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Still Impotent Six Months After Radical Prostatectomy

Question:
Over six months ago my husband had his prostate removed because of prostate cancer. He hasn't had an erection since then, and we haven't had any success at intercourse. He has taken Viagra, Levitra, & Cialis. He has also tried Caverject injections. Several weeks ago he saw a second erectile dysfunction specialist. Basically, the doctor said that my husband would probably have more luck with sex in about 6 months. My husband was encouraged by this, but I wasn't. I don't think that I believe that anymore. I feel like these doctors are just putting us off because they know that nothing is going to work now or 6 months from now, and after a sufficient number of months they will offer to instal an implant. My husband asked about Trimix injections but the doctor seemed to think that since the Caverject injections didn't produce a useable erection the trimix wouldn't either.

I guess that is my question. If Caverject injections did not produce a useable erection is it likely that Trimix injections would be any more effective?


Answer:
>Over six months ago my husband had his prostate removed because of >prostate cancer. He hasn't had an erection since . . . . > He has taken Viagra, Levitra, & Cialis . . . Caverject injections.

Do you know the amount of Caverject they used to inject him?

Did it give him at least a fat softie?

Many uro's are afraid to do a test injection of over 10mmg, (ten MICRO grams, not milligrams) and it can take more, much more. However, a larger dose injected will probably be much more painful.

> My husband asked about Trimix injections > but the doctor seemed to think that since the Caverject injections > didn't produce a useable erection the trimix wouldn't either.

> I guess that is my question. If Caverject injections did not produce > a useable erection is it likely that Trimix injections would be any > more effective?

Yes, Trimix can work where Caverject fails, but it is not that common. There have been postings here from two people where this did happened. The biggest advantage of Trimix, is that a greater dose can be injected without causing your husband pain in the pecker, balls and lower back. Also, it is less expensive. Your biggest problem will be finding a doctor who knows how to prescribe Trimix and a sterile compounding pharmacy who can make it.

Find out if your uro has ANY patients on Trimix. I'll bet the answer is no.

If so, locate a compounding pharmacy in your area and ask if they can make Trimix. If the answer is yes, will they supply you with the names of the physicians who prescribe it.

To locate a compounding pharmacy:

http://www.iacprx.org/referral_service/index.html

If none are listed for your area, use the yellow pages.

Another thing to consider are any medicines that your husband is taking. You did not mention those, especially the new ones AFTER the surgery. Many times the erection-wilting side effects are not mentioned, for the fear that men will refuse to take them.

If your husband is ever going to regain his ability to have an erection, it probably will first happen at night while he is asleep. He will not be able to repeat it when he is awake. That is quite normal. Don't associate that with his love for you. Men have nocturnal erections to maintain their internal plumbing and it has nothing to do with sex or desire.



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