Ricky, using your pump, pump up about 25%, just enough to get some blood in the penis and to 'plump' it up. At that point, you can roll off the ring to hold the blood in. Then do the injection, it makes it much easier to know when you are in the cavity, you can feel the needle 'drop' into it, by feeling less resistance. Inject as usual, and very gently massage the penis to spread the drug throughout and allow for maximum adsorption. Leave the ring on for 3 to 5 minutes (normally a ring can be left on at full erection for not more than 30 minutes, by the way) to keep the blood in and the drug adsorbing. Upon removal of the ring, continue very gentle massage. Continued stimulation of your favorite type will keep the erection growing and help maintain it for the full length of the drugs effective time. The injections are virtually painless, especially if you have used the plump and ring method, which I find to be painless. I was pleasantly surprised to discover that they were painless when you are 1/4 erect. Erections lasting longer than 4 hours will probably need some medical care. My doc said if mine was still at least 1/2 erect then, to seek treatment. Sudafed, the original real stuff, should be kept in case you need it, and you can take it at around the 3 hour mark if you have any worries about priapism.
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
32 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN