Injection Technique Photo

Sticking a needle Where? Courage, guidance and help.
Cigar56
Posts: 578
Joined: Fri Aug 15, 2014 10:56 am

Injection Technique Photo

Postby Cigar56 » Wed Jun 12, 2019 3:57 am

Found this in a blog post (link below) from Dr. Andrew Siegel, a urologist in New Jersey. Notice how close the patient is to the base of the penis and the right angle of the injection. Also the patient is injecting what I would think is a smaller needle -- but all the way to the hub. Anybody else inject this close to the base? I think I'm going to try it. This looks pretty textbook, especially for those of us who are small when flaccid. The subject is grasping the head of the penis with one hand, pulling it to the side, and quickly injecting close to the base with the needle buried to the hub. Nice illustration.

Here are the steps Siegel recommends:

-- If you are right-handed, use your left thumb to protect the 12 o’clock position (penile nerves) and your left index finger to protect the 6 o’clock position (urethral channel). If you are left-handed, use your right thumb to protect the 12 o’clock position (penile nerves) and your right index finger to protect the 6 o’clock position (urethral channel).

-- Use an alcohol swab to cleanse the base of the penis in order to prevent infections and then set aside the swab and save.

-- Holding the prefilled syringe like a pen, in dart-like fashion penetrate the skin of the penis at a right angle, passing the needle as far as it will go. The site should be between the 1 o’clock and 3 o’clock position for a righty and 9 o’clock and 11 o’clock position for a lefty. The base of the shaft is the easiest location for the injection; however, because the erectile chambers run all the way to the head of the penis, any shaft location is acceptable for the injection site.

-- Inject the full contents of the syringe by applying pressure to the plunger.

-- Remove the syringe and use the alcohol swab to apply pressure to the injection site for several minutes.

-- Observe your penis becoming increasingly rigid and the rest is up to you!

(Personal note: I don't use the "dart-like" method that Siegel describes; I had a few misfires that way. Instead, I place the tip of the needle to the penis, count to three, and then just push it in slowly but firmly).

triple-p_injection.jpg
triple-p_injection.jpg (89.37 KiB) Viewed 971 times


https://healthdoc13.wordpress.com/2016/ ... igger-one/
62. Was under "active surveillance" for prostate cancer. Scheduled for prostate radiation -- Stereotactic Body Radiotherapy (SBRT) -- July 2019. Using pills and injections but not satisfied. Moving on to an implant via Medicare in 2022.

Cigar56
Posts: 578
Joined: Fri Aug 15, 2014 10:56 am

Re: Injection Technique Photo

Postby Cigar56 » Wed Jun 12, 2019 8:13 am

Here's another illustration from another source that shows the same technique the doctor is suggesting. Notice the same right angle placement, although in this case the needle placement appears to be more in the center of the penis.


Also view this step-by-step animation:

https://vimeo.com/20604125
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Last edited by Cigar56 on Fri Jun 28, 2019 5:34 am, edited 1 time in total.
62. Was under "active surveillance" for prostate cancer. Scheduled for prostate radiation -- Stereotactic Body Radiotherapy (SBRT) -- July 2019. Using pills and injections but not satisfied. Moving on to an implant via Medicare in 2022.

bldoink
Posts: 1492
Joined: Mon Apr 03, 2017 12:58 am
Location: Fl.

Re: Injection Technique Photo

Postby bldoink » Wed Jun 12, 2019 6:17 pm

Cigar56 wrote: Notice how close the patient is to the base of the penis and the right angle of the injection. Also the patient is injecting what I would think is a smaller needle -- but all the way to the hub. Anybody else inject this close to the base?

I use the shorter 5/16 needle and bury it plus indent with the "hub". I have injected that close to the base but I've found it hurts when I poke that close down.
Cigar56 wrote:Here are the steps Siegel recommends:
......The site should be between the 1 o’clock and 3 o’clock position for a righty and 9 o’clock and 11 o’clock position for a lefty.

I'm more for 2 to 4 and 8 to 10 positions. 1 & 11 o'clock is too high. I thought the strange hold described to protect the nerves and urethra was unnecessary. Just avoid those areas.
Cigar56 wrote:.......The base of the shaft is the easiest location for the injection; however, because the erectile chambers run all the way to the head of the penis, any shaft location is acceptable for the injection site.

As I said, the low base injections hurt. I agree that other locations up the shaft are all good. I vary a good deal, other than the very low base spot.
Cigar56 wrote:.......(Personal note: I don't use the "dart-like" method that Siegel describes; I had a few misfires that way. Instead, I place the tip of the needle to the penis, count to three, and then just push it in slowly but firmly).

I don't dart it in either. Although I do kinda hold the syringe like a dart. Maybe that's what he meant. I also press the plunger very slowly. If I inject it fast it can hurt. I guess slow allows it to disperse into the tissues so it isn't so concentrated all in one spot. Sometimes I actually let the discomfort level dictate the speed I press the plunger. Usually I use little pulses spread out over as much as a minute or so although I've never timed it so a minute is really a wild guess.
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 @ ~ 12 units. Originally Edex20, then compounded PGE-1 - cost. Inject. ~ 8 yrs. It works. Treasure coast of FL.

Iluvatar
Posts: 67
Joined: Thu Mar 05, 2015 5:56 am

Re: Injection Technique Photo

Postby Iluvatar » Sun Jul 07, 2019 10:57 pm

Cigar56 wrote:Here's another illustration from another source that shows the same technique the doctor is suggesting. Notice the same right angle placement, although in this case the needle placement appears to be more in the center of the penis.


Also view this step-by-step animation:

https://vimeo.com/20604125


I always seem to fail when I try injecting at 2 o'clock. The only place that I can reliably hit is 9 o'clock. I don't know why that is. 3 o'clock would probably work as well, but there are more veins it seems and it's harder to get a safe spot.
32 years old. I have had ED for around 4 years after a couple of injuries. Suspected venous leak.


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