Need advice about ED, and treatment options

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I've posted a number of times about the urinary incontinence that I was "gifted" by the doctor who did the Greenlight laser performance about two years ago.  The leaking, 24x7 put an end to my love life, but I was finally able to get a resolution of the strictures in the area of the external sphincter long enough to have an AUS implant.  That has worked out nicely, and I'm essentially dry again, except when I have a hard cough.  I had hoped and thought that this would allow me and my wife to resume our sex life---I'd never had a moment's difficulty with than before the Greenlight procedure.   Unfortunately, we tried recently, and I can't achieve a full erection, so we were both left frustrated. (At least I know I was!)   

My only regular medication is a low dose (20 mg of Lisinopril) for BP control.  I'll be 79 next month, but am pretty physically active, although my implant doesn't allow me to ride my bike anymore.  So my question is, what are the options outside of surgery?  (The doctor who did my AUS is also an expert in penile implants.  After 6 surgeries within two years, I'm not quite ready to go that route.)   Have any of you had experience with Viagra or Cialis?   Do they really work?  I've read that headaches can be a side effect.  Do they last long?   Thanks for any advice you have.   Glenn

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  • Posted

    I lost my E/D over two years ago along with Incontinence following a TURP. Am now dry but no success with E/D they have tried giving me Viagra which did not work, but due to Prostatitis many times it was too painful to try. Dr's have told me "Use it or lose it" and 2 years can be the cut off period. Am just about to have Prostate removal, so they are going to try the Vacuum pump first after the procedure and then Penile injections which they say are not a problem after the first one, so will wait and see. Recently learned it may not have been the TURP that caused the problems, more likely the failed spinal anaesthetic.  If you have the will you will get there, and keep trying, I will.

    David

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    • Posted

      Sounds a bit similar to my case.  Why are you having the prostate removed?   I know one guy who had his removed because of cancer.  He became incontinent, and had the AUS implant.  He then had a second implant for the ED.  He's happy with the outcome, but he's quite a bid younger than I am.

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    • Posted

      My main problem is Prostatitis, Urine Infections, Unable to pass water, catheters of all sorts with hospitalisation. They want to do another TURP and another Biopsy and had Sepsis last time. Also got a not too active Cancer, so now want it gone. Having Da Vinci Robotic Prostatectomy, which a friend had who left hospital after 1.5 days and was bowling in 3 - 6 months and now is in great form. Got to go that way as want more life  yet at 74. Last 5/7 years misery.  New knee in 3 weeks as well before the Prostatectomy 6 weeks after.

      david

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    • Posted

      Thanks Glenn, I have come out of it once so will win again but will bear in mind your comments. Definitely no more spinals for me though.

      David

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  • Posted

    I've used both Cialis (Tadalafil) and Viagra (Sildenafil) They work for me. Cialis is much better in my opinion, as it lasts longer, which makes it less essential to time when I take the tablet.

    I've never had any sign of headaches with either. I believe both are now available as generic medicine.

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  • Posted

    I used Viagra for a while when I had problems and it helped a bit. I sometimes had a headache and whites looked pink for a while. I gather Cialis is better. I now use a soft rubber ring which is just as good for me
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  • Posted

    Hi Glenn,

    ?I don't know if this helps but I'm 78 this year and I have BPH, which has caused problems in the past with ED and leakage etc., I now take 50mg Testogel (testosterone) every day and one Flomax every evening. I also start my day with organic apple cider vinegar (2 tablespoons) with 2 drops of Lugal's iodine and the juice of a fresh lemon, all in the same glass.

    The major problem with ED is lack of libido, which I partially blame Flomax for. Finasteride was the culprit for really wrecking my libido but since taking the above, things have improved. Think about sex a couple of days before having it so you can stoke up your libido for when it happens and take 100mg sildenafil one hour before the act. 

    Some old folks like us on here may not like the idea, but sneak a peak at a bit of porn a couple of hours before and you should feel things waking up - but don't tell the wife.

    Good luck,

    Chris.

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    • Posted

      Libido is OK, or it was until I struck out swinging.  Having failed, I'm afraid of trying again without some assistance.. I don't want another failure.   I'm not taking any prostate medicine, as the flow is really good right now.   I just have to operate the pump in the scrotum, giving it 2 or 3 squeezes, and I can empty the bladder in about 10 seconds.  It takes another 30 seconds or so for the cuff of the AUS to re-close.

      Who prescribes your meds for the ED, your GP or your urologist?

      Glenn

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    • Posted

      Urologist prescribed finasteride, which ruined everything and my GP prescribed sildenafil and testosterone to repair the damage. The cider vinegar concoction I got from Earth Clinic.

      Chris.

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    • Posted

      Try substituting Flomax with Alfusozin. It works as well for most men and has a much lower rate of side effects 
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  • Posted

    Hi glenn77,

    If you are in the UK you are entitled to your choice of ED medication on the NHS because you have had prostate surgery.  If so, I would go for one-a-day Cialis.  It's available in 2.5mg and 5mg doses and the 5mg dose is recommended for BPH.

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  • Posted

    I used to take levitra but got a pretty good headache from it. I take daily cialis for BPH. It used to help with ED but not so much now. Libido isn't a problem getting a decent erection capable of pen et ration can be difficult. Plus once you get a failure or 2 under your belt it really gets in your head.

    I have been looking into low frequency shock therapy for ED. I don't know if it's snake oil or but the placebo effect make help. Look it up. I'd like to hear other people's opinions on this procedure.

    One other fly in the ointment for me. My initial prostate Problems weren't difficulty peeing. I was peeing blood. Not pink urine but blood and massive clots. It was pretty much determined that it was my prostate But who knows. Anyway due to fear of triggering bleeding again we didn't have sex for about 16 months. I think that might cause problems also.

    Good luck with getting things up and running glenn

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