Dodged priapism

Sticking a needle Where? Courage, guidance and help.
oldbeek
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Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Dodged priapism

Postby oldbeek » Sat Feb 03, 2018 5:40 pm

Just dodged the bullet. Priapism. 4 units of trimix and 22 units of bi-mix did not do the job last time. Bumped it up today. did not want any failure. Went to 5 units of trimix and 23 units of 30-2 bimix. Did the job nicely. BUT would not go down. Tri mix gives me extreme pain above 5 units. This time pain was a 12 with 5 units. Never again. At 2 hrs, 2 sudafed, and again at 3 1/2 hr. Cold packs from 2 hrs on. Hot bath at 4 hr. Ice pack at 4.15 and hot bath again. Finally at 4.5 hr started to get soft. Was mentally thinking which emergency room to use. Very scary. Bend to right I think is getting worse. Dr Eid here I come.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

spooon
Posts: 56
Joined: Fri Oct 27, 2017 1:29 pm

Re: Dodged priapism

Postby spooon » Sun Feb 18, 2018 6:45 pm

I find brisk walk up flights of stairs helps the most.
42yr, ED from mid 20s. Currently trailing Invicorp. Single dose of 0.35 ml contains 25 mcg Aviptadil and 2mg Phentolamine. First injection gave 4 hour erection with half standard dose placing me at risk of priapism. Help!

JimStars
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Joined: Sun Jan 24, 2010 2:41 pm

Re: Dodged priapism

Postby JimStars » Sun Feb 18, 2018 8:04 pm

Yeah for me exercise always helped it go soft when it was just oo bitchin' hard to go down on its own. It might even come back after you stop exercise but by having it go soft even for a minute will 'reset the clock" and you have a new 4 hrs of hard to work with.

J
RP 2008 ... MUSE 2008-9 .. TriMix Gel 2009 .. Trimix 2009-2015 ... PGE-1 2016-2019 ..Misoprostal 2019 Onward. All worked.

rahod1
Posts: 397
Joined: Wed Jun 15, 2016 2:52 pm

Re: Dodged priapism

Postby rahod1 » Sun Feb 25, 2018 10:55 pm

As long as boner isn't more than 8 hrs...no problem for ME. This is just MY experience, so keep that in mind.

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bldoink
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Location: Fl.

Re: Dodged priapism

Postby bldoink » Mon Feb 26, 2018 12:30 am

rahod1 wrote:As long as boner isn't more than 8 hrs...no problem for ME. This is just MY experience, so keep that in mind.

I'll have to strongly disagree with that. IMHO (non medical professional opinion), 4 hrs is OK but at that point I want it to go away and start taking measures to make it happen pretty quickly. The smart course of action is to follow medical advice, not mine.
R.R.P 2011 Mayo Jacksonville, Dr. Michael Wehle. Nerve sparing - badly damaged. C in margin. V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ ~ 14 units. Originally Edex20, then compounded PGE-1 - cost. Inject. 10+ yrs. It works. Treasure coast of FL.

Larry10625

Re: Dodged priapism

Postby Larry10625 » Mon Feb 26, 2018 5:37 am

bldoink wrote:
rahod1 wrote:As long as boner isn't more than 8 hrs...no problem for ME. This is just MY experience, so keep that in mind.

I'll have to strongly disagree with that. IMHO (non medical professional opinion), 4 hrs is OK but at that point I want it to go away and start taking measures to make it happen pretty quickly. The smart course of action is to follow medical advice, not mine.



The problem is beyond the 4 hour mark, penile and gland tissue can be seriously damaged.

Larry

rahod1
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Re: Dodged priapism

Postby rahod1 » Fri Mar 02, 2018 12:53 am

Disagree 100%. Show me any medical research that shows permanent damage with 8 hr erection.

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bldoink
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Location: Fl.

Re: Dodged priapism

Postby bldoink » Fri Mar 02, 2018 3:07 pm

Ok, I'm not a medical professional of any type. Please do not misconstrue anything I post as medical advice. It isn't. Consult your doctor and follow his/her advice.

In reply to rahod1,

I didn't spend much time on research, if you can call a few Google searches research. However, during my "research" I was unable to find anything definitive claiming fibrosis or necrosis occurring before 24 hours. Here's two somewhat relevant links although I'd imagine there are better ones. Both are just abstracts:

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000500002

and

http://www.jurology.com/article/S0022-5347(17)45549-2/abstract

The first one,
Priapism — etiology, pathophysiology and management
C. Van Der Horst; Henrik Stuebinger; Christoph Seif; Diethild Melchior; F.J. Martínez-Portillo; K.P. Juenemann
does contain this text:
The duration time of a normal erection before it is classifiable as priapism is still controversial. Ongoing penile erections for more than 6 hours can be classified as priapism owing to studies analyzing blood gases revealing ischemia and acidosis after 4 to 6 hours that could lead to potential damage (7,8).


That alone causes me to want to confine my erections to no more than four uninterrupted hours.
Last edited by bldoink on Mon May 14, 2018 8:06 pm, edited 1 time in total.
R.R.P 2011 Mayo Jacksonville, Dr. Michael Wehle. Nerve sparing - badly damaged. C in margin. V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ ~ 14 units. Originally Edex20, then compounded PGE-1 - cost. Inject. 10+ yrs. It works. Treasure coast of FL.

Larry10625

Re: Dodged priapism

Postby Larry10625 » Fri Mar 02, 2018 3:36 pm

rahod1 wrote:Disagree 100%. Show me any medical research that shows permanent damage with 8 hr erection.


I don't know what knowledge paramedics where you are have but, where I am, it is a two year college programme where common, emergency diseases are studied down to the cellular level. Before you disagree with me, don't you think it would be a good idea to make sure I'm wrong?

https://www.mayoclinic.org/diseases-con ... c-20352005
Ischemic priapism can cause serious complications. The blood trapped in the penis is deprived of oxygen. When an erection lasts for too long, this oxygen-poor blood can begin to damage or destroy tissues in the penis. As a result, untreated priapism can cause erectile dysfunction.

Larry

rahod1
Posts: 397
Joined: Wed Jun 15, 2016 2:52 pm

Re: Dodged priapism

Postby rahod1 » Mon May 14, 2018 6:44 pm

Larry10625 wrote:
rahod1 wrote:Disagree 100%. Show me any medical research that shows permanent damage with 8 hr erection.


I don't know what knowledge paramedics where you are have but, where I am, it is a two year college programme where common, emergency diseases are studied down to the cellular level. Before you disagree with me, don't you think it would be a good idea to make sure I'm wrong?

https://www.mayoclinic.org/diseases-con ... c-20352005
Ischemic priapism can cause serious complications. The blood trapped in the penis is deprived of oxygen. When an erection lasts for too long, this oxygen-poor blood can begin to damage or destroy tissues in the penis. As a result, untreated priapism can cause erectile dysfunction.

Larry


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