Penile rehab slows down after 38 months!

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Regular Member

Date Joined Oct 2007
Total Posts : 103
   Posted 4/16/2010 8:56 PM (GMT -6)   
Some guidance would be appreciated.

Penile Rehab Stops after 38 months?


I am 38 months post op and my URO’s PA today tells me its time to fall back and do injections only for intercourse, maybe an occasional VED exercise and occasional Cialis.


 I was enjoying 2 to 3 injections of Trimix each week with occasional Cialis with some success (5/10) and maybe the VED a couple of times per month.  My PA did say that since I had some penile movement that atrophy would not be a problem now at my stage.


May I ask what it is that others that continue to have ED do to maintain tissue stimulus and blood flow?  I cannot see doing less as profitable.


Thank you,

66 years old 01252010; healthy; active,
married 43 years, good strong erections before surgery.
DaVinci Prostate Removal February 5, 2007
2/12 samples malignant.
Catheter removal 2/13.
Viagra 25mg every other day from 2/14 to 5/12. no help.
Incontinence almost gone after three months.
No pads, occasional  dribble.
Lavitra every other day 5/12 to 7/22. no help.
Muse 1000mcg - no help (50% at best). little help.
Cialis twice a week 7/25/07 to 11/6/08. no help.
Vacuum pump - Huge erections but not useable.
Trimix injections started.  0.09cc is great! 10/08/07.  Still good at 0.10CC and stimulation.
First drug induced erection 10/8/07....Wow!
Natural erections - 0 as of 2/5/07.
PSA's, many to date undetectable.  Thank God!
Total ED...Since 2/5/07  URO took me off oral drugs 11/2008.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 4/17/2010 10:07 AM (GMT -6)   
Marc, good question. At 32 months, I am relying on almost daily VED use, along with a usually weekly trimix shot to 'maintain' blood flow, infusion, and stretching of the penis. I will admit that after this long a time, as you probably know, it's more a grind- a rote and routine - and difficult to stay focused to continue so aggressively as I did when first starting. I have pretty much accepted the realization that I have improved as much as I am going to- which is none at all, in fact- and that anything done in the future is just for maintainence and not for recovery. Sadly, it seems that I- and maybe you- fall into that very small percentile of guys who do have major long term loss of function. My future plan, I think, will be the VED for maintainence and the trimix once in a while, spaced out from the normal lovemaking use of it for intercourse.

But, enough about me, as for you-I'd suggest keeping on as you are, if you feel the need. You can maintain a health routine for the penis and surrounding area by using the VED by itself, with the pills if you wish (there's always alldaychemist) and with the Trimix if the doc is willing to continue the prescription.
James C. Age 63
Gonna Make Myself A Better Man
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 4/18/2010 7:33 AM (GMT -6)   
My surgeon told me at 24 months - I'll have what I have in the ED department. He said the VED would serve no usefull purpose. Even though I dislike the little blue pills (nasty headaches) he said it'd be a good idea to pop one in every few weeks.
Age 55   - 5'11"   215lbs
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
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

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