Trimix/vacuum combo?

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silkflour
New Member


Date Joined Mar 2008
Total Posts : 7
   Posted 6/16/2008 6:24 PM (GMT -6)   
Has anyone had any success taking low doses of trimix and augmenting with a VED? I would think it would work well, but I've stayed away from injections since my second priapism episode.

Thanks.
PSA readings of 5.5 and 5.6 (six months apart) prior to biopsy
Diagnosed with "aggressive" prostate cancer on (befittingly) 9-11 of 2007; Gleason scores of 7 and 8 in nine out of twelve segments
DaVinci robotic surgery by Dr. Randy Fagin on 13 December 2007; "wide margin" taken with no attempt to spare nerves
Negative pathology (woo hoo!)
Post-op PSA showed no detectable cancer  
Catheter removed on 21 December
Mostly continent as of 19 March 2008
Still struggling to find the right fix for my ongoing impotence
 


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 6/16/2008 6:49 PM (GMT -6)   
Moderator JamesC is probably taking a nap right now or injecting himself, but....I believe he does something along the lines of which you speak.
 
Biker90 does not use a VED but achieves the same goal prior to injecting a smaller dose of trimix than he did without pre-stimulation.
 
Re. your priapism, what dose of trimix are you using?  Which formula...there are many different "strengths" of it.
 
p.s. - I read on Dr. Catalona's site that one should NOT inject and THEN use a VED immediately thereafter...can cause bleeding issues...but I believe JamesC does it in the reverse order...VED, then injection.  Hopefully he will fill you in soon.


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


silkflour
New Member


Date Joined Mar 2008
Total Posts : 7
   Posted 6/16/2008 8:17 PM (GMT -6)   
The last suggestion makes sense. Thanks for the heads up about the possibility of bleeding. I have an aversion to penile disasters.
PSA readings of 5.5 and 5.6 (six months apart) prior to biopsy
Diagnosed with "aggressive" prostate cancer on (befittingly) 9-11 of 2007; Gleason scores of 7 and 8 in nine out of twelve segments
DaVinci robotic surgery by Dr. Randy Fagin on 13 December 2007; "wide margin" taken with no attempt to spare nerves
Negative pathology (woo hoo!)
Post-op PSA showed no detectable cancer  
Catheter removed on 21 December
Mostly continent as of 19 March 2008
Still struggling to find the right fix for my ongoing impotence
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 6/16/2008 9:29 PM (GMT -6)   

silkflour:

DanmanBob says:

p.s. - I read on Dr. Catalona's site that one should NOT inject and THEN use a VED immediately thereafter...can cause bleeding issues...but I believe JamesC does it in the reverse order...VED, then injection.  Hopefully he will fill you in soon.
 
Yes, that's how I do it, I use the VED to preplump or engorgre the penis some, to make for a larger target for the needle.  I don't use the VED after injecting, as it is counterindicated by most doctors and specialists for the reason given in his quote.    

James C.
Co-Moderator- Prostate Cancer Forum

Age 61
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
5/7/08 ED- Viagra, pump, no response- Trimix .075ml continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0


silkflour
New Member


Date Joined Mar 2008
Total Posts : 7
   Posted 7/13/2008 2:27 PM (GMT -6)   
It's been a while since my last comment, and I still haven't tried the trimix/VED combo. Frankly, your "bleeding" remark freaked me out, since I sure didn't want to risk any more damage down there.

But last night, while I was trimming myself, I nicked the boy slightly. I was thinking how easily the VED could turn the tiny cut into a gusher, when I was reminded me of the remark you passed along last month.

Perspective is everything, eh?

Tonight, I'm going for the combo--but I'll let the pinhole close before I start pumping.

SF
PSA readings of 5.5 and 5.6 (six months apart) prior to biopsy
Diagnosed with "aggressive" prostate cancer on (befittingly) 9-11 of 2007; Gleason scores of 7 and 8 in nine out of twelve segments
DaVinci robotic surgery by Dr. Randy Fagin on 13 December 2007; "wide margin" taken with no attempt to spare nerves
Negative pathology (woo hoo!)
Post-op PSA showed no detectable cancer  
Catheter removed on 21 December
Mostly continent as of 19 March 2008
Still struggling to find the right fix for my ongoing impotence
 


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 7/13/2008 10:49 PM (GMT -6)   

Hope your hot date turned out well!

I haven't used trimix but do use bimix, having a string of failures in my early experiments. After that happened, I used the VED, with constriction (ring), for probably about five times. I needed constriction with the VED -- essential.  No surface bleeding, and as far as I could detect no evidence of internal bleeding -- such as unusual swelling at the injection site. Having since heard Dr Catalona's advice, I won't be making a habit of injecting, then pumping.

The fact that you have had priapism is a good sign. To me it indicates that there is probably some lower dose that will still work but that won't cause priapism. I think you are very wise to start with a dose that should be too low, and increase in stages from there.

You may find that constriction before you inject helps with injection reliability. My injection adventures are too explicit for this forum so I have posted more here: http://prostatecancerinfolink.ning.com/group/edandincontinenceposttreatment/forum/topic/show?id=2034917%3ATopic%3A15752


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 


silkflour
New Member


Date Joined Mar 2008
Total Posts : 7
   Posted 7/14/2008 8:10 PM (GMT -6)   
Psychologically, it was a great success. Had to rely on those cursed rings, but thank god for the VED! No bleeding at all, BTW. Pumped a bit, injected, fooled around, then pumped and banded. Quicker, more robust results, it seemed. I want to eliminate the VED, and I feel I'm on the right track. Patience is the key, as they say.

Started reading your story. I like the way you write. Made me laugh out loud--cuz I get it, I suppose.
PSA readings of 5.5 and 5.6 (six months apart) prior to biopsy
Diagnosed with "aggressive" prostate cancer on (befittingly) 9-11 of 2007; Gleason scores of 7 and 8 in nine out of twelve segments
DaVinci robotic surgery by Dr. Randy Fagin on 13 December 2007; "wide margin" taken with no attempt to spare nerves
Negative pathology (woo hoo!)
Post-op PSA showed no detectable cancer  
Catheter removed on 21 December
Mostly continent as of 19 March 2008
Still struggling to find the right fix for my ongoing impotence
 

Post Edited (silkflour) : 7/14/2008 7:15:41 PM (GMT-6)

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