It sounds like your first attempt went well. I showed your post to my husband and he said it sounded like what he first experienced.
As far as Sudafed goes - his instructions are to take four 30mg. tablets of plain Sudafed (not XL Sudafed) if his erection is at a level 6 or above after 2 hours. You don't need a prescript
ion to buy it but the boxes are kept behind the pharmacy desk. If his erection were to last 4 hours (it never did) he was told to go to the emergency room.
My husband had pain with trimix when he first started using it. He had to go to very high levels of trimix initially and the pain got worse as he used more trimix. When he eventually tapered to low levels of trimix the pain became much less. He has a negligible amount of discomfort now.
Now regarding venous leak, my husband did not have it before his surgery. When he first started using trimix he would get an erection, but as soon as he lay down it would completely deflate. The erections he initially got from trimix were a bit weak - not quite firm enough for penetration.
His doctor wanted him to increase the amount of trimix he used until he reached a point where his erections were at a level 6 for at least about
15 minutes and they did not deflate when he lay down. As he titrated up he was switched from regular trimix to super trimix. It took about
2 months for him to go up to 75 units of super trimix (equivalent to approximately 150 units of regular trimix). At that level his erections became firm and his venous leak symptoms started to go away. Trimix finally worked, both for rehab and for romantic purposes.
From that point on his venous leak subsided and he needed less and less trimix to reach a level 6. Mulhall's nurse thought that his problem was anxiety, which would explain why as he became more confident, trimix became effective at lower and lower levels (he is now on 11 units of regular trimix). His venous leak symptoms completely went away. I don't know if they went away because his anxiety became less, or he just healed over time.
When his symptoms were at their peak, Dr. Mulhall diagnosed my husband with a very slight venous leak via ultrasound, and said that eventually he will probably need a pill to have sex. My husband still has ED. He gets firm nocturnal erections on a regular basis (about
half the time) when he is, of course, laying down. His erection goes away quickly when he wakes up. When he is awake he can only get a very weak erection without trimix (not a level 6). My husband lost 25% of his nerves during his surgery. My husband is 18 months out, and we don't yet know where his ED journey will end.
Dr. Mulhall has again diagnosed my husband with anxiety. He says that the firm erections he is getting at night, with no PDE5 inhibitor, are what his body is capable of. He says that the reason he cannot get them when he is awake is because of anxiety. My husband is the poster child for anxiety about
ED. He admits that when we fool around (without trimix) all that he thinks about
is whether he will get an erection. If I could venture any advice based on our experience, it is to be emotionally easy with this process.
7/12 PSA 5.2
8/12 Biopsy, 7 out of 12 cores positive, 5% to 70%, 6 cores G6 and 1 core G7 (3+4)
Age 61, diagnosed and treated at age 59
RALP October 2012, Gleason 3+4, negative margins
Post Edited (bluebird123) : 4/21/2014 8:30:36 AM (GMT-6)