Circed: I don't think a pump will solve erection problems, it does improve blood flow to the penis and results in temporary size increase. Most report it does not cause an erection. Some guys report good results with a combination of a pump and a cock ring/ restriction bands. Again, I would not write off injections without at least trying them. Go to a urologist that specialzes in sexual medicine or reproductive medicine. Most local urologists don't know much beyond pills. I would also avoid the highly advertised "male medical clinics". The doc will examine you, show you the procedure, inject you with an initial dose. After that you can see how you like the results and decide whether or not to follow through. Oh, by the way, the injection and training may be provided by an PA or NP who may be female. Don't worry about that though, I've had experience with two of them and they were very professional and helpful.