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DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/5/2008 4:31 PM (GMT -6)   
Doc used 5/8 inch, 25 gauge needle for my first injection - ouch!!!
 
I have been using 5/16 inch, 31 gauge needles in an autoinjector with mixed results....the autoinjector shortens the needle slight, so probably only 4/16 is being inserted.  Sometimes that has worked fine....other times I have missed the mark....definite pressure against the plunger indicating the needle is not in the targeted open cavity.
 
Going to try 1/2 inch needle and a 1/8 inch spacer on the autoinjector, to sort of split the difference in length, and see if I have more consistent (and better) results.
 
Curious about what size needles most use here for penile injections?
 
Thanks.
 
DanMan Bob
Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 5/5/2008 4:40 PM (GMT -6)   
Hey Danman,

I use a 1/2 cc diabetic syringe with a 31 gauge, 5/16 inch needle for Trimix.

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + 1000 mg L-Arginine + .03 cc Trimix = Excellent Results
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 5/5/2008 4:46 PM (GMT -6)   
I have seen lots of men on this forum using all sorts of things for impotence. My doctors pretty much told me to wait at least a year before trying anything. Does this sound right? I mean I have zero libido so I suppose it doesn't matter, but I do have a wife to consider.

Thanks for the thread.

peace and love
Dale
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
 


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/5/2008 5:00 PM (GMT -6)   

My doctor gave me Viagra samples the day the catheter was removed.

He advised that I start using a medically approved vacuum pump soon thereafter, followed by injections.

Some studies have shown that these therapies help preserve internal penile tissue and oftentimes aid in the overall recovery of erectile function.

You are the first I have heard who was advised to wait a year.


Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/5/2008 5:55 PM (GMT -6)   
I use 1cc, 30g, 1/2 inch needles.  If you feel resistance when injecting you are either in too far, into the center cartlidge like material or not far enough in, still in the outer flesh and skin.  If you are in the outer area, the drug will go into the skin, resulting in a failure for erection, with red, swollen penile skin.  If you go too far, you will feel more pain and the plunger will not go down, requiring you to pull back a small amount to allow it to inject.  That center divider must be some tough stuff, as I haven't ever been able to force the injection the two times I've got there. 


Post Edited (James C.) : 5/5/2008 7:39:51 PM (GMT-6)


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/5/2008 5:59 PM (GMT -6)   

Living, I think its almost standard protocol now to start ED drugs immediately after catheter removal, followed in 6 to 8 weeks with the mpump and lots od docs start injections at 3 months, for optimum recovery and rehab.  Waiting a year seems counter-prodictive.  Maybe it's time to have a good talk with him, mentioning others experience with their docs that you read here?

Just because you are on HT or have no libido is no reason to not work to recover penis rehab, in my opinion.  Matter of fact, maybe that's reason enough to do it.   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,


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/5/2008 7:02 PM (GMT -6)   

JamesC,

As my golfing buddies would say "You da man" - I would FAINT if I saw a 1.2 inch length needle anywhere near my private parts...lol.


Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/5/2008 7:40 PM (GMT -6)   
Ok, ok, you know I meant 1/2 inch, right?    lol   Edited the 1.2 mistake....

Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/5/2008 10:40 PM (GMT -6)   
I'm using a 1/2 inch needle, but will ....
 
[Deleted to comply with forum rules]

Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 

Post Edited (Piano) : 5/28/2008 11:56:13 PM (GMT-6)


StrictlyInc
Regular Member


Date Joined Dec 2006
Total Posts : 357
   Posted 5/5/2008 11:02 PM (GMT -6)   
I use 30g, 1/2 inch needles.

Piano, I'd try to get over doing the injections yourself... it takes time, but it is best, I think. You'll get the feel of what is a good or not so good injection that way.
____________________

Prostate cancer diagnosed: May 15, 2006 (age 40)
Gleason score: pre-surgery 3+3=6; post-surgery 3+4=7
daVinci radical prostatectomy: July 25, 2006
size of tumor: approx 1.1 inches; negative margins from surgery

- number of pads/day at 3 months after surgery: 3 to 5
- number of pads/day at 4 months after surgery: 1 to 2
- number of pads/day at 6-18 months after surgery: 0 to 1

- 1st post-surgery PSA: 0 (Nov 2006); 2nd post-surgery PSA: 0 (Feb 2007)
- 3rd post-surgery PSA: 0 (May 2007); 4th post-surgery PSA: 0 (June 2007); 5th post-surgery PSA: 0

The search for timber: took Viagra/Cialis approx. every other day, ErecAid once a day, injections. Peyronie's diagnosed 7/5/07. Now on daily Cialis, L-arginine and pentoxyfylline. Peyronies has stabilized and significantly reversed.

- PGE1 batting average: .364 (4 for 11)
- Bimix #3 batting average: .722 (13 for 18) Bimix #1 batting average (8 for 8) = 1.000
- Trimix batting average: .500 (1 for 2) Grand total 26 for 39 = .667

"Lost in the valley without my horses, no one can tell me what my remorse is..."


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/6/2008 3:28 PM (GMT -6)   

Piano,

If you try the Inject-Ease automatic injector (not trying to push it, just the only one I am familiar with), note that it shortens the needle length slightly by not exposing it entirely.  My guess is that it is shortened by roughly 1/16 of an inch.

Also note that it has a 1/8 and 1/4 inch spacer that can reduce the effective length further.

Just a tidbit of information for consideration.

DanMan Bob



Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008

Post Edited (DanmanBob) : 5/6/2008 5:12:22 PM (GMT-6)


lawink
Veteran Member


Date Joined Oct 2006
Total Posts : 621
   Posted 5/6/2008 4:22 PM (GMT -6)   

Ours are 1/2 inch 29 gauge needles.

;o) Linda & Bob


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/7/2008 9:01 PM (GMT -6)   

Thanks for the feedback.

My experimentation continues.

DanMan


Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/22/2008 8:17 AM (GMT -6)   

Piano,

Did you try the 5/16 or 3/8 and did it work better for you?


Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/22/2008 3:52 PM (GMT -6)   
Hi Danaman,

No I haven't. I went to my ED clinic for more Bimix, and they don't supply anything other than 1/2 inch (27 gauge I have now discovered).

[Remainder deleted to comply with forum rules]


Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 

Post Edited (Piano) : 5/28/2008 11:57:57 PM (GMT-6)

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