Erectile nasal spray simply 'didn't work' Not warned: Erectile dysfunction patients were not warned they would have to try injections into their penis before they would qualify for a refund. Photo: Phil Carrick Patients seeking treatment for erectile dysfunction were not warned they would have to try injections into their penis before they could qualify for a refund, a court has heard. A witness in the competition watchdog's case against the Advanced Medical Institute said the nasal spray sent to him was not "fit for purpose" because it did not work. We are not in a Nazi concentration camp - you can't force people to take medication. He did not want to keep trying medications, even though AMI was pressuring him to before letting him out of a contract, he told the Federal Court in Victoria on Tuesday. "I am speaking as a layman but we are not in a Nazi concentration camp - you can't force people to take medication," said the witness, who cannot be named. Counsel for the Australian Competition and Consumer Commission Lisa Nichols asked the man if he was told "at any time that you would have to try injections in the penis" to qualify for a refund. Several witnesses and former AMI patients told the court it was difficult to end treatment or to leave an 18-month contract, which cost more than $3000 and involved nasal sprays, tablets, gels and injections. A witness said he had to cancel his credit card to stop AMI taking nearly $200 a month. Famous for its "Want Longer Lasting Sex?" billboards, AMI has sold erectile dysfunction treatments for more than a decade. The ACCC took legal action against the company and its founder, Jack Vaisman, in December 2010 alleging unconscionable conduct. It also alleges AMI promised refunds, but did not fully disclose refund conditions. The case resumes on Wednesday. Counsel for the ACCC Julian Burnside, QC, on Monday played the court a 2010 recording of a staff meeting where Dr Vaisman described the best sales techniques. Dr Vaisman was heard saying: "He [the caller] wants to have longer sex only because of the advertising and because of the movies ... For one reason or another he is not happy ... and for anything he is not going to admit that he is unhappy. It is so personal he does not want to admit it to anybody. I want you [to] help him to realise the problem is not only to have longer sex ... The problem is much much bigger, which he does not want to admit even to himself. Dr Vaisman recommends emphasising the patient's wife would benefit from treatment.