Post-DaVinci ED treatments

Hello, I am new to this forum. I had single nerve sparing Da Vinci surgery on July 12,2010. I had very little incontinence issues. I stopped wearing pads after roughly 1 month. However, I recently started treatment for ED and was wondering what others experience with this issue has been. I had some ED before the surgery needing 10mg Levitra on occasion but not always. Maybe half of the time. Post-surgery I started an every other day dose of Levitra/Cialis (used both) about the first of September. It has no affect at all on its own. I recently acquired a pump. It creates an erection, but not one suitable for intercourse and only if used on a day I take Levitra or Cialis. It has virtually no effect if not used in combination with the oral medication. I just acquired the quad-mix and gave myself my first injection over the weekend. Dose was .08 with limited effect until I used the pump in combination about 20 minutes after the injection and then the result was only comparable to the pump/oral combination. I achieved a partial erection that would not sustain without pumping. (The Nurse practitioner gave me .06 in the office and that actually worked slightly better than my home injection before I used the pump). I know this is just the start of the process but wondered what others had experienced.

PSA 3 + 4 (pre and post surgery)
Pre-Surgical Staging pT2a
Biopsy 10/12 positive
Cancer Volume 30%
Left Nerves removed, right side spared
Post-Surgical Staging pT3 N0 M0
Da Vinci 7/12/2010 - Dr. Richard Sarle
3 month PSA = undetectable

Hi DaMookR,

Your daily Cialis/Levitra is for recovery, not for an erection suitable for intercourse. At best you will get increased blood flow to the area and the beginnings of nocturnal erections. At this stage they are working

Injection therapy ( for me) has been very effective, I have had 100% success with Trimix. It is of paramount importance to get the procedure right. There are many many posts on how to plump and constrict during the injection process. Or head on over to Franktalk and see some of the docs there

Also note that Cialis or Levitra work against the success of Inj therapy. The oral drugs work to increase bloodflow to the penis, blood flow is what flushes out the Rx in the injection

The idea of the pump early in your recovery is to prevent atrophy, use it daily as therapy , you should have rings that help keep you erect after you have pumped up

at 5 months I was just starting Inj therapy, oral ED meds did not work then, i used the VED daily for therapy

DaMookr, Welcome here and hope you get the help your looking for. I am 2 years our and can tell you the injections are GREAT when you have the dose figured out. As others have said. Use the pump for therapy to get size back.:) Some guys have found that using the rings with the pump was gooe enough for successful sex. The rings will keep you hard enough. I did not like using the rings. Wife did not like the rings either.

MrGimpy mentioned another sight. I second that location. You may want to go to Franktalk.org and register. It is free and deals exclusevely with ED and recovery.

Shoot me an e-mail if you have questions. My e-mail is open.

Cajun jeff

Thank you everyone for your responses. First, to Veteran Member, my Nurse Practitioner prescribed the QUAD-MIX. I purchase mine from Universal Compound Lab in Troy, MI "http://ucprxmichigan.com". They do mail order. I believe it is a combination of Forskolin, Papaverine HCl, Phentolamine Mesylate, Prostaglandin and can be blended in different strengths. Also, I do have the constriction rings with the pump but they are hard to get used to. My Nurse Practitioner said I do not have to use them when I am just using the pump for rehabilitative purposes. Just keep pumping as need to retain the size. New question, "Should I discontinue the use of ED orals or should I use them only on days when I am not using injection therapy? I know not to use Cialis because it stays in the system longer than Levitra or Viagra, but I thought it was ok to use the later two on days when there is no injection. Is this right or wrong? MrGimpy,"thank you" for the reference to "frankTalk" I will check it out. Mostly it is helpful for me to hear how the process has worked for others. My surgeon was great but we did not have extensive discussions about ED before surgery. This helps me try to put things and perspective.

Born 1960
PSA History 2.1 - 5/2009; 3.7 – 12/2009 – 4.6 4/2010
Diagnosed with PCa 5/4/2010
Pre-surgery scores: Gleason 3 + 4, Staging T2a, positive 10/12 cores
DaVinci Surgery – 7/12/2010
Post-Surgery scores: Gleason 3 + 4, Staging T3a N0 M0, Cancer Volume 30+%
Left bundle removed, Right bundle spared.
Incontinence – No issue. Off pads in 4 weeks (started Kegel’s 6 weeks before surgery)
Erectile Function – Work in progress. Levitra, Cialis at 6 weeks, little effect.
Erect Aid pump at 4 months, some improvement, works better with orals,
Started Injection therapy 12/1/2010 – QUAD-MIX