ED Topic: Saw an ED doc today

[BrokenArrow]

Well, I got to see an ED doc today. He's a Uro. Part of a large hospital clinic with 5 other Uros, 20 residents and support staff.

Experience was good. He was open, personable and really seemed to know his stuff. He is aware of most PCa forums and even this site.

From what I can recall accurately, there are a lot of factors affecting a man's ED situation after PCa surgery in terms of priorities. First of course is how wide they had to go surgically to remove the cancer. This affects nerves, blood vessels, lymph nodes, etc. Second, was maximum control of bladder after RP. This is also related to nerves, vessels, etc. Third, ED. None are mutually exclusive in terms of a full recovery. But, the priority is right. So far, it seems the number 1 and 2 are going good for me.

In terms of ED and this post, surgery is huge trauma. No surprise there. Nerve sparing is only part of it. The integrity of the multitude of small blood vessels that supply the penis and the penis nerves is another part. The area around the prostate is a huge vascular minefield and every patient is different. Just like our iris and fingerprints are all different. Therefore, no surprise patients respond differently to all the treatment protocols available.

I was focussed on nerve sparing and results thereof. My doc said it has as much to do with what blood vessels were spared, too. I have been having "twinges" in my dick and partial nocturnal hard-ons. Nothing usable. I have been pumping, too. All good. As had been said by another poster, pumping is good from the point of view that it helps keep stuff stretched and does bring blood into the penis. Most of this blood is veinous and not the arterial, oxygen rich, blood that arteries bring in to heal damaged tissued. However, he said pumping was invaluable as a therapy.

He went on to say that I should be starting Trimix injection therapy soon. He has not seen enough results from the Gel to warrant this in lieu of injections.The injections will bring in the arterial, oxygen rich blood that will speed my erection recovery. I see him again Dec 1, when I get my first injection and training on doing injections myself. Once I start having medically (injection) induced chubbies, the injections/dose can be reduced to the point where ED meds like Viagra, Levitra and Cialis can provide effectiveness...at lower doses. They (ED drugs) don't presently work and he wasn't surprised.

This group has handled over 10,000 men over the last couple years with ED. Not a small group.

That is my present course of action and I will post my results.

Any questions or comments appreciated.

BrokenArrow

[Cajun Jeff]

Broken: Thanks for posting. Interesting information. I need to fill you in on my situation. Shoot me an e-mail.

[BrokenArrow]

Paul...please send Corvetteman3 my email...tried to send...many thanks:)