Sandro:
My email is bbacon15@centurytel.net
My phone is 573-808-2962
Readers:
The above is my personal email and I like to be very open to anyone reading my blog. Sandro, I can certainly relate to your personal story with diabetes. It's a story that plays itself out day after day for many people. Diabetes is responsible for 24% of men who seek help for ED. It damages nerves and the endothelial membrane of your blood vessels. This is the lining that produces nitric oxide that causes relaxation of the smooth muscle found in the penis. Sandro this is what gene therapy is looking to repair. When this particular therapy will be available is anyone's guess. It takes years of studies to obtain FDA approval. I used injections sucessfully for over 13 years. My experience was very positive, but eventually, the injections started to cause scarring inside of my penis. I could have gone on for a couple of more years, but the scarring is permanent and the worse it gets, the more it will shorten your erection length. A lot of men wait too many years before they get an implant and are unhappy with it because of scarring, their erection is permanently shortened. I recomend injections as a good method for the relief of ED. But a warning here. Once a year have your doctor check your penis for fibrosis. Second recomendation is no more than 3 injections a week. I used more than three times a week at times, and that was not a smart decision on my part. I personally experienced penile pain with Tri-mix injections from the prostaglandin E-1 that is the third drug in Tri-mix. The other two drugs used are phentolamin and papaverine. That is why I preferred Bi-mix.
Why have a Penile Implant? Because it has the highest satisfaction of all the ED treatments currently available. Viagra, Cialis, and Vardenafil cost aproximately $10.00 a pop and is often not covered by health insurance. They interfere with spontanaity because you have to plan ahead. Among men with moderate ED, they have a long term satisfaction rate 0f 68 %.
Injection of vasoactive agents are usually considered a second tiered treatment, often prescribed to men who are failing in using oral agents. Bi-mix and Tri-mix as well as Caverject are great agents and can almost raise the dead for men who have medium to severe ED. I paid $70.00 for 5 cc compunded at my Pharmacy. I used .6 to .7 cc which means I got 7 to 8 injection from a 5 cc bottle. Syringues cost approximately 15 cents each. So vasoactive injections cost approximately $10 an erection as well. A major drawback to injections is the daunting task of injecting yourself into your penis. As a diabetic, I've lost my fear of shots after the 1st hundered thousand shots I've had to give myself, but dam, at times, those shots int my penis hurt like hell. The erection that I got lasted for two hours, so that made for some long, unhurried lovemaking and I never had to worry about whether I would last long enough for my wife to reach satisfaction. She could get satisfied and then satisfied, and oh yes yes, sometimes satisfied again. The drawback besides the pain is scarring of the penis.
Penile Implants. Expected to last 10 or more years and beyond. Cost is covered by insurance. Once gone down that road, no going back. Bruising and discomfort following surgery. Pluses.
Always can have an erection whenever you want for as long as you want. Can loose some length, especially for men who have had a radical prostatectomy. Implants enjoy over a 90% satisfaction rate among users and an 84% satisfaction rate among partners. Highest rate for all ED choices. For men who have ED after prostate surgery, it is the only choice.
Readers
There is no perfect treatment right now for Erectile Disfunction. It's all a matter of trade offs for the time being. Maybe someday there will be a perfect answer. For right now, all men need to educate themselves with as much information as possible. Talk to your doctor. If you get unsatisfactory answers from your doctor, don't give up. Ask around and find a better doctor. Someone you can comfortably talk to. Admitting that you are impotent is hard. Talking about it with someone is also very difficult for some men. There's still a stigma attached to ED. A snickering about it. And there is no outrage out there that men can be made to feel inferior, be made fun of. The conditioned is a subject of jokes. Men who have ED are feeling real pain and when made fun of, it hurts even worse. I'm trying to make a difference in the world of men with this condition. I'm trying to offer information where their is a real shortage of information. If you need someone to talk to in anonymity, I can do that to.
Take care
Bob
Saturday, June 16, 2007
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