Posted 1/4/2009 5:49 PM (GMT -6)
JonH, I have limited experience with MUSE (6 times), but my observations are:
It’s a vasodilator, so it should work with or without nerve sparing, or any sexual stimulation. Initial studies reported 65% success, but clinical studies found it’s only effective for 30% of men.
At 7 weeks post surgery I was given 250 mcg in the doctor’s office, which produced some enlargement, but no rigidity. More than I had achieved with cialis alone, but nothing useable. I tired 500 mcg at home, but that still wasn’t sufficient for intercourse. 1000 mcg worked for me.
In terms of technique, you have to urinate before using MUSE, to provide lubrication to dissolve the pellet. You should not use any other lubricant on the applicator, as that will interfere with absorption. You need to stand or walk around for 10 minutes, to increase blood flow while establishing an erection. Piano suggested temporarily using a constriction device, to prevent the drug from leaving the scene until it’s done its job. Vivus, the MUSE manufacturer, markets Actis, an Adjustable Constriction Loop, but a rubber band would do.
MUSE does need to be kept refrigerated. It’s pricey ($40/dose retail), and can be painful (aching in the penis, testicles, and groin, that last several hours), but with the right dose, I found it to be effective. I also noticed that an erection doesn’t diminish after orgasm.
Using MUSE is a bit of a procedure. Fortunately, I am blessed with a very supportive wife, who doesn’t mind the process, as the results are worth it.