only no urinary problems here. I too am considering implant, Check out the penile prosthesis blog here. I got a name of a very experienced Urologist, Dr. Steven Wilson, at Univ of Arkansas from my doc. I may contact him from Michigan, experience is key to good outcomes. I am a Nurse Anesthetist, and am very picky about my surgical team/surgeon. The key question is ,”how many has he done”?
and have been very pleased with the result. It works, and I feel like I have a dick again.
Impotence due to prostate cancer and surgery, 8 1/2 years ago.
Do it for you.
Do it! Get a 3 piecer installed. You will not regret it. It will make you feel like a kid again. I had the same surgery but regained my incontinence after 7 months. Then lost it again a few years later with radiation when cancer struck back. Now I wear a condom all the time, large size. It is really nice either being able to make love to your bride whenever or simply pound your pud! It is equally imparitive you keep your body inshape. I work out everyday 5 min, walk at least 20 min and do everything physical I can. Your body is made to be worked….and so is your dick!
my doctor has done hundreds of these surgeries and told me he would use nerve sparing techniques but warned me I could be impotent. I ended up impotent and incontinent and a year later had to have surgery to tack up my bladder. ( male invance sling) It was really a relief not to have to wear a pad all the time although I still leak sometimes.
I still had hopes that my impotence would cure itself or at least get better but it has steadily gotten worse. I tried injections a couple of times but did not like them at all. Then I tried MUSE and it helped but was very painful and burned like crazy. I am 66 years old and never had an erectile problem before surgery.
I am now considering an implant and would like to have it done by someone who has the most experience. I live in Ga, and would like the name of a doctor in Ga, Al, or Fl that could help me.
in this blog during the last few months. To find these posts, just go to the bottom of the messages and type in: penile implant.
You will then see a list of those posts and the comments that have been made.
but have not found any. I just remembered a funny experience. I went to my wife’s md once who was about 45, thin as a rail, with really thick, thick glasses. Her job was to give me a physical and some meds from canadian pharmacy. After the normal she said she had to check further. So I removed my clothes standing stark naked while she sat on a stool got her eyes within 2 inches of my dick and did an examination as careful as a scientist looking at a cell. Wouldn’t you know I started to get an erection (pre implant and pre cancer). I guess when she realized what was happening she just about fell off the back side of her little stool stating, as she smoothed her smock, “lets keep this professional shall we”. I laughed so hard my dick went limp. She got even when she did the prostate thing, My word! I remember she damm near use a whole tube of goo and did a rim job second to none……..it was hardly exciting. I told her we would never get together if she kept that up. Hurumph, she growled. Anyway I’ve never found a female md yet for prostate purposes.
I had several stories that really changed me for life going through the prostate thing. I learned to loosen up a lot from my square days. I even offered to sign my xray up on the screen for my technicians during radiation. When I laid on my back it stuck up straight up 5 inches, and it wasn’t even pumped! “Do you have an implant” said my gay male nure, the cute little blond girl said nothing. I replied, “whats your first clue”! After about four of us laughing, at my expense, I offered to autograph the xray. ahahahahahah gads have I changed!
I am considering an impllant. Its a very big decision and a point of no return, so I would appreciate hearing from those of you that have gone this route. I would like your comments on the surgery and recovery, how realistic the sensations are, how easy is it to climax and what does your significant other think of it? Thanks
and i hate the initials for Erectile Dysfunction…as my name is Ed…anyway…
I wake up most mornings with major wood so I know my ED has to do with stress and possibly smoking..i noticed the first signs 10 yrs ago and have kept a close eye on my penis every since to make sure no major changes have occurred, and so far none cept a size decrease..but that happens when you dont have erections like you used to(i.e. things shrink from lack of use) as for the signs u described..ur right..the Dr. is full of it..i hate to say it but you seem to have the same problem my Ex Father-in-law had…his shrank dramaticly, discolored and curved to one side almost curling, little to no sensation…the vains on the side…have no idea..but need to get the Dr. off his ass
I am 57, I have since stopped, pills, shots etc and had an inflatable implant done. I love it, hard, straight,always ready, as long as wanted and doesnt depend on other factors. I have left over meds if someone wants to buy they.
We all come here b/c of our shared problem. I am curious if others have noticed visible changes in their penises since erections started to become difficult.
I am 30, and I have mild/moderate ED. I can use oral meds with some degree of success i.e. 100mg sildenafil citrate? I haven’t woken up with a boner in 3 years, and that is my litmus test as to my proper working pipes.
Since I started having problems—and they came on suddenly, a.k.a. I woke up one worning w/ a boner, next morning and since, never again—I have noticed my penis looks different. I have prominent veins on the left side that were not there before. The skin looks different, and I think its getting smaller (atrophy). I also have lost some sensation.
It feels like I have nothing between my legs. Doctors have told me that’s a mental thing. I think that’s horsecrap, B/C I know my dick better than anyone.
Just wondering if anyone else has noticed such changes since the onset of ED.
Daniel — you’re right, there have been studies that trazodone actually HELPS erectile dysfunction. That’s why I suggested to my psych that i go on it it. In fact, its been associated with causing priapism (prolonged erections), so there must be some positive affect on producing erections, or at least that’s what i deduce.
Your and John’s comment that it took the pleasurable sensation away (or erection/ejaculation away) is new to me. Maybe it does. I know that Trazadone’s list of side-effects include impotence (but so do all the antidepressants), so maybe it could have affect you both this way.
All I know i don’t need anything else making my ED worse. I’m trying to think back on how Trazodone has affected me. Before, I tried a few SSRI’s and in each case they caused my ED to get worse, so i’m very sensitive to serotonin effects on my erection. Trazodone did not have this negative effect on my ED (i would say it was neutral) so that’s why i decided to stick with trazodone. i’m trying to think now if there has been a change on my physical sensation of my sexual desire like you noted (and, Mark, i don’t think you were imagining those effects). my trouble is that i’ve been taking so many meds for my depression (lamictal, trazodone, ability) as well as for my ED (cialus, viagra, shots) that i’m getting confused as far as what helps and what hurts.
Do you mind if i ask you John and Daniel how old you are (i’m mid 30′s)? Do you have nocturnal erections (NE), and do you wake with a morning erection? These seem to be absent from me (since i’ve started taking cialus regularly the last two months, the NE seem to be reappearing, but not as strong as i remember when i was a teenager).
Daniel: Traspdone took helped me sleep but took my erections and ability to ejaculate away. Be careful with the dose and keep track of your performance while taking it. I could only handle it for a couple of months.
I have been having trouble sleeping through the night for over a year. My primary care physician first prescribed Ambien. It did not fix the problem. Then he prescribed Trazadone to help me sleep through the night. I had read that this drug has been used to treat impotence, and as an antidepressent, it has the advantage of not causing impotence. I discontinued it after 2 weeks because it did not seem to help me sleep, and it did have a negative effect on my sex life.
I don’t think it directly effected my interest in sex, but it stopped my physical sensations of sexual desire. I don’t know how else to describe the effect. The drug gave me no unpleasant sensations or feelings other than a few unusually vivid dreams. The effect of a lack of sexual sensations was worrysome because I am already suffering from impotence as a result of a prostatectomy. I really do not want the impotence to get worse. The effects of Trazodone were subtle and complex. When I stopped taking it, within 24 to 48 hours, I felt normal again. What do you experience from this medication? Do you think I may have been imagining those effects?
Hi All! So, my question, I wanted to see if other guys have experienced erectile dysfunction (ED) due to depression (apart from the expected ED stuff caused by the SSRI’s, etc. — which I am not on) I’m in my mid-30′s and was diagnosed with BiPolar II two years ago — just started taking meds two years ago, and i’m currently on Lamictal, Trazadone and Abilify.
Though I’ve been diagnosed with BiPolar II recently, I’ve probably been depressed most of my life. But, I had a particularly bad episode of depression for four years in my early 20′s (from 18-22 y.o.). Since that time, my erections have never quite been the same (I’ve only started taking meds sildenafil citrate 100 mg the last three years, so i can’t blame it on the meds). I can’t maintain a rigid erection, only with alot of stimulation can i get there, otherwise, it goes to partial erection.
Any guys have a similar experience?
My therapist (whe’s an M.D.) has a theory that due to major depressive episodes, alot of men suffer long-term erectile dysfunction. He said that studies have shown that men experiencing major episodes of depression have low/absent nocturnal erections (“NE”), and these NE are necessary to maintain the smooth muscles in the penis, otherwise penile tissue is compromised. The average male has like 4-6 NE per night lasting approx. 10 minutes. These are necessary for the health of the penis. During my depression I don’t recall having NE or waking up with a morning erection. So, my therapist’s theory sounds right to me. I know since my major depression in early 20′s, I just don’t have the rigid strong erections as I once did.
Does this sound familiar to any of the guys out there? I’m really despondant about this — I just started to focus on my ED stuff the past two years, but I realized I’ve had it since as far back as i remember. I’m sooo depressed about this; feel like i can’t live like this, feel inadequate and broken.
If you have any infomation or insight to add to this, can you please post or email me directly? I’m at ecgnyc at yahoo dot com.
Doc will tell you. For sure, you’re gonna have to hold pressure longer to keep it from bleeding, and forming a hematoma. Have you tried the VED?
Or I assume, must be no more issues for men with impotence, lol, no postings here for some time. Everyone get it fixed?? Wish it was that easy. Oh, to be 20 again. I just posted on penile implant group about new AMS LGX prosthesis.
but it was an issue and I dealt with it by simply asking for a female GP and moving to a different clinic (Which by was 5 minutes away vrs 30).
Its got nothing to do with my age (I’m pushing 50) Its simply a matter of me finding / talking to “a” doctor that I was comfortable with. In my case the male doctor I had didn’t really have a good bedside manner. His attitude was let ME do all the talking and you just do what your told. Part of it was the Gender. Being poked and probed by a male doctor is more twitchy for me then having a female doctor do it.
I think my first real problem was more mental then the physical. How can I get diagnosed for my ED problems if I have mental reservations about telling my (male) doctor anything about my sexual failures?
For me it took some friends on support ed partners saying “If the problem is the doctor get a different doctor” and while the doctor was probably a fine fellow for me? Telling another guy my penis was not working w\o sildenafil citrate 100mg (generic viagra), cialis (tadalafil) or other ed pills, just wasn’t going to happen. Answer = Female MD.
Maybe seeing a therapist about my problems with male doctors would have solved that problem but the solution was (as you say) a mental roadblock.
If one stops you from dealing with the other? Then I think you need to work that out first.
Intimacy – sex. Yes! So many couples are on edge because one wants the “intimacy” and is willing to do without the sex. The other side of the coin is the male thinking this is “rejection” of sex. Two people wanting the same thing but communications are faulty.
Anyway, thanks for the great post.
then you are compunding the problem. As far as I know, almost all urologists are male, and, believe me, you are just one of thousands with whome they discss sexuality problems. They have no personal interest whatsoever. They are trained to offer solutions, and, quite frankly, your penis is of no more importance to them than your prostate, bladder, or any other part of your urinary tract. If you want help I suggest you get over this block about male physicians. How old are you?
Allow me to introduce myself. My name is Drew, I’m 59 take far to many medications for BP, MS and a various number of other ailments. I’ve been reading this board for quite awhile but this is my first post. I’m somewhat concerned as well as confused.
My URO gave my a Rx for Trimix that consists of:
PGE1 5.88 ug/ml
Phentolamine 0.6 mg/ml
Ordered same from a canadian pharmacy online that he recommended:
NFSNO Pharmacy in Toronto.
As per instructed we injected .1cc that was about 30 minutes ago and since I’m typing this post you should be aware that it didn’t work.
For the first few minutes my penis felt fuller but never achieved anything that I would call an erection and here I sit. If anyone has any idea’s why this happened we would be very appreciative since all I’ve really ever read about Trimix is that you’ll be able to hang your coat etc. etc.
Thank you in advance for any information,
pills and shots were not very effective. Most of us who have had an implant wish we had done it years ago! Read Bob Bacon’s blog at www.penileimplant.blogspot.com , scroll all the way down to the first entries and read his experiences with his implant. This blog is what helped me make the decision to get mine. And I am very glad I did!
and the top three urologist in NYC here advised me against it. It was done a while back, but that they had very little success in treating the problem long term.
As for going over seas to get operation, be very very cautious about that. first, you don’t know the quality of care you will get. second, a surgery like this would require alot of pre and post op visits, which could be inconvenient, expensive and impractical. If something goes wrong with the surgery, some type of negligence by the doctor that makes you worse, it’s really hard to effectively sue in a foreign jursidiction (i’m a lawyer)…
And, remember, anything surgical will be permanent, so make sure you understand exactly what goes on in the procedures, the risks and what you trade off and the gain you expect to get.
a doctor here who will do the venous leak surgery. They all tell me they just don’t do that any more. But I’m interested because that’s the initial cause of my problem also. Where is the doctor abroad? If you find a physician who will do it please let me know and I’ll let you know if I find someone who will do the surgery also.
getting this done will only help for a little while, that is if it works. Finding the leaky blood vesels is very hard to do to start with, and their is no way to find them all, so My urologist said its a waste of time for me to try it. I’ve gotthe same problem, and he said that even if I got back a normal hard on, after a while the blood vesals will find another path around the one’s he fixed and, bingo, you’ve got a werse problem then you started with. After hearing this from 3 urologist’s, I decided to get an AMS 700 LGX implanted on March 6th.
One thing I thought of, if this really worked, why don’t most of the urologist’s do it? I really think that the few that do are just trying to make money, and then when it fails after a few months or years, they could say it was either your fault, or some other thing to shift the blaim from him. It should put up a red flag if you need to go abroad for something like this that if it really worked, most of the urologist’s would be doing it here in the states.