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Injections - OK to use for how long?

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Posted 8/25/2009 4:24 AM (GMT 0)
My first post
I'm hoping to get a few guys to weigh in on this. It is about 17 months after my prostatectomy. Doc says she did a good job sparing the nerves. However, I am not getting erections quite well enough for intercourse using anything (Viagra, Cialis, pump) other than injections. I have used both caverject and bimix, both have worked just fine, so I am continuing to use the bimix since it is less expensive. During one brief discussion with the doc on the subject, she mentioned that I would not want to use the injections as a long-term solution. I didn't ask why but plan to. I believe her opinion is that if the erections don't come back in some amount of time, prosthesis would be a better solution. But I am curious, are there longer term injection users out there? The primary drawback that I am aware of is potential Peyronies problems, I have seen a bit of that but not sure if I can blame that on the injections or not. Your experience with long term use?
Thanks
---------------
Gleason, 4+3; PSA, 7
Robotic Prostatectomy, nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
cancer contained, no penetration, lymph nodes clear
PSA consistently <0.1 since surgery
Posted 8/25/2009 11:31 AM (GMT 0)
I have a friend who used injections for many years - about ten years, I believe. But I'm sure frequency is also a factor. Not sure this helps, but I, too, am curious about the long term use of injections. how long is too long?
Paul
Posted 8/25/2009 2:08 PM (GMT 0)
I have been on Bi-mix for about 18 mos. with no ill effects. I inject once weekly. I do have a slight curvature but it was from the surgery and has not progressed.
Posted 8/25/2009 2:31 PM (GMT 0)
My experience has been after six months of Trimix and Edex, I have significant curvature. My urologist confirmed Peyronies but didn't think it was caused by injections. However, if you go to the Peyronies web sites and forums, guys will swear there that the injections caused it.

I have stopped the injections and am now on the VED Protocol for 26 weeks to try and get back to being totally straight.
Posted 8/25/2009 3:06 PM (GMT 0)
I have been using either Trimix or Bimix twice weekly for 20 months, with no problems of any kind. No sign of Peyronies so far (knock on wood)
Posted 8/25/2009 9:06 PM (GMT 0)
Obviously Peyronnes is the big potential side effect. The drugs themselves are nothing serious.

If you take and unscientific poll of the posters to the this forum, the Peyronnes link could be questionable, as most literature also concludes. Perhaps some men have a pre-dispositon to Peyronnes. Who really knows ?

The question you have to ask yourself, is a satisfying sex lile worth risking a kink in Willie, If you look at the average age of the guys on here, it probably is. That's not to say old guys don't need and want sex, but it certainly does slow down for a lot of us. It usually takes two to have sex. (grin)
Posted 8/25/2009 9:22 PM (GMT 0)
 It must be the Peyronies she's referring to. I know  I have developed Peyronies from injections. I am 11 months out, began injections almost immediately after catheter removed because I hated the VED. I did notice the curvature increasing after 6 months of use. So I have cut down to injecting 1x/wk, minimal dosage that I can get away with, take Vitamin E, arginine daily, and wear a Peyronie's extender stretching device daily.

    I would say that after doing all this my curvature has lessened a little, nothing dramatic, but a little. At least it's not progressing as it was. I was told you have to wait 2 years post-op before applying with your insurance company to pay for penile implant. I'm not sure I really want a penile implant, I'll guess I'll think about that about a year from now. For the present it's trimix or nothing...

Posted 8/25/2009 11:35 PM (GMT 0)

I have been using Trimix for over 3 years now with no problems.  I inject at least once or twice a week and occasionally 3 times.  After nearly 4 years post open RP I still get no natural erections but the Trimix keeps my wife and I very happy.

Allan


Posted 8/26/2009 7:06 PM (GMT 0)
Has anyone tried Tri-mix gel (not talking about Muse)?  Do a search under Tri-mix gel and a company that sells it (only with a script) will come up.  I haven't tried it, but might be willing to if it's effective.  I've done injections for 15 months now without any problems but the fear of peyroines is always in the back of my mind.  If anyone has any experience with the gel, I'd sure like to hear about it.
Posted 8/26/2009 10:12 PM (GMT 0)
How big a needle do you need for the Gel ? Ouch (just kidding )
Posted 8/27/2009 2:59 AM (GMT 0)
my buddy uses Trimix Gel. It worked well. Not nearly as potent as the injection. The erection lasted much less longer as well...about 45 mins to an hour. The injections lasted tooo long for him. Went to the hospital twice cause of them. He now uses a viagra and the gel...and that is better. Trimex gel has a great video on their site. exactly what most guys need.
Paul
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