Alternative to tadalafil

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User

Posted 26 May 2020 at 09:41

The results are really natural for you Francij; Caverject is also hit & miss for some men - and doesn't work at all for some men.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 26 May 2020 at 21:36

Natural: Inject before activity starts and you get a response during foreplay (if you don't hang about!)

As opposed to the pump where you have to pump it before hand or stop to pump, yes I know some couples make this part of the foreplay but in a new relationship that never worked for me..

User

Posted 04 Jun 2020 at 21:34

I was prescribed 25mg Sildenafil daily for 1 month before my HDR brachy, then 8 x 100mg Sildenafil per month after the EBRT. I finished treatment almost exactly 4 years ago this month. Erection totally disappeared after 4 months of slowly worsening, used pump daily for about a year without improvement.

First thing noticed was return of morning erections, frustrating as couldn't repeat it when actually wanted. Tried Tadalafil without any result, so went back to Sildenafil with slowly improving erections. Now 4 years on I am not using anything and he performs on demand. I occasionally take 50mg Sildenafil but not really needed thank god.

One slight worry for me is that despite not having surgery (Hormone, HDR brachy and EBRT) I have lost an inch in length. Some I assume is down to blood pressure etc. with age, but not all of it.

Mike

User

Posted 09 Jul 2020 at 15:56

HI,

My husband Ian, who had prostectomy in February, pumps every day. He takes his daily Cialis and Viagra 2-3 times a week. The viagra helps a little bit, but not enough to have intercourse. Of course it's quite early after the operation to expect too much. And the fact that he's had non-nerve sparing, makes us think he's being very lucky. When he got his pump, the healthcare professional thought he would be able to get natural erections eventually, so we'll see. We've managed to have semi-intercourse twice after he used the pump as well. Should he try a cock ring, or is it too soon? In August Ian's got an appointment at the ED clinic, and we'll see what they say, if they want him to try injections.

User

Posted 09 Jul 2020 at 16:24

Originally Posted by: Online Community Member

One slight worry for me is that despite not having surgery (Hormone, HDR brachy and EBRT) I have lost an inch in length. Some I assume is down to blood pressure etc. with age, but not all of it.

HDR brachy can do that, although usually it's only temporary. It can happen at the time of the HDR, or sometime afterwards (different reason). I suspect that making sure you have erections during this period is quite important. I lost 10% immediately after the HDR (issue was that urethra didn't stretch to length of erection, and was therefore pulled tight). Length recovered during following 6 weeks, although erections were still painful for about 3 months.

A long period without erections will cause this too. This is why penile rehabilitation is important after treatments, and during hormone therapy if it stops you getting erections.

User

Posted 09 Jul 2020 at 16:51

Originally Posted by: Online Community Member

HI,

The fact that you've had some response means you did have some nerve sparing, even if the surgeon didn't realise. So it's good to do penile rehabilitation as for nerve sparing, because if you get that working, that's the least intrusive way to get sexual function back.

I'm wondering if you really mean a cock ring, or a pump constriction ring, as they're completely different things?

A cock ring is much looser, and will amplify the effect of an erection by constricting the veins that drain the corpus cavernosum (the erectile part of the penis), while still allowing blood in via the arteries. The ring can go around base of penis, or base of penis and scrotum, but it doesn't need to be tight. You can use cock rings with a PDE5 inhibitor which amplify the effect by boosting blood flow in the penile arteries too.

A pump constriction ring is much tighter and blocks off both the veins and arteries in the penis, to retain an erection generated by the pump (and you definitely don't want it around the scrotum too - that's a nasty accident!

You should be able to do either of these. It's generally suggested you don't use the constriction rings until you've done the initial pump exercises and some penile rehabilitation (pumping up, holding, and releasing, without using the constriction rings). You should have had some training on using the pump.

Edited by member 09 Jul 2020 at 16:52 | Reason: Not specified

User

Posted 09 Jul 2020 at 20:49

Originally Posted by: Online Community Member

A long period without erections will cause this too. This is why penile rehabilitation is important after treatments, and during hormone therapy if it stops you getting erections.

I had no painful erections, in fact struggled to get erections for quite a while. Used pump after couple of months with little effect at first. Continued to use it for about 4 years until not needed any more.

The shrinking length I think is due to fibrosis that is beginning between my bladder and bowel and developed after a couple of years, not noticeable before then as struggled to gain any erection. Interesting thing is they have now prescribed Cialis daily to try and slow this down, even though my erections work fine. I have stopped the Sildenafil I was taking occasionally.

Other odd thing is orgasm is now so much more intense and lasts for ten times as long. They are not dry but produce only a quantity of sticky clear fluid rather than semen.

Edited by member 09 Jul 2020 at 20:52 | Reason: Not specified

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