Advice Part 2

[topdog]

This is the 1st part that occurred a few months ago:

I went to the urologist today for a blood flow procedure. He gave me an injection of Edex and I felt almost no erection. I laid on the doctor's table for 10 minutes until the doctor came back and checked the blood flow. He showed me a graph and said this shows a very poor result; your blood flow is low and it's not trapping the blood that does go into the penis. My history is about 10 years of declining performance until the last couple of years almost no morning erections and even the inability to masturbate without pills or injections. I've tried pills, vacuum, and injections with varying success - never steady - a lot of disappointments but some good times.

Anyway, he told me, look you tried everything: pills, vacuums, testosterone, and injections. You're at the end of the menu. I was annoyed he asked me what I wanted to do while I was laying on the table with my pants down! It seemed to me that besides no bedside manner, it was all about his motivation to perform another implant surgery.$$

Perhaps he is just a pragmatic doctor - I don't know.

Anyway, it wasn't the news I wanted to hear. I felt a little angry and disappointed. I told him: I'm not going to decide on the spot. He said okay and asked if I had any questions. I said I had two: Why the penis isn't working and is there any hope to rehabilitate it.

He said that even though my cardiologist says I don't have heart problems that ed is a precursor to heart disease that affects the smallest blood carriers first. Since I take BP medication he believes that explains the condition. As to the second part of the question, he said that there is nothing to restore the penis function. Its like a bad liver, its a progressive condition that wont improve.

Btw, this urologist is supposed to be "the best" in the country according to my sources here in Ft Lauderdale, FL.

Part 2:

About 2 weeks ago I went to get a second opinion from another urologist. I told him the story above and I also brought the test that the previous urologist performed. He said that there are many reasons that the results could be poor but that the blood flow didn't look good (as per the previous doctor). I proceeded to tell him that I had been to see a cardiologist in the meantime and was even more confused because he performed an ekg and another test for blood flow that showed "no organic issues." He told me that it was very doubtful given his findings that the issue was related to circulation problems. He suggested I check with a neurologist and said "See you next year. Your fine."

Well, well. So the 2nd urologist said: Heart problems may be an indicator or precursor but it only mean's there "could be" an association. Anyhow he gave me a penile injection in his office and I got a pretty decent result. About a 7 on a scale of 1-10 in my book (10 being a weapon). Anyhow the good doc gave me a prescription as follows and I got the medication and syringes today. Stick around for part 3. I'm single so hopefully I can find a willing part before too long. Comments or advices?

Tri-mix PGE1/Phentolamine/Papaverine 40mcg-2mg-30mg/ml Directions: inject 0.45 ml = 45 units with a 30 gauge 1/2" needle.

ps: I have no doubt there's a problem but my strategy is to keep using what I got until it's hopeless. Depending on the medication, the partner, and the overall mood it seems I have mixed results - some real duds but some good times too.

[tomas1]

it sounds like you're on the right track. I wouldn't be surprised if in time, you'll be able to scale back the amount injected.
My prescription is slightly stronger (45mcg) and I inject 15-18 units.
Maybe you could also take a small dose of Viagra to plump up first (I do).

[topdog]

Thanks. I will keep experimenting while there's progress.

[David1961]

topdog:

Thanks for sharing your story. I agree it sounds like you are on the right path. Good luck to you and please keep us posted. I'm curious if the second urologist gave you any reason to check with a neurologist? Did he give you much confidence that this would help your ED or did it seem like he just wanted to pass the buck to someone else?

[topdog]

Hi David. I don't know what to make of it. I can speculate that he was either inferring that the issue is psychological in his opinion, or there is always the remote possibility that ed could be due to conditions associated to the brain. A quick google mentions: cerebrovascular disease, epilepsy, multiple sclerosis, and dementia to name a handful of possibilities.

I tend to think it was the cardiologist's subtle way of "giving me the boot" as if say: 'this is obviously in your head - see you next year, pal'.