Why Caverject?

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Regular Member

Date Joined Feb 2008
Total Posts : 467
   Posted 3/18/2008 7:37 PM (GMT -6)   
From reading posts here, I gather that most urologists recommend Caverject initially, rather than bimix or trimix.....and lo and behold, so did my urologist today when the subject came up (I told him I preferred to begin with bimix when the time comes).
Why the inclination toward Caverject?
Danman Bob
Age 57
Prostate removal November 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (1 to 2 pads a day)
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Begain using Viagra 3 times a week December 2007 to stimulate blood flow

Veteran Member

Date Joined Jul 2006
Total Posts : 681
   Posted 3/18/2008 9:05 PM (GMT -6)   

My urologist prescribed Caverject, because in his opinion it was the easiest to use and would usually give good results. The pre loaded syringe in the Caverject kit helped to make injection and amount less complicated. He was right about that.

I used it for a few months and had good results, however the downside was pain and discomfort. That pain caused me to look for a different answer.  Whenever I used Caverject I found it necessary to use an icepack after to reduce the pain.  I still have not had better results with the bi-mix, but the much lower cost and the freedom from pain make it my first choice now.

My doctor (to my surprise) said he had never had a patient actually be proactive enough to request a change to Bi-Mix. This surprised me, because this surgeon has done maybe a thousand DaVinci surgeries and is considered the preeminent prostate surgeon in our area. I like and respect him.

 With the help of a knowledgable local compounding pharmacist, I was able to get a bi-mix that seems to work.  I am only two weeks into this, but the pain after injection is gone.  I now need to work out the correct injection amount.

biopsy 10/16/06
T2A,  PSA 4.7
Gleason  4+4=8  right side
DaVinci Surgery  1/16/07
Post op confirms gleason 4+4=8
no extension or invasion found
no continence problems
PSA 90 day -.01  , 6 month -.01 , 9 month +.02 , 1 year +.02
Ed problems continue
Caverject/viagra /discomfort
02/28/08  start Bi-Mix Rx

Veteran Member

Date Joined Oct 2006
Total Posts : 626
   Posted 3/19/2008 9:12 AM (GMT -6)   
My urologist's PA explained to me that he starts out with Caverjet because it has a lower incidence of side effects for priapism and Peyronies. I had so much discomfort and pain with that initial injection that he switched me to Bimix.

Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
Da Vinci on 11/01/06, Catheter out on 11/13/06
56 Years Old
Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06, 6/25/07, 1/8/08
No more pads as of 1/13/07
Began injections in April '07

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 3/19/2008 9:15 AM (GMT -6)   
Ditto, same answer as the other guys said.  Pain and aching not worth
James C. 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   (Open) Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
11/15/07  1st Post-surgery PSA-0.01
01/14/08  Caverject started/stopped, aching.   .5ml Bimix started-success
 3/24/08   ED- 6 mts.-Viagra, pump, Bimix continues- no response

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