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Nerve sparing? Injection? Pump? Pills?Whats the answer

11 years 6 months ago #15072 by timb
there's more info on this very topic in the mens section....

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11 years 6 months ago #15070 by Patricia
As far as Viagra or sildenafil .. the vasodilating effects of sildenafil do become potentially hazardous when combined with the vasodilating effects of nitrates, drugs that are still commonly used in patients with coronary artery disease. Patients taking both nitrates and sildenafil are prone to develop severe hypotension (low blood pressure) and syncope (fainting.) Patients taking nitrates for their coronary artery disease, therefore, should never take sildenafil. Further, anyone who has taken sildenafil during the past 24 hours should not take nitrates.

So i guess if you're not on nitrates its a viable option......Pat

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11 years 6 months ago #15059 by Dale50
Gene and All,

Well I tried the new medicine last night and success!!!!!!!!!!!!!!!!!!!!!!!
I did not eat and I took the 100mg Viagra along with the supository which was no prblem to use, it has a small tube the size of pen that you insert down the uretha and a button on the end to inject the medicine, after catheters this was no big deal. Within 30 minutes I had an erection good enough for intercourse and I did have an orgaism!!!!!!!! So Viagra and Muse together is the ticket so if you have not tried it talk to your doctor, of course I have the runny nose and headache this morning but it is worth it!

Dale

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11 years 6 months ago #14994 by Patricia
I was wondering about the drugs with your history of heart problems...I'm surprised he said that could be an option as it usually drops the blood pressure .
My husband had heart problems...one heart attack..5 bypasses..and he simply did not have the blood supply getting to the right areas. He went for an implant which i think is what Zachary did and in the hands of a very experienced uro/surgeon and making the right choice as to which one you can actually work (my husband had 10 thumbs and made the wrong choice)...but all that has evolved since my husbands implant. It seemed to be a pretty easy surgery believe it or not...not much pain after.
But ya know what...i really liked the hugs and cuddling...when you've got a solid foundation nothing can shake that up.
Pat

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11 years 6 months ago #14993 by Gene Beane
Thanks Dale,
I guess its the realization that all will not happen of its own accord that is disconcerning. Nerve sparing is only worth so much, waking up the nerves is of course the issue, but at what costs, its all a toss up as one has to be careful using the viagra and the shot. I had a heart attack Nov. of 2006 and have other blockage issues so its touchy situation. The pump you get fitted for then we have to go in together to give it a try. I guess sometimes you just feel when is enough enough, find something to share with your loved one thats is okay for both even if
its not the whole deal. Keep us up on your findings...my point is even if nerve sparing is done, theres no guarantees , and if it does work it may only be minimal then the enhancing comes. Gene

Hospital Cleveland Clinic r/c Sept.14,2007
Surgeon. Dr Stephen Campbell and Gill
Gene Beane..66 Ford Motor Company
Engineer, retired Vietnam Vet

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11 years 6 months ago #14992 by Dale50
I have just returned from an appointment with the doctor at Baylor College of Medicine in Houston who deals with ED and sees all of my Uuro's patients after bladder removal. I am 18 weeks post surgery and have not had much of an erection even with Viagra. The ED doctor says he has seen very few bladder removal patients regain erections without help, his first phase treatment which I will start today is medicine, 25mg of Viagra every night and if sex is desired 100mg on empty stomach, no food or booze before taking. Also he gave me Muse which is a urethal suppository that is used in conjunction with the 100mg Viagra when sex is desired, if this does not work his next step is the injections and the last choice is a pump. Since this is all Dr. Khera does I am hopeful his plan works, he said it is a matter of waking the nerves up and getting good blood flow, he also drew blood to check my testosterone as he said if it is down this can also hinder the work of Viagra and other medicine. I will keep you guys psoted on how this all works!

Dale

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