Is there a technique for errections after PCa?

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Roger G
Regular Member


Date Joined Apr 2008
Total Posts : 150
   Posted 4/18/2008 7:51 AM (GMT -6)   
I've just past the six month mark with little to do progress on the ED front.  My Psa is next to nothing so I'm really happy.  The ED now is something I can start to work on.
 
After doing some reading on various web forums (including this one) is learned that some Men are squeezing their abdomens to force blood into the groin area.  I've been trying this over the last couple of days (along with a 25mg Viagra) with some success.  I've managed some soft wood, but hey it's large than 1 inch.  YIPPEE.  I was starting to wounder if I'd ever see that again.
 
Last night my wife and I are using this technique and are suprised that it's almost hard enough to sort of use.... a high point. yeah ... and then I urinate all over her.... a very low point sad   sad   sad
 
Has anyone else run into this?
 
Learning to pass gas and not wet yourself was hard enough....
Age: 43 (2008)
DRE Small Ridge on prostate, PSA 1.5
07/2007: Diagnosed cancer, T2c, Gleason 3+4=7
09/2007: Laparoscopic prostectomy @ Hamilton General, 4 hrs.
              Both nerve bundles spared
              Pathology Report: Tumor confined w/in prostate
              T2c, Gleason is 3+3=6
              Went home with JP drain
10/2007: Made return trip to hospital.  All urine was comming out JP drain.
10/2007: Catheter removed. Next to no leakage
11/2007: 1st PSA <.003 :)
              ED: Started Viagra, no response yet.
12/2007: Had confidence to go padless!!!!!
12/2007: ED:  Stopped Viagra as it's causing hemroid problems.
01/2008: 2nd PSA <.003 :)
              ED: next to no response.
04/2008: 3nd PSA <.003 :)
              ED: next to no response.  Changed the Viagra prescription.
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 4/18/2008 9:33 AM (GMT -6)   
I haven't heard of the abdominal pressure thing, but urine loss during intense stimulation and climax seems to be the norm for at least half the guys here who will admit it....lol  You gotta remember the main urine control valve/spincter was removed and like you said, you must relearn how to make do with the only one you have left but with gas and urine....lol
.
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
1/14/08  Caverject started/stopped, aching.  2/24/08 .5ml Bimix started-success
3/24/08   ED- 6 mts.-Viagra, pump, no response- Bimix continues
Post-surgery PSA's:  3 mt:0, 6 mt:0,


Roger G
Regular Member


Date Joined Apr 2008
Total Posts : 150
   Posted 4/18/2008 10:41 AM (GMT -6)   
Thanks,
 
A few years from now I look back and laugh..... last night it was just such a let down.
 
Roger
Age: 43 (2008)
DRE Small Ridge on prostate, PSA 1.5
07/2007: Diagnosed cancer, T2c, Gleason 3+4=7
09/2007: Laparoscopic prostectomy @ Hamilton General, 4 hrs.
              Both nerve bundles spared
              Pathology Report: Tumor confined w/in prostate
              T2c, Gleason is 3+3=6
              Went home with JP drain
10/2007: Made return trip to hospital.  All urine was comming out JP drain.
10/2007: Catheter removed. Next to no leakage
11/2007: 1st PSA <.003 :)
              ED: Started Viagra, no response yet.
12/2007: Had confidence to go padless!!!!!
12/2007: ED:  Stopped Viagra as it's causing hemroid problems.
01/2008: 2nd PSA <.003 :)
              ED: next to no response.
04/2008: 3nd PSA <.003 :)
              ED: next to no response.  Changed the Viagra prescription.
 


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 4/18/2008 11:21 AM (GMT -6)   

James...and anyone else who leaks when highly aroused....does this happen the entire time you are erect or just at a climax stage?  My wife will freak out if I leak, so maybe I need to wear a condom....but will I need it during the entire session?

Sure hope I am not disappointed with injections.  They sound very promising.....


Danman Bob
Age 57
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Possible post-surgery radiation therapy...decision likely in late April 2008, depending upon PSA at that time
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of March 2008)
Began using Viagra 3 times a week December 2007 to stimulate blood flow
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Will probably begin using bimix injections in addition to Viagra and pump in May 2008


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 4/18/2008 12:24 PM (GMT -6)   

Danman, for me personally, I will leak about a tablespoon at climax.  I look at it a thinner replacement for the ejaculate I lost from surgery...lol  Seriously, I would imagine, if you didn't tell her, than most women wouldn't even notice.  Now oral sex would be a different matter, of course.  Leaking during normal intercourse shouldn't be a problem for most women.  If it is to the extent that a condom is demanded, then a good alternative is to use a small sized silicone penis ring, like comes in penis pump kits, to cut off the flow during sex. 

The aversion to urine is natural, I suppose, but shouldn't be.  Fresh urine is sterile and harmless.  Lots of doctors use it as a built-in sterile irrigation  during some bladder and other urinary tract surgeries. 


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
1/14/08  Caverject started/stopped, aching.  2/24/08 .5ml Bimix started-success
3/24/08   ED- 6 mts.-Viagra, pump, no response- Bimix continues
Post-surgery PSA's:  3 mt:0, 6 mt:0,


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 4/18/2008 12:35 PM (GMT -6)   

Thanks, James.  I agree that it is sterile, but my wife has hang-ups and that is one of them..lol.

As you said, though, unless I leak a LOT, she will probably not know the difference during vaginal intercourse.

DanMan


Danman Bob
Age 57
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Possible post-surgery radiation therapy...decision likely in late April 2008, depending upon PSA at that time
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of March 2008)
Began using Viagra 3 times a week December 2007 to stimulate blood flow
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Will probably begin using bimix injections in addition to Viagra and pump in May 2008


Roger G
Regular Member


Date Joined Apr 2008
Total Posts : 150
   Posted 4/18/2008 1:49 PM (GMT -6)   
Sterile or Not... It did get the bedding all wet ;)

Thanks Danman and James.
Age: 43 (2008)
DRE Small Ridge on prostate, PSA 1.5
07/2007: Diagnosed cancer, T2c, Gleason 3+4=7
09/2007: Laparoscopic prostectomy @ Hamilton General, 4 hrs.
              Both nerve bundles spared
              Pathology Report: Tumor confined w/in prostate
              T2c, Gleason is 3+3=6
              Went home with JP drain
10/2007: Made return trip to hospital.  All urine was comming out JP drain.
10/2007: Catheter removed. Next to no leakage
11/2007: 1st PSA <.003 :)
              ED: Started Viagra, no response yet.
12/2007: Had confidence to go padless!!!!!
12/2007: ED:  Stopped Viagra as it's causing hemroid problems.
01/2008: 2nd PSA <.003 :)
              ED: next to no response.
04/2008: 3nd PSA <.003 :)
              ED: next to no response.  Changed the Viagra prescription.
 


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 4/18/2008 3:24 PM (GMT -6)   

    A partner helps!!!!!  But it can still be managed alone....heheheh....

     Just keep workin at it.

      Kelly


    43
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 4th, 2008 - Appointment with Original Dr. to discuss options and recomendation for surgical fix for incontinance.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.  Will probably try Collagen injections one more time around the first of May.  If no improvement after that will start looking for a AUS Doctor.
 
     


GBINAB
Regular Member


Date Joined Apr 2008
Total Posts : 206
   Posted 4/20/2008 6:24 PM (GMT -6)   
Roger G said...
I've just past the six month mark with little to do progress on the ED front. My Psa is next to nothing so I'm really happy. The ED now is something I can start to work on.


Hi Roger ,
The nerves are a very delicate part of our body and any kind of nerve would take a long time to heal regardless of where they located in the body.....i have heard of recovery to full potency from 2 months out to 24 months with nerve bundles spared.
I am at 10 months out , had open RP and just in the last 2 months after being aggressive with Meds and VED start seeing some serious progress, Mid Night erections not controlled but i am hoping at the 12 months mark i will be back to 100% firmness as well , even if i need to use oral meds.

You should bare in mind that your nerves been pushed and pulled on and it is an idividual recovery process...and it sure a slow one , so just be patient , practice and try the VED.
I also hear that th L-Arginine supplament is a helpful one , i also take Folgard daily (which is a vitamin B supplament to help heal and restore the nerves (however it is a prescription med , ask your Uro for it )

Good Luck and keep us posted

GB

Ripandburn
Regular Member


Date Joined Aug 2007
Total Posts : 125
   Posted 4/21/2008 7:31 AM (GMT -6)   
Roger,

I find that leaking a tiny amount is the norm for me. I agree that oral sex may be a little displeasing to your spouse, but unless you are leaking tons, she may never know with intercourse. One of the things that e have found, and has been talked about here in the past, is to try to drink less fluids before sex, and try to drain as much as you can beforehand.

I also have not heard of the abdomen pressure thing.

After prostate surgery I am finding that there is much more planning that goes into this than in the past.
52 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
11 weeks post-op - no more pads
3 PSA's all < .1 - Undetectable


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 4/21/2008 4:48 PM (GMT -6)   

Roger, do you have a link to a description of the abdominal squeeze technique, please?

I had RRP (non-nerve-sparing) six weeks ago, and while still a little tender in those parts, I'm ready for another little adventure :-)


Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix
 


CVK
Regular Member


Date Joined Apr 2007
Total Posts : 66
   Posted 4/21/2008 5:28 PM (GMT -6)   
I don't know anything about the abdominal squeeze but I have great success by squeezing the base of the penis and pulling downwards like milking a cow, which pulls more and more blood into the penis. If you're still experiencing venous leak, you can hold the base and it's usable. Hope this helps someone.
Age 52
Diagnosed 2/19/07
10 of 24 cores positive
Gleason 3+3=6 Changed to Gleason 3+4=7 after surgical pathology
PSA:3.3
DRE: Negative
DaVinci Prostatectomy May 11, 2007 at Univ. of Mich. Hospital
Nerves spared on one side
Stage: T2b
Pathology: May 16 - Cancer confined to prostate, Margins, Lymph & Seminal Vesicles all CLEAR!
Father and Uncle had prostate cancer
First PSA after surgery- July 5, 2007 = <0.01 !!!!!!!
Second PSA- November 5, 2007 = <0.01


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 4/22/2008 11:37 PM (GMT -6)   

I tried the milking-a-cow technique (with a little baby oil) and apart from a little extra length, it didn't do anything for me. Maybe no nerves at all has something to do with that.

The VED works well for me in getting it up, and I'm still working on getting it to stay up  sad The milking technique should have similar effects to the VED -- I gotta practice more :-)

 


Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix
 


GBINAB
Regular Member


Date Joined Apr 2008
Total Posts : 206
   Posted 4/23/2008 6:23 AM (GMT -6)   
Hi Again Piano and Roger,
after reading both of your posts i should comment differently to each of you only from my knowledge and research....

Piano i am sorry they ca not spare your nerves , yo are also very early in the process ...BUt the only way you can acheive erections is a artificial way ....i am surprised that your surgeon dd not discuss that in advance of your operation since a non nerve sparing operation usually cut all the blood supply to the penis and the other option is at the time of taking the nerves and prostate out they can do whats called a NERVE GRAFTING which is implants of new not effected nerves that will aid in supplying blood , however that is not the only way ..you can also as you have tried using the VED or artficial implants is a option as well, but according to my research oral meds are not effective in a NON Nerve Sparing cases.
I do not want t sound like the barer of bad news and so pessimistic but i would hate to see a fellow member spend energy searching in the wrong avenues.

However in Roger case which is also similar to mine he had a nerv sparing operation ...Roger you are only 6 months out ...keep practicing an do not get discourage , usually it is a slow process for nerves to heal and it does take an average of 12 to 18 months to return to potency if nerves are healing right ..and wit help of oral meds VED and sometimes even injections help the process greatly an help blood flow through the nerves..

i am 10 months out after a nerve sparing open RP and i am still battling ED BUT seeing some progress recently and bearng in mind it does take time being at 80 to 90% with oral meds is an encouraging process....


I hope i can read some encouraging news from you both as well , and keep up the good work ...
Good Luck !!!

GB
April 2007 PSA 8.4 for last 6 months biopsy shows PC 3+3=6

June 13 2007 Went for open RP with Dr. Christopher Johnson at St. Francis Hospital NY. with nerve sparing o both sides.

4 days later home for Fathers Day, and Catheter.
Removal of catheter 10 days later , incontinence next to nothing, no pads used from the get go.

1 month PSA next to not detected


ED is a longer battle:1month out start using occasionally Cialis and 50MG Viagra to promote blood flow with no response for 6 months.

3 months and 6 months PSA not detected

at 6 months mark starting with VED therapy and being more aggressive with meds , in addition taking Folgard supplement daily.

April 2008 10 month out and start seeing some serious improvements with ED while using Meds and VED , can achieve erections, Mid nights erections almost on a regular basis , and uncontrolled 90 % erections spontaneously.

1 year visit on June 13 2008 woohoooo!!!


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 4/23/2008 6:19 PM (GMT -6)   

GBINAB -- thanks for the encouragement. I guess it's a good sign that we're in here worrying about ED -- there could be much more serious things to worry about.

I know that it's somewhere between a slim chance and no chance that I will ever have natural erections again. But nerves do grow back given time, and I'll do my best to encourage that -- and have fun trying.  :-)  Nerve regrowth is a slow process and it's important that we don't give up too soon -- let us all be glad and celebrate each little improvement we can gain.

I haven't lost any blood supply to the penis -- it's just that the nerves turning on my tap have a big gap in them. I opted for non-nerve-sparing because of the aggressive nature of my cancer (Gleason 9, since downgraded to 8), and didn't even ask for the nerve graft. There seem to be doubts about its effectiveness in any case.

I did some math. Before the operation I had sex about twice a week. This required that I have an erection for a total of 1.68 hours during the week. If you think that I'm cooking the figures here, you're right! As a percentage of my week, that is just one percent!  I can still have sex, still twice a week if I'm lucky, but now I need artificial aids. So that one percent is not completely lost, but the quality has changed -- and sometimes there are flops -- in both senses of the word!  But my overall quality of life has changed very little.

So for anybody else sweating over ED, do your own sums, and figure out what percentage of your week you actually need an erection.  :-)

 

 


Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix
 


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 4/23/2008 6:32 PM (GMT -6)   

Piano,

I get the impression you are using VED for intercourse instead of bimix.  Did I misinterpret and if not, why the VED instead of the bimix?

My test injection of bimix is Thursday morning..

Thanks.


Danman Bob
Age 57
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14
Biopsy result - 9 of 12 sticks showed cancer
Despite high Gleason score, cancer was confined to the prostate
Possible post-surgery radiation therapy...decision likely in late April 2008, depending upon PSA at that time
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of March 2008)
Began using Viagra 3 times a week December 2007 to stimulate blood flow
Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008
Will probably begin using bimix injections in addition to Viagra and pump in May 2008


GBINAB
Regular Member


Date Joined Apr 2008
Total Posts : 206
   Posted 4/23/2008 10:08 PM (GMT -6)   
Piano you are right it is all in our minds and we should never lose hope , i truly did not mean to be sounding as the barer of bad news but i would not like nothing more than see you concentrating your efforts with the right means to get you there , and find you at the finish line one day , i am sure we all can enjoy our quality of life regardless of the hurdle , i am 10 months along this process and i have never given up , i try and work on it at least 4 times a week (i am 54 years old) and it does take time for our body to heal , and i am sure with the VED you can achieve plenty of pleasure ... keep up the good work and keep us posted ...
Good Luck !!
GB :-)
April 2007 PSA 8.4 for last 6 months biopsy shows PC 3+3=6

June 13 2007 Went for open RP with Dr. Christopher Johnson at St. Francis Hospital NY. with nerve sparing o both sides.

4 days later home for Fathers Day, and Catheter.
Removal of catheter 10 days later , incontinence next to nothing, no pads used from the get go.

1 month PSA next to not detected


ED is a longer battle:1month out start using occasionally Cialis and 50MG Viagra to promote blood flow with no response for 6 months.

3 months and 6 months PSA not detected

at 6 months mark starting with VED therapy and being more aggressive with meds , in addition taking Folgard supplement daily.

April 2008 10 month out and start seeing some serious improvements with ED while using Meds and VED , can achieve erections, Mid nights erections almost on a regular basis , and uncontrolled 90 % erections spontaneously.

1 year visit on June 13 2008 woohoooo!!!


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 4/24/2008 5:50 AM (GMT -6)   
DanmanBob,
 
I am using the VED for two reasons:
 
1. Originally just for the exercise. Jabs may not be a good long term solution because of possible scarring effects -- and I get nervous doing the jabs too! If I can get the VED to the stage where I can use it successfully for intercourse, I will switch to that.
 
2. My last two jabs have been complete flops, so I use the VED as a backup, even though at this stage it is very much second best. My first attempt at 0.2ml Bimix was good, but the last two at the same dose have been the failures. 0.3ml gave something close to priapism so I'm not rushing to boost the dose too soon.  My next attempt will be back at 0.25ml which gave a 3.5hr erection last time. Yes, you can have too much of a good thing!
 
Good luck for Thursday -- let's know how it goes.  
 
 
GBINAB,
 
I am happy for you to tell it like it is. A forum like this is great, because we're all in the same situation, and it helps to share experiences. Night-time erections on a regular basis -- what are those? tongue Still good to hear you are having them -- sounds like good progress to me.

Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix
 


Roger G
Regular Member


Date Joined Apr 2008
Total Posts : 150
   Posted 4/24/2008 8:38 AM (GMT -6)   

Ok the one quote I can still find comes from the following YANANOW mentor: http://www.yananow.net/Mentors/GlenL.htm#IV.  I am thinking of giving his erection scale to my doctor.

Basically it's the same push you used to empty your bladder prior to prostate surgery, assuming you had an enlarged prostate like me..... only slightly less or you will urinate tongue

- Erections are still four point five to five without drugs, but I did get a five point five with the Levitra and more control. More control meaning, more dick control, the ability to breathe and maintain erection and extend the length of the orgasm. Orgasm now increased from between 5 seconds to 10 seconds all the way up to a good pleasant 15 to 25 seconds of absolute pleasure!

- The increased erection quality means little or no urine leakage in trying to maintain erection. You can concentrate on pleasuring her more instead of being mechanical and concentrating on your breathing and not leaking. With a lower quality erection, breathing and the slight push to maintain blood flow and erection are very tricky because if you don't breathe and inflate the penis just right; you leak urine. Even if the last thing that you do before jumping into bed is to take a wiz, after five minutes, there's more urine in your bladder and you have to be careful how you push to keep the blood flow to keep it up.

So all this means for me better erections, less or no urine leakage, better sex.

 



Age: 43 (2008)
DRE Small Ridge on prostate, PSA 1.5
07/2007: Diagnosed cancer, T2c, Gleason 3+4=7
09/2007: Laparoscopic prostectomy @ Hamilton General, 4 hrs.
              Both nerve bundles spared
              Pathology Report: Tumor confined w/in prostate
              T2c, Gleason is 3+3=6
              Went home with JP drain
10/2007: Made return trip to hospital.  All urine was comming out JP drain.
10/2007: Catheter removed. Next to no leakage
11/2007: 1st PSA <.003 :)
              ED: Started Viagra, no response yet.
12/2007: Had confidence to go padless!!!!!
12/2007: ED:  Stopped Viagra as it's causing hemroid problems.
01/2008: 2nd PSA <.003 :)
              ED: next to no response.
04/2008: 3nd PSA <.003 :)
              ED: next to no response.  Changed the Viagra prescription.
 

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