Well, with the good input from others on HW I took the next step in my RP, Sling, AUS and now ED injections journey. Many of you on HW are familiar with my other journeys so now you have to endure this one with a blow by blow (pun intended) account.
I went to the Uro this afternoon to get the demo on injection of Edex (alprostadil). He first prescribed Caverject which as I found out is simply another delivery mechanism for alprostadil. As it turns out Caverject is on backorder until 2014.
I was greeted by the nurse crachet who had obviously done this many times before and although she claimed to have four kids for the life of me I don't know how. My wife who is also a registered nurse (long since retired) and who has been patiently doing "watchful waiting" for my ED and as I now realize was really longing for a roll in the hay. It has been almost four years since we last did the deed successfully.
After watching the compulsory video the nurse crachet and my nurse wife talked me through sticking the needle into Buford at the 3 o'clock position. He kind of winced a little but felt no pain (surprize) from the needle. After a couple of minutes the little guy started to look up at me like "where have you been the last four years". After about 10 minutes he was standing up and saluting with an apparent attitude of "let's do this thing". He got back to almost where he was before the Uro performed a "now so nerve sparing RP". Mind you not like he was in his teens but enough to make things work I think.
He complained of a very slight ache but understand he had not been this rigid other than with the use of a pump for a long time. It is now about 4 1/2 hours since the injection and he is back to his normal relaxed self with no after effects. after about 30 minutes he started a slow retrograde movement. We used the 10 mcg dosage but I am thinking he could use a little more juice so we will experiment with that with future shots.
We will not wait the compulsory 24 hours before doing another injection with the full intent of reactivating a sex life that has been on hold.
I don't know why I waited so long to do this but it appears to be a good way to solve the ED thing without going the full way for an implant. I just don't want more bulk down there after my AUS implant.I will report again after getting the swing of things with injections. Thanks to all of you who gave me the benefit of your experience with all of the "mixes" bi, tri etc. It gave me the confidence to start this new journey.
66 year old male
PSA jumped 3 to 8 Jan 2008
pt2b NO Mx with a Gleason score 3+3=6.
DaVinci RP, 7/23/08. Tumor type: Acinar
size 5.5 cm x 5.7 cm weight: 77 gm.
Incontinence & ED. Dry nights , no control during day.
FUDS and cystourethroscopy testing 10/09.
24 hr pad wt. 219gm. AUA sympton index 13/35=moderate
Virtue sling surgery 2/3/10 NYU med center
Appeared to help but gradually returned to pre surgery condition.
Back to 3-4 pads/day.
Latest PSA 4/1/10 negative.
AMS 800 artificial urinary sphincter implanted 7/8/10 at U of MI.
AMS 800 activated 8/25/10 Dry for first time in 2 years.
Links to my journey posts: