3 part question

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Regular Member

Date Joined Oct 2008
Total Posts : 56
   Posted 12/14/2008 9:54 AM (GMT -6)   
I have a 3 part question.  how early after surgery,  you can start penile injections? I am 12 weeks out now
 Also can anyone tell me if Trimix and bimix are available in Canada? 
Also I am taking 5 mg cialis now, which is quite expensive. I see at the alldaychemist you can order tadalafil which I guess is the generic form for alot less. The problem is I can`t find any dosages that are smaller than 20 mg on the site. can anyone help here?
Thanks Fred
Diagnosed Feb 08
PSA 6.3
gleason 3+3
first biopsy 1 of 10 needles positive
surgery Sept 18 08
bone scan negative
evidence of sinus histiocytosis?
involvement of the margins identified at right and left apex and right anterior surface
also perineural invasion
no extraprostatic extention
no seminal vesicle invasion
tumor cells aggressive features of moderate to severe pleomorphism
possible radiation depending on first  PSA  Nov 12
kept left side bundle of nerves but lost some of the right side bundle

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 12/14/2008 9:57 AM (GMT -6)   
I started injections 3 months after surgery.  The generic Cialis is allowed in Canada, I think.  The generic cialis pills can be cut down in size, if the 20mg is too large.

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
Present- 1 year: ED- Viagra, pump continues, no response- Trimix ..35ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

Post Edited (James C.) : 12/14/2008 8:03:37 AM (GMT-7)

Regular Member

Date Joined Oct 2007
Total Posts : 300
   Posted 12/14/2008 11:54 AM (GMT -6)   
I started the bimix injections about nine weeks post op. I don't know about Canada on the Levitra from alldaychemist. The shots work great once you get the hang of it.(no pun intended). It took me about eight times on the shots to get it perfected, but well worth it. Good luck.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Gleason 7 (3+4)
1 positive margin (.3cm)
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 12/14/2008 8:47 PM (GMT -6)   
1. I think you could start injections now. I started exactly one month after surgery and had my first sex then too. If you feel ready for it, go for it.

2. I'm sure trimix and bimix are available in Canada -- they are common treatments for ED. They have to be mixed from the two or three basic ingredients and once mixed have a life of three months or so. A compounding pharmacy does the mixing -- your doctor, ED clinic, or local pharmacy should know of one in your area -- unless you live in the far north!

3. It is common practice to break large pills into smaller doses using a readily available pill cutter.
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 and 7-month PSAs: 0
Bimix injections working well 

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