Any injection "how to" tips to share?

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DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/8/2008 12:26 PM (GMT -6)   
I have read several medical articles on this topic that were linked by JamesC.  Reread one recently and found out something I was doing wrong...so hopefully that correction will help me next time.
 
With that said, does anyone here have tips from his own experience about ensuring a good, accurate injection?
 
I use an automatic injector and there is very little pain, but I have been hit and miss as far as ending up in the desired target area.
 
Thanks.
 
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


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/8/2008 1:54 PM (GMT -6)   

Match needle to penis thickness, plump before injecting, wear your glasses while injecting eyes , very gentle massage after to spread thru organ, any kind of sexual stimulation after injection will enhance and aid in the gaining a firmer erections Yours or hers, it matters not)... devil

So what did you discover you were doing wrong?

James C.


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/8/2008 2:20 PM (GMT -6)   

Thanks, JamesC.

What I was doing wrong....I remembered to grasp the glans and pull the penis so it rests on either the left or right leg....but I forgot that my thumb, which is placed on the top of the glans, is to remain on top at all times.

I was twisting the penis and not keeping the thumb/top of the penis on top and I believe this made it more difficult to figure out if I was at 10, 2, 3, 9 or some other clock position.

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


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/8/2008 6:34 PM (GMT -6)   
I'm not sure how easy it is to actually miss the cavernosa -- it seems a bit like shooting a barn door at point-blank range. If you have some accidental twist, and you are aiming at three or nine o'clock, I don't think it should matter much. But even so, I still watch out for this.
 
To add to James' points:
* With the correct needle length, push the needle right in to the hilt. If you feel some extra resistance at the "right in" point, the needle may be too long and going out the other side of the cavernosa.
 
* Make sure you inject all the fluid -- if injecting manually, push the plunger fully home. 
 
And some things that I am going to try further, without knowing how effective they are:
 
* After injecting, do some Kegels to help the penis pump up -- my urology nurse said that Kegels done well are as good as Viagra -- and cheaper too!
 
 * Watch the position of the hole in the tip of the needle. If the cavernosa is like a sponge, and you inject at its center, I don't see why the needle hole facing forward, back, up or down should make any difference. But just the same, I'm going to start testing that.
 
* Try a constriction ring. This need be nothing more than a rubber band wrapped a few times around the base of the penis. A bit of a balancing act because you don't want to restrict the incoming blood, but at the same time you want to keep the drug in contact with the "smooth muscle fibers" for as long as possible. Does anyone know where smooth muscle fibers actually are -- in the penis itself or inside your body at the penis base? If it is the latter, then the constriction ring may be a bad idea.

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
 


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 5/8/2008 7:28 PM (GMT -6)   
I agree with Piano about Kegeling to enhance the effect of the meds. I did Kegels for ED for about 10 years before PCa. Along with some gentle stimualtion before injecting, this routine produces very useable erections. Side effect: the long term Kegeling before cancer helped me be dry the day after the catheter came out.

We are all different and have to find our own way in recovery. Thank goodness we have each other.

Lets get well together...

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."


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 5/8/2008 8:33 PM (GMT -6)   

Piano, I hear ya about the barn analogy....but I think I might also not always be injecting with a 90 degree angle.  With an improper angle, I could be injecting semi-sideways, which might explain why I am not reaching the cavernosa sometimes.  If I am on the "edge" of the cylinder and not taking a proper angle, I could miss the cavernosa because I am injecting down the side of the cylinder instead of toward the middle of the circle, so to speak.

I can tell when I hit the mark properly because the plunger depresses easily.  My automatic injector automatically injects, but I still have to depress the plunger...and when I hit the mark well, I get a definite, desired effect devil ...although not yet as firm as I strive for...lol.

Thanks to all for your tips.

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 5/8/2008 9:11 PM (GMT -6)   

Piano,

Just noticed your reference to a constriction ring.

My urologiist suggested I try an Actis Flow Controller, which is a reusable constriction ring intended for ED, but supposedly helps with leakage of urine during sex also.

According to the Actis document, it resticts outflow of blood from the veins, which are near the skin, but does not impact inflow of blood from the arteries, which are deeper in the penis.

Hope this helps a bit.


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

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