BPH, Ejaculation and Prostate Massage Therapy

Avoiding drugs. They can play havoc with your blood pressure and heart. Trying more natural routes first. He did try viagra in the past for sex on demand with me, so it is successful. However, he has a prostate issue to, so I would like to address both at the same time.

Thank you for your reply!

Viagra was developed for the heart but I preferred Cialis due to its longer window and its help in urinating.

Many cardiologists take the daily Cialis for its cardiac benefits.

Not sure about Levitra but both Viagra and Cialis have been prescribed daily for prostate issues as well.

The ancient Chinese, Egyptians, etc.

Oh! They prod males' prostates internally for ejaculate in the animal breeding world.

Nothing new.

Even Frankel ??

THANK YOU MICHAEL!

Having a healthy relationship for all these years has been wonderful. The sex part, even better. Now with age and age-related issues, sex is still a part of our relationships. I think my husband is embarrassed, so I'm going to try the talk to him first and then set the stage for a sensual but clinical approach. I wrote notes on this thread.

Many men have messaged me saying they have benefitted from it so much (and they are in their 50's and 60's, so I am watching the ages (my husband is 73).

Clinically, he can attain an erection that feels hard enough to continue, but then loses firmness prior to introduction. Could be performance anxiety too. So I will approach it calmly with him and see if he consents.

Let's hope!

" Clinically, he can attain an erection that feels hard enough to continue, but then loses firmness prior to introduction. Could be performance anxiety too "

Someone posted a similar problem here or on another Forum.

His wife encouraged him to seek medical help and he was sent to an NHS clinic. He had a lot of tests and talked his problems through with a therapist. It was suggested that it was because he no longer found his wife attractive that he was losing his erection and They said they could provide him with a surrogate. Furious he stood up and declared ' I love my wife ' and stormed out.

You made me laugh. 😄

We discussed the subject of using a penis pump this evening. I didn't check today's mail yet (boxes arrived), but I told him to bring it upstairs to our bedroom and open it for me. That's a good sign.

We've had a very active and wonderful love life to accompany a wonderful marriage. Worth a shot!

The pump is a better option than poking pills down his penis or needles into it. Though anyone on blood thinners has to be careful of bruising from the band. The NHS used to have an approved pump that it issued but it seems to have gone from the market.

Have fun!

I think it depends on an individual's situation. I already have the artificial sphincter, which compresses the urethra with a small cuff around the urethra, located in the perineum area. I had tried Viagra (generic) and the stuff head and slight sinus pain was a downer, along with the fact the medicine didn't really do the job. I then tried the pump, and found that the compression band (I have a full set of sizes) was not comfortable. I think maybe the five surgeries I needed after the botched Greenlight TURP affected my sensations. Finally, I tried the injection, found that self injecting was something I could handle, and the result was excellent, even at my age.

Two other thoughts for you. I went into AF after having my aortic valve replaced.

The second cardioversion worked and I stayed in NSR for 15 months until I had a colonoscopy that stimulated my vagus nerve. Back in sinus rhythm for over a year until I had a DRE . Again my vagus nerve stimulated and back into AF that is now permanent so consider that factor when contemplating prostate massage.

I once asked the practice nurse if Amiodarone or Bisoprolol were the most complained about drugs.

She said no that is Tamsulosin.

I said, Yes, by men

She replied No, by their wives.

Ahhhh...... Cardiology is my specialty!!! LOL It truly is.

My husband does have a problem with vagal nerve stimulation. Most men have that problem, believe it or not. Today's session went well, no problems. I am going to coax him into the knee-chest position for better drainage and see how he feels about direct stimulation. He's been turned off in the past about it (we tried a few decades ago and he was not comfortable). I bought anal beads which are water-proof and activated remotely. Once properly positioned, that should be quite beneficial.

I can't wait to hear the After Action Report 😃

Derek

Yes, tamsulosin (Flomax) is a bear. I believe the incidences of ED and RE are much higher than the literature suggests.

I'm heavily leaning HoLEP just to get off Flomax for life. Flomax makes you pay a huge price just to be able to pee.

Michael

Perhaps I should bring my cardiology problems to you 😃

When it first became a problem I had a terrible time with our local hospital. I sent a letter of complaint to the head of cardiology. He invited me to a meeting and put his hands up to all of my points and said what he was doing to improve things and that in future I would always see him. This was in 2011 and I've only seen him twice since. At my recent appointment I asked the nurse if I was seeing him today. She said No and I said that I have not seen him for six years. Neither have we she responded 😃 He is a professor now and spends time at major London hospitals. He does pop up a lot on the local News demonstrating new procedures.

Not just men with vagal problems. I had a conversation with the ward sister when having my pacemaker fitted. She said that female patients often have a problem after getting up in the night to go to toilet and stagger out.

My pacemaker experience!!

In March 2015 in AF for the third time after two previous

cardioversions and with a seven day ECG monitor also diagnosing tachy

bradycardia with 3 second pauses in my heart rate I was told at the end of May

(2015) that I needed a dual chamber pacemaker as a matter of some urgency. I

had asked the cardiology secretary and also the nurse and doctor at the pre

assessment if I would get an MRI compatible one as I have recently had two MRI

scans and probably need a third one. They said that that was up to the doctor

doing the procedure.

I arrived at the hospital at 8am on Friday (July 5th

2015) rather apprehensive about the procedure although viewing ones on YouTube

it seemed a very straightforward procedure. The letter had said no food after

midnight but that you could drink unlimited black tea, coffee, water or very

diluted fruit squash. I had two mugs of green tea around 6.45 but that seemed

according to the nurse to have been a no, no and I was not allowed any more

water to drink and was getting rather thirsty by the time in went into the Cath

Lab around 10.45.

I had been told that I was the only patient having one on

Friday but another man had been added to the list as an urgent case as he had

been found to have a heart rate in the 20’s. He went in first and I was

relieved when he was wheeled back in after the procedure that he was sitting up

looking well and smiling and that his heart rate was already beating away at a

regular 70 bpm.

When I went in the four staff introduced themselves. The

doctor doing the procedure was a different consultant from the one I had

expected. I asked if I was getting an MRI compatible one. He said that he did

not know but would check and went over to a table where the equipment was set

out and returned with the good news that it would be.

I was given an oxygen mask and a sedative was injected via my cannula and a

green curtain/screen was hung over my head leaving me in a twilight world. He

explained what he was about to do and was soon injecting the local anaesthetic

into my left shoulder area. He had surprised me by saying that I probably would

be able to go home in the evening subject to a satisfactory chest X-Ray and

that the admission letter is just to prepare you in case you need to stay

over. I didn’t feel anything as he cut

into the skin or during the procedure apart from a slight tugging. I did not

actually feel sedated and was carrying a conversation on with him and asking

questions although the nurse later said that I had dropped for a while at off

at one point. I could hear/feel him attaching the leads to the pacemaker and

soon he was stitching me up and checking it.

Back to the ward to compare notes with the earlier patient.

Looking at the monitor I was attached to I was surprised to see that my heart

rate was hovering at around 100 as although I had been back in AF for three

months it had averaged 72 and had only been in the 130’s briefly over a few

days in late March on my BP home readings over that time.

After some very welcome water followed a sandwich and I cup

of tea I initially felt fine but as the afternoon wore on I felt a pain my ribs

on the lower left side. The nurse though it was probably because of pressure

that had been applied to my chest during the procedure. To me it was beginning

to feel like when I have had in the past

broken ribs or when I had fluid on my lung after my heart valve replacement. I

was taken down for my chest X-Ray that showed that there was some air in my

chest wall cavity. When the doctor came round he said that I would need to stay

overnight and that hopefully the air would have gone by morning when I would

have another X-ray and meantime to wear an oxygen mask. Patient No 1 was OK and

happily set of home after a technician had set up his pacemaker and given him

his pacemaker card to carry with him at all times. He then came to set up and

explain mine and give me an appointment for the pacemaker clinic in eight

weeks. I looked at my card to find that I had been fitted with a single chamber

model by Boston Scientific an Essentio MRI SR Pacemaker basic rate 60 Mode

VVIR. He of course did not know why I not been given a dual chamber model. He

said since being fitted I had 13 pauses in my heart rate that had caused the

pacemaker to kick in.

I had chosen chicken casserole for dinner but it was not

quite as I expected and was rather exotic. My head started to sweat and I felt

flushed and suspected that it might have MSG in it. I began to feel light

headed and dizzy and called nurse. She had me lay flat on my bed and checked my

BP that had dropped considerably. She thought that I might be dehydrated and

had me drink some water and injected something into my cannula followed by a

saline solution. My BP gradually start to recover but she kept me laying down

for some time. When I felt better I sat up and had my dessert.:-)

Overnight the chest pain felt worse and I passed that

information on to the nurse. The consultant Dr F who had been supposed to fit

my pacemaker came round with his team on ward rounds. After discussing my

pneumothorax problem I asked why I not been fitted with the expected dual

chamber pacemaker. That was a conversation killer as he had had obviously not

know about it. The rest of his group stood open mouthed with nothing to say. He

could only say that it must have been a decision made by someone after the pre

assessment. I pointed out that my heart rate was now around 30% higher that it

had been in recent weeks. He asked if my AF was usually a problem to me. I said

that the only times in the past that I had been aware of it was when initially

noticing the heart rate increase when suddenly going in to AF. The only other

time I’m aware of it is when laying on my left side. He felt it may not need

treating providing that I was protected by a blood thinner either Warfarin that

I said that I had stopped due to joint pains or his preferred one Rivaroxaban that

I have always said is contra indicated for patients with artificial heart

valves and confirmed to me by the makers. He gave the usual cardiologists

answer that it just has not been trialled on valve replacement patients as they

are small group and that if it caused a brain bleed it would be less

devastating than a stroke caused by a clot! In the end I agreed to try it. A

nurse I had earlier been speaking to later said that I had surprised her by

agreeing so easily.

Another X-Ray was done around lunch time. My bed was

opposite the window to the nurses station. I could see a doctor, the sister and

two nurses with very concerned looks on their faces looking at a monitor. I

thought that must be my results and the doctor (Ukranian)came through to see me

still with the concerned look on her face. I said that I knew it was my results

they were discussing. She said that the pneumothorax had worsened and that she

needed insert a tube to let the air out. She said that it happens to one of

their 30/40 patients a month but a nurse said that it has been happening more

often recently.

I was not too concerned as I had fluid drained from a lung

after my aortic valve replacement that had taken three days to clear. She went

away to get the equipment and then laid this impressive collection. Anyway

after several shots of lidocaine and some morphine she inserted a long needle

and a tube between my ribs. The tube went into a container with sterile

solution and soon bubbles from the air were going through the solution. When

they stopped she asked me to cough to force more out and turn from one side to

the other force more air out. She went off to other things after telling me to

keep active to keep the air flowing. When I stood up the tube filled with blood

so I called for a nurse who was not sure if that should be happening. The

doctor came back and was not too concerned about it but my chest pain was

increasing making it difficult to move or breathe deeply. I was given more

morphine and more oxygen through my mask and told to breathe as strongly as possible to expand my lung.

The doctor decided that little was now coming out and if she removed the drain

the pain would stop.

Back for another X-Ray that showed that most of the air had

been extracted and very little liquid was now in the area. The doctor

confidently expected that all would be well by morning.

During the afternoon I noticed Fridays first patient going

into the main ward with his wife and hoped that he had not developed my

problem. His wife came in to tell me that during the morning he had developed a

chest pain that was going up into his throat and that he was sweating and had a

headache. They did an ECG and checked him over and told him that he had a

virus. Hospital acquired??

I had the X-Ray around 8.30 on Sunday morning and this time

the doctor came back with a smile saying that it was clear and that I could go

home. The consultant and his team came around again. My heart rate was still

hovering at 100bpm and I asked him about another cardioversion or ablation to

rid me of this AF beast. I have over the past few weeks had a numbness or lack

of feeling in my left foot and lower leg that is now also starting to affect

the right foot and have been having tests to find a cause for it. The

consultant said that he would like that to be diagnosed fully before taking

that route and would leave it for six months before seeing me to discuss it and

by that time would know if the single chamber pacemaker was doing its job. I

had also told him that I had inquired at a private hospital about having a left

atrial appendage closure fitted (Watchman device) he said that they fit an

alternative device the Amplatzer Device that we could discuss in the future to

avoid the need for blood thinners.

I was still unhappy to be left with untreated AF and later

spoke to the doctor who had performed the chest drainage. She suggested

Diltiazem MR as an alternative and gave me some plus a prescription. It turned

out to be a calcium antagonist and probably as bad for side effects as

Bisoprolol and is contra indicated for me in some ways.

Write ups on pacemaker procedures seem to vary greatly for

the recovery period. My dressing was removed the next day and I can wash

normally from day five. Some say that the arm must not be raised over shoulder

height my one says head height but I’m playing that one safe. No way do I want

to need to have the wire detach itself.

I do not need any painkillers for the shoulder but I’m aware

of it and it is a bit stiff. My concern is what movements I make when asleep or

when first waking up and stretching without thinking. The wound looks quite

neat with little swelling and I’m not sure if it is a bruise round it or if it

is the antiseptic they splashed all over. I have to take 500mg of penicillin

four times a day for five days. The first nurse gave me two capsules but the

second only gave me one. When I questioned it the first one had obviously got

it wrong. As they keep the drugs locked in your cupboard you are dependent on

them giving them at the correct time. It did not always happen and I only had

three on Saturday and other times the doses were either early or late.

After taking the Diltiazem on Sunday my heart rate dropped

to 61. I wondered if it dropped below that and the pacemaker had kicked in. In

the evening it crept up to 78 and was similar this morning. Today it has been

around 66.

Film at eleven ?

It was causing me to have retro when taking it.

They like Tamsulosin as it is very cheap.