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The active ingredient Icariin acts as a phosphodiesterase inhibitor which blocks the effects of an enzyme that restricts blood flow to the penis. Treatment should begin quickly as permanent corporal fibrosis can occur with delayed therapy. The study protocol, including Informed Consent protocol, was approved by the University of California, Institutional Review Board. Penis, the copulatory organ of the male of higher vertebrates that in mammals usually also provides the channel by which urine leaves the body.