Injection (Bimix, Trimix) ? (viagra, oral, etc.)

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FiftiesMale
Regular Member


Date Joined Mar 2009
Total Posts : 75
   Posted 7/28/2010 10:13 AM (GMT -6)   
I have read many threads with discussion about Injections (Bimix, Trimix, etc.). I have a couple of quick questions. The first question, i have seen mixed answers on, so I will ask in this thread, to maybe get new updated answers. The second question is a bit awkward, but you will never know the answer, if you don't ask the question.

(1) do you recommended (for or against) taking Viagra when doing injections?

I am currently taking Viagra (100mg) with ok results. I want to try to Bimix or Trimix to remove complications that occur with a pump and ring. (think: bending below the ring, is why i want to try the injections).

(2) this is the awkward question. Is it ok for my wife to perform "oral" stimuation AFTER I have had an Injection. I know that it is fine with Viagra. But i don't know if any of the solution, depending upon where it ends up inside the penis, could somehow leak out. And if it does, or could, leak out - would that cause harm, if any is taken in orally. (again, sorry for the weird question, but I would like to know for sure).

(3) Is there a preference between Bimix and Trimix? (I have read several of James C's post, and it sounds like Trimix is more potent, but is also more likely to cause pain or priapism due to containing alprostadil). I am leaning towards Trimix. But a lot will depend upon what my surgeon/urologist prescribes.

(4) Are there any issues with going into a Spa (hot tub) after taking an injection? I go in after taking Viagra, but the injections are new for me. To be specific, would/could the heat of the spa water cause the drugs to take on a more extreme effect, therein causing a higher probability of a priapism.

(5) Does Sudafed really resolve the priapism situation? And, i have read (in threads) that there are different types of Sudafed, and only the one with "pseudoephidrine" will help with priapism. If the Sudafed does help, is it available over the counter, or behind the counter but without a prescription? Or do i need to ask my urologist for a presecription?

I am excited to try the injections. I am scared to death at the prospect of going to the ER, and having to deal with ER personnel, how embarrassing.

thanks
Age: 53
8/1/2008: PSA 6.2, GP recommended retake.
8/27/2008: PSA 5.8 (%free 12.1) referred to Urologist.
9/10/2008: DRE - non palpable. Urologist recommended biopsy
10/21/2008: Biopsy appt: 10 samples taken
10/31/2008: Biopsy results; 1 positive out of 10 samples.
10/31/2008: Biopsy Results: Gleason 7 (3+4) , no evidence of perineural invasion.
10/31/2008: Referred to UCSF
12/19/2008: Transrectal Ultrasound at UCSF
12/19/2008: Consultation with Surgeon.
12/19/2008: Surgeon concurred on Gleason 7=3+4 (per slides).
2/24/2009: Robotic Assisted Laparoscopic Prostatectomy (DaVinci) UCSF
3/5/2009: Cathetor removal.
3/21/2009Post Op Pathology: margins negative/clear, Gleason 4+3=7
4/9/2009: first post-op Ultrasensative PSA: less than 0.01
Currently taking Viagra (since March 2009), Levitra (tried Cialis).
6/2009: Purchased and using Osbon manual pump.
7/28/09: 5 month Ultrasensative PSA: less than 0.01


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4823
   Posted 7/28/2010 11:38 AM (GMT -6)   
1) Try the injections with any pills first.
2) Shouldn't be an issue. Mr pee wee is going in other parts.
3) You;ll have to try and see which works best for You.
4) Unknown to me. Many people have been using spas for years with and to get a "woody."
5) Behind the counter type is what is used.
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
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 7/28/2010 3:18 PM (GMT -6)   
Hi Fifties,

The oral ED drugs work against injection therapy. Th reason is that oral ED meds such as Viagra increase blood flow to the penis. When you inject with Bimix/Trimix, you want to constrict blood flow to the penis to allow maximum absorption of the medication. Blood flow is what flushes out the Trimix medication and allows the erection to subside

NO Rx needed to pick up Sudafed, go into any drugstore or supermarket, they may or may not ask you for ID. The PE version is the wrong one. I have never needed Sudafed and have been using Trimix for over 6 months now

Once injected the medication does not leak out and the injection site seals up within seconds.

Pick up an auto injector, makes injecting so much easier and accurate

It will take some trial and error to dial in the proper dosage and process, the process of constricting the penis to prevent the medication from exiting the penis takes time to get down. Once you get the process and the dosage correct it is not likely you will end up in an ED. My dosage is set for 1.5 hrs, plenty of time to get through a few Kama Sutra poses and well short of the danger time limit

I have never used Bimix, have been on Trimix for quite some time and have never experienced any pain
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


grok1955
New Member


Date Joined Jul 2010
Total Posts : 7
   Posted 7/28/2010 5:14 PM (GMT -6)   
MrGimpy,

What is an auto injector????

Grok1955

RCS
Veteran Member


Date Joined Dec 2009
Total Posts : 1244
   Posted 7/28/2010 5:15 PM (GMT -6)   
1.) My Uro said no Viagra with Trimix, except the 5mg that I take five times a week for penile rehab.
2.) No problem.
3.) I've only used Trimix ... and its been great
4.) I've never gone in a spa after Trimix. A shower seems to have a deflating affect.
5.) I haven't really had much of a problem with this. At the beginning I started with 10 units of Trimix (1cc=100 unts) and took some sudafed (with pseudoephidrine ... asked the pharm. for it) ... but lowered the dose and never had an issue since then. I've found that with time the dose is going down, and am currently at 2 units. Everyone is different in how much they need so I would suggest that you start low and work your way up.

It would be best to have your first injection under the supervision of your doctor.
PSA 2007 - 2.8
PSA 11/24/2008 - 7.6
Pc Dx 2/11/09; age at Dx 62
RLP 4/20/09
Biopsy -  Invasive moderately differentiated prostatic andenocarconoma; G 3+3=6; PT2C; No evidence of Seminal Vesicle or Extraprostatic Involvement; Margins clear; Tumor identified in sections from prostatic apex.
70 gram prostate.
Immediately continent after removal of cath.
ED - Trimix works well; viagra @ 70%
PSA - 7/31/09 <0.06
PSA - 12/1/09 <0.06
PSA - 3/29/10 <0.06
 
 
 


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 7/28/2010 6:38 PM (GMT -6)   
Hi Grok,

See the attached link for one type of auto-injector, I use this one with my BD syringes

Basically its easy, you load your syringe into the injector, then you place the end up against the skin at the desired target point. Then simply press the button and the needle is inserted into the skin at the exact location and depth. Then just press the plunger to push in the medication

You never see the needle enter your skin, no jabbing, no missing the desired target spot


www.amazon.com/Bd-Automatic-Injector-Inject-ease-Packages/dp/B001IKKHGS
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


FiftiesMale
Regular Member


Date Joined Mar 2009
Total Posts : 75
   Posted 7/29/2010 8:33 AM (GMT -6)   
Hi all. I had my first injection yesterday (.3 Bimix). It worked great in the office. We all thought that there was some lessening of affect, so i went home. (i live an hour from the surgeon's office). Wrong. 2 1/2 - 3 hours later, still strong, so I took a Sudafed. No change. 4 hours later, still like a board. Even took another Sudafed. Then, what i really wanted to avoid happened. Trip to the ER, and it was not fun. I was in the ER for close to 4 hours. Saw 2 doctors, including the oncall Urologist from the local hospital. Audience included 3 different nurses over the almost 4 hours. All getting a look at mr woody. Not what i wanted. After waiting to see someone for almost an hour, finally a doctor came in. First, they gave me an injection to take down the erection. 15 minutes later, no change. So another injection to take down the erection, no change. Then, 4-5 shots of novacaine (or some local pain killer). This was followed by another series of shots of painkiller. Then came the flushing and draining. Probably 30-60 minutes of draining, waiting, squeezing, holding, bleeding, more needles, more bandages to capture the blood. It was a mess. Finally, after almost 4 hours, things were down, and I went home. about an hour later, i went to the bathroom, number 1 and 2. Got off the toilet and there was a few blood drops on the floor. I thought, oh crap, what now. I looked down and i was bleeding from a hole on the tip of my penis. Not the hole that I pee out of, but a small hole on the fireman's hat, if you know what i mean. I held it with my hand and tissue, and it eventually stopped bleeding. I set the alarm every few hours, not knowing if bleeding would erupt somewhere else. (none did). I finally concluded that maybe the slight pushing of going to the bathroom maybe pushed open a hole from one of their needles. I don't even remember a needle in that location, from while in the hospital. When the bleeding stopped, i looked and where the bleeding came out of, there was a dark spot. I could have sworn that i read something bad about dark spots, but i could not find anything last night about dark spots, (neither could my wife, while googling on dark/black spot and priapism and penis). At the moment, I am scared to death of having another erection, for fear of another trip to the ER. I enjoyed the very full erection from the Bimix, but now i am afraid to order and use any (for fear of another trip to the ER). I am imagining that the fear will subside, over time. I will post again, for sure, but i am still in shock, and weary from all the ER injections, shots, etc.
Age: 53
8/1/2008: PSA 6.2, GP recommended retake.
8/27/2008: PSA 5.8 (%free 12.1) referred to Urologist.
9/10/2008: DRE - non palpable. Urologist recommended biopsy
10/21/2008: Biopsy appt: 10 samples taken
10/31/2008: Biopsy results; 1 positive out of 10 samples.
10/31/2008: Biopsy Results: Gleason 7 (3+4) , no evidence of perineural invasion.
10/31/2008: Referred to UCSF
12/19/2008: Transrectal Ultrasound at UCSF
12/19/2008: Consultation with Surgeon.
12/19/2008: Surgeon concurred on Gleason 7=3+4 (per slides).
2/24/2009: Robotic Assisted Laparoscopic Prostatectomy (DaVinci) UCSF
3/5/2009: Cathetor removal.
3/21/2009Post Op Pathology: margins negative/clear, Gleason 4+3=7
4/9/2009: first post-op Ultrasensative PSA: less than 0.01
Currently taking Viagra (since March 2009), Levitra (tried Cialis).
6/2009: Purchased and using Osbon manual pump.
7/28/09: 5 month Ultrasensative PSA: less than 0.01
7/14/2010: 18 month Ultrasensative PSA: less than 0.04.


grok1955
New Member


Date Joined Jul 2010
Total Posts : 7
   Posted 7/29/2010 9:01 AM (GMT -6)   
Mr Gimpy,

Thanks. The B-D is unavailable so I am ordering the Ambimed Inc Inject-ease®.

 

Age:                       54 (born 1955)

Married:            Yes  (31 years)

Gleason:            3+3

Surgery:             Davinci on 06-25-2009, catheter out July 6, 2009

Continancy:       Only some Stress wetness in first months or so.  No pads since

PSA (post):         below .10 since surgery

Erection:            1 month:  Pump was effective for intercourse but not satisfying

                          3 months:  Pump with Viagra, Levitra, Cialis (LVC) was better but not much

                          6 months:  Alprostadil (0.6cc) with pump with inconsistent results

                          9 months:  Alprostadil (1.0cc)with pump and LVC was better but inconsistent results

                         12 months:  TRiMix(0.4cc)/Pump/LVC and WOW “Return of the Light Saber”, life is good

                        100% erection for over 2 hours, 85% for another hour or so.  FUN FUN FUN


eggbe
Regular Member


Date Joined Feb 2010
Total Posts : 33
   Posted 7/29/2010 9:47 AM (GMT -6)   
FiftiesMale: What a frustrating experience. I've done extensive reading on this site about trimix and bimix and there are numerous accounts where the in the Dr's office the dose provided is too high. I'm not sure of the ratios but with trimix it seems most Dr's provide 1cc, after my reading here I started at .03 and found that dose to be sufficient. If I was to take a dose of .1 that would almost be 300% more. Also when if have the syringe loaded it looks like such a small amount it's hard to believe that it could actually be effective. It seems that the medical community needs to take a careful look at the dosing of these products and proceed with some caution.
age 59 psa 6.3 Nov 2009
gleason 7 (4+3) Dec 2009
HIFU 1-17-10
PSA 0.2 3-4-10 (before recommended 3 months wait)
PSA 0.1 4/14/10


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4823
   Posted 7/29/2010 11:02 AM (GMT -6)   
FiftiesMale - might consider a smaller dose of 1cc AND do it in the Doc office.
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
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 7/29/2010 11:10 AM (GMT -6)   
Fifties, what a frightening story to read, that takes the cake. Your worse fears unfortunately came true, I feel bad for you, and yeah, sure it will effect your thinking in the future about errections. Hopefully, over time, you can find a safe way to try again, once the trauma the event is out of your mind. Good luck and good healing
Age: 58, 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: Aug 3
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, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 7/29/2010 11:15 AM (GMT -6)   
FiftiesMale,

You have a legit gripe with your Dr. , Mine started me in his office with .1cc and would not let me leave until he saw that I had no erection.

My home instructions were to increase by .04ccs until I had an erection suitable for intercourse, ultimately I reached .22 cc's , that gets me 1.5hr wood every time, no more, no less
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


Hunter48152
Regular Member


Date Joined Feb 2010
Total Posts : 32
   Posted 7/30/2010 11:00 AM (GMT -6)   
Had my 1st injection at the Dr. office 2 days ago. They tried me on a Quadmix @ .4. Well Doc said this is a low dose and should only give me a chubby, which it did AT FIRST!! On the way out of the office things started to grow more. Getting home the wife was Very happy and wanted to try it out, So after that and getting close to the 3 hr mark I was still ready to go for more with no let up in sight.. Well after a little walking and some ice, things subsided. I called the doc and told her what happened. She recommended that I drop to .2. She also indicated that this is a good sign that things should return to normal and I won't need the shots. So do what I did, call your doc and tell them what happened and drop your dosage to maybe .1.
Age: 45
Diagnosed: 9/09 PSA: 5.3
Ultra sound showed lump on left side
Biopsy: 5 of 12 Pos. Gleason: 6
Da Vinci Nerve sparring done: 12/16/09
PSA 1 month after surgery: 0.0
PSA as of 4/28/2010 after 37 Rad treatments Undetectable
Path. Report: Tumor at the margins but had not gone through capsule
Start Low Dose Rad. March 2010 as a precaution
Ended rad Treatments 4/28/2010


FiftiesMale
Regular Member


Date Joined Mar 2009
Total Posts : 75
   Posted 7/30/2010 10:35 PM (GMT -6)   
Thanks to the many for your feedback. I am ok. It is frustrating to have gone through the trauma, after such a good initial 1-2 hours. I am (at the moment) afraid to even consider an erection, either naturally, via viagra, or via injections. I am hopeful and confident that the anxiety will pass. I still have several bruises where the many shots went in, both the injections to bring it down (which did not work, after 2 shots), and after the draining and flushing. I used to look forward to Friday nights, and Saturday mornings (our best times for intimacy). Tonight it is the furthest thing from my mind. Again, thanks for all, for the posts.

(p.s. i did receive a call from the Urologist office, advising we start over at .1, and wait till things come down, in their office. And, i did receive a call from the Emergency Room Urologist, asking how i was doing. It was helpful to hear their words of support. It did not take away the anxiety and frustration of the ordeal. I guess time will take care of that).
Age: 53
8/1/2008: PSA 6.2, GP recommended retake.
8/27/2008: PSA 5.8 (%free 12.1) referred to Urologist.
9/10/2008: DRE - non palpable. Urologist recommended biopsy
10/21/2008: Biopsy appt: 10 samples taken
10/31/2008: Biopsy results; 1 positive out of 10 samples.
10/31/2008: Biopsy Results: Gleason 7 (3+4) , no evidence of perineural invasion.
10/31/2008: Referred to UCSF
12/19/2008: Transrectal Ultrasound at UCSF
12/19/2008: Consultation with Surgeon.
12/19/2008: Surgeon concurred on Gleason 7=3+4 (per slides).
2/24/2009: Robotic Assisted Laparoscopic Prostatectomy (DaVinci) UCSF
3/5/2009: Cathetor removal.
3/21/2009Post Op Pathology: margins negative/clear, Gleason 4+3=7
4/9/2009: first post-op Ultrasensative PSA: less than 0.01
Currently taking Viagra (since March 2009), Levitra (tried Cialis).
6/2009: Purchased and using Osbon manual pump.
7/28/09: 5 month Ultrasensative PSA: less than 0.01
7/14/2010: 18 month Ultrasensative PSA: less than 0.04.

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4088
   Posted 7/31/2010 7:23 AM (GMT -6)   
What a terrable story guy. I do understand your anxiety. Best of luck.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%

FiftiesMale
Regular Member


Date Joined Mar 2009
Total Posts : 75
   Posted 7/31/2010 3:52 PM (GMT -6)   
Is there anyone out there, who has had to go to the ER, and the injection to bring it down did now work - and they had to drain the penis?

I am feeling some discomfort, not major, but occasional dull pain. It goes away with tylenol or advil. I am supposing that it is due to the many shots, and the trauma that occurred due to all the activity, especially the needles to drain the penis.

I am wondering if anyone else has gone through it, how much time went by till you were back to normal?
I have numerous bruises, at the point of all the injections. None of them are swollen, or painful to touch, so i am assuming they are normal.

My dull pain is almost more inside of me, like just inside the body from where my penis is. Again, it is not major, but occasional dull minor aching.

any thoughts would be welcomed.

thanks
Age: 53
8/1/2008: PSA 6.2, GP recommended retake.
8/27/2008: PSA 5.8 (%free 12.1) referred to Urologist.
9/10/2008: DRE - non palpable. Urologist recommended biopsy
10/21/2008: Biopsy appt: 10 samples taken
10/31/2008: Biopsy results; 1 positive out of 10 samples.
10/31/2008: Biopsy Results: Gleason 7 (3+4) , no evidence of perineural invasion.
10/31/2008: Referred to UCSF
12/19/2008: Transrectal Ultrasound at UCSF
12/19/2008: Consultation with Surgeon.
12/19/2008: Surgeon concurred on Gleason 7=3+4 (per slides).
2/24/2009: Robotic Assisted Laparoscopic Prostatectomy (DaVinci) UCSF
3/5/2009: Cathetor removal.
3/21/2009Post Op Pathology: margins negative/clear, Gleason 4+3=7
4/9/2009: first post-op Ultrasensative PSA: less than 0.01
Currently taking Viagra (since March 2009), Levitra (tried Cialis).
6/2009: Purchased and using Osbon manual pump.
7/28/09: 5 month Ultrasensative PSA: less than 0.01
7/14/2010: 18 month Ultrasensative PSA: less than 0.04.

mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 672
   Posted 8/3/2010 6:35 PM (GMT -6)   

Hey Fifties,

I had the ER visit, too. Pretty humiliating, but, I got through it with less of an ordeal than what you went through. They were talking about using syringes to drain, but luckily the sudafed, some mist they had me breathe and lots of ice took it down.

I've stopped using trimix (too many 3+ hour painful erections) and will talk to my ED doc about maybe bimix. Levitra is starting to work...not always consistent at low doses.

 

Hope this helps.

Mike


-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months for diagnosed prostatitis.
-PSA start of 2008: 5.3..... PSA June of 2008: 7.3
-14 DRE all benign or nothing felt
-TRUS Biopsy Nov 08: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.
-Bladder control within 48 hours of catheter removal
-ED ongoing but improving. ED oral meds didn't do much initially. TRIMIX was working very well. Initial dose of 0.1 mL too much. Had priapism at 0.075 mL that ended up in a humiliating ER visit. Doses recently after 50% dilution by Uro about 0.025 mL or less. Don't use Trimix anymore...I'm too sensitive to it, even at very low doses and the Alprostadil is pretty consistent in causing erection pain...had a few episodes of 3+ hour wood with pain.
-Levitra now starting to work at low doses of 5 mG to 10 mG. Sometimes the side effects like stuffy nose aren't fun...sometimes OK.
-Was supposed to see ED doc last week, but due to his schedule, will now be late August. Will discuss bimix with him.
 
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