After a 6 day trial, a jury awarded an Ellenwood, Georgia man $750,000 in compensatory damages and 8.5 million in punitive damages resulting from an Erectile Dysfunction ED) treatment. They found that the defendant, Boston Medical Group (BMG), acted with "intent to harm". As a result of their treatment, the plaintiff developed scarring and fibrotic changes to his penis making a normal erection possible (The public documents do not provide a medical term for his condition, but it sure sounds like PD to me).
Before Viagra, Levitra, and Cialis, the most effective ED treatment was via injections directly into the penis resulting in a pharmacologically induced erection.
In the late 1970s a surgeon accidentally injected paperverine (a vasoactive agent – a substance that influences the tone and caliber of blood vessels) into an area near his patient’s penis and noticed that it resulted in an erection lasting approximately 2 hours. It was not too long after that this substance became one of the most popular treatments for men with ED. Another similar medication, Prostaglandin E1 is a naturally occurring vasodilator also used to cause an erection. Although these substances are very effective in producing erections, there are some potentially very serious side effects, mainly permanent damage to the penis.
The Journal of Urology, July 1994 reports that intravenous injections of vasoactive medications may cause fibrosis of the penis in the tunica albuginea or corpus cavernosum often resulting from misuse of papervernine. Although rare, the authors report on one man’s experience where the intracorporeal self injection of Prostaglandin E1 for ED resulted in the development of PD like scarring.
Let’s fast forward 2006 when John Henry Howard, a 53 year old truck driver who suffered from ED, responded to a radio ad from BMG that promised "sex for life."
Facts about BMG -
operate 22 clinics in 12 states and an additional 6 clinics in foreign countries
they have been sued 2 other times and the cases were settled out of court
subject to two Better Business Bureau complaints in the last 3 years and both were settled
According to Plaintiff - Mr. Howard went to the clinic to be treated for his ED and premature ejaculation. While in the waiting room, he saw a number brochures warning of the inherent danger of taking oral medications for his condition. He was led to believe that the treatment provided by the BMG would be painless and entirely safe. He was advised that their medication consisted of a "secret formula" which turned out to be essentially papaverine and was described as cure for his condition . Plaintiff was injected at the clinic and was so satisfied with the results that he ordered a six month supply via mail for $1210 and told to inject himself 3X weekly.
Two weeks later, on a Saturday, he received the medication in the mail and injected himself. The result was what Mr. Howard described "the best erection of his life and the stuff was incredible." By the following Monday, his Saturday erection has not dissipated and was painful, so he went to the BMG clinic and they drained some blood from his penis and sent him to a hospital emergency room. The end result was permanent damage to his penis whereby he is unable to have a normal erection. According to Mr Howard’s attorney, after the trial ended, 10 of the 12 jurors gave him (the attorney) a hug. The attorney described the outcome as one of the greatest moments in his whole career.
According to the Defendant – Mr. Howard was given proper instructions on the use of their medication and the permanent damage resulted because he simply waited to long before seeking medical treatment. A urologist testifying for the defense stated that injections were the first line treatment for ED. However, the plaintiff’s attorney produced a copy of the web site from the clinic of this very same defendant’s urologist which advised that oral medications were the first line treatment.