing it so blood flows more freely and erections happen more naturally. Two Urosculpt™ Master Certified providers in Syracuse — Brandon Crandall, NP, and Dr. Leo Urbinelli — perform the 20-minute procedure for $1,890 per session. No pills. No daily commitment. Just improved function.
How Penile Botox Works
Your penis contains two cylindrical chambers called the corpus cavernosum. When you’re aroused, blood fills these chambers to create rigidity. The process depends on smooth muscle relaxation — and that’s where ED often goes wrong. Norepinephrine, a neurotransmitter, keeps the muscle contracted when it should be relaxing. Less relaxation means less blood flow. Less blood flow means softer erections.
UroFirm™ works by injecting 100 units of botulinum toxin directly into the corpus cavernosum. The toxin blocks norepinephrine at the nerve-muscle junction. The smooth muscle relaxes more fully. Blood flow improves. Erections get firmer.
Topical numbing cream is applied before the injection. The procedure takes 15 to 25 minutes. No downtime. Results in one to two weeks, peak at four to six weeks, last 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 UroFirm™ Delivers
Firmer erections — the kind you remember. More spontaneity — no waiting 30 minutes for a pill to kick in. For some men, reduced or eliminated need for ED medication. For others, a dramatically better response to the medication they’re already taking. Reduced retraction at rest. More confidence in and out of the bedroom. One visit. No surgery. No ongoing daily routine.
Firmer Erections
Firmer erections — the kind you remember. More spontaneity — no waiting 30 minutes for a pill to kick in.
No Daily Pills
For some men, reduced or eliminated need for ED medication. For others, a dramatically better response to the medication they’re already taking.
Reduced Retraction
Reduced retraction at rest. More confidence in and out of the bedroom.
One Visit, No Surgery
One visit. No surgery. No ongoing daily routine. Months of improved erectile function.
Who Benefits Most
Men who’ve noticed a gradual decline in erection quality. Men who are tired of the pill-planning cycle. Men who take ED medications and wish they worked better. Men in Central New York who want access to advanced ED treatment without traveling to Manhattan. If erections aren’t what they should be, this is worth a conversation.
✓ Ideal Candidates
- Men who’ve noticed a gradual decline in erection quality
- Men who are tired of the pill-planning cycle
- Men who take ED medications and wish they worked better
- Men in Central New York who want access to advanced ED treatment without traveling to Manhattan
✗ 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
What to Expect at Your Appointment
Arrive at the Syracuse Clinic
You check in and are brought to a private treatment room.
Numbing Cream Applied
Numbing cream is applied. After it takes effect, your provider prepares the injection.
Injection Performed
Your provider performs a quick injection — 100 units of botulinum toxin into the erectile tissue. Brief discomfort at most.
Walk Out & Resume Your Day
Total time: under 25 minutes. You leave and go about your day — no restrictions, no recovery period.
Results Develop Over 1–6 Weeks
Improvement unfolds 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
- Any follow-up consultation included
- No hidden fees — cash-pay, not billed through insurance
Your Syracuse Providers
Brandon Crandall, NP
Brandon Crandall, NP, is a Urosculpt™ Master Certified provider performing UroFirm™ penile Botox at the Syracuse clinic. Expert in advanced injection technique with a focus on men’s health.
Dr. Leo Urbinelli, MD
Dr. Leo Urbinelli is a board-certified plastic surgeon and Urosculpt™ Master Certified provider at the Syracuse clinic.
Clinic Location
3107 East Genesee Street, Syracuse, NY 13224
What Our Patients Say
Frequently Asked Questions
Serving Central New York
Our Syracuse clinic serves men throughout Central New York, including communities across Onondaga, Oneida, and Cayuga counties.
Published Research
- El-Shaer W, et al. “Intra-cavernous injection of BOTOX® (50 and 100 Units) for treatment of vasculogenic erectile dysfunction: randomized controlled trial.” Andrology. 2021;9(4):1166–1175. doi:10.1111/andr.13010
- 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.
More on this treatment
UroFirm™ in Syracuse — what to read next
- UroSculpt™-trained providers in Syracuse, NYAddress, hours and the providers who treat there.
- UroFirm™ penile neuromodulator treatmentHow intracavernosal botulinum toxin works, who it suits, and what to expect.
- Erectile dysfunction: causes and treatment optionsWhere neuromodulator therapy sits beside pills, injections and devices.
- Performance anxiety or physical ED?How to tell the difference before choosing a treatment.
- Find a certified providerEvery provider listed has completed UroSculpt™ certification.
- Treatment pricingWhat UroFirm™ costs, published by location.
Schedule Your Syracuse Appointment — No Referral Needed
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📍 3107 East Genesee Street, Syracuse, NY 13224