Alprostil injection

Guys can you tell me, after injecting is the erection as stiff as it was prior to operation? is the erection proper and really hard as if you were young again or just "OK" ? Lastly after climax does the erection fade at all or it always stays at the same stiffness?

Edited by member 06 Dec 2022 at 22:37  | Reason: Not specified

Thanks for sharing your experience. I also was prescribed caverject 2weeks ago, we tried 2.5 at the hospital and there was some erection, however not hard. My position is I am sure not unique, as before my surgery I more often than not initiate sex, and since the initiator (me) is now out of action nothing else happens. It does not help.that my darling wife is at the onset of menopause, so my lack of ability in a perverse kind of way suits her. So now I have a stash of tadanifil not been used, a pump gathering dust, and now caverject prescription unopened. The threat of my roving eyes also has dissipated, now losing the will to try anything as it pertains to improving our sexual function. As before my surgery, I could initiate sex, knowing I would rise to the occasion!

Thanks a lot, does 2.5mg now do the trick?

How long after surgery did it rehabilitate you?

If you need over 10mg you can get a 10-20 mg pre filled injection. For me I think 15 is optimal, so I now have 2 boxes of 2.5mg - 10mg that I don’t know what to do with!! Good luck! I hope you and your partner get a good Christmas present!!

Not without speaking to your ED nurse or doctor first. It can take a few goes to get the technique right so they might want to check you are doing it right before considering a higher dose. Perhaps approach the next couple as practice rather than expecting success? When John got the technique sorted, 2.5mg was enough to end up in A&E with a priapism but it only tended to work once out of every three attempts!

Hi All. 

I'm a little confused by the dosages referred to here regarding Alprostadil.  I use Viridal Duo (which is another form of Alprostadil), but the dosages are in micrograms, not miligrams.  I have been prescribed 10 micrograms, and this causes significant discomfort.  I can't imagine what 10 miligrams might do!  

Can anyone clarify why products containing Alprostadil have different dosages?

Thanks.

Jed.

Jed, the dose is micrograms (mcg). Putting mg is usually a typo, but we understand what is meant. 

I know caverject dual chamber comes in 10&20mcg units with the option to choose what dose you actually inject.

Alprostadil pellets that are inserted into the urethra come in 1000,750,500 and 250 mcg. 

Thanks Chris 

Thanks gentlemen for sharing your experiences. Reading all these posts has been helpful. With that in mind, I am going the share MY story and would like to apologize in advance for its length.

I am 65 and am 10 months post Robotic Prostatectomy. My surgeon had me start pelvic floor exercises 4 months PRIOR to my surgery, so when the catheter was removed, I was halfway there to complete continence. Nights were immediately dry (I guess because when lying down there is no pressure on the bladder) and after another 3 months of working with my PF Physio, I was completely dry.... only experiencing the occasional little squirt.  5 weeks after surgery I got a pump and stared rehab using it 3-5 times a week. If I use a silicone ring, I have a 75% hard erection and am able to masturbate to orgasm about once a week. I have to admit, I was unsure of whether or not I would ever be able to climax post-surgery and when I did, I almost cried!!! On one occasion I was able to orgasm without any erection which really boosted my confidence in recovering some normalcy to my life. I have been very reluctant to introduce the pump into the bedroom with the wife. In my head, all scenarios would make it a mood-killer for both of us. (Gents... can anyone share their experiences in this subject? Tell us how you introduce the pump into your night of love-making and what does your partner think of the whole thing?)

Backing up a bit....... I have not had any hint of an erection since surgery. I take Cialis 5mg daily as part of my rehab. My urologist also gave me a script for Viagra 100mg and asked me to try that on nights when the wife and I are going to have sex. I have tried it twice and nothing happened. I was quite down about this whole situation but after reading posts from many men, see that regaining one's erection can take up to 3 years.

I finally got my prescription for Alprostadil last month. The ED nurse showed me how to inject it, giving me the full injection that first time but telling me I could use 1/2 in the future. She left me alone to "stimulate myself" and see how it worked. I never really got more than 1/2 hard but the soreness that I felt was pretty surprising....enough to make me start thinking I might NOT try a second injection EVER. Thankfully I read posts from men like you who had similar experiences which encouraged me to try a 2nd time, reading that the pain would be less in subsequent attempts. They were right! I injected at home in the bathroom on a scheduled night of fun with the wife. This time the pain was more like a low-grade soreness which I was able to ignore because of the complete erection I was now sporting! WOOHOO!!!!! Having sex was a bit of a stop-start situation as the physical pressure of trying to penetrate her, would push some of the blood out of my erection and make me soft. Pulling out allowed me to get hard again so we continued this way. Just the ability to get hard, and be inside her was a wonderful experience for us both! I am considering using a soft silicone ring after injection the next time I inject in the hopes that the blood will be less likely to be pushed out. I have heard back from 1 or 2 gents who have tried this but would appreciate hearing from others.  I am also looking forward to trying Caverject as soon as it becomes available where I live. I guess it is the most popular choice as it is out of stock EVERYWHERE!!!

Franci, which injection were you starting at 20?

John started on Caverject and the initial dose given by the ED nurse in clinic was 10mcg but at home he was told to begin at 2.5 and dial up each time if it didn't work. He found 5mcg was enough (when it worked which was about 30% of the time). His trip to A&E was as a result of 5mcg

With Invicorp, the dose is set at 25mcg

My dad has caverject but needs 100mcg so gets a special single chamber version that has to be mixed at home.

Embarrassing for him the trial injection didn't go well as he squirted it all over his desk and didn't have a spare!

They are available on Oxford pharmacy on line now.