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Basic overview of Penile Injection Process

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James C.
Veteran Member
Joined : Aug 2007
Posts : 4463
Posted 6/16/2010 4:34 PM (GMT -7)
Here's a post I made sometime back, sorta an overview of the whole injection process. Maybe some of it will pertain to some of the current threads dealing with the subject .

Injection drugs are obtained by a doctors prescription and must be filled by a specialized pharmacy- an compounding pharmacy- which mixes the drugs to be used. There are 3 types of drugs- Caverject (alprostadil), Bimix and Trimix. Alprostadil is a a single drug, bimix is a mixture of papaverine and phentolamine, usually in the strengths of 30mg papaverine/1mg phentolamine when written on the prescription. Trimix is the same as bimix, with the addition of alprostadil to it, and usually written as 30mg/1mg/20mcg, the 20mcg being the alprostadil. In listing strengths, the alprostadil is the strongest and seems to obtain the most effective result. It is also the most expensive and lots of guys have problems with both aching, pains and piraprisms (SP)- erections of longer than 4 hours. Trimix is the next strongest and results in very good erections, with much less chance of the aching/pain and the 4 hour hour erections. Bimix is the llowest strength of the 3 , but seldom gives the aching/pain or the 4 hour erections. Dosing sizes of Trimix is usually much less than Bimix, so it takes much less to get the same result, however it does seem to have a chance of giving more troubles with aching/pain and the problem erections.

Most doctors will begin the injection treatment with Caverject (alprostadil) injected in the office to get a baseline of what is needed and to teach the man how to inject. Some men have a bad experience with this, as the alprostadil is usually injected at a much higher dose than needed, which creates the aching/pain and the over 4 hours erections which we hear about once in a while. It seems doctors have a set formula of what they are taught to inject and that isn't always the best. If it works in the office, he will usually send the patient home with a prescription for alprostadil and further instruction on how to use it. It seems that most doctors don't begin with Trimix or Bimix, unless they are dealing with an educated patient who can ask for, explain why, and can advocate for themselves trying something different. I am fortunate to have a doc who will deal with me on an equal basis and is willing to try what I suggest with different ratios of strengths to dial it in for me. I feel that a man who is starting injection therapy should begin with either Trimix or Bimix, rather than alprostadil, as the chances of a ache/pain free experience will have him much more willing to continue. The physical act of injecting is simply pain free for me now, but it took quite a bit of repetition and experimenting to reach this state. Once a guy begins injecting, he needs to keep at it, experimenting and dialing in what he needs to get the best results with the least amount of drug or trouble.

As far as technique, its simple, actually. Use the least diameter needle, usually a 5/16" 31 ga. insulin syringe, and inject into the penis midway between the head of the penis and the body, at the 9 or 3 o'clock position. A little milking motion of the penis will help open the cavernous cavities a little, so the drug cane be deposited into the space. A little massage and the erection should begin, usually within 5 to 10 minutes, and if enough drug is injected and adsorbed, results in a penis erect for an hour or so. That's the idea goal. It can vary. Done right, with practice, the injection can and will be painless for most guys. There's no reason to think you would be any different. I don't combine by injections with other items such as pills or pump, but some here do. I, and several other guys, use what I call a pre-plump method to ensure successful injections. It begins with a penis pump, if you have one, and a penis ring. Using the pump, obtain a partial- maybe 30%- erection and apply the ring. This engorges the penis with blood, opening the cavernous cavities and filling them with blood. Then inject into this expanded cavity. Imagine injecting into an uninflated balloon, and putting the drug into the inside, versus injecting into a partially inflated one. That's what is being accomplished with this method. When injecting, you can easily tell when the needle point enters the cavity, as the resistance will drop and the needle will feel like it has 'fallen' into it. Inject and very lightly massage the penis, the purpose is to spread the drug around and ensure optimium adsorption of the drug. Keeping the ring on for 3 or 4 minutes holds the blood (and drug) inside and lets it have the best chance of being adsorbed. Continue to gently massage the penis and the drug around for 3 to 4 minutes, then remove the ring- the blood will most likely run back out of the penis, until the erection begins. You should get the drug induced erection in 5 minutes or so. Most of us who use this method find we can use much less drug, we can control results more consistently from one time to the next and reduce the chance of priaprisms.

Yes, once in a while we will have guys here have a bad experience, resulting in a 4 hour erection and a trip to the hospital or doctors office. It's traumatic, of course, but frankly still part of the risk of using injections. The draining of the penis blood was sorta overkill, IMO, usually the penis is injected with epenephrine(SP) or such, which counteracts the penile injection drug. I have only had one over 4 hour erection, I relieved it with Sufafed, rathert than a hospital visit. That was the first time I self-injected, it was alprostadil and it was the doctors recommended dose, which was 3 times more than I found I needed.

There's several excellent websites with great instructions on the process, and we can look at them later, when you are ready to start the injections.

This is a general overview of the process, stressing they general or average, or normal process and results by the majority of the guys here, to give you a general look at the normal experience and answers to your questions.

Here's a few links to a posts that will contain some research info for you to continue your study:
www.ustoo.org/PDFs/Injection.pdf
www.healingwell.com/community/default.aspx?f=35&m=1347869&p=1
www.healingwell.com/community/default.aspx?f=35&m=897291
www.healingwell.com/community/default.aspx?f=35&m=1062508
www.healingwell.com/community/default.aspx?f=35&m=1115024
www.healingwell.com/community/default.aspx?f=35&m=1022627&p=1&ord=d
www.healingwell.com/community/default.aspx?f=35&m=1069182
www.healingwell.com/community/default.aspx?f=35&m=1110785
www.healingwell.com/community/default.aspx?f=35&m=992063
www.healingwell.com/community/default.aspx?f=35&m=1285932
www.healingwell.com/community/default.aspx?f=35&m=1072323
www.healingwell.com/community/default.aspx?f=35&m=1274734&p=1&ord=a
www.healingwell.com/community/default.aspx?f=35&m=106647
www.healingwell.com/community/default.aspx?f=35&m=767571
www.healingwell.com/community/default.aspx?f=35&m=1012934&p=1&ord=d

Post Edited (James C.) : 11/18/2011 8:18:07 AM (GMT-7)

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reachout
Veteran Member
Joined : May 2009
Posts : 739
Posted 6/17/2010 5:04 AM (GMT -7)
Great info, James. Thanks much!
Age 64 yrs
DX 5/2009
8 out of 12 cores positive
PSA 5.6
Gleason Score 3+4=7
Stage T2a
Da Vinci Surgery 08/07/2009
Upgrade Gleanson Score 4+3=7
Stage pT2c
Neg Margins and Nodes
Extracapsular extension noted but neg Extraprostatic Extention (??)
Dry immediately
Daily Cialis 5mg slow recovery
First PSA 3 Nov 09 <0.1
Second PSA 2 Feb 10 0.01
Third PSA 1 Apr 10 <.014
Fourth PSA 19 May 10 <0.1

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Rolerbe
Regular Member
Joined : Dec 2008
Posts : 235
Posted 6/17/2010 8:52 AM (GMT -7)
Very helpful to resurrect this post James.  Thanks.

Since I've recently posted questions on this subject, my current status is that an appt is set with an 'expert' here in NYC that my surgeon recommended.  The only downside is that the appt isn't until the last day of august.


51 YO

PSA at Dx: 8.2

DaVinci RALP: 10/31/08 -- Great MD in New Haven, CT

Negative margins, no extra-capsular involvement

One nerve spared

PSA at 0 for just over a year now.

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FiftiesMale
Regular Member
Joined : Mar 2009
Posts : 75
Posted 7/11/2010 3:13 PM (GMT -7)
James, others (who use Trimix, Bimix).

I am giving very serious consideration to talking to my Urologist/Surgeon, and asking for some type of injection prescription. I am leaning towards Trimix or Bimix, due to the success stories in this forum, and due to the calm believable stories of how it is used, and how effective it is.

I have a couple of questions:

First, do you recommend Bimix or Trimix. ? I read James explanation, and therefore i am thinking Bimix, since it is the mildest. Best to start slow, and work my way up to something stronger if needed.

Second. this question may be a bit difficult to explain, but i will try my best. Is the erection full? Let me clarify, and let me explain by comparison what i mean. I am currently using a vacuum pump with rings. It is an excellent pump (Osbon Erecaid). I combine it with some viagra. I have some very good results. I am able to achieve an erection hard enough for intercourse, but there is one minor complication. The erection begins at the point of the ring. Dr Patrick Walsh' Book (Surviving Prostrate Cancer, 2nd Edition) addresses this issue on page 435. He states that "it begins only above the constricting band". Think of a tree that is broken off at ground level. The tree is very firm (and erect) but if you push on it, it moves back and forth at the base. Make sense? The problem becomes an issue for my wife, who achieves maximum satisfaction by pressing the full penis against her inner vagina, to achieve her orgasm. With the ring, and the erection beginning at the ring, she comments that she does not experience the same resistance as pre-surgery. (don't get me wrong, she is thrilled that the pump and viagra are providing us with the means to have intercourse, and she is able to work around the limited resistance. But it does limit her full experience). So, back to my question. With the injections, is the erection more full (top to bottom)? I hope that my question makes sense.

I may have additional questions.

thanks for any responses.

Regards,
Age: 53
8/1/2008: PSA 6.2, GP recommended retake.
8/27/2008: PSA 5.8 (%free 12.1) referred to Urologist.
9/10/2008: DRE - non palpable. Urologist recommended biopsy
10/21/2008: Biopsy appt: 10 samples taken
10/31/2008: Biopsy results; 1 positive out of 10 samples.
10/31/2008: Biopsy Results: Gleason 7 (3+4) , no evidence of perineural invasion.
10/31/2008: Referred to UCSF
12/19/2008: Transrectal Ultrasound at UCSF
12/19/2008: Consultation with Surgeon.
12/19/2008: Surgeon concurred on Gleason 7=3+4 (per slides).
2/24/2009: Robotic Assisted Laparoscopic Prostatectomy (DaVinci) UCSF
3/5/2009: Cathetor removal.
3/21/2009Post Op Pathology: margins negative/clear, Gleason 4+3=7
4/9/2009: first post-op Ultrasensative PSA: less than 0.01
Currently taking Viagra (since March 2009), Levitra (tried Cialis).
6/2009: Purchased and using Osbon manual pump.
7/28/09: 5 month Ultrasensative PSA: less than 0.01

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Worried Guy
Veteran Member
Joined : Jul 2009
Posts : 3766
Posted 7/11/2010 3:23 PM (GMT -7)
Hey Fifties.
I know what you are talking about when you use a pump. So does James C. He had a name for it. Something like a hinged purple eggplant. I'll let him tell it.
Anyway, with the injections that does not happen You are perfectly normal. It inflates from the base and moves forward. No hinge effect.
I use an auto injector. There is a lot of info on that when you are ready.
Good luck to you.
Jeff
(Pumps and pills did not work for me.)
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 3+4=7, 3+3=6. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. There must be another issue. Uro mtg 4/23.
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 Short sphincter
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05, 4/14 9 months - 0.04 and <0.01 with ECLIA.

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Piano
Veteran Member
Joined : Apr 2008
Posts : 847
Posted 7/11/2010 3:58 PM (GMT -7)
Bimix and trimix give a solid erection without the hinge effect. For maximum hardness, I found some massage/stimulation immediately after injection was helpful.

I also had the hinge effect in my early days with the pump, but don't have it now. Even though I still don't have a natural recovery, I think there is now enough happening to fill the chambers behind the constriction. The erection is still not as good as I had with Bimx, being somewhat larger and softer -- but still good enough.

So I suggest to anyone who stops using the pump because of the hinge effect, keep trying it from time to time -- I found my hinge vanished from about 18 months.
Pre-op:
Age 63 at diagnosis, now 65.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve-sparing open surgery on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
19-month: 0.09 (maybe)
25-month: 0.2 (yes, bummer)
27-month: 0.2 (not up; glad about that)
ED:
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. At 18 months, "graduated" to just the pump.

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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25418
Posted 7/11/2010 5:25 PM (GMT -7)
James, I think you deep knowledge of injections is great, and even though I haven't had the need, I find your posts on the subject filled with great information, technique, and even compassion. I think you do a great service here at HW, particularly in this area of your expertise. Also a good moderator, btw, lol.

David in SC

PS If I ever have the need, I will gladly come back and re-read all your injection related postings.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin

Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16

Post SRT PSA: 1/10 .12, 4/8 .04, next one:  July
Latest:  7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, 7/2 - Caths #18 & #19

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MrGimpy
Veteran Member
Joined : Jul 2009
Posts : 504
Posted 7/12/2010 1:05 PM (GMT -7)
James,

Great writeup

Guys, once you get the correct dosage of Bimix or Trimixm it is not likely that you will have to make an ER visit. I have mine dialed in to have a 1.5 hr erection, it has never gone to 2 hours with the dosage I am using

Keep some Sudafed, the version that is behind the counter (not the PE version) for the early days when you are experimenting with the correct dosage.

An Auto-Injector is a MUST, it makes the process foolproof and you will not get the Willies injection yourself. You will not see a needle enter your skin this way

The erection looks natural, like you were 20 again, hard as a piece of wood and it stays that way for the duration of the shot. Break out the Kama Sutra book, you will be able to try anything

If there is a problem that you need to consider, it is that you are so hard it is impossible to put on a pair of jeans. Make sure you plan of staying in the raw or close to it for a while. That means no changing room quickies at the mall with the injections. It is easy to bring along your shot, preloaded in your auto-injector, just in case date night pans out
Stats:
Age: 52, PSA (2008)=1.9
Biopsy on 01/09/09, Gleason Score = 3+3
One (1) out of twelve (12) cores was positive, plus external nodule found
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Post Op Path 3+3
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, <0.01 - 3 months post-op
PSA 1/10 undetectable, <0.01 - 9 months post-op
Trimix provides 100% erectile function

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FiftiesMale
Regular Member
Joined : Mar 2009
Posts : 75
Posted 7/12/2010 1:22 PM (GMT -7)
Thank you ALL, for the information. I have an appointment with my Urologist to check it out. They probably will do their own version of a test, which is OK with me. But with the details from all the posts, especially James' posts, i should be able to narrow in on a preferred path forward. I am excited. I will post more, when things are underway.
Age: 53
8/1/2008: PSA 6.2, GP recommended retake.
8/27/2008: PSA 5.8 (%free 12.1) referred to Urologist.
9/10/2008: DRE - non palpable. Urologist recommended biopsy
10/21/2008: Biopsy appt: 10 samples taken
10/31/2008: Biopsy results; 1 positive out of 10 samples.
10/31/2008: Biopsy Results: Gleason 7 (3+4) , no evidence of perineural invasion.
10/31/2008: Referred to UCSF
12/19/2008: Transrectal Ultrasound at UCSF
12/19/2008: Consultation with Surgeon.
12/19/2008: Surgeon concurred on Gleason 7=3+4 (per slides).
2/24/2009: Robotic Assisted Laparoscopic Prostatectomy (DaVinci) UCSF
3/5/2009: Cathetor removal.
3/21/2009Post Op Pathology: margins negative/clear, Gleason 4+3=7
4/9/2009: first post-op Ultrasensative PSA: less than 0.01
Currently taking Viagra (since March 2009), Levitra (tried Cialis).
6/2009: Purchased and using Osbon manual pump.
7/28/09: 5 month Ultrasensative PSA: less than 0.01

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James C.
Veteran Member
Joined : Aug 2007
Posts : 4463
Posted 10/9/2010 6:49 AM (GMT -7)
bump for new folks who may be searching
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh
ED continues: Bimix .30cc & Trimix .15cc PRN
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James C.
Veteran Member
Joined : Aug 2007
Posts : 4463
Posted 11/1/2010 6:31 AM (GMT -7)
bump
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eggbe
Regular Member
Joined : Feb 2010
Posts : 34
Posted 11/1/2010 7:56 AM (GMT -7)
I intially tired the auto-injector and sent the injection too deep into the urthrea. I have better control of the needle and placement without the auto-injector. Seeing the needle has not been a problem, I understand the auto injector is enjoyed by many but I found that it complicated the injection.
profile picture
James C.
Veteran Member
Joined : Aug 2007
Posts : 4463
Posted 11/27/2010 4:42 PM (GMT -7)
Monthly bump for new friends
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh
ED continues: Bimix .30cc & Trimix .15cc PRN
profile picture
Cajun Jeff
Veteran Member
Joined : Mar 2009
Posts : 4130
Posted 11/28/2010 7:55 PM (GMT -7)
James I have to say this is a great thread. So much info that new guys need to know as they head to the lnad of injections.

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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badcard10
New Member
Joined : Nov 2010
Posts : 9
Posted 12/16/2010 2:11 PM (GMT -7)

James you sound like the injection expert.  What I need to know is what exactly is fibrosis?  I have injected 15-20 times with great results but seem to be developing some cysts or lumps, like a hardening of the veins all along the bottom of "Jr".  I have posted this question but not gotten any good responses.

Is this just scar tissue or is this what penile fibrosis feels like?

Thank you for the help.  I enjoy your posts.


AGE 54
Very healthy martial arts instructor with young wife and 3 sons.
Diagnosed March 2010 Gleason 7
Robotic Radical Prostatectomy May 2010
3 month PSA 0.0 6 month PSA 0.0
Incontinence totally resolved 5 months - no pads!
ED issues ongoing - using Pump, Pills, Injections
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badcard10
New Member
Joined : Nov 2010
Posts : 9
Posted 12/16/2010 4:21 PM (GMT -7)

By the way James the lumps are not on the skin but deep along the bottom side of the urethra. 

Anyone else experience this?

Thanks bros - fight on.


AGE 54
Very healthy martial arts instructor with young wife and 3 sons.
Diagnosed March 2010 Gleason 7
Robotic Radical Prostatectomy May 2010
3 month PSA 0.0 6 month PSA 0.0
Incontinence totally resolved 5 months - no pads!
ED issues ongoing - using Pump, Pills, Injections
profile picture
James C.
Veteran Member
Joined : Aug 2007
Posts : 4463
Posted 12/16/2010 5:05 PM (GMT -7)
Help me out here, guys. I don't have any experience with penile fibrosis. Anyone here experienced it and wants to share?
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, next in Feb.
ED-total-Bimix 30cc
profile picture
James C.
Veteran Member
Joined : Aug 2007
Posts : 4463
Posted 1/7/2011 8:29 AM (GMT -7)
Monthly bump for new friends and did the fibrosis question ever get answered?
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 01/11-.09
ED-total-Bimix 30cc
profile picture
Cajun Jeff
Veteran Member
Joined : Mar 2009
Posts : 4130
Posted 1/19/2011 6:53 AM (GMT -7)
There were a couple of questions about injections floating around. I thought I would give this a bump for the new guys that are just starting injections are thinkgs about it.

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
2 year PSA <0.1
Only issue at this time is ED but getting better
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Rinky
New Member
Joined : Nov 2010
Posts : 14
Posted 1/30/2011 10:29 AM (GMT -7)
Is there a reason a person couldn't inject 1/2 the trimix into the right side and the other 1/2 into the left? this would eliminate the need to massage it to get the solution throughout the area or at least make it easier? I have absolutely no pain injecting(5/16", 31 guage) Is there any negatives to doing this?
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Piano
Veteran Member
Joined : Apr 2008
Posts : 847
Posted 1/30/2011 3:06 PM (GMT -7)
There is a suggestion that injections can lead to scarring -- by no means proven. Also it doubles the slight chance of infection. For these reasons I never did it, and wouldn't do it.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4/12 cores
Non-nerve-sparing RRP 7 March 2008 age 63
Organ confined, neg margins. Gleason downgrade 4+4=8
Fully continent
Bimix worked well; now using just VED
PSA undetectable at first but now 0.4, doubling time 7 months
No radiation but ADT coming unless I can slow down the rise...
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Highwayman
Regular Member
Joined : Sep 2010
Posts : 148
Posted 4/1/2011 11:28 AM (GMT -7)
Hinged purple egplant,

LOL, that is where me and the wife are at right now. turn

Bump and thanks for the info.

Mike


Age 48 w/diagnosed
10/06 PSA 3.0
11/06 PSA FREE %13.2
10/07 PSA 3.4
12/07 Biopsy-neg
1/09 PSA 4.6
6/09 psa 5.8
2/10 psa 8.7
7/10 PSA 10.8
8/2010 3rd biopsy GG 3+3=6, one of eight cores -2%
Lap 10/22/10 Dr. Troxel
Path- Neg Margins, Gleason 6, Nerves spared, 85 gm
Jan 20, 1 pad/day psa < 0.1, ed an issue
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James C.
Veteran Member
Joined : Aug 2007
Posts : 4463
Posted 4/1/2011 11:39 AM (GMT -7)
Mike? and????? details, man, details.... unless you're in the middle of 'right now' ??
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 12/10-.09, 02/11-.08
ED-total-Bimix 30cc
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cyclingboy
Regular Member
Joined : Feb 2011
Posts : 32
Posted 4/1/2011 7:11 PM (GMT -7)
question: is it important/critical to alternate sides for injections? m uro did not mention this to me, but I think I have seen it show up in some posts.
any thoughts? I use bimix
thanks
AB
age 45
PSA 9/2010 = 4.2
biopsy 11/2010 - 3/12 cores positive, Gleason =3+3, 5% volume in positive cores
RP 2/1/2011
post-op path Gleason 4+3, organ confined, lymph nodes clear
waiting for follow-up PSA in 3/2011
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James C.
Veteran Member
Joined : Aug 2007
Posts : 4463
Posted 4/2/2011 6:14 AM (GMT -7)
Yes, it is important to alternate sides, so as not to risk fiberous buildup, etc. this also allows for both sides to receive the benefit, if any, of being the first to get the drug, hence a little better reaction there.
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 12/10-.09, 02/11-.08
ED-total-Bimix 30cc
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