Trimix Strength

[Bikerguy]

Hello, new here and looking for feedback. I'm 53 and had RP 1 year ago for Gleason 3+4 =7 prostate cancer with nerves spared bilaterally, no adverse pathology. PSAs have been <.01 post-op. I've been fully continent since about 3 weeks post-op so I've had a great result on urinary function. No spontaneous erections at all since RP, but I do get some fullness in the mornings and with stimulation. I was started on cialis a few months before surgery - erections were usable pre-op, but were better with cialis. Since RP, I don't have any response to cialis or viagra. I'm on daily cialis 5mg since the catheter was pulled post-op and have tried up to 20mg w/o a response. I started with trimix at 5 months post-op with the "standard" strength (30/1/0.01mg/ml) and was not able to get a usable erection for intercourse, only got to about 60% on max. dose. The trimix strength was changed to 30/2/0.02mg/ml and I'm still not getting a usable erection. Getting to about 60% with 45 units and it only lasts for a short time and is not usable for intercourse.

I'm going to get in touch with the NP that is prescribing the trimix to ask, "what's next." The NP is with the urology practice where I had my RP, which is at an academic medical center/cancer center of excellence. They have a high volume of prostate cancer patients and my surgeon has done around 5k RP surgeries. Feeling very disappointed and frustrated that it's not working.

For those of you that have increased the strength of the trimix, how much room is there to increase from what I'm on now? My wife thinks I have venous leak and wants me to talk to them about getting an ultrasound. Worst part about all of this is insurance doesn't cover any ED treatment and won't cover an implant, if it gets to that.

[bldoink]

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[Bikerguy]

Thanks for your reply. I made an appointment with the NP - appt. is in early December. I'll talk to him about changing the strength of the trimix. Any suggestions on a specific pump? I have a bathmate hydromax pump but using a ring with it doesn't work well due to the design of the pump.

[bldoink]

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[Bikerguy]

Thanks for the recommendation. I'll head over to the pump forum and check it out. It seems like the men that recover good erectile function post-RP, seem to recover it early on after surgery. Not feeling so good about a functional recovery with the lack of success with the trimix so far..