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Penile girth, satisfaction level, Premature Ejaculation Profile (PEP), and self-estimated intravaginal ejaculation latency time (IELT) were assessed at baseline and at 24 weeks post-injection. The authors acknowledge Leading Edge Herbals for funding the trial medications and other requisites for the conduct and publication of the study, including the article processing charges. SBP was an investigator for clinical trials of PDE5 inhibitors in sexual dysfunction; and is the author of several international peer-reviewed publications in urology. All authors made substantial contributions to study conception, acquisition of data, and preparation of the manuscript. The funders had no influence on the scientific integrity of the preparation for research, the study execution, and the preparation of the manuscript for publication. NAS is an employee of an organization that received funds for monitoring the study. 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