Viagra to take or not to take?

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patsuz
New Member


Date Joined Jun 2010
Total Posts : 3
   Posted 6/29/2010 2:20 PM (GMT -6)   
Our doctor wants him to take 1/2 viagra every day for 6 months.... (he just had prostate removed)-- viagra will cost $150 for 8 pills WOW-- and not covered by insurance.... dr says he doesnt have to take it but he recommends it.   He's 43 yrs old.   Any advise?? anyone take or not take it?

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 6/29/2010 2:27 PM (GMT -6)   
Take it but not at that price. Look up postings about "all day chemist". Quite a few guys here use it and have not had any trouble. The cost will be 1/10 of that.
Jeff
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 3+4=7, 3+3=6. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. There must be another issue. Uro mtg 4/23.
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 Short sphincter
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05, 4/14 9 months - 0.04 and <0.01 with ECLIA.


ejn
Regular Member


Date Joined Jun 2010
Total Posts : 87
   Posted 6/29/2010 2:33 PM (GMT -6)   
There are sure to be many replies to this post.  I have seen some on here use www.alldaychemist.com.  There are also some MFg websites that offer coupons for free trials you might check out such as Cialis.  My journey has not started since my surgery is 8/11/10 but there is alot of discussion related to the ED drugs on this site.  Good Luck
 
Ed 

 

Age @ DX  53

Dx Date  April 2010

Gleason:  3+3=6
Biopsy: This was my 2nd Biopsy.  The Uro put me out and took 36 samples.  3 samples positive 1%, 2%, 2% no evidence of perineural invasion.
Stage:  T1c
CT Scan: Negative
DaVinci:  Coming up 8/11/10, Dr David Bryan, SSM DePaul-St Louis
 


daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 6/29/2010 2:36 PM (GMT -6)   
First off welcome, I always am sorry to see new members but am also glad they found us.

I take 1/2 of a 100mg generic Viagra from alldaychemist every other day. I firmly believe it has helped with my ED recovery. Use it or loose it is tossed around a lot but everything I've been able to find indicates it's especially true with ED caused by prostate removal.

My Dr started me on 5mg Cialis with 20mg for "special occasions" and emphasized the need for blood flow, Cialis is $$$$ and didn't work that well so I tried the generic V'. It was about $0.50/pill with their double pill offer.
Diagnosed 12-09 age 55
07-06 PSA 2.5
01-08 PSA 5.5 (PCP did not tell me of increase or schedule follow-up!!!!)
09-09 PSA 6.5 Sent for consult with Urologist
11-09 Consult, scheduled for biopsy, found out about PSA from '08 (yes I was pissed)
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5, ain't much but I'll take it.
01-10 Bone Scan, "appears negative"
03-01-10 RRP in Durango CO by Dr Sejal Quale and Shandra Wilson, no naked eye evidence of spread, Vesicles and lymph nodes taken for microscopic exam.

03-16-10 Removal of cath' and pathology results of samples.
Multifocal carcinoma with areas of Gleason pattern 3, 4 and 5, Overall Gleason grade 4+4 with tertiary 5, Bilateral involving 21% of left lobe, 3% of right lobe, Invasion of left Seminal vesicle, Tumor focally present at left resection margin, 9 lymph nodes removed all negative, Tumor staging pT3b NO MX

04-23-10 PSA <0.04
05-03-10 1 week without pads
06-07-10 PSA <0.04


patsuz
New Member


Date Joined Jun 2010
Total Posts : 3
   Posted 6/29/2010 2:39 PM (GMT -6)   
thanks so much- i'm not a big fan of the ordering online and generic- sorry just doesnt sit well-- so explain to me why or why not use viagra? Does it really make a difference?

LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 6/29/2010 2:55 PM (GMT -6)   
patzuz...most uro's will advise taking something like Viagra to stimulate blood flow and to prevent antropy. My uro didn't advise due to cost, but suggested stimulation would be just as favorable. That opens a lot of doors and discussion so take it in the realm of new ways for intimacy with your partner.

Just a suggestion as an alternative.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009     .06
                   6 month Apr 2009     .06
                   9 month Jul  2009     .08
                 12 month Oct 2009     .09 
                 18 month April 2010   .19


engineer55
Regular Member


Date Joined May 2009
Total Posts : 121
   Posted 6/29/2010 4:58 PM (GMT -6)   
From what I read prescribing daily is common, mine did.  Recovery seems to go better with younger guys so at 43 it should go well but it does take time, and you want to keep working on it.    I am at a year and about 90% but at 6 months it was maybe 30%.  As far as the India generics, the cost is about 60  cents a pill, I think you will find a high percentgae of us are doing it with no complaints.  If nothing else put in an order just to see how you like it.  If anything I find the generics have a little less side effects
Dx'ed 5/08 one core 2%  out of 12  3+3 gleason
DREs all negative
PSA was in the 3-4 range then jumped to 7
I have the enlarged prostate, on the order of 100cc.  After taking Avodart for 3 months  my
PSA was cut in half.
I did Active S for a year but concluded that I didn't want a life
of biopsies and Uro meetings.
DaVinci on 6/24/09  UCI Med Center  Dr Ahlering, long surgery based on size and location
Final was 5% one side all clear, but had a huge 90 grm prostate
Now we work on pee control, ok at night but sitting is a big problem.


pogmothoin
Regular Member


Date Joined May 2010
Total Posts : 84
   Posted 6/29/2010 7:49 PM (GMT -6)   
Watch these lectures and you'll have your answer on whether or not it's worth it.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 6/29/2010 7:56 PM (GMT -6)   
I'm on the daily dose of Cialis - really expensive, insurance pays just 8 pills a month, but the logic is to keep the equipment in good repair until the docs figure out if it will work again.

Made sense, and less painful than shots for now.

Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 6/29/2010 8:31 PM (GMT -6)   
If you must buy American viagra, take a look at www.edguider.com . they list all the viagra sources and prices. BTW - my docs have no problem with my using ADC since most of our american drugs are now made in India anyway.

Also, if you are more than six weeks past surgery, get a p*rn shop pump - "Fireman's Friend" is a good one and about twenty bucks. just pump it twice a day for therapy. Also, mast*rbate every day. Be aggressive with this therapy please. You are too young to not take care of this as soon as possible. email me with any questions.
Paul


www.franktalk.org 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 www.roboticoncology.com
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!


T40
Regular Member


Date Joined Oct 2009
Total Posts : 103
   Posted 6/29/2010 8:59 PM (GMT -6)   
I'm 41 and 10 months removed from surgery. I use a 100mg every day and I bought it from ADC. With the generic viagra I am seeing results vary from 70 to 90%. With only one side of nerves spared and a graft on the other side I was told it might take 1 1/2 to 2 1/2 years to fully recover. I attribute being ahead of the curve with my diligence in using a pump every morning, viagra every night, and a shot every couple of weeks just to mix it up.

Honestly, I didn't like the idea of buying online either. I'm thankful I didn't let that stop me. Good luck.

T
Age 40
Pre-op PSA was 5.8 from wellness test on May 19, 09
Follow up test from uro was 4.6 with a 9.3% free psa
Gleason 3+3 in one core, 3+4 in second core of 12 samples taken
Surgery performed August 19th, 09.
One side nerves spared. Nerve graft on other side.
Six weeks incontinence almost over. ED a work in progress but seeing some response.
4 months no longer using pads. ED using trimix with positive response.
Post op October 2nd, 2009 All margins were negative. PSA results in a few days.
Post op pathology 3+4 PT2A NOMO
6 wk PSA .004
3 month PSA .003 12-18-09
6 month PSA .003 3-17-10


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 6/29/2010 9:37 PM (GMT -6)   
Hi Patsuz,

You asked :
"so explain to me why or why not use viagra"

Why : to retain as much of his erect size and girth as before
Why Not: He will be smaller, perhaps to small when erect to even have intercourse

It is extremely important to follow the ED dosage initially, the nocturnal erections are key to his recovery

I understand you do not want to go generic or order online, OK, then skip a couple of nights out and pay the $400 a month for the drug , a 30 day supply ( 100 x 30 pills works for 60 days) so its really only $200 a month. He may only need it a few months. Some places like rite aide pharmacy have "non-insurance discount cards" that knock off I believe 20% f

You will likely NOT find someone on this board that did not take it
Stats:
Age: 52, PSA (2008)=1.9
Biopsy on 01/09/09, Gleason Score = 3+3
One (1) out of twelve (12) cores was positive, plus external nodule found
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Post Op Path 3+3
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, <0.01 - 3 months post-op
PSA 1/10 undetectable, <0.01 - 9 months post-op
Trimix provides 100% erectile function


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 6/30/2010 5:13 AM (GMT -6)   
I was non-nerve spared and my uro's advice was not to waste effort on Viagra and the like. He strongly advocated injections which I used for about 18 months -- a lot cheaper than regular-priced Viagra and highly effective. I also used the pump, and on average, I had an erection about every second day. Right from the start, I had no reduction in size.

So I haven't taken Viagra at all. But I still have ED, and you might argue that I wouldn't had I taken my Viagra :-)

If you opt to go the non-Viagra route, I suggest your partner gets erections by whatever means are available -- the pump and injections do work on those even with no nerves. The "use it or lose it" school seems to prevail, and you get to have some fun at the same time :-)
Pre-op:
Age 63 at diagnosis, now 65.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve-sparing open surgery on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
19-month: 0.09 (maybe)
25-month: 0.2 (yes, bummer)
27-month: 0.2 (not up; glad about that)
ED:
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. At 18 months, "graduated" to just the pump.


maltratado45
Regular Member


Date Joined Jun 2010
Total Posts : 84
   Posted 7/6/2010 4:35 AM (GMT -6)   
 
I was disappointed at the long lasting effects of ED after a Radical and then mop up Radiation back in 05.  At that time I got a lot of encouragement from individual stories I read at  http://www.yananow.net/  They said use it or lose it and after 1 1/2 yrs I thought for sure it was the later;  Then it happened.  What happened?
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
This is what happened:  A birthday pool party for a Grandson gets us all together, 20-30 people.  My daughter in law is of Cuban heritage. She has sisters.  One of those sisters is a knockout and she has a new bikini.  Waterpolo in the pool and I'm sitting in the cabana with ice tea watching that bikini.  My goodness it starts.  It grows, it bulges. it protrudes and felt wonderful but embarrassing.  I mean "HELLO BUDDY, WELCOME BACK.  WHERE HAVE YOU BEEN SO LONG"  I quickly grabbed a towel to cover and went to the bathroom.  It went down just as quick as it came up and before I could do anything about it too, darned.
 
After we drove away hours later, my wife says "Was that what I think it was?" "YES."  "Lets go invite him back, I want to see him again."
 
During those next months he accepted our invitations once in a while and showed up.  Each appearance was a surprise because we could never quite figure out how to phrase the invitation.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Oh, we were bathing and rubbing often.  In fact I don't think I ever smelled better, had smoother skin or less hair in my life then right at that time but full relations were rare. The kind of situation where the mind was willing but the flesh was weak continued.  But we would exercise and did not give up.  I also was taking 1/2 Generic Levitra about twice a week.  Some pills from VA  and some from http://www.alldaychemist.com/ , which for me they work the same.
 
We used a pump but in a little different way then some other people I've read about.  We don't use the pump immediately before intercourse.  We use it to condition of my tissue.  I get decent erections now with 1/2 a 20mg Levitra only and no pump.  I get 6 free generic Levitra every 90 days from the VA.  We use the pump to keep my penis tissues in good condition and able to swell later with the pill.  
 
At that phase my wife surprised me several times when she might bring out the pump and ask if she could do it to me.  For her to be so overt tickled me and added another dimension of tension.   We and/or I make it an 30 minute exercise routine a couple times a week that goes something like this.  Take a warm bath or shower and shave "around" if needed.  Skin care with something she likes the smell of, that I can tolerate.  Apply pump with lube and raise low vac. only.  While under low vac.  I do a series of kegels "with a twist" as groups of 10 and then neutralize vac. to 0 each time and rest for a few minutes in between.  Usually 100 or so total.  Back and forth holding the inner muscles tight enough to make the cylinder bounce.  That helps me keep the tissue in decent condition.  It goes up and down many times but we rarely go all the way to erection during exercise.  Then we stop, clean up and do something different.
 
I look back on that time now and realize it was a way to build emotional and sexual tension between us.  Neither of us knew exactly how things would work out.
 
Like I said I was a long time coming to full intercourse but with patience things worked out just fine.  So I have a different goal when I pump.  I also can endorse "All Day Chemist" as a vendor.
 
How about some of you other guys jumpin in here.  How do you use your pump and what is your routine?
 
I am now 65 and she is 71 but life is full.  I am not happy to have cancer but we have found a few "new normal" things to do to make it interesting for both of us.
 
Best Wishes
 
Jim
 


 

Age 60 when presented to GP on 3 Aug. 2004 with elevated PSA of 13.8.
Referred to Urologist. Biopsy and bone scan in Oct 04.
Pathology report in Nov 04.  Initial Results are T2cNoMo carcinoma of prostate gland.
Had a RRP on 14 Feb 2005. Boy talk about irony look at that date again.
Dr. called 3 days after surgery. I want you both in my office tomorrow morning, we must talk now.
"I wish to apologize because I misdiagnosed your condition.
Biopsy of your organ says Staging is T3bNoMo. Please accept my apology."
At that moment I fell in love with my Dr. and have never changed my mind.
Followup radiation of the prostate bed started early June 05 and ran 42 sessions.
All PSA checkups to date, 5 1/2 yrs, are undetectable.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 7/6/2010 7:37 AM (GMT -6)   
Let me begin by noting that you will find this board quite strongly in favor of penile rehabilitation. On the other hand, there is no solid medical research to support its benefit. Doctors who recommend it are going on their own experiences and those of other practicing physicians. So that pretty much makes it your decision – your doctor thinks it might help, but there isn’t much to back that up..

After over a year of reading this board I have not seen a single post from a member who believed that he had been harmed by a regime of penile rehabilitation conducted with his doctor’s consent. (Well, there is the occasional time that a vacuum pump sucks up one more item than it should, but that is temporary.)

To me, it comes down to the cost; in drugs, in establishing a regular regime, and in possible disappointment versus the possibility of benefit. As some members have noted above, a couple can make rehabilitation a positive, loving interaction no matter what the final efficacy.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day
9 mo. PSA 0.00 -- 1 light pad/day ED remains
12 mo. PSA 0.00 -- still one light pad and ED


ivyagogo
Regular Member


Date Joined Jul 2010
Total Posts : 21
   Posted 7/6/2010 10:01 AM (GMT -6)   
I bought my generic from One Dollar Pharmacy. How come when I try to use All Day Chemist, Viagra doesn't show up in the drop down menu?

maltratado45
Regular Member


Date Joined Jun 2010
Total Posts : 84
   Posted 7/6/2010 10:12 AM (GMT -6)   
Hi,
 
I think there are some patent issues that prevent any Viagra (Original or Generic) from being imported into the US.
 
I believe I am correct on that.  In fact I read it on the All Day site I believe.
 
Jim
Age 60 when presented to GP on 3 Aug. 2004 with elevated PSA of 13.8.
Referred to Urologist. Biopsy and bone scan in Oct 04.
Pathology report in Nov 04.  Initial Results are T2cNoMo carcinoma of prostate gland.
Had a RRP on 14 Feb 2005. Boy talk about irony look at that date again.
Dr. called 3 days after surgery. I want you both in my office tomorrow morning, we must talk now.
"I wish to apologize because I misdiagnosed your condition.
Biopsy of your organ says Staging is T3bNoMo. Please accept my apology."
At that moment I fell in love with my Dr. and have never changed my mind.
Followup radiation of the prostate bed started early June 05 and ran 42 sessions.
All PSA checkups to date, 5 1/2 yrs, are undetectable.


ejn
Regular Member


Date Joined Jun 2010
Total Posts : 87
   Posted 7/6/2010 10:23 AM (GMT -6)   
Viagra does not list on AllDay.  You have to use the drug name.  Viagra=Sildenafil Citrate

Age @ DX  53

Dx Date  April 2010

Gleason:  3+3=6
Biopsy: This was my 2nd Biopsy.  The Uro put me out and took 36 samples.  3 samples positive 1%, 2%, 2% no evidence of perineural invasion.
Stage:  T1c
CT Scan: Negative
DaVinci:  Coming up 8/11/10, Dr David Bryan, SSM DePaul-St Louis
 


ivyagogo
Regular Member


Date Joined Jul 2010
Total Posts : 21
   Posted 7/6/2010 11:05 AM (GMT -6)   
So it's the 100 mg stuff called Silagra? I want to make sure.

maltratado45
Regular Member


Date Joined Jun 2010
Total Posts : 84
   Posted 7/6/2010 11:15 AM (GMT -6)   
Yes. Copy Follows:

Silagra 50

Each film-coated tablet contains Sildenafil Citrate equivalent to Sildenafil 50 mg

Silagra 100

Each film-coated tablet contains Sildenafil Citrate equivalent to Sildenafil 100 mg

Note : Brand 'Suhagra' also made by Cipla may be substituted


Also be advised they offer to ship as many pills as you wish for one "shipping cost"

So for instance if you wanted to try other pills at the same time the other two pills come with a buy one get one free program.

So you buy 10 for example you would get 20. You buy 20 you would get 40.

Smooth Sailing Jim
Age 60 when presented to GP on 3 Aug. 2004 with elevated PSA of 13.8.
Referred to Urologist. Biopsy and bone scan in Oct 04.
Pathology report in Nov 04.  Initial Results are T2cNoMo carcinoma of prostate gland.
Had a RRP on 14 Feb 2005. Boy talk about irony look at that date again.
Dr. called 3 days after surgery. I want you both in my office tomorrow morning, we must talk now.
"I wish to apologize because I misdiagnosed your condition.
Biopsy of your organ says Staging is T3bNoMo. Please accept my apology."
At that moment I fell in love with my Dr. and have never changed my mind.
Followup radiation of the prostate bed started early June 05 and ran 42 sessions.
All PSA checkups to date, 5 1/2 yrs, are undetectable.


maltratado45
Regular Member


Date Joined Jun 2010
Total Posts : 84
   Posted 7/6/2010 11:18 AM (GMT -6)   
Sildenafil Citrate 100 mg
Generic Name: Sildenafil Citrate
US. Brand : Sildenafil Citrate 100 mg
Manufacturer: Cooper Pharma
Strength: 100mg Package: 10 Pills

Price: $12.00
Bonus : 10 Pills


This is an example of what I mean. The Double Pill Offer is on the Front page high right side.
Age 60 when presented to GP on 3 Aug. 2004 with elevated PSA of 13.8.
Referred to Urologist. Biopsy and bone scan in Oct 04.
Pathology report in Nov 04.  Initial Results are T2cNoMo carcinoma of prostate gland.
Had a RRP on 14 Feb 2005. Boy talk about irony look at that date again.
Dr. called 3 days after surgery. I want you both in my office tomorrow morning, we must talk now.
"I wish to apologize because I misdiagnosed your condition.
Biopsy of your organ says Staging is T3bNoMo. Please accept my apology."
At that moment I fell in love with my Dr. and have never changed my mind.
Followup radiation of the prostate bed started early June 05 and ran 42 sessions.
All PSA checkups to date, 5 1/2 yrs, are undetectable.


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 7/6/2010 4:15 PM (GMT -6)   
I think the majority of us here who use ADC buy the Manly version of the sildenafil citrate 100mg. manufactured by Cooper Pharm., usually sells as a buy one/get one, which brings the price down into the .57 cents range, last time I checked. The Silagra brand sells for around $2.00 a pill, the same sells in the Canadian Northwest Pharmacy for a little over $4.00 a pill. The Manly pill, while cheap, si sometimes reported as being a little stronger than the Viagra brand name. I have used it for the past 3 years, it's cheap, safe, and while not effective for me, the side effects tell me it would be if I were at the point where the pills did work for me. Just one guys opinion, of course. For those who are unsure about ordering generics from overseas, the Canadian and other countries pharmacies use the same pills, from the same manufacturer and usually from the same Indian wholesalers as ADC uses.

Also, to address the OP, the purpose of the ED pills just after treatment is to improve blood flow into the pelvis, infusing the tissues and such with fresh blood, which aids in the healing of damaged areas and nerve repair being speeded up, probably. The purpose of the pills aren't for promoting intercourse, but as an aid to healing and to help induce those all important healing nocturnal erections. . The usual progression is to use the pills for blood flow and nocturnal erections, progressing to a penis pump in a few weeks if there's no response. The pump will help in the stretching and filling of the penis with blood, to prevent shrinkage and atrophy, and to recover as much length as posible, if possible. The next step, if no success with the pills and pump is the prick. That's the prick of a penile injection needle, of course. The injections are usually painless or very minimal pain, very effective (about 98% of men respond to it). The old saying of making a rope erect is fairly accurate a description. Several of us began the injections early at the same time as the pump in my case- about 6 weeks post surgery. There's some literature out that says penile injection is the fastest and most effective method of rehabbing the penis after RRP. In any case, unless the guy is fortunate to get normal erections soon after RRP, then the road to erections lead thru the pill, pump, and prick protocol. It may take a few months or a few years, it's work, not pleasure and takes dedication and support from a partner, if one is available. That's just the way it is, I'm afraid. However, if someone is scared of the needle, the good healthy feeling one has mentally and physically with having a nice firm erection after so many months of sickness and recovery usually convinces them to continue. It is really amazing how our attitude about life changes when we got one tucked in the pants. devil smilewinkgrin
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
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, 110 gms., margins clear
3 Years: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN

Post Edited (James C.) : 7/6/2010 4:37:48 PM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 7/6/2010 5:31 PM (GMT -6)   
Mr. Gimpy, for the sake of accuracy, I am one in our group that has never taken any ED meds, pills or injections, and never used a pump. With only the right side nerve bundle left after surgery, I experienced no ED whatsover. While I was on catheters for 63 straight days after surgery, once the cath was removed, was, and have been able to have full errections with no other aids or meds. I realize that I am a small group in that situation, I know there's at least 3-4 others here like me. Makes no medical or surgical sense, even my own doctor won't take credit for the sucess there. Just how it happened to work out for me. Even post radiation, so far, had not taken that away from me, though, I am usually in too much post-radiation damage pain to even want to think about having sex in the "normal" sense of the word.

Had I needed help with ED, I would have started with the pump based on the accounts of JamesC here and several other men. It is important to get that blood circulating through the penile area, even if its not for recreational purposes.

There are a lot of good threads here at HW related just to the nuiances of pumps, drugs, and injections.
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, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, next one:  July
Latest:  7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, 7/2 - Caths #18 & #19


maltratado45
Regular Member


Date Joined Jun 2010
Total Posts : 84
   Posted 7/6/2010 6:06 PM (GMT -6)   
Hi Purgatory, I hope your starting to feel better.

Smooth Sailing Sir

Jim
Age 60 when presented to GP on 3 Aug. 2004 with elevated PSA of 13.8.
Referred to Urologist. Biopsy and bone scan in Oct 04.
Pathology report in Nov 04.  Initial Results are T2cNoMo carcinoma of prostate gland.
Had a RRP on 14 Feb 2005. Boy talk about irony look at that date again.
Dr. called 3 days after surgery. I want you both in my office tomorrow morning, we must talk now.
"I wish to apologize because I misdiagnosed your condition.
Biopsy of your organ says Staging is T3bNoMo. Please accept my apology."
At that moment I fell in love with my Dr. and have never changed my mind.
Followup radiation of the prostate bed started early June 05 and ran 42 sessions.
All PSA checkups to date, 5 1/2 yrs, are undetectable.


Paella
Regular Member


Date Joined May 2010
Total Posts : 52
   Posted 7/6/2010 6:39 PM (GMT -6)   

Patsuz:

I read Pogmothoin's recommendation to watch the Memorial Sloan Kettering lecture (http://www.mskcc.org/mskcc/html/94910.cfm).  It takes some time to watch in its entirety so I  haven't finished it, but I WHOLEHEARTEDLY recommend that you watch it.  The reason for the drugs is to help bring blood and oxygen to the penis and stretch that muscle and keep the erection tissue from atrophy.  A few quotes from the talk:

"the best time to respond to ED drugs during the first year after surgery is in the first month". 

"Erection tissue damage is time-dependent".

"90% of sexual medicine experts world wide expert worldwide do rehabilitation...that means that there has to be something to it".

THANK YOU, POGMOTHOIN!!

Mac had RALP 3 weeks ago and here's what we're doing drug-wise (lI'm not particularly leery of generics but am leery about online pharmacies and India and additives and etc):  We have 16 doses of Cialis and 16 of Levitra which we being tonight.  Over the next month we'll use both, keep notes, then will purchase the generics via All Day Chemist.  At least we should be able to compare the affects of the generics to the real thing.  

I'm livid about the ridiculously high expense of these drugs.  8 Cialis (20mg) and 8 Levitra (20 mg) cost $278.58...no insurance.

Ciao - Paella (I write for both of us)

Mac’s statistics:

Age 65 - 5'11" Weight 210 BMI 29.1

Overall Heath Condition: Good

No family history of prostate cancer

PSA in November 2001 = 1.0 slowly rising to 4.4 in Feb 2010 (eleven years)

Biopsy: 04/19/10: Gleason 3 + 4 with 5 of 12 positive

Robotic Radical Prostatectomy on 6/14/10 with both nerves spared

Path report – T3a; Gleason still 3+4.  No tumor present in the seminal vesicles, margins or removed lymph nodes.

   Perineural invasion? - yes.  Extraprostatic focal presence? - yes

Cath had to stay in an extra week because of a “teeny amount” of leakage

6/29/10 Cath removal uneventful.

1-week post cath removal = 1 Always pad per day, no diapers and only very minor burning sensation.

1st post-surgery PSA planned for August 05, 2010

 

 

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