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Alprostadil + cock ring?!?!?

User
Posted 19 Mar 2023 at 15:18

Greetings all. I just joined this forum / website and am thankful to be able to address issues of concern with men who are able to share their own experiences...because doctors ONLY know statistics and not practical use. I I am 65 and had my robotic nerve-sparing prostatectomy 10 months ago, and have not been able to have an erection since. I have been doing rehab with a pump and, when a cock ring is in place, I have a pretty hard erection and am able to have an orgasm (thank the lord!!!) I have not yet tried bringing the pump into the bedroom with the Mrs as I find the whole process might be a mood-killer. Anyone have experiences they can share? I have just started Alprostadil injections... this is NOT Caverject but a similar product which is currently unavailable. Thankfully, a quick injection before jumping into bed is a lot easier than pumping! The Alprostadil injections do indeed work but I cannot say I am rock hard. In fact, any attempt to penetrate my wife, pushes blood out of my penis which causes if to soften somewhat. When I pull out I get hard again. I was wondering if a cock ring, placed AFTER I initially get hard, might help? Has anyone tried this? Did you wear the ring on the shaft only or around EVERYTHING (cock and Balls)? HELP!!!

User
Posted 20 Mar 2023 at 00:52
Thanks Dave! All the best to you from Canada!
User
Posted 20 Mar 2023 at 14:04

Shelkrav, interesting experience about penetration pushing the blood out of the penis. I found that the tumescence was good enough for penetration but I sometimes then went soft and it wasn't due to lack of pleasure. A short while after withdrawing the penis I would the swell up again. My first thoughts were that I was not waiting long enough for the injection to be effective. Do you use plenty of lube ? We have mastered the technique of flaccid intercourse, so going limp is less of an issue.

We use the durex pleasure ring, not as good at keeping an erection as the pump constriction rings the sensitivity is far greater for me.

Introducing the pump into the bedroom will depend on your relationship. We both get involved in the process. 

Not tried the rings with the injections. Not sure about the balls inside the pump ring. I had an incident where I transferred the ring off the pump and got one testicle inside the ring. It was very painful.  It was one of the less flexible rings and the wife managed to cut the ring off , so no need for the fire brigade.

Thanks Chris 

 

 

 

 

 

 

User
Posted 20 Mar 2023 at 17:02
The durex ring just improves the erection quality and makes it more resilient in my experience... It's also easily reversible without the need for fire men or Chris's missus!
User
Posted 24 Apr 2023 at 13:17
Hey Mish! Thanks for the informative response. I agree, everyone's willingness to experiment is what will wi out in the end! And thanks for the link to Recoveringman... I'll check that out too.

All the best from Canada!

User
Posted 29 Apr 2023 at 12:20
Hey Mish.... I just wanted to thank you for pointing me towards RECOVERING MAN. I have been reading all the reflections, comments and experiences of other men and am very heartened to hear them. I agree fully with one man who said (something along the lines of) doctors can be very shy / short / dismissive in any details post-surgery that have anything to do with things OTHER than the surgery. This is something that we all need to talk about. Men have to share their experiences because everyone's experiences are all different.
User
Posted 29 Apr 2023 at 13:47

Thank you Mish, for the pointer to the  recovering man site. 

P.

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User
Posted 20 Mar 2023 at 00:51

I can't offer much help as PDE5 inhibitors works for me. I am mainly posting to bump your post up. I'm sure we have members who know a fair bit about all these techniques.

Dave

User
Posted 20 Mar 2023 at 00:52
Thanks Dave! All the best to you from Canada!
User
Posted 20 Mar 2023 at 08:15
A durex latex cock ring is the answer these are soft and squidgy so won't work like the hard rings you have to use with a pump.

BUT they are great at helping maintain a natural or drug / injection induced erection.

User
Posted 20 Mar 2023 at 08:47

If a cock ring works, but the Alprostadil injection doesn't work as well, I'm not clear why you want to use Alprostadil and a cock ring?

Cock rings are a max of 30 mins use, while you would get longer from Alprostadil.

I don't know if there would be any interaction using both together. I do wonder if the cock ring might slow the removal of the Alprostadil drug and risk an Alprostadil erection of 4 hours or more, which is not at all good.

Cock rings don't need to be tight to have effect (unlike the pump constriction rings which do need to be tight). If  your need for a cock ring is marginal, you might find that you can remove it and retain the erection, because once the penis is hard, it constricts the veins draining the erectile tissue anyway, which is what the cock ring is doing.

You can put a cock ring around just penis, or "cock and balls", depending on the size of the ring and your junk. Both can work, so it's down to personal preference. I have wondered if "cock and balls" might risk some damage, but it's commonly done without seeming to do so as far as I know although research may be lacking. Just try to avoid needing a fire brigade call-out.

User
Posted 20 Mar 2023 at 14:04

Shelkrav, interesting experience about penetration pushing the blood out of the penis. I found that the tumescence was good enough for penetration but I sometimes then went soft and it wasn't due to lack of pleasure. A short while after withdrawing the penis I would the swell up again. My first thoughts were that I was not waiting long enough for the injection to be effective. Do you use plenty of lube ? We have mastered the technique of flaccid intercourse, so going limp is less of an issue.

We use the durex pleasure ring, not as good at keeping an erection as the pump constriction rings the sensitivity is far greater for me.

Introducing the pump into the bedroom will depend on your relationship. We both get involved in the process. 

Not tried the rings with the injections. Not sure about the balls inside the pump ring. I had an incident where I transferred the ring off the pump and got one testicle inside the ring. It was very painful.  It was one of the less flexible rings and the wife managed to cut the ring off , so no need for the fire brigade.

Thanks Chris 

 

 

 

 

 

 

User
Posted 20 Mar 2023 at 17:02
The durex ring just improves the erection quality and makes it more resilient in my experience... It's also easily reversible without the need for fire men or Chris's missus!
User
Posted 05 Apr 2023 at 15:06

You can use the penis pump and rings quietly to complement both strategies against erectile dysfunction!
In my case, there are no pills that are effective, although sometimes I use CIALIS (taladafil) along with the pump and ring. But I rely more on a good erection achieved with the SOMAerect STF and an excellent silicone ring with enough pressure to retain the erection. 
The pill helps very rarely; a partial erection can be achieved and you immediately use the pump and ring to prolong intercourse smoothly.

I’ve never injected any substance into my penis! I only tested intra-urethral VITAROS with a drip device for the product directly into the urethra, but it didn’t work either. The possibility of injections causes me panic, I think I would never do it!

Sorry for mi "student" english!

Best regards from Buenos Aires!

Edited by member 05 Apr 2023 at 15:38  | Reason: Not specified

User
Posted 10 Apr 2023 at 09:27

Originally Posted by: Online Community Member

...I have been doing rehab with a pump and, when a cock ring is in place, I have a pretty hard erection and am able to have an orgasm (thank the lord!!!) I have not yet tried bringing the pump into the bedroom with the Mrs as I find the whole process might be a mood-killer. Anyone have experiences they can share? 

...I cannot say I am rock hard. In fact, any attempt to penetrate my wife, pushes blood out of my penis which causes if to soften somewhat. When I pull out I get hard again. I was wondering if a cock ring, placed AFTER I initially get hard, might help? Has anyone tried this? Did you wear the ring on the shaft only or around EVERYTHING (cock and Balls)? HELP!!!

Hi there, thanks for sharing your dilemmas. Now that I am 3 years post surgery I can relate to almost every dilemma you mention! Isn't it wonderful to recover the ability to have orgasms, whether hard or not!

As for bringing the pump into the bedroom, my wife was way more relaxed about it than me. When we talked about it she pointed out that she has been used to having to do pretty awkward things in order to enjoy sex, for a long time - ranging from gynae examinations and pap smears, to inserting a diaphragm contraceptive when we were young, to needing lubricant now that her vagina is become more fragile (she is 70). So we figured out how to make the vacuum pump a bit of a sex toy or at least a necessary evil in order to have fun. Essentially, I am saying, if you are enthusiastic about making love with your wife you might find she accepts the various accoutrements you need to be able to complete the process.

On losing hardness during penetration - yes, I can confirm it happens to me too, and I have heard similar tales from lots of other prostate cancer survivors. Basically there is (and very pleasurably) lots of squeezing and pushing and pulling during vigorous intercourse, and after prostate cancer treatment most of us have very fragile erections that can, as you say, literally have the life squeezed out of them.

Yes, it definitely helps to add a cock ring after achieving erection. I got lazy and stopped wearing mine last month and paid the price. Now over the long weekend we returned to me wearing a ring (of the soft squishy type recommended above) with excellent results.

On where to put the ring - we discuss this kind of thing on the Recovering Men online global support group calls and it seems that each man is physiologically different. Some men's erections are better sustained by the "cock-and-balls" method, using a slightly bigger ring, as that applies more pressure to the upper side of the base of the penis and also some people like the way it squeezes their balls. Others (myself included) need more pressure at the lower side of the base and "just the shaft" rings work better for us. The main thing is - the unstretched ring needs to be rather small to apply enough pressure. (for more on the support group calls please see https://www.recoveringman.net/talking-prostate-cancer/ - times always UK/Europe/Africa friendly and alternate between Americas-friendly and Asia/Australia friendly). 

Overall - glad to hear another prostate cancer survivor willing to experiment to be able to keep making love with his new and different body! Best wishes from South Africa.

User
Posted 24 Apr 2023 at 13:17
Hey Mish! Thanks for the informative response. I agree, everyone's willingness to experiment is what will wi out in the end! And thanks for the link to Recoveringman... I'll check that out too.

All the best from Canada!

User
Posted 24 Apr 2023 at 14:11

@shelkrav - and our next Zoom call is at a Canada-friendly time on May 10th https://www.recoveringman.net/talking-prostate-cancer/

User
Posted 24 Apr 2023 at 14:18
I will check it out! Thanks!!!
User
Posted 29 Apr 2023 at 12:20
Hey Mish.... I just wanted to thank you for pointing me towards RECOVERING MAN. I have been reading all the reflections, comments and experiences of other men and am very heartened to hear them. I agree fully with one man who said (something along the lines of) doctors can be very shy / short / dismissive in any details post-surgery that have anything to do with things OTHER than the surgery. This is something that we all need to talk about. Men have to share their experiences because everyone's experiences are all different.
User
Posted 29 Apr 2023 at 13:47

Thank you Mish, for the pointer to the  recovering man site. 

P.

User
Posted 29 Apr 2023 at 21:14
You are so welcome Pawmark and Shelkrav - hope to see you on the site or on the support group Zoom calls in weeks to come! It is amazing how deep men are able to go if we just get the conditions right. Warm regards Mish
 
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