Erection

I was wondering if someone could share more information about the ED shots?  Do they work for everyone?  Does the frequent (2 X week) use of the needle cause tissue damage?  What about the erection, is it as good as when you were 17 or is it just enough to satisfy your wife with a little extra effort?   While I'm functional now ( 50% of what I was in my 30s) I'm thinking of all my options after treatment.

Thanks in advance

------------

Age 57

Diagnosed July of 2008

PSA 6.7; Biopsy was positive in 2 of 12 cores

Gleason 3+4 and 4+4

Sounds like your nerves are really working.

I get about a 75% with no meds 5 months post op.

With 10 mg Cialis, I can "cut diamonds" !! Really great just like

pre op.

Bob

Texman,

You are blessed.  Congratulation!

Wow, a natural erection after 18 months.  I at 18 months after DaVinci and undectable PSA remain erectionless naturally.  I envy you and am thrilled by the event (I almost sound like a 10 year old having his first one don't I?).  I can only strain at the thought of an erection to happen, I miss it so much. 

 The trimix is OK but our timing is not.  I use it more for exercise than IC.  Spontaniety is missed deeply as you know.  At 18 months I have begun to loose hope as the reality of all that has happened is now setting in.  Although, my libido seems to be more intense and I find myself wanting to carry out great intimacy sessions more frequently.  The urge is getting stronger but the means is weak.  This tangles my mind as it is very frustrating as I just want to do something with the situation but can't except with soft stimulation or a delayed injection.  I can't quite capture the "moment" as it were before DaVinci.  I am thankful that I continue to have the thought of my wife and I having mutual climax the last time we had intercourse prior to surgery.  Such a pleasant thought that will probably never happen again.  Climax now is sometimes suttle and passive and sometimes sharp and intense but nothing like it was with ejaculate.  The duration is so short and gone before you know it.

Trimix works OK at 0.08cc.  A good stimulated erection will last for 2 to 3 hours.  I am pretty hard but angling down causing penis slippage often during IC.  I am looking for ways to help that situation.  Climax usually occurs in about one to two minutes at which time I go limp for maybe 20 minutes but then it comes back and last for some time.  During the 20 minutes of limp time, I generally satisfy my wife manually and by the time that takes place the erection comes back I pretty much have lost my drive.  I wish I could find a way to continue to take advantage of these now limited opportunities.  A continued hard erection would be nice as I could go on to satisfy my wife vaginally and naturally. 

Sorry to dump on you like this but I think you caught me in the "right" moment but in doing so maybe I can get some ideas from you and others on what I might do to improve the situations.  Female advice seems to be more helpful in these situations as they tend to see more clearly from outside the box.  Adding also that because of our faith beliefs, ********** does not seem to be an option for me but I think would help in bringing some needed relief when needed.  Maybe I should look at this situation differently as not just ********** but trying to help myself develop the nerve system that controls blood flow to the penis.  Need to think about this more I guess.

I have been getting some erectile changes I believe as evidenced by getting an 60% erection with some stimulation using 20mg of Cialis.  Maybe there is promise.  My URO is taking me off of Cialis and all other types except for Trimix as he said that if I have not gotten erections with meds to date that I probably will not be getting them at all in the future.   This also took more wind out of my sails.

But you Texman, have given me a boost which I need and is helpful.  Thank you for taking the time to post.  Let me (us) know how you are doing as the Natural erections continue.

Have you started having nocturnal erections as well?

Thanks again,

Cram

I understand your frustration.  But the one thing I can offer you is a little experience with the penile implant.  I too seemed to be at the end of my rope, and it included not only impotence but also total incotinence. 

I found an experienced surgeon here in Dallas who does lots of the Artificial Urinary Sphincter implants as well as inflatable penile prostheses... and made an appointment.  We agreed I was a good candidate for the AUS and then he asked, "How important is sex to you?"  Having a wonderful wife of many, many years, you can guess my positive response.  But I already had learned the clinical things regarding the penile implant and wanted no part of it.  I just could not bare to go through such a surgery.  However after talking further with this surgeon, I decided to go for both implants.

Making a long story short, I do not regret that decision.  I now have near perfect control of my bladder and am also enjoying intercourse with my wife again.  I also am now in touch with many penile implantees and almost all of them are delighted that they now can enjoy sex again with their lovers.  The penile implant is not perfect, but some of the implantees say it is even better than before.  That's hard to believe, but since I am just now getting used to an erection and sex with my wife,  I am still in the "learning" stage, but I can tell you that thus far it is indeed very, very, very satisfying...and it's almost as if we are experiencing it for the first time on our honeymoon. 

So please do not give up hope.  There are solutions, as you have been informed here on HW.  If you would like to contact me personally, my email address is available on the sidebar.  Feel free to email me.  It could be...could be... the very thing that will restore you to intamacy with your wife.

Gene214