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Cancer: Prostate Message Board
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Old 01-10-2013, 06:14 PM   #1
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HarleyDave HB User
Still no erection

52 years old had radical prostatectomy 18 months ago. Still cannot get an erection. Shots have seemed to just drip out the end of the penis and viagra, cialis, levitra have not worked. I do have a pump, and it will give me an erection, but it doesn't last.

I was tested and have low testosterone, but doc won't prescribe testosterone therapy, because I have a hsitory of prostrate cancer. All PSA's have been zero since surgery. I right now regret having the surgery, was not ready to just give up sex. Anyone else have any experince with this, and suggestions. I am in very good health and physical condition.

 
Old 01-11-2013, 12:48 AM   #2
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Re: Still no erection

Sadly, I've met lots of guys with no erections after prostatectomy. Some get some response as long as 2 years afterwards, but it takes sustained effort, working it consistently every day.

Urologists at the top cancer centers will give testosterone after a history of undetectable PSA, but you have to find one who is better informed. There's no evidence that it's at all harmful, in spite of what they say on TV ads.

When you wrote: "Shots have seemed to just drip out the end of the penis" are you talking about Trimix? Trimix should be injected into the corpus cavernosum and should not drip out. If you're injecting trimix correctly and it's still not working, you can get some made up with a higher % of alprostadil in it. Too much may be painful, so increase it slowly. If you are using Muse pellets, they should melt and get absorbed through the urethra.

In any case, it may benefit you to find a urologist who has a specialty in Sexual Medicine. One guy I know got an implant. He says it's undetectable and loves it.

- Allen

 
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Old 01-11-2013, 05:06 AM   #3
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Re: Still no erection

Thank you for your reply. I haven't used Trimix, but have used Bimix. I am single, so it's a little difficult to date and attempt to have a relationship when there is no sex. The desire is very, very strong and I can orgasm, which surprised me.

I have done some internet research, and feel that because my PSA has been 0 for 18 months, and that the cancer was confined to the prostate that testosterone is not a danger to me. I also feel that if testosterone increased the risk of prostate cancer that it would be a younger man's disease, rather than an older man's disease.

I do have a pump, and use it to try and pull the blood into the penis, but it just doesn't stay once the vacuum is released.

 
Old 01-11-2013, 11:29 AM   #4
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Re: Still no erection

Trimix is much more potent than Bimix -- the alprostadil is the most potent of the three ingredients. The whole rationale for using a mixture rather than pure Caverject (alprostadil) is that it may be too painful on its own, and they can reduce the amount of it in a mixture. Start low and work up to a dose that works for you without pain. It's not a bad idea to ask your doc for an Epipen too just in case the erection lasts more than 4 hours.

Your doctor should instruct you in how to inject it in his office the first time. If you're not putting it in the right place, you can cause permanent damage.

I'm all for supplementing testosterone in guys who do not need androgen deprivation therapy, but its effect is more on libido than erectile function.

- Allen

 
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