Doctors instructions for reducing prolonged erections

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James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 1/28/2010 4:38 PM (GMT -6)   
While looking for related stuff, I came across this, it might be something to print out and tuck into the wallet, just in case.

8. Instructions to attending doctor for treating a prolonged erection:

Dilute 1 amp (10 mg) of Neo-Synephrine (phenylephrine) in 9 cc of normal saline (this is now 1 mg/cc). Inject 0.3-0.5 mg (cc) of Neo-Synephrine intracavernosally every 10 minutes until detumescence occurs, up to a maximum dose of 2 cc. If this is unsuccessful in decreasing the erection, irrigate the corporeal bodies with a 19 gauge butterfly needle, one in each corporeal body, with a mixture of Neo-Synephrine in normal saline as follows: 1 amp (10 mg) of Neo-Synephrine injected into 250 cc of normal saline. Use this solution to irrigate in-and-out of the corpus cavernosum.

Who know,s maybe your ER doc (heaven forbid you have to go) doesn't know whats the correct approach to take with your 5 hour erection.

James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN

John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4171
   Posted 1/28/2010 6:01 PM (GMT -6)   
We should be so lucky.

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.


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