Anyone achieved workable erection without injection?

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New Member

Date Joined Feb 2010
Total Posts : 19
   Posted 2/18/2010 10:16 PM (GMT -6)   
Has any one out there been able to achieve a workable erection without resorting to injections?  I have always had an unnatural fear of needles and cannot even imagine injecting my penis.  I would love to know that not everyone has to resort to this.

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 2/18/2010 10:25 PM (GMT -6)   
Yes, but I am in ultra rare group of no ED post surgery on one set of nerves. From the guys that do inject, it can be a good and painless experience that can give good consitent results.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days

Veteran Member

Date Joined Mar 2009
Total Posts : 739
   Posted 2/18/2010 10:45 PM (GMT -6)   
Runer, Yes I am able to achieve enough to do the job, on medications.  I really dont think it will ever be as good as before, but I am not complaining.  I to did not fancy going the injection way.  How long since your op, perhaps you could post your signature with more info, so as we can see where you are at...............................Cheers Kev
Age 51yrs
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4 Gleason Score 3+4=7 Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleason Score 4+3=7 Gleason Differential 60%/40%
Stage T2c Three small foci total volume <10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week. ED- okay with Meds.
PSA at 12mths no change remains 0.03
"Everyday in Everyway I get better"

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4119
   Posted 2/18/2010 10:51 PM (GMT -6)   
Runer: I started injections (not a big deal at all) but sence that things have started to look up so to speak. I now am getting erections with the pills. I hope I will continue getting better to the point that I don't need the meds. But time will tell.

Jeff T
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.
15 months out injections Caveject (success)

Regular Member

Date Joined Dec 2009
Total Posts : 154
   Posted 2/18/2010 10:57 PM (GMT -6)   
Runer, fully functional here. So yes it is possible.
Dx at 50 in 12/09 Merry Christmas its cancer....
3 of 12 positive, right side only, psa at dx 2.6 free%14
gleason 3+3=6
routine physical, no symptoms
Da Vinci performed Feb 2k10 by Dr Marc Milsten [hes got mad skills]
99% continent from cath out, mr happy fully functional at 2 weeks out!
path showed same gleeson with no other blips other than one slight margin, organ confined 20% right, 5%left, 34grams

Regular Member

Date Joined Feb 2009
Total Posts : 65
   Posted 2/19/2010 12:33 AM (GMT -6)   
I'm 18 months out and almost full pre surgery function in the bedroom without meds.
Age now 45 (43 when dx)
Pre-op PSA:  0.9
Biopsy: 3/12 cores pos  20% 30% 50%
Gleason 3+3=6
Robotic RP:   Aug 2008 1 day hospital stay, cath out on 8th day.
Post Surgery Pathology Report: Gleason 6, pT2c, tumor 10% contained in prostate gland, all margins negative. Negative lymph nodes

Regular Member

Date Joined Sep 2009
Total Posts : 35
   Posted 2/19/2010 1:08 AM (GMT -6)   
At this time I'm discouraged, my husband so far hates the way the meds make him feel. I keep hoping to get some feed back. Can anyone tell me that once the meds get into your system they will work better, with less side effects. And how much pain is involved with the injection, I've heard from a friend that they are horrible. I'd like more opinions.
Thank you
April 09 PSA 3.2
May 09 DRE enlarged prostate
July 09 PSA 5.2
July 09 Biopsy 5 out of 12 malignant
Gleason score: Primary 3, Seconary 4 Total 7
August 24, 2009
Radical Open Prostatectomy Andocarcinoma of the prostate
% of 4 and/or 5: 1-25%
% of 3    76-90%
Androgen deprivation effect: Negative
Apical involvement: Positive
Apical marginal involvement: Negative
Extraprostatic extension (EPE): Negative
Margin: Negative
Bladder Neck Shave: Negative
Areas of involvement: Right and Left lateral, posterolateral and posterior and left anterior apex and mid prostate
Principle area of involvement: Right and left lateral, posterolateral and posterior apex and mid prostate
Focality: Multifocal
Volume: Medium(100 Sq mm)
Ejaculatory Duct: Negative
Seminal vesicles involvment (SVI): Negative
Vas deferens N/A
High Grade PIN: Positive
Neuroendocrine differentiation: Negative
Pathologic Stage: pT2c NO MX

Veteran Member

Date Joined Jul 2006
Total Posts : 686
   Posted 2/19/2010 1:42 AM (GMT -6)   
In my case the answer is NO.  Pills and pumps did not work.  Caverject and trimix caused too much pain.  However BIMIX injections work every time for me.  The injection is no big deal and I am pleased with the results.  The only problem I foresee is that I am seeing some plaque buildup that migh cause future problems.
Another thing to consider is your age and physical fitness.  I am old, but very fit (a former triathelete).  Despite never having any ED problems before surgery and one nerve spared I have never been able to get a usable erection without shots. (sort of with a pump).
I think age is the big determiner.  If you are younger and in good shape, you have a much better chance of regaining function.
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

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 2/19/2010 1:52 AM (GMT -6)   
No injections needed. In fact now, no ED drugs needed either...Fully functional...

Prostate Cancer Forum Co-Moderator

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2218
   Posted 2/19/2010 5:34 AM (GMT -6)   
Yes see stats

No problem achieving an erection, my problems have been:
urine leakage while erect;
poor or non-existent orgasms;
occasional pain after sex (pain located where I think the prostate used to be);
reduction in length;
I also get a big ache in my abdominal muscles every evening when I lie down in bed and find moving while horizontal not very comfortable.

So no ED but not much of a sex life.


Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 2/19/2010 7:21 AM (GMT -6)   
I CAN do it without drugs, but they make it a lot more fun, easier and allow me to not think about it at all. Do not fear the injections. The vast majority of guys love them. and no, by all accounts, they do not hurt.
There are new drugs on the horizon - so if the old line does not work, the new ones are MUCH better. They should be along by the end of this year.
Paul ED website for PCa guys

46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2461
   Posted 2/19/2010 2:57 PM (GMT -6)   
Trimix injections work every time for me. I have no problem with injecting myself and have no pain afterwords. I'm also getting enough of a workable erection using the pump and 2 rings.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11.5 months test 1/21/10 result 0.004

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 2/19/2010 5:18 PM (GMT -6)   
If you don't want to do injections or the very expensive MUSE or Trimix gel that you insert into your urethra, and the oral ED drugs don't work, then the only other option short of an implant is the pump (VED).

After 100 injections, I noticed a slight curve developing, and that coupled with no great love of needles persuaded me to make do with the pump.

The pump is not for everyone, but I find it gives usable results. There is a learning curve, and I'm still learning. I suggest practise at first with a cheapie, and then if you think it will work for you, upgrade to a more expensive model.
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
19-month: 0.09 (maybe)
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. Have "graduated" to just the pump.

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