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New Member

Date Joined Mar 2010
Total Posts : 16
   Posted 7/6/2010 7:08 PM (GMT -6)   
I had prostatectomy eight years ago.
I have tried all the pills with no avail.  I have tried Bi Mix, up to 4cc
and don't get a full erection, so I am going to try a pump.
My question is, can any of you experienced users give me any tips
on how to go about using the pump? 
If you use the pump for therapy, how do you use it and for how long?
Can the pump be used in conjuction with injections?  If so, would you use
a small amount of Bi Mix? 
If anybody can give me advise on this matter I would appreciate it.
I haven't had much luck asking my doctor.
I have had good advise from this forum before so I thought
I would ask about this.   cool
Thank you in advance.

Veteran Member

Date Joined Aug 2009
Total Posts : 670
   Posted 7/6/2010 8:26 PM (GMT -6)   
Kolin, usually there are instructions that come with the pump - did you not get any, or are you looking for the less obvious tips?
You need to use some lubricant at the base of the pump, where it meets your body, to build vacuum. You try to pull blood into the penis, and then there is usually a button to release the vacuum so you can alternate pressure so you don't build too much up. You put the band over the plastic piece and then slide it into place at the base of the penis (it can be a bit of a shock when the band snaps into place). Some on the forum here have used the band after pumping and before injecting to enhance the effectiveness of the injections. I have had enough success with the bimix by itself to not need to go there. You'll probably hear of their dosage experiences so I won't hazard a guess.

I have talked to at least one guy that had no luck with the pills but the pump was all it took to "relearn" erections - it was what convinced me to try it. Didn't do the trick for me, but I think everyone is different in terms of what helps the most.
Regards, Jeff
Gleason, 3+4; PSA, 7.9
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
pT2c, prostate 60.2g, margins: negative; perineural invasion: present; lymphatic invasion: present; 3 lymph nodes removed, clear; seminal vesicle invasion: absent; Gleason 4 comprises 5-10% of carcinoma
PSA consistently <0.1 since surgery until Oct 09: 0.1; retested Oct 09, <0.1,
Jan 10, 0.2
retest Feb 1 confirmed 0.2
CT scan, bone scan Feb 10 both clear
PSA after, 2010: March, 0.17; April, 0.17; May, 0.24; June, 0.31
Starting salvage IGRT on August 4

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 7/6/2010 9:22 PM (GMT -6)   
The pump is an excellent, cost effective solution to ED. Sadly, most men never get adequate training and then quit because it is not working. It is a steep learning curve. The videos do not tell the whole story either.
Start by taking a look at they offer a penile sleeve to make the bands less painful. You should also shave around the base of the penis. Also take a look at for more complete instructions. Prepare the pump according to instructions.
Basically, take your time, lube up your penis, and then start by pumping up, holding for 5-10 seconds and then release. Repeat this several times. then when you reach 100% - it should not be painful - slip the band off the pump and around the base of your penis. Remove the rubber gasket at the end of the tube, place the tube back over the penis with the ring on the base of the penis. Slowly pump some more while the penis becomes more engorged. Remove the pump and you are ready to go. Be sure to remove the ring by the 30 minute mark.
It will take your body a while to get used to the different sensations, so don't even try to have an orgasm during intercourse. Just enjoy the results of the pump.
Lots of guys here have experience with pumps. They'll be along in a bit.
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!

New Member

Date Joined Mar 2010
Total Posts : 16
   Posted 7/7/2010 2:44 PM (GMT -6)   
Thank you Jeff and Paul for the infor.

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2461
   Posted 7/7/2010 9:03 PM (GMT -6)   
I have used the pump after surgery and had to try several times before getting used to it. I used 1 rings to hold the blood in. I was bale to keep the erection for 10-15 minutes. Orgasm was somewhat abnormal due the restriction from the rings. I now use the pump just for rahab and use trimix for intercourse.
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
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 5 months
2 months 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 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005

New Member

Date Joined Mar 2010
Total Posts : 16
   Posted 7/7/2010 9:10 PM (GMT -6)   
Thank you Ed.
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