Injection Help!

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honestguy
New Member


Date Joined Feb 2009
Total Posts : 18
   Posted 11/16/2009 7:18 AM (GMT -6)   
Hi Guys
 
My urologist started me on injections a couple of weeks ago. The initial injection was done in the office (1/4 ml Bimex - would have preferred Trimex but the Dr felt Bimex was better since it was less drugs being injected.) The injection did engorge but no erection occurred. The Dr sent me home with a perscription and instructions to start increasing the drug 5ml to 1 ml until full erecton is achieved. Here is my problem - I have tried to self inject and have had no success. I get as far as puncturing the skin but cannot shove the needle completely in. It feels like I am ripping through cartiledge and the mental block sets in and I cannot force myself to insert any further. Of course this is very disappointing and discouraging to say the least and creates soreness on the shaft after trying 2-3 times. The needles I was given are 1/2 cc Insulin Syringes (ultra fine) so I doubt there are anything smaller I could use. I have seen on here some mention of auto injectors but could find no research on them via the internet. Any suggestions for success from anyone that is currently using injections would be greatly appreciated. Of course I would have thought the Dr would have had me come back a few time until I was able to inject successfully myself (at least that seems the process from what I have read) but that doesn't seem to be the scenario.
 
Hope to hear from some of you with experience.
 
Thanks for your help
Joe S     Age 61
 
7/08 - PSA results showed 3 times higher than normal
8/08 - Biopsy  6 of 12 positive on right side only
1/09 - Robotic surgery. Lab results showed positive on both sides 3+4=7
2/09 - 1st PSA test reported .1
5/09 - 2nd PSA test reported less than .01
Leakage during the day continues after 6 months.  Bladder control during the nighttime hours was never a problem.
Semi erection can be achieved with stimulation but not rigid enough for intercourse. Tried Cialis and Levitra with using the pump but still full erection not obtained. Next Dr visit at the end of July and will discuss the possibility of trying injections.
 
 


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 11/16/2009 7:33 AM (GMT -6)   
Hi Joe,

I only inject when using the auto injector, it foolproof and prevents me from getting the willies by seeing the needle going into me

There are also different gauges of needles, the thinner ones are 30 or even 31 and will hurt less. The 1/2 cc only refers to the size of the drug holding cylinder, you could get 1cc ones which I like better for traveling as the plunger is out less when filled. The 1/2 or 1cc has no impact on how it feels during injection

They sell these in any drugtore, even on Amazon, look here for an example

www.amazon.com/gp/product/B000P3BBQE/ref=pd_lpo_k2_dp_sr_1/190-6087868-9321369?pf_rd_m=ATVPDKIKX0DER&pf_rd_s=lpo-top-stripe-1&pf_rd_r=003HY834H1NQVPS3D347&pf_rd_t=201&pf_rd_p=486539851&pf_rd_i=B000VM9HGK
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


honestguy
New Member


Date Joined Feb 2009
Total Posts : 18
   Posted 11/16/2009 7:48 AM (GMT -6)   
Thanks for your input Mr. Gimpy. Appreciate it.

Joe S     Age 61
 
7/08 - PSA results showed 3 times higher than normal
8/08 - Biopsy  6 of 12 positive on right side only
1/09 - Robotic surgery. Lab results showed positive on both sides 3+4=7
2/09 - 1st PSA test reported .1
5/09 - 2nd PSA test reported less than .01
Leakage during the day continues after 6 months.  Bladder control during the nighttime hours was never a problem.
Semi erection can be achieved with stimulation but not rigid enough for intercourse. Tried Cialis and Levitra with using the pump but still full erection not obtained. Next Dr visit at the end of July and will discuss the possibility of trying injections.
 
 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 11/16/2009 9:00 AM (GMT -6)   
If you're not a single guy - maybe your partner could do the injecting.

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


clearwatercowboy
Regular Member


Date Joined Oct 2009
Total Posts : 135
   Posted 11/16/2009 12:11 PM (GMT -6)   
Howdy Joe S,
 
I started on injections just a couple of months ago.  My Uro. Doc. has a compound pharmacy mix the 3 drugs, Phentalamine/Prostagladin-E/Lidocaine for me.  For $60, they send me home with a 5 cc vial of the pre-mixed medication, 10 ea. Insulin Syringes with 1/2" 30 Gauge needles.  I learned from others on this forum that it works best to use the VED pump for a short time prior to injecting the medication.  This action will increase venous blood pooling  into the tissues, and actually help in getting the medication in the correct area of penile tissues.  When my Uro. taught me the technique, they said it was important to push the needle in deep enough to dimple the skin, thereby insuring that the needle was in the correct spot.  Then, you pull back on the plunger while maintaining the pressure on the syringe, to pull blood back into the syringe. When you see blood, you are in the correct spaces of the tissues.  You maintain enough pressure to insure the dimple effect, and then depress the plunger to administer the medication.  Having been a Corpsman in the US Navy years ago, and working in medicine and surgery for the past 30 + years, it is not difficult for me to administer the injection. However, I understand your feelings about injecting yourself. Once you get past that, it really is quite easy, and not all that uncomfortable.  And the results are well worth the effort.  Most guys think that injecting into the penis has got to be extremely painful, but actually it is no different than a slight stinging sensation.  After injecting, massage the penis to help distribute the medication around. I use an mild restrictor band around the base of the penis to prevent venous leakage of the medication, and that really seems to help also.
If you have a partner, maybe they can perform the injection, until you get used to having it done.
Best of luck and don't give up,  you'll be glad that you "stuck" with it ! turn
Dallas
RRP May 04, 2009
Pre-op Gleason 6
Post-op Gleason 7


honestguy
New Member


Date Joined Feb 2009
Total Posts : 18
   Posted 11/16/2009 1:11 PM (GMT -6)   
Thanks, Dallas, I appreciate the info and certainly will give it a try.

Joe S     Age 61
 
7/08 - PSA results showed 3 times higher than normal
8/08 - Biopsy  6 of 12 positive on right side only
1/09 - Robotic surgery. Lab results showed positive on both sides 3+4=7
2/09 - 1st PSA test reported .1
5/09 - 2nd PSA test reported less than .01
Leakage during the day continues after 6 months.  Bladder control during the nighttime hours was never a problem.
Semi erection can be achieved with stimulation but not rigid enough for intercourse. Tried Cialis and Levitra with using the pump but still full erection not obtained. Next Dr visit at the end of July and will discuss the possibility of trying injections.
 
 


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 686
   Posted 11/16/2009 1:46 PM (GMT -6)   

I have been using bimix for over two years.  I use about .25 to .30 each time and get good results.  I inject in the area just below the head of the penis (front half)  in the 10 oclock or 2 oclock position.  For me that has worked great, but you need to experiment to find what is best for you.

You are right, it does take a while to get over the thought that it might hurt.  Once you have done it a few times it will get easier.  I don't think a reverse plunge suggested by Clearwatercowboy should be done, it just makes it more complicated to finish.  As a medic he might have done that, but it is not necessary for self injection .


PSA up to 4.7 July 2006 , nodule noted during DRE
Biopsy 10/16/06 ,stageT2A
Very Aggressive Gleason 4+4=8  right side
DaVinci Surgery  January 2007
Post op confirms gleason 4+4=8 with no extension or invasion
no long term continence problems
Post surgery PSA continues to be "undetectable"
One side nerves spared
Bi-Mix for ED 
born in 1941


honestguy
New Member


Date Joined Feb 2009
Total Posts : 18
   Posted 11/16/2009 2:29 PM (GMT -6)   

Thanks lifeguyd - appreciate your input. Mr Dr advised to inject closer down somewhere between the base of the shaft and 1/4 the way up. But then my Dr really didn't have much to say about it other than can you do it and see you in 3 months. I just might give your suggestion a try. Nothing to loose as long as I inject into the right area.

Thanks again


Joe S     Age 61
 
7/08 - PSA results showed 3 times higher than normal
8/08 - Biopsy  6 of 12 positive on right side only
1/09 - Robotic surgery. Lab results showed positive on both sides 3+4=7
2/09 - 1st PSA test reported .1
5/09 - 2nd PSA test reported less than .01
Leakage during the day continues after 6 months.  Bladder control during the nighttime hours was never a problem.
Semi erection can be achieved with stimulation but not rigid enough for intercourse. Tried Cialis and Levitra with using the pump but still full erection not obtained. Next Dr visit at the end of July and will discuss the possibility of trying injections.
 
 


Rob Smith
Regular Member


Date Joined Jan 2008
Total Posts : 23
   Posted 11/18/2009 12:47 PM (GMT -6)   
Hey Clearwatercowboy,
 
I was wondering where your uro instructed you to inject at?  I noticed that lifeguyd stated that he injects just below the head and honestguy said that he was instructed to inject closer down somewhere between the base of the shaft and 1/4 the way up.

clearwatercowboy
Regular Member


Date Joined Oct 2009
Total Posts : 135
   Posted 11/18/2009 8:46 PM (GMT -6)   
Rob Smith,
My Uro instructed me to inject at 9:00 or 3:00 as your looking from the head of the penis towards the base, and to inject closer to the base, consistent with what you are stating, maybe 1/4 of the length up from the base of the penis. The instructions they gave me about drawing back on the syringe really had nothing to do with my history as a US Navy medic. The Uro. Doc. told me to do that to verify that I was in the correct space of the penile tissues. In fact, normally , with most medications, you would not proceed with depressing the plunger if when you drew back you got blood,as that would confirm that you had hit a vein or artery, but Bimix is different, in that, seeing blood in the syringe with pull back, verifies the location of the needle.

So, just remember, 9 & 3, and I do alternate sides, however, the instructions said that it was not necessary. It just helps if you are right handed or left handed.

Hope this helps
Dallas
RRP May 04, 2009
Pre-op Gleason 6
Post-op Gleason 7


lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 686
   Posted 11/18/2009 9:14 PM (GMT -6)   
Rob Smith said...
Hey Clearwatercowboy,
 
I was wondering where your uro instructed you to inject at?  I noticed that lifeguyd stated that he injects just below the head and honestguy said that he was instructed to inject closer down somewhere between the base of the shaft and 1/4 the way up.
 Like many Pca recovery tips, we find that there is a wide range of suggestions and success.  I found that "for me" the 2 and 10 oclock positions worked better than from the side (3&9).  I also found that I had much better results (100%) if I injected front of center.  That being said, everyone is different and should find what works best for them.
 
My comment about not reversing the plunger was one of experience too.  I found that I just wanted to get the needle out and not have any blood leakage.  While that might tell you if you are in the "right' place it also makes the injection more prolonged and painful.
 
Finally, I doubt that most of our doctors have actually injected their penis.  We know a heck of lot more than they do after doing it for a while.
PSA up to 4.7 July 2006 , nodule noted during DRE
Biopsy 10/16/06 ,stageT2A
Very Aggressive Gleason 4+4=8  right side
DaVinci Surgery  January 2007
Post op confirms gleason 4+4=8 with no extension or invasion
no long term continence problems
Post surgery PSA continues to be "undetectable"
One side nerves spared
Bi-Mix for ED 
born in 1941


Rob Smith
Regular Member


Date Joined Jan 2008
Total Posts : 23
   Posted 11/19/2009 6:58 AM (GMT -6)   
Thanks lifeguyd and clearwatercowboy,
 
I guess this proves that there is no single right way, we are all different and what works for some may not for others. 

hb2006
Regular Member


Date Joined Nov 2008
Total Posts : 299
   Posted 11/19/2009 2:17 PM (GMT -6)   
I have been injecting just over a year and developed Peyronies Disease about 6 months ago. I don't think it was from the injections as I used two constriction rings with the VED which gave me the trauma for the PD. This was prior to doing injections.
 
However, I am on some of the PD Forums and most of the guys on that site caution against injecting too close to the body. I always inject as far away from my body that I can.
Age 60, PSA 2007 4.1, PSA 2008 10.0
Diagnosed April 2008, Biopsy: 6 of 12 cores positive, Gleason 4 + 5 = 9
CT and Bone Scan negative, Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared, Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th, pT2c, lymph nodes negative
PSA Sept 28, 2008 0.00, PSA Jan 22, 2009 0.00, PSA June 29, 2009 0.00
ED Status- Currently using Trimix, Levitra daily for increased blood flow.
Noctural Erections have completely returned on a nightly basis, same hardness as before.


Rob Smith
Regular Member


Date Joined Jan 2008
Total Posts : 23
   Posted 11/20/2009 1:30 PM (GMT -6)   
hb2006,
 
Out of curiosity, how did the constriction rings and the VED cause the trauma?  I understand by wearing the rings to long can cause damage, but was wondering if you can cause damage if the constriction ring is too tight...this is a concern of mine because I use one before I inject. 
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