How long before vacuum device or injections?

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Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 411
   Posted 5/27/2007 5:53 PM (GMT -7)   
Hi all,
 
Have read the very helpful threads on vacuum devices and injections.  I have kind of a poll-type question(s) to ask those who have tried these.  When did you start after surgery?
 
 
1) If you use/used a device, how soon after surgery did you start using vacuum therapy? (and also, seems like most people's insurance didn't cover, but if it did cover which insurance do you have? Haven't checked on ours yet).
 
2) If you use/used injections, how soon post-surgery did your doctor authorize the use?  
 
Thanks!
Tanya
Age: 63
Diagnosed: 10/30/06
PSA: 3.7 (2005: 3.4, 2004: 4.0)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Gleason: 3+3=6
Da Vinci: April 10, 2007, Denver CO
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins, negative seminal vessicles, lymph nodes left intact. Gleason upgraded 3+4=7.
1st PSA Results: May 11, 2007 <.01
 


El Tigre
Regular Member


Date Joined May 2007
Total Posts : 58
   Posted 5/27/2007 11:52 PM (GMT -7)   
1. I started the vacuum 1 week after the catheter came out. I used it at least 2 times daily, to maintain blood flow. Didn't feel comfortable trying the rings, for intercourse, until about 6 weeks post-surgery. I kept that up until about 8 months ago when I shifted to the injections.

2. My Doc tried to get me to use the injections at about 3 months when I expressed some dissatisfaction with the vacuum. I should have gone that route right away but was afraid. Without need as it turned out. I just had to overcome the psychological barrier. It was my wife that convinced me to try them, in the end.
I sure do wish I had found this site pre-surgery!! RRP 10/25/05 I don't remember all the scores. Have had clean checks ever since. Never had to use the pads!!


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 5/28/2007 7:26 AM (GMT -7)   
1. At my six week post op appointment my urologist recommended injections but since my insurance(Blue Cross/BlueSheld) covered the cost of a vacuum device he wrote me a prescription for one. I got it in about a week and began using it twice a day for rehab purposes and it took about a week before I got an erection good enough for penetration. The rings were not comfortable and the rection was kind of floppy and did not do much for my wife.

2. After the frustrations with the pump I tried injections at the 3rd month after surgery. The medication, Caverjet, gave me penile aching which lasted for three weeks. It took me a while to get back motivated and then used Bimix and it worked. This was about 6 months post op. The Bimax works very well and there is no penile aching. The small needle that is used is just a pin prick. I should have gone injections earlier.

Tamu
Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
Da Vinci on 11/01/06, Catheter out on 11/13/06
56 Years Old
Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06
No more pads as of 1/13/07
Began injections in April '07


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 5/28/2007 8:23 AM (GMT -7)   
Paul started with the pump as a rehab tool about 2 weeks post-op and shots 8 months post-op. Still uses the pump a couple of times a week now. Shots were gone at the one year mark.
 


kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 5/28/2007 2:01 PM (GMT -7)   
Tanya, Kurt started the pump 3 weeks post op. We too have BC/BS and it covered some of the pump. We were actually given the pump the day the cath came out. He was told to use it 2 times every day, but has since quit using it on a regular basis. He says he hates to do it alone, and I can't stand to see him act like he is in pain. We use the pump to try to attemp intercourse and have been successful a handful of times. I don't think he is anywhere interested in injections at this point, but our doc did mention a supository that is half the size of a piece of rice. That sounds a little more appealing than a needle to us. We were told to expect to be at 50% at 8 weeks. If that was to include the pump and pills, then we are there. Without, we are nowhere. Courtney
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-14-07 in Austin
Post-Op  Gleason 6, Stage t2c nx mx  YAAAAA HOOOOOO! 


Pete42
Regular Member


Date Joined Mar 2007
Total Posts : 114
   Posted 5/28/2007 3:27 PM (GMT -7)   
Courtney- The suppositorie is called MUSE, I am part of a study on ED after surgery. Unfortunately for me Im part of the control group but before we were randomized we have to use the MUSE to see if there were any adverse side effects. Its not painful but for me wierd psycologically to insert something in my ureathra and push a plunger. If your husband is having mind problems with injections this might not be any different. Check out MUSE's web site they show how its administered.
Diagnosed 1/26/07
Stage Tc1
Gleason 6
PSA 3.8
12 samples, positive in one 15%
Age 51
Surgery (robotic) May 4 2007 City of Hope
Procedure uneventful
Biopsy - 1% involvement, no bladder neck, Gleason 3+3, Tc1


Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 411
   Posted 5/28/2007 5:48 PM (GMT -7)   
Thanks everyone,

From reading here and the other threads, it seems like maybe just skipping to the injections might be the route to go, instead of doing the "intermediate" step of a pump. Although, then again, maybe a pump might be good for just therapy, in conjunction with injections for sexual activity?

We have our next appt. with surgeon on June 16th (little over two months post-surgery), and want to make sure we discuss our options. I have a 'feeling' that he is gonna tell us to give it a little more time before starting injections, but we at least want to start having the conversation about injections.
Age: 63
Diagnosed: 10/30/06
PSA: 3.7 (2005: 3.4, 2004: 4.0)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Gleason: 3+3=6
Da Vinci: April 10, 2007, Denver CO
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins, negative seminal vessicles, lymph nodes left intact. Gleason upgraded 3+4=7.
1st PSA Results: May 11, 2007 <.01
 


El Tigre
Regular Member


Date Joined May 2007
Total Posts : 58
   Posted 5/28/2007 9:22 PM (GMT -7)   
Pumping for therapy works real well. I didn't like it for sex but it sure did help with keeping me in my original "shape". I think it also helped trigger some nerves as I started getting night time erections soon after starting the pump. Something that didn't happen with the pills.
I sure do wish I had found this site pre-surgery!! RRP 10/25/05 I don't remember all the scores. Have had clean checks ever since. Never had to use the pads!!

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