As my sig indicates, I had prostate surgery in January. I've been on the various pills at max dosage since then with little to no effect. I've been using a vacuum pump - it works, sort of. Ideal it's not.
Last wednesday (9/9/2009) I met with a new urologist who is supposed to be some wiz-bang ED specialist. They did a color doppler sonogram, which includes a injection to make you erect (I think it was PGE1). The injection worked, but it resulted in a *very* painful erection that lasted about
an hour. The sonogram was apparently fine as the sent me home with a script
My (bimix) script
arrived Friday - in an unchilled FedEx box. I thought this stuff was supposed to be shipped chilled??? There were also 20 syringes with needles that looked way too long for the job (1/2" diabetic). The "info" sheet that's included with the Franck's order is less than complete - two poor quality drawings just isn't enough information for a first timer. How the hell do I even load this syringe up? How much is 0.5ml on this syringe - all it has is numbers from 10 to 100 in increments of 10 and "cc" at the bottom?!?!
As usual, Google is your friend. I find how to load the syringe, how far to insert the needle, etc... We wait until Saturday as Fridays wear us both out. Saturday evening the wife and I gather my new toys, hold our breath and I inject myself with the minimum dosage as written on the bottle - 0.5 ml (or 50 units on the syringe). It works, and it works *very* well. I develop the closet thing to a real erection that I've had since January.
An hour later I can't help but notice I've still got a rock hard erection. I'd read about
ice packs, so I did. No change after 45 mins. I call the urologist office and get the oncall guy. He tells me to go straight to the ER. I made up a few new curse words, collected my stuff and headed out.
We get to the ER and they hook me up to an IV and dump some terbutaline in me. The attending asks me if I'm in pain, I answer "yes" and the next thing I know they're pumping morphine in the IV. I know that sounds drastic, but to be honest with you I never felt the effects. So, they dumped some dilauded in next. That dilauded stuff really works well...
an hour I achieved detumescence, which was really wonderful as the oncall urologist showed up at about
that time. What I didn't know prior is that the cart (full of really big needles) they rolled into my room was going to be used by that oncall guy to drain the blood from my penis! Holy freaking christ! They don't say anything about
*that* when the commercials warn you about
that 4 hour issue...
My issues/questions are this:
1) The oncall doc stated that since I had priapism with the first injection that meant I was not a candidate for further use. That seems extreme to me, given the dosage amount I was prescribed (0.5ml seems high with what I read of others).
2) The bimix arrived unchilled - is that a problem I need to address with someone?
3) In my opinion, the doc/staff did not prepare me for this medication. I was given no in-office instruction or demonstration, there was no base line testing, no advice regarding how long an erection should last and what to do if that time was exceeded, etc.
I guess the first problem I had to address is whether I want to ever again deal with that urologist again. I'm not happy with being given a script
and "sent packing". Should I stop with this guy now?
Dazed and confused in Florida...
cheers & beers,
ChrisDiagnosed on 9.23.08, age 47
Gleason 6, T1a
da Vinci LRP performed 1.22.09 at Moffitt Cancer Center by Dr. Pow-Sang
Catheter out on 2.4.09!!!!
Pathology: Gleason 7 (3+4), T2c. Tumor 15%, fully contained, margins clear, lymph clear.
5.13.2009: PSA of zero!
5.20.2009: Cystoscopy all good.