Injections still work. Pull the implant trigger?

[ElbowRoom]

I'm in a similar boat. Trimix still works well for a couple of hours. I still get morning erections, sometimes quite hard but as soon as I start moving around away it goes. I've had ED off an on since my 20s, but now there is no life in the old guy without assistance.

Injections are spontaneity killers. I've been using them for a decade or so, and even with an understanding partner it just sucks having to schedule your sex sessions. Also you can't just go do something else when it's over (at least, I can't)...the effects will last 2-3 hours for me so I'm housebound until I'm sure the erection will go away.

I've done a ton of research and I have had consults with Dr. Clavell and Dr. Hakky. Both seem great, but Hakky is local to me so I'd probably have him do the surgery. He did a doppler on my penis and there's no scarring and I'm straight as an arrow, but the measured blood flow numbers were pretty bad.

The IPP seems like the right solution, it's just hard to make such a momentous decision knowing that it's a one-way trip.

How do surgeons nail down the right Trimix dose for a full erection before a Doppler test when someone has never tried injections? I always wondered.

Titrate up the dose. They start you somewhere at a low dose (0.05ml to 0.1ml)…see how it goes. If that isn’t enough next time go up a bit. Keep doing that until you hit the right dose that does what you want without leaving you rock hard for too long. My current dose hovers around 0.14-0.16ml, depending on what I want to achieve.


Also you can speed up the “deflation” by taking 30-120mg of pseudoephedrine (Sudafed). I have never had the erection no go down after taking 60mg.

[ElbowRoom]

Does Trimix cause the glans and spongiosm to be erect as well?

Sadly no. It will make the shaft rock hard, but not the head. You’ll need to get aroused or use a vac pump and rings like I sometimes do.

[splitpeach]

Does Trimix cause the glans and spongiosm to be erect as well?

Sadly no. It will make the shaft rock hard, but not the head. You’ll need to get aroused or use a vac pump and rings like I sometimes do.

Really? I take alprostadil here in the UK (Viridal Duo, Caverject) and an injection gives my total engorgement.

[ElbowRoom]

Does Trimix cause the glans and spongiosm to be erect as well?

Sadly no. It will make the shaft rock hard, but not the head. You’ll need to get aroused or use a vac pump and rings like I sometimes do.

Really? I take alprostadil here in the UK (Viridal Duo, Caverject) and an injection gives my total engorgement.

That might be you becoming aroused rather than the medication, though I don't know for sure the differences between Trimix and Caverject.

[splitpeach]

Sadly no. It will make the shaft rock hard, but not the head. You’ll need to get aroused or use a vac pump and rings like I sometimes do.

Really? I take alprostadil here in the UK (Viridal Duo, Caverject) and an injection gives my total engorgement.

That might be you becoming aroused rather than the medication, though I don't know for sure the differences between Trimix and Caverject.

You know, I would hope that it's just me getting aroused and not the injection as that would help me after the implant.... But I don't think so.

From what understand, Trimex includes alprostadil with other drugs whereas Caverject is just pure alprostadil.

[sambalamba]

For those who have trialed both if injections still worked would you have still gotten an implant?

Injections still work for me, but they're an inconvenience. And I'm totally reliant on them. If I can't get hold of them I'm useless.

I have an option to get an implant this year. What's everyone's advice on whether to do it or keep going with injections?

The stories of shortening, flattening surf board look, glans not engorging, and multiple revisions (I'm mid 30s) are making me second guess.

I'm using Bimix and it still works. But becoming a huge hassle for me. Also sometimes same amount doesn't work as well and other times works a bit too well giving me hours of erection. Then I have to be stuck waiting for my erection to calm down. I'm ready to take the leap very soon.

Yes we're in a similar position. This is tough because if injections didn't work the decision would be simple.

The other thing is that they might come out with some new treatment in five years time and if only we'd have delayed just a few more years we could have beat it.

I think it's different if you're in a long term relationship. When I was with my ex injections were easy. She knew about them and we just carried on. Bit being single it's harder. There's no spontaneity. There's no rubbing your chubby up against a girl you're dancing with in a bar.

I fucked a girl last weekend and she found my injector and asked if I had diabetes hahaha

You're right. It is still a bit of a tough decision for me to pull the trigger. In fact I had already scheduled my surgery for middle of March but had to cancel due to a family situation. Now I'm wondering how soon to schedule again. One other thing I have to consider is scarring of the penile tissue from penile injections eventually causing the implant process to become more complicated. I have already started to develop some bumps at the base of my penis. Not sure if they are internal scarring or inflammation of the tunica. Docs think it is the later but they did notice some minor internal scarring from the dopplar ultrasound.

I can say with very high confidence that in the next five years there will be no revolutionary technology that will come out to replace existing treatment protocols or implants. Only things on the horizon officially are the bluetooth pump by Boston Scientific and a more pliable cylinder by Coloplast. Both will probably launch around 2030. Current implant technology is pretty solid even with many of its shortcomings. I think the future lies in tissue/nerve/blood vessel restoration with gene therapy. There are active research in implant field as well such as thermal induced elongation of metal alloy implants. But these are riddled with limitation and will take generations to iron out if at all.

By the way, I see you're in the UK. Which injections are you using? Have you tried Invicorp? I have heard it causes a lot less pain than alprostadil

[sambalamba]

Yes we're in a similar position. This is tough because if injections didn't work the decision would be simple.

The other thing is that they might come out with some new treatment in five years time and if only we'd have delayed just a few more years we could have beat it.

I think it's different if you're in a long term relationship. When I was with my ex injections were easy. She knew about them and we just carried on. Bit being single it's harder. There's no spontaneity. There's no rubbing your chubby up against a girl you're dancing with in a bar.

I fucked a girl last weekend and she found my injector and asked if I had diabetes hahaha

You're right. It is still a bit of a tough decision for me to pull the trigger. In fact I had already scheduled my surgery for middle of March but had to cancel due to a family situation. Now I'm wondering how soon to schedule again. One other thing I have to consider is scarring of the penile tissue from penile injections eventually causing the implant process to become more complicated. I have already started to develop some bumps at the base of my penis. Not sure if they are internal scarring or inflammation of the tunica. Docs think it is the later but they did notice some minor internal scarring from the dopplar ultrasound.

I can say with very high confidence that in the next five years there will be no revolutionary technology that will come out to replace existing treatment protocols or implants. Only things on the horizon officially are the bluetooth pump by Boston Scientific and a more pliable cylinder by Coloplast. Both will probably launch around 2030. Current implant technology is pretty solid even with many of its shortcomings. I think the future lies in tissue/nerve/blood vessel restoration with gene therapy. There are active research in implant field as well such as thermal induced elongation of metal alloy implants. But these are riddled with limitation and will take generations to iron out if at all.

By the way, I see you're in the UK. Which injections are you using? Have you tried Invicorp? I have heard it causes a lot less pain than alprostadil

[splitpeach]

I'm using Bimix and it still works. But becoming a huge hassle for me. Also sometimes same amount doesn't work as well and other times works a bit too well giving me hours of erection. Then I have to be stuck waiting for my erection to calm down. I'm ready to take the leap very soon.

Yes we're in a similar position. This is tough because if injections didn't work the decision would be simple.

The other thing is that they might come out with some new treatment in five years time and if only we'd have delayed just a few more years we could have beat it.

I think it's different if you're in a long term relationship. When I was with my ex injections were easy. She knew about them and we just carried on. Bit being single it's harder. There's no spontaneity. There's no rubbing your chubby up against a girl you're dancing with in a bar.

I fucked a girl last weekend and she found my injector and asked if I had diabetes hahaha

You're right. It is still a bit of a tough decision for me to pull the trigger. In fact I had already scheduled my surgery for middle of March but had to cancel due to a family situation. Now I'm wondering how soon to schedule again. One other thing I have to consider is scarring of the penile tissue from penile injections eventually causing the implant process to become more complicated. I have already started to develop some bumps at the base of my penis. Not sure if they are internal scarring or inflammation of the tunica. Docs think it is the later but they did notice some minor internal scarring from the dopplar ultrasound.

I can say with very high confidence that in the next five years there will be no revolutionary technology that will come out to replace existing treatment protocols or implants. Only things on the horizon officially are the bluetooth pump by Boston Scientific and a more pliable cylinder by Coloplast. Both will probably launch around 2030. Current implant technology is pretty solid even with many of its shortcomings. I think the future lies in tissue/nerve/blood vessel restoration with gene therapy. There are active research in implant field as well such as thermal induced elongation of metal alloy implants. But these are riddled with limitation and will take generations to iron out if at all.

By the way, I see you're in the UK. Which injections are you using? Have you tried Invicorp? I have heard it causes a lot less pain than alprostadil

I'm not so sure on the treatment options of ED being that slow.... Science is progressing exponentially. It is moving so fast ATM especially with AI taking off. I can't keep up.

When you think about how quickly Viagra changed the game there must have been some implanted guys kicking themselves after that.

I think the new Rigicon is encouraging and we're probably at the right time to wait for that. Another year and that should be ready for prime time and I think I'll start there and try and get a decade out of that whilst new tech develops.

I'm currently taking 40mcg of Alprostadil. It's a huge dose. As soon as I get to the point where I need more than one syringue it's clear for me that it's implant time.

But I have no issue with injection pain. Maybe one of the lucky ones... I've not tried invicorp. Do you have that where you are?