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ED - 9 months since RALP

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User
Posted 07 Feb 2024 at 12:25

I had my RALP in May 23,I'm 54 and had 50% nerve spare. All went well and had no leakage from day one (which I'm very thankful for), however ED is still and issue. I've been given a pump and 20 mg Tadalafil twice a week, I take these but they give me heartburn, so eased off them a bit but still take them but probably not two a week, however I still can't get an erection with them, the pump works but I don't like the idea of rings.

I have an appointment with the ED clinic and was going to ask for injection, however I really don't like the idea of injecting, is Muse as better option and is it even available?

I have noticed in the last few weeks that after I've orgasmed, I get an almost Semi, certainly bigger at the end than the start, it's the total opposite to before where it was totally flat within seconds of coming, is this normal? 

Has anyone switched to Viagra from Tadalfil and had more success, I wondering if its worth a try?

i'm worried that injections will be my only option as after 9 months I would have expected some stirrings but none at all apart from what I mentioned earlier.

User
Posted 07 Feb 2024 at 12:55

Hello mate.

A year ago I had non sparing RARP. I was told that I would never get a natural erection again. The only time I get any swelling is when I'm showering and soaping down below, and weirdly when I'm having a poo???. I didn't want to try pumps and rings. I'm ham-fisted and wouldn't have the patience to faff about with them. Tablets have no effect at all.

However 6 months post op, after an ED clinic appointment, I tried Invicorp and it worked very well. I'm prescribed 5 phials a month. There is an art to injecting it, but when you hit the sweet spot it works within 10 mins. I suppose its 80/90% as good as pre op. It's easily good enough for penetrative sex, and it lasts for an hour and a half to two hours, which is far longer than I can. After orgasm it stays hard. Maybe, so as not to waste it, I'll have to train up for 'seconds'.

The injections are almost painless.

You have to store the medication in the fridge. I had to move it away from the Lurpak, it was making it too hard to spread. 😄

Adrian

 

Edited by member 07 Feb 2024 at 13:20  | Reason: Additional text.

User
Posted 07 Feb 2024 at 12:25

I had my RALP in May 23,I'm 54 and had 50% nerve spare. All went well and had no leakage from day one (which I'm very thankful for), however ED is still and issue. I've been given a pump and 20 mg Tadalafil twice a week, I take these but they give me heartburn, so eased off them a bit but still take them but probably not two a week, however I still can't get an erection with them, the pump works but I don't like the idea of rings.

I have an appointment with the ED clinic and was going to ask for injection, however I really don't like the idea of injecting, is Muse as better option and is it even available?

I have noticed in the last few weeks that after I've orgasmed, I get an almost Semi, certainly bigger at the end than the start, it's the total opposite to before where it was totally flat within seconds of coming, is this normal? 

Has anyone switched to Viagra from Tadalfil and had more success, I wondering if its worth a try?

i'm worried that injections will be my only option as after 9 months I would have expected some stirrings but none at all apart from what I mentioned earlier.

User
Posted 07 Feb 2024 at 14:03

Hi,

Even though both my nerve bundles were spared (and taking tadalafil), it still took over eight months before I was able to achieve penetration with a reasonable semi.

I tried sildenafil (viagra) a few times without success. I think it's worth experimenting but also important to manage your expectations, try not to get despondent if it doesn't work. 

I have had great success using injections though.. I don't like needles either, a bit weird, but it's well worth trying.

As for muse, I've not tried that but hopefully another member will comment. 

If you're getting the occasional semi now, I think that's progress, and more or less how things started to improve for me.

Hope this helps. 

Kev.

User
Posted 07 Feb 2024 at 14:17

Thanks for the reply Adrian, good luck with your journey and your storage issues!!

Not looking forwards to the injections as i don't like needles, it's more the thought of it, not the actual pain, I think they  will help and who knows maybe one day might even have non assisted ones!

It's just odd that even now the semi is after the main event (which is a bit pointless), I'm hoping that something might be going on and some improvement is better than none, anyone else have this? was it good sign or just stayed the same? Some on here have said the dry orgasm is just as intense as before,  not for me sadly, sometimes I can hardly tell if it's happened, the urge to shut off the porn is a good indicator!!! 

The needles are quite long, seem to be about 15-20mm, are there any injections with shorter needles that you push  all the way in? i'm thinking like the insulin pens which have a very fine 5 or 6 mm needle, you basically stab yourself with it and inject, you don't have to slowly insert it to the right depth which is the worst bit. 

User
Posted 08 Feb 2024 at 08:12

Originally Posted by: Online Community Member
The needles are quite long, seem to be about 15-20mm, are there any injections with shorter needles that you push  all the way in? i'm thinking like the insulin pens which have a very fine 5 or 6 mm needle, you basically stab yourself with it and inject, you don't have to slowly insert it to the right depth which is the worst bit. 

I've just done a bit of research. The needle for actually injecting the Invicorp is 38.5 mm or 1.5 inches and is fine 21g. You only stick in half the needle. Honestly you hardly feel a thing. Having to feel a very small prick to get a much bigger one is well worth it.

I do however feel very sorry for you lad's with a genuine phobia of needles. It seems cruel that a psychological problem is preventing you achieving what you desperately desire.

I can remember how depressed I was when I thought I'd never be able to have an erection again. Sex had always been very  important to me. I was devastated and Invicorp rescued me. Okay injecting it is a bit of a palaver and the results aren't quite as good as they were naturally, but the physical and psychological benefits have been enormous.

For those with a phobia of injections, perhaps it would be worthwhile getting help to overcome the fear. You might find it well worthwhile.

 

 

Edited by member 08 Feb 2024 at 08:40  | Reason: Spelling

User
Posted 08 Feb 2024 at 17:20

Originally Posted by: Online Community Member

There is a needle in the invicorp pack which is 38.5mm long but that is used to draw the injection compound out of the bottle and into the syringe - it doesn't go anywhere near the penis 😂
The needle for injecting is 12mm which delivers the compound right into the corpora cavernosa - if the needle was any shorter it wouldn't work.

🤣 Cheers Lyn 🤣 You know us men we always add an inch to anything relating to the penis.

I suppose Invicorp solicitors will sue me for their sudden crash on stock market. 

 

 

 

Edited by member 08 Feb 2024 at 18:49  | Reason: Additional text.

User
Posted 08 Feb 2024 at 19:04

Originally Posted by: Online Community Member

Thanks for the reply, that's great that after 20 months things are working out, can i ask, is that a natural erection good enough for penetration or assisted with the pump? Did you have any problems with Tadalfil, i struggle with the heartburn. I still find it odd why the erection is slightly improved after a dry ejaculation. 

I don't have any side effect from Tadalafil. I was no where near your progress after 9mths, I certainly could not maintain an erection with the pump or the the tablet. I have noticed if I was consistent with the Tadalafil, I could sustain an erection food enough for penetrative sex - however the erection is not as strong as the combination therapy of Tadalafil and VED Pump. I take my BP tablets and vitamin tablets daily, however I lose track of the 2ce a week Tadalafil, so sometimes goes weeks without taking it. I am also haphazard with the exercise with the Pump as I know I can can an erection with it when required. The convention is to exercise minimum 3ce a week, maybe if I did that I would have made further progress.

User
Posted 07 Feb 2024 at 14:22

Thanks Kev, I will ask for them, theywere offered on my first visit but i refused as early days and i wanted to see how things worked out, now that its been 9 months I think more assistant is needed. I will give viagra a go as it might not give me the heartburn, I'll see what they say at my appointment.

User
Posted 08 Feb 2024 at 00:35

I also do have a phobia for needles and the thought of injecting my little man fills me with dread. I am 21mths post surgery and I use a combination of tadalafil and the pump. I think the Tadalafil is just to encourage blood flow as I can get a decent erection just with the pump. Also 1yr post surgery, nothing worked, I had to resort to a strap on to pleasure my wife, however, 20mths on the Pump works fine and can also manage an erection if I am sufficiently aroused.

User
Posted 08 Feb 2024 at 17:13
Muse doesn't work for many men - its benefit is really for men who can get an erection naturally but need a bit of extra oomph. The same can be said of the Vitaros gel.

There is a needle in the invicorp pack which is 38.5mm long but that is used to draw the injection compound out of the bottle and into the syringe - it doesn't go anywhere near the penis 😂

The needle for injecting is 12mm which delivers the compound right into the corpora cavernosa - if the needle was any shorter it wouldn't work.

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

User
Posted 08 Feb 2024 at 20:27

Glover. I also find Tadalafil gives me heartburn.  I take Omeprazole (on prescription) on the day I take Tadalafil. That seems to be sufficient to keep the heartburn at bay for me.

User
Posted 09 Feb 2024 at 13:28

Originally Posted by: Online Community Member

 

Maybe I’ve exaggerated my progress with the pump, it works and gives an erection while the pressure is on, release the pressure and its gone, I’m not sure if that classified as working, I thought that with pressure on you quickly put on the rings to maintain it, it certainly doesn’t stay regardless of be aroused or not.  

I’m also very irregular with Tadalfil as the heartburn kicks in a day after, the pump can make me sore so added to my general laziness I’ve probably not made the progress I should have.

When you say release the pressure, do you mean take the tension ring off? Which VED Pump are you using? I know VED purists will probably slap me down here. I used the Vaccurect  pump, (I paid for this pump my self) which is a medical grade pump. I purchased this pump about 6mths post surgery. I could not get it work, same as you, the erection would be lost soon as released the pressure. A few guys on here recommended SomaErect, luckily at my next appointment with the andrologist, I mentioned the pump and I was given a prescription to take to my GP. This also did not work as I thought it would. I also tried the Caverject injection (well my wife injected me with my eyes shut), all I got for my troubles was a moderate swelling, nothing more. I increased the dose a month later, nothing happened. 

So 12mths in I gave up on the injection and both pumps. Guys here were telling me, it was probably my technique... I resorted to a strap-on (with my limp penis) to make love to my. At my next appointment, the andrologist prescribed another injection, something duo, this he said I can increase the dosage, my wife tried again, nothing, just a little swelling. 16mths later, out of boredom, I tried the Vacurect VED pump again and voila, with the ring on, I was able to maintain an erection. I also noticed I was getting erections when aroused (maybe not strong enough as I would like it for penetration). I also noticed I can pretty much now go into the bathroom, with a few pumps I get an erection that is sustained. Just for added pleasure (to my wife) I also use a vibration cock ring in addition to the tension ring from Vacurect. I tried again with the SomaErect VED, and I could not deal with the faff around of transferring the ring to the penis after pumping. The Vacurect on the other hand is very easy to use, the ring is on the penis before pumping, so there is nothing to transfer after pumping. I still don't know how or what happened in the early days, when I struggled to maintain an erection, might just be a healing thing.

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User
Posted 07 Feb 2024 at 12:55

Hello mate.

A year ago I had non sparing RARP. I was told that I would never get a natural erection again. The only time I get any swelling is when I'm showering and soaping down below, and weirdly when I'm having a poo???. I didn't want to try pumps and rings. I'm ham-fisted and wouldn't have the patience to faff about with them. Tablets have no effect at all.

However 6 months post op, after an ED clinic appointment, I tried Invicorp and it worked very well. I'm prescribed 5 phials a month. There is an art to injecting it, but when you hit the sweet spot it works within 10 mins. I suppose its 80/90% as good as pre op. It's easily good enough for penetrative sex, and it lasts for an hour and a half to two hours, which is far longer than I can. After orgasm it stays hard. Maybe, so as not to waste it, I'll have to train up for 'seconds'.

The injections are almost painless.

You have to store the medication in the fridge. I had to move it away from the Lurpak, it was making it too hard to spread. 😄

Adrian

 

Edited by member 07 Feb 2024 at 13:20  | Reason: Additional text.

User
Posted 07 Feb 2024 at 14:03

Hi,

Even though both my nerve bundles were spared (and taking tadalafil), it still took over eight months before I was able to achieve penetration with a reasonable semi.

I tried sildenafil (viagra) a few times without success. I think it's worth experimenting but also important to manage your expectations, try not to get despondent if it doesn't work. 

I have had great success using injections though.. I don't like needles either, a bit weird, but it's well worth trying.

As for muse, I've not tried that but hopefully another member will comment. 

If you're getting the occasional semi now, I think that's progress, and more or less how things started to improve for me.

Hope this helps. 

Kev.

User
Posted 07 Feb 2024 at 14:17

Thanks for the reply Adrian, good luck with your journey and your storage issues!!

Not looking forwards to the injections as i don't like needles, it's more the thought of it, not the actual pain, I think they  will help and who knows maybe one day might even have non assisted ones!

It's just odd that even now the semi is after the main event (which is a bit pointless), I'm hoping that something might be going on and some improvement is better than none, anyone else have this? was it good sign or just stayed the same? Some on here have said the dry orgasm is just as intense as before,  not for me sadly, sometimes I can hardly tell if it's happened, the urge to shut off the porn is a good indicator!!! 

The needles are quite long, seem to be about 15-20mm, are there any injections with shorter needles that you push  all the way in? i'm thinking like the insulin pens which have a very fine 5 or 6 mm needle, you basically stab yourself with it and inject, you don't have to slowly insert it to the right depth which is the worst bit. 

User
Posted 07 Feb 2024 at 14:22

Thanks Kev, I will ask for them, theywere offered on my first visit but i refused as early days and i wanted to see how things worked out, now that its been 9 months I think more assistant is needed. I will give viagra a go as it might not give me the heartburn, I'll see what they say at my appointment.

User
Posted 08 Feb 2024 at 00:35

I also do have a phobia for needles and the thought of injecting my little man fills me with dread. I am 21mths post surgery and I use a combination of tadalafil and the pump. I think the Tadalafil is just to encourage blood flow as I can get a decent erection just with the pump. Also 1yr post surgery, nothing worked, I had to resort to a strap on to pleasure my wife, however, 20mths on the Pump works fine and can also manage an erection if I am sufficiently aroused.

User
Posted 08 Feb 2024 at 08:12

Originally Posted by: Online Community Member
The needles are quite long, seem to be about 15-20mm, are there any injections with shorter needles that you push  all the way in? i'm thinking like the insulin pens which have a very fine 5 or 6 mm needle, you basically stab yourself with it and inject, you don't have to slowly insert it to the right depth which is the worst bit. 

I've just done a bit of research. The needle for actually injecting the Invicorp is 38.5 mm or 1.5 inches and is fine 21g. You only stick in half the needle. Honestly you hardly feel a thing. Having to feel a very small prick to get a much bigger one is well worth it.

I do however feel very sorry for you lad's with a genuine phobia of needles. It seems cruel that a psychological problem is preventing you achieving what you desperately desire.

I can remember how depressed I was when I thought I'd never be able to have an erection again. Sex had always been very  important to me. I was devastated and Invicorp rescued me. Okay injecting it is a bit of a palaver and the results aren't quite as good as they were naturally, but the physical and psychological benefits have been enormous.

For those with a phobia of injections, perhaps it would be worthwhile getting help to overcome the fear. You might find it well worthwhile.

 

 

Edited by member 08 Feb 2024 at 08:40  | Reason: Spelling

User
Posted 08 Feb 2024 at 09:44

Originally Posted by: Online Community Member

I also do have a phobia for needles and the thought of injecting my little man fills me with dread. I am 21mths post surgery and I use a combination of tadalafil and the pump. I think the Tadalafil is just to encourage blood flow as I can get a decent erection just with the pump. Also 1yr post surgery, nothing worked, I had to resort to a strap on to pleasure my wife, however, 20mths on the Pump works fine and can also manage an erection if I am sufficiently aroused.

Thanks for the reply, that's great that after 20 months things are working out, can i ask, is that a natural erection good enough for penetration or assisted with the pump? Did you have any problems with Tadalfil, i struggle with the heartburn. I still find it odd why the erection is slightly improved after a dry ejaculation. 

User
Posted 08 Feb 2024 at 09:51

Originally Posted by: Online Community Member

Originally Posted by: Online Community Member
The needles are quite long, seem to be about 15-20mm, are there any injections with shorter needles that you push  all the way in? i'm thinking like the insulin pens which have a very fine 5 or 6 mm needle, you basically stab yourself with it and inject, you don't have to slowly insert it to the right depth which is the worst bit. 

I've just done a bit of research. The needle for actually injecting the Invicorp is 38.5 mm or 1.5 inches and is fine 21g. You only stick in half the needle. Honestly you hardly feel a thing. Having to feel a very small prick to get a much bigger one is well worth it.

I do however feel very sorry for you lad's with a genuine phobia of needles. It seems cruel that a psychological problem is preventing you achieving what you desperately desire.

I can remember how depressed I was when I thought I'd never be able to have an erection again. Sex had always been very  important to me. I was devastated and Invicorp rescued me. Okay injecting it is a bit of a palaver and the results aren't quite as good as they were naturally, but the physical and psychological benefits have been enormous.

For those with a phobia of injections, perhaps it would be worthwhile getting help to overcome the fear. You might find it well worthwhile.

Thanks for taking the time to look into this, I don't have a phobia as such, happy to give blood or have some one else do it, it's the thought of doing it yourself and in such a sensitive area! I couldn't do the blood thinning injections, got my wife to do them, could get her to do them again. 

1.5" is quite some needle, shame they are not like the pens with short needles and a quick stab, I don't think muse is available now from the reading I've done and I would think not as effective. 

 

User
Posted 08 Feb 2024 at 17:13
Muse doesn't work for many men - its benefit is really for men who can get an erection naturally but need a bit of extra oomph. The same can be said of the Vitaros gel.

There is a needle in the invicorp pack which is 38.5mm long but that is used to draw the injection compound out of the bottle and into the syringe - it doesn't go anywhere near the penis 😂

The needle for injecting is 12mm which delivers the compound right into the corpora cavernosa - if the needle was any shorter it wouldn't work.

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

User
Posted 08 Feb 2024 at 17:20

Originally Posted by: Online Community Member

There is a needle in the invicorp pack which is 38.5mm long but that is used to draw the injection compound out of the bottle and into the syringe - it doesn't go anywhere near the penis 😂
The needle for injecting is 12mm which delivers the compound right into the corpora cavernosa - if the needle was any shorter it wouldn't work.

🤣 Cheers Lyn 🤣 You know us men we always add an inch to anything relating to the penis.

I suppose Invicorp solicitors will sue me for their sudden crash on stock market. 

 

 

 

Edited by member 08 Feb 2024 at 18:49  | Reason: Additional text.

User
Posted 08 Feb 2024 at 19:04

Originally Posted by: Online Community Member

Thanks for the reply, that's great that after 20 months things are working out, can i ask, is that a natural erection good enough for penetration or assisted with the pump? Did you have any problems with Tadalfil, i struggle with the heartburn. I still find it odd why the erection is slightly improved after a dry ejaculation. 

I don't have any side effect from Tadalafil. I was no where near your progress after 9mths, I certainly could not maintain an erection with the pump or the the tablet. I have noticed if I was consistent with the Tadalafil, I could sustain an erection food enough for penetrative sex - however the erection is not as strong as the combination therapy of Tadalafil and VED Pump. I take my BP tablets and vitamin tablets daily, however I lose track of the 2ce a week Tadalafil, so sometimes goes weeks without taking it. I am also haphazard with the exercise with the Pump as I know I can can an erection with it when required. The convention is to exercise minimum 3ce a week, maybe if I did that I would have made further progress.

User
Posted 08 Feb 2024 at 20:27

Glover. I also find Tadalafil gives me heartburn.  I take Omeprazole (on prescription) on the day I take Tadalafil. That seems to be sufficient to keep the heartburn at bay for me.

User
Posted 09 Feb 2024 at 09:06

Originally Posted by: Online Community Member
Muse doesn't work for many men - its benefit is really for men who can get an erection naturally but need a bit of extra oomph. The same can be said of the Vitaros gel.

There is a needle in the invicorp pack which is 38.5mm long but that is used to draw the injection compound out of the bottle and into the syringe - it doesn't go anywhere near the penis 😂

The needle for injecting is 12mm which delivers the compound right into the corpora cavernosa - if the needle was any shorter it wouldn't work.

Thanks Lyn, I'll give the injections a try, I think Muse is near impossible to get anyway and probably just a difficult to administer, it doesn't sound too pleasant either. 12mm is okay, i assume that goes in all the way, 38 mm would come out the other side ! 😄

User
Posted 09 Feb 2024 at 09:19

Originally Posted by: Online Community Member

Originally Posted by: Online Community Member

Thanks for the reply, that's great that after 20 months things are working out, can i ask, is that a natural erection good enough for penetration or assisted with the pump? Did you have any problems with Tadalfil, i struggle with the heartburn. I still find it odd why the erection is slightly improved after a dry ejaculation. 

I don't have any side effect from Tadalafil. I was no where near your progress after 9mths, I certainly could not maintain an erection with the pump or the the tablet. I have noticed if I was consistent with the Tadalafil, I could sustain an erection food enough for penetrative sex - however the erection is not as strong as the combination therapy of Tadalafil and VED Pump. I take my BP tablets and vitamin tablets daily, however I lose track of the 2ce a week Tadalafil, so sometimes goes weeks without taking it. I am also haphazard with the exercise with the Pump as I know I can can an erection with it when required. The convention is to exercise minimum 3ce a week, maybe if I did that I would have made further progress.

Maybe I’ve exaggerated my progress with the pump, it works and gives an erection while the pressure is on, release the pressure and its gone, I’m not sure if that classified as working, I thought that with pressure on you quickly put on the rings to maintain it, it certainly doesn’t stay regardless of be aroused or not.  

I’m also very irregular with Tadalfil as the heartburn kicks in a day after, the pump can make me sore so added to my general laziness I’ve probably not made the progress I should have.

User
Posted 09 Feb 2024 at 09:27

Originally Posted by: Online Community Member

Glover. I also find Tadalafil gives me heartburn.  I take Omeprazole (on prescription) on the day I take Tadalafil. That seems to be sufficient to keep the heartburn at bay for me.

Cheers Chris, I'll mention that at my appointment, I'm even sure it's heart burn, but on the 2nd or 3rd day after taking it I get an uncomfortable feeling which is on and off, the closest is heartburn, it doesn't last as long as heartburn and probably not as full on, ie if I'm out,  I can carry on drinking and eating knowing the discomfort will pass, when i've had heartburn before the op, the feeling was different, I certainly wasn't interested in having another pint!! i hope that makes sense.

User
Posted 09 Feb 2024 at 13:28

Originally Posted by: Online Community Member

 

Maybe I’ve exaggerated my progress with the pump, it works and gives an erection while the pressure is on, release the pressure and its gone, I’m not sure if that classified as working, I thought that with pressure on you quickly put on the rings to maintain it, it certainly doesn’t stay regardless of be aroused or not.  

I’m also very irregular with Tadalfil as the heartburn kicks in a day after, the pump can make me sore so added to my general laziness I’ve probably not made the progress I should have.

When you say release the pressure, do you mean take the tension ring off? Which VED Pump are you using? I know VED purists will probably slap me down here. I used the Vaccurect  pump, (I paid for this pump my self) which is a medical grade pump. I purchased this pump about 6mths post surgery. I could not get it work, same as you, the erection would be lost soon as released the pressure. A few guys on here recommended SomaErect, luckily at my next appointment with the andrologist, I mentioned the pump and I was given a prescription to take to my GP. This also did not work as I thought it would. I also tried the Caverject injection (well my wife injected me with my eyes shut), all I got for my troubles was a moderate swelling, nothing more. I increased the dose a month later, nothing happened. 

So 12mths in I gave up on the injection and both pumps. Guys here were telling me, it was probably my technique... I resorted to a strap-on (with my limp penis) to make love to my. At my next appointment, the andrologist prescribed another injection, something duo, this he said I can increase the dosage, my wife tried again, nothing, just a little swelling. 16mths later, out of boredom, I tried the Vacurect VED pump again and voila, with the ring on, I was able to maintain an erection. I also noticed I was getting erections when aroused (maybe not strong enough as I would like it for penetration). I also noticed I can pretty much now go into the bathroom, with a few pumps I get an erection that is sustained. Just for added pleasure (to my wife) I also use a vibration cock ring in addition to the tension ring from Vacurect. I tried again with the SomaErect VED, and I could not deal with the faff around of transferring the ring to the penis after pumping. The Vacurect on the other hand is very easy to use, the ring is on the penis before pumping, so there is nothing to transfer after pumping. I still don't know how or what happened in the early days, when I struggled to maintain an erection, might just be a healing thing.

 
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