I would like to clarify what I said above regarding mechanical inflation as an issue (to prevent adhesions) versus oxygenation being the issue. Seeing as there is a range of opinions on this I want to make clear the difference between what the doctor actually said and what I inferred. I will do my best here and apologize to all concerned if I inadvertently mis-state anything.
I went to this doctor for advice as I am about
to get SRT and wanted to know what I could do so I can protect as much of my remaining potency as possible and have it return after the 4 months of ADT are behind me. My starting condition is not too bad; with viagra or cialis, I have good-enough erections. He said that the best thing for me to do is to use the VED. I asked him if I needed to do anything else, he said no. i asked him if I needed to take cialis or viagra steadily throughout the 4 months; he said that if I was doing the VED 10x per week, that taking an ED drug would add no further benefit.
I did not ask him specifically about
oxygenation, and he said nothing specific about
oxygenation. But putting his remarks in context I infer that either (a) oxygenation is not an issue in my specific setting, or (b) oxygenation matters but doing VED as prescribed gives sufficient oxygenation. I don't know whether he meant (a) or (b). People here who have a different starting point should not assume that what the doctor said to me would necessarily apply to them. I am not dispensing medical advice here, and of course neither is he.
I am not a doctor, not even close. But just thinking about
it logically, I have a hard time understanding how the oxygenation theory makes sense. All the body tissues that I know of that need oxygenation will die pretty quickly without it. Your brain is toast in 2 minutes without oxygen. The longest anyone has survived without their heart pumping oxygenated blood, in ideal situations of cold water immersion (the mammalian diving reflex) , is around an hour. So the idea that the tissues of the corpora cavernosa (the part of the penis that fills with blood when erect) could somehow need oxygenated blood and yet at the same time be perfectly fine going 24 hours or several days without it puzzles me. I say this not to diss anyone who holds the other point of view, because I said I have no training in this area. And if I am wrong I would like to know it because I have a lot at stake at getting this right, just like all of you. I am stating the case simply to invite further discussion, and would greatly appreciate it if anyone has information they can share about
why oxygenation should be an important part of rehabilitation (or in my case preservation) under the circumstances.
RCS - The doctor I saw is a urologist on the faculty at UCSF Medical Center and he has decades of experience as a specialist in ED, penile rehabilitation, and Peyronie's disease, with hundreds of publications to his name. If you put your email into your profile I will send a private message to you with his name.
Post Edited (proscapt) : 8/4/2014 9:06:05 PM (GMT-6)