Cialis and Muse Regimine

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Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 9/25/2008 4:35 PM (GMT -6)   
Those of you who've been (or have) used the Cialis / Muse regimine as part of the healing process:  what has that experience been?  How long after surgery and removal of the catheter did you start?  Results?  Negative aspects/side effects? I ask because I'll likely begin using those two things (Cialis / Muse) beginning this weekend.  Does incontenence interfere with the effectiveness of the Muse, if you faced that issue (incontenence)?  Thanks!

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

 

 


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 9/27/2008 11:49 PM (GMT -6)   
Judging by the number of people who've read my question and the lack of response(s), I'm left to assume that the use of Cialis together with MUSE (alprostadil) isn't something widely prescribed.  My Urologist and his staff at Northwestern University in Chicago tell me that this is the normal course of treatment they prescribe following prostate removal (via da Vinci).  I used the combination for the first time tonight (16-17 days post-op), not expecting anything startling - and that's what happened (nothing startling).  The MUSE (inserted into the penis 1 hour after swallowing the Cialis) stings a little as it's absorbed but the Lidocaine jelly helps to numb the insertion.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

 

 


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2310
   Posted 9/28/2008 12:25 AM (GMT -6)   
This is not quite what you were asking, but for what it's worth, just wanted to throw this out there.  I have not had success with oral meds (Viagra,Levitra,Cialis), nor have I tried MUSE. 
 
I have had success with penile injections of Quad Mix, but dislike self-injectioning.  What I've tried successfully is a new drug that is on the market called TriMix gel.
 
The drug is mixed at the time of use.  The gel is squirted  into the urethra.  I have experienced no side effects common with MUSE, like burning or itching.  And it has worked so far.
Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 2006 
Organ confined pT2a  Gleason 5   
Cancer-free for 2 years  PSA's undetectable 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4835
   Posted 9/28/2008 4:50 AM (GMT -6)   
For people like me who are unfamiliar with alprostadil:
  • ALPROSTADIL is a natural protein. It is used to treat erectile dysfunction (ED). This medicine helps to create and maintain an erection. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

 

The way my surgeon explained the taking of Viagra was that it helps get blood to flow to "little johnny" and keep him alive/exercise/similate sleep erections if possible.


Age 53   - 5'11'   205lbs
Overall Heath Condition - Good
PSA - July 07 & Jan 08 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
 
06/25/08 - Da Vinci robotic laparoscopy


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 9/28/2008 1:25 PM (GMT -6)   
Thanks for the comments.  Some of these medication combinations may be determined by age and particular circumstances - few cases are going to be identical.  The MUSE is a small pellet contained in an applicator and the very slight tingling/sting I felt isn't something I'd describe as a "side effect" (i.e., bothersome).  I experienced an unusual (my physician's description) swelling of my testicles post-op and my physician expects that the effects of the Cialis/MUSE regimine could be slightly delayed because of that (the swelling hasn't completely subsided yet, though the situation if far better today than it was a couple of weeks ago).  Rehabilitation for just about anything takes time, and I'm prepared for the 'long haul' on this - and have a high level of confidence that things will resolve themselves.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (17 days post-op)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Will return to work 9-29-08, 18-19 days post-op

 

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