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Posted 3/29/2012 10:49 PM (GMT 0)

I have used 2 different version of Trimix.  So far out of a dozen or so injections I have only had on erection.  Has anyone else had similar problems and if so did you find a solution?

Bilateral nerve sparring surgery 9/4/2011

Gleason 7

PSA 5.4

Good Margins

Posted 3/29/2012 11:12 PM (GMT 0)
Sorry you're not getting results. What is your Rx? What dose are you injecting? What did your Uro have to say?
Posted 3/30/2012 8:02 AM (GMT 0)
Not injecting properly could cause this. I'd let the URO give you a shot to see what happens.
Posted 3/30/2012 12:21 PM (GMT 0)
The trimix label says Trimix (PPP) 10ug/30mg/1mg/ml. I am fairly confident about my technique for injecting.  I would try the idea of letting the urologist inject me but I live about 120 miles from my doc. So it is logistically difficult but I will try it.

I have had 'better" results on the right side than the left side. I am doing it at mid shaft 3 o'clock and 9 o'clock.  However on the left side I have had a couple of injections which resulted in me bleedling out the tip of the penis.  Not badly just enough to know something is not perfect. 

Thanks for your thoughts.  It is an uphill battle and I really appreciate the help and support. 

Bilateral nerve sparring Da Vinici surgery 9/4/2011

Age at time of Surgery 59

Biopsy positive in one core

Gleason 7

PSA 5.4

Good Margins

PSA now less than .01

 
Posted 3/30/2012 1:25 PM (GMT 0)
Blood from the end, that seems to indicate needle depth to deep, so what length needle are you using? Are you plumping the penis to get some blood into it to expand the cavities some? Imagine putting a needle tip into a deflated balloon, versus one with a little air in it. First, check the length of the needle. Men with smaller girth penis need shorter needle, and sorry- but yours may not be 'the right size'. The 'average' size and length here is 31 ga./ 5.16 inch or 30 ga. 1/2 inch insulin syringe.

Here's a good post to read, if you need a refresher to check your technique. Pay attention to the 'plump' part, that may be all you ned, if you haven't been doing it.

www.healingwell.com/community/default.aspx?f=35&p=1&m=1827385
Posted 3/30/2012 3:02 PM (GMT 0)
Okay, I just checked on the needle. It is a 28 Gauge 1/2 inch needle. I am not pumping at all. I did not know I was supposed to! Sounds like the needle is too big?

Many thanks for your advice.
Posted 3/30/2012 9:06 PM (GMT 0)
Forphun -- My Rx is PAPV 30MG/PHENTLMN 1MG/PE-1 10MCG/ML. Your Rx would be the same if the amounts 30/1/10 are for the same medicines. I am injecting 0.20ml or 20 units, what dose are you using? The right dose is different for different men, and finding the right dose takes time, so be patient. And be careful, increasing the dose to much can lead to a trip to the ER. I’m under strict instructions not to increase my dose without calling the doc first. I started at 0.05 and slowly moved up to 0.20; I think it took like a month.

I agree with James, if you’re seeing blood coming out of the tip of your penis, it sounds like you’re hitting the urethra so the needle is probably too long. I’d suggest switching to a 5/16 inch length and as long as you’re switching, change to a 29 gauge or 30 gauge (the larger the number the smaller the diameter of the needle). The smaller the diameter - the less “ouch” when you inject. 31 gauge might be too delicate and are more prone to bending or breaking. My doc told me to inject at 2 o’clock or 10 o’clock so you might try that (my NP told me not to use 3 and 9). Also, when you inject you should grab the head, fully stretch your penis straight out and keep tension on it while you inject. Avoid any veins you can see or feel. After you inject if may require some stimulation, but I’m sure you or your partner are doing that. Also if, at the time, you are nervous about the injection or the results you’re going to get that may diminish your results. Stress and anxiety generate adrenaline which is an enemy of erections. So try to relax.

Keep us posted. Good luck getting this resolved.
Posted 3/30/2012 9:27 PM (GMT 0)
I do find the injection a bit painful. I have requested a script for a smaller needle. I hope it helps on both the pain issue and ED issue. I am a bit confused as to doing it at 10 and 2 vrs. 9 and 3. Of course I will try it because I have nothing to loose. Is there a rationale for this?

Thanks guys I so appreciate the support and advice.
Posted 3/30/2012 10:59 PM (GMT 0)
I don’t remember what the NP said as to why not 3 and 9, but he said and the instructions I was given said 2 and 10 at a 45 degree angle. Think of it as directing the point of the needle towards the center of your penis (viewed in cross section). I’m only speculating, but perhaps he thinks at the 3 and 9 people are more likely to miss the erection chamber (corpora cavernosa) because they are more likely to use the wrong angle.

You should also not feel much resistance when you press the plunger; if you feel a lot of resistance you have probably missed your target.
Posted 3/30/2012 11:38 PM (GMT 0)
There are sets of nerves running along the outside part of the penis at 3 and 9, my uro tells me. He says I'll know if I hit them.
Posted 3/31/2012 2:03 PM (GMT 0)
Wow. Thanks ever so much. Really good information. I will post the results after I try the smaller needle. The support here is truly amazing. Thanks so much
Posted 3/31/2012 5:23 PM (GMT 0)
Forphun,

What amount have you been injecting .. in units or ml value?
How is your blood pressure? High? Any meds? That can affect flow rate which needs to be good to inflate things. Trimix does not actually control the closing of the little venous valves, it just vasodilates smooth muscle of the arteries allowing them to dilate and then the blood floods in and as things swell up the little valves get squished shut by the expanding sheaths. When the stuff wears off the arteries go back to normal and flow slows down. A balancing act which gives you the old saying - Love is a matter of chemistry, sex is a matter of physics, but ERECTIONS are a matter of hydraulics!

As far as getting different syringes, I don't bother the pharmacist or docs -- just go to Amazon and take your pick. One nice thing to do is get the smallest capacity syringe that covers the range you are using. My last batch were nice 1/3 ml -- nice short length and since it has 5 10 15 20 25 30 on the barrel there's lots of space between and is easy to get just the right amount every time (if you have figured out what that is for sure). Also they are around $13-15 for a hundred -- free shipping! -- nice.

One comment about plumping or pumping before injection. If you don't really need it just skip it or just try it manually with your fingers to get a little more. It will just be one more complication in the whole process to drag out the equipment etc. My motto is keep things as simple as possible (but no simpler!). I suppose, tho, since flaccid size does vary a lot, plus fat-pad thickness might hide Willie also, that some pump-plumping might help some.

Finally some procedures say to hold and stretch out straight, but I always stretch and fold over to left or right against pelvic bone. Also I never JAB it in (although that is the doctor method and works fine), instead I just press against skin a moment, and slowly dig it in - call me masochist, but I want to feel it reaching the spot - really no pain tho.

It's all good ....

J

Post Edited (JStars) : 4/1/2012 8:37:42 PM (GMT-6)

Posted 4/1/2012 2:12 PM (GMT 0)
Amazing. It worked. I can't thank everyone enough. The solution was the 5/16 needle 31 gauge. I also injected at 2:00 and yes I did pump. I used .25 of timix.

Thanks guys
Posted 4/1/2012 2:23 PM (GMT 0)
Congratulations! Now enjoy! Have some sudafed on hand. A few of us had a much stronger response to the same dose after initial success.
Posted 4/1/2012 3:09 PM (GMT 0)
Way to go forphun!

Nothing succeeds like success ... especially in this matter!.

J
Posted 4/1/2012 4:34 PM (GMT 0)
All right!!!  Glad you got it worked out.  yeah
Posted 4/1/2012 8:31 PM (GMT 0)

Great news Forphun. Glad you have everything down now.  Or is it up now? Anyway, similar stats to mine and same TriMix procedure.

Jack

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