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Golf1
New Member


Date Joined Oct 2009
Total Posts : 5
   Posted 9/19/2010 8:34 AM (GMT -6)   
After a year of ED and using the pump, which didn't seem to help, Viagara and Muse my erection is partial at best. My doctor now wants to insert an implant where the pump and release valve are located in my scrotum and I can pump up the erection. My concerns are having something foreign in my body, does it work to everyone's satisfaction because it seems like you pump it up with no blood flowing through therefore how can the male seem eroused? My doctor claims there is a 90% satisfaction of males. Does anybody have any experience with this? I am 51 and hopefully have many years left.

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 9/19/2010 12:29 PM (GMT -6)   
have you tried injection therapy ? Bimix or Trimix, if not I would ask your Dr why

Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 9/19/2010 12:41 PM (GMT -6)   
Golf,
I would also wonder about no injections, unless you have bad veinous leak or circulatory problems which you haven't told us about...

Implants are a great cure for ED. They are time tested, men love them, they feel natural. They last 8-15 years. any guy know who has one wishes he had not waited so long.
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!

Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 9/19/2010 5:07 PM (GMT -6)   
And also there is no going back -- an implant, kills any chance of a natural erection. Not so with injections, pump or pills.

I think your doc is being premature, as it is possible to recover natural erections up to three years out -- though I am not an example :-)

Of course if there are underlying medical reasons why that won't happen, then there is a case for not waiting. I have heard good things about implants, although the fact that they have to be replaced every 10 years is a downer cry

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 9/19/2010 5:27 PM (GMT -6)   
Must say my Dr pushed for implant also. Found a new Dr and started injections. They are working fine. I am on hold for implant till I am sure that the pills will never kick in. You may want to look at franktalk.org. Lots of info n ED.

If you have questions feel free to email me. My link is open.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
Only issue at this time is ED

Golf1
New Member


Date Joined Oct 2009
Total Posts : 5
   Posted 9/19/2010 6:54 PM (GMT -6)   
The doctor tried one injection although it was better it was not a full erection. I should have mentioned that earlier.He says I can try the injections if I want to see how it goes.

RCS
Veteran Member


Date Joined Dec 2009
Total Posts : 1247
   Posted 9/20/2010 5:11 AM (GMT -6)   
Golf1

Based on my experience, it doesn't seem like a year is quite enough time to wait before deciding on an implant. I'm at a year and a half and things seem to be progressing fairly well now; however, everything was going real slow untill the one year mark.

It can be a bit tricky finding the right amount of Trimix/Bimix/"whatever mix" to inject. Too little and you get nothing, too much and your in the ER. Injections are an important part of a penile rehab program. As I understand it, the injections cause an erection which brings oxygenated blood into the penis. Since you do not get nocturnal erections, the erections created with the injections are needed to supply this oxygen. The oxygen is need to maintain a healthy penis. If you are not familiar with penile rehab, you may want to read Dr. Muhall's book, or look at his lectures on line.

Also, you may want to try and find a Uro who is willing to work a bit more with you on your penile rehab program in general and specifically on injections.
PSA 2007 - 2.8; 11/24/2008 - 7.6; PCa 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. Continent after removal of cath.

ED - Trimix works well; levitra @ 90%
PSA - 7/31/09 <0.06; 12/1/09 <0.06; 3/29/10 <0.06; 8/4/10 <0.06

Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 9/20/2010 5:21 AM (GMT -6)   
Just as with any medical decision, it is always wise to get a second opnion. Remember even Uro's do not get training in ED. They get training in pathology that causes ED, but very little is taught about treatments. So several different approaches by different docs are very common. If you're at all uncomfortable about an implant yet, then listen to that voice inside you.
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!

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 9/20/2010 8:01 AM (GMT -6)   
Here you go Golf1, URO that is a recognized expert in ED



http://urology.med.nyu.edu/about/physicians/mccullough

Post Edited (MrGimpy) : 9/20/2010 8:05:04 AM (GMT-6)


Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 9/20/2010 9:39 AM (GMT -6)   
Jeff,

As one who has been seriously considering injections, I'm very interested in why you would consider dropping the injections in favor of an implant if the injections are working. What do you see as the drawbacks to injections that would make you consider a change? Thanks.

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 9/20/2010 2:02 PM (GMT -6)   
I'm just not sure that injections are a life-long solution. There is always the possibility of scar tissue from injections. But for now all I can say is (WOO HOO)!

:) Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
Only issue at this time is ED
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