I have used cialis strictly for sexual reasons and it works extremely well for that purpose. I have not noticed any "fringe benefit" to the pouch but keep in mind the pill is only effective for 36 hours.
It's also hideously expensive. 4 20 mg pills with prescription will cost about $154 (and that is with my 15% AAA discount for all meds not covered by insurance).
By the way if you go on the cialis website you can print off a coupon that will get you 3 20 mg pills FREE. It's a one time trial. You can then use a pill cutter to cut those 20 mg pills in half. 10 mg will do the job for sexual purpose.