A New Mexico man received what lawyers are calling the largest medical malpractice payout in history. A jury decided this week that he will receive more than $400 million in damages for botched penile injections.

The $412,005,149 verdict was against NuMale Medical Center on Wyoming and Paseo for what attorneys called fraud and unfair business practices. According to the lawsuit, the man in his 70s sought treatment for fatigue and weight loss at NuMale’s Albuquerque clinic in 2017.

Attorneys said the clinic misdiagnosed him and unnecessarily treated him with “invasive erectile dysfunction shots,” causing irreversible damage. “This corporate scheme manipulates and uses fear as a tactic to convince these men to do this,” Nick Rowley, a trial lawyer, told KRQE News 13.

The lawyers said their client went through multiple rounds of medication and procedures, and he underwent surgery by an unqualified physician assistant.