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User
Posted 21 Sep 2026 at 17:49

In March 2023, I was diagnosed with prostrate cancer with a Gleason Scale of 6. After monitoring the cancer for about 2 years and several biopsies later we decided to have a robotic radical prostatectomy in August 2025. Once we received the pathology report it was determined that cancer grade increased to Stage 2 with a Gleason Score 7. Two weeks after surgery I started having a fever and ended up back in the hospital with an infection. When I was healthy enough to return home with an abdominal drain, which we monitored until September when it’s was removed. Luckily my recovery was quick and I was able to leave for a planned vacation in Europe, albeit I couldn’t lift my luggage so my wife played my busboy for the entire trip.

 

Overall my care and treatment was over the top and my doctor was phenomenal every step along with my treatment. I should add, I am a Canadian living Ontario only my ancestors are from the UK.

 

The reason I am here is mostly for sexual function after surgery. I am currently using a daily testosterone gel which I find very effective and my wife and I are enjoying my increased libido and also using injections for my erections. I had no nerve damage so fingers crossed I will return to normal erection function. Time will tell. 
As I figure out this forum I hope to see others testimonies and learn more about this process.

 

User
Posted 21 Sep 2026 at 20:12
Hi Harrjo,

I am sorry that life has led you to this forum, but am so glad that you are here and so help the forum helps you as much as they have helped me.

If you click on my name then you will be able to read my profile. I was not lucky enough to have nerve sparing with my operation and am at peace with the knowledge that I am 95% certain not to have an erection. That doesn't mean I have lost all hope, but I am haunted by the odd dream every week or so where my natural erections come back. My wife and I have made a determined effort to have the best sex life possible without a natural erection and we are having it. Injections are a turn-off for us, but we do use a pump and ring from time to time. What we have found is that there is so much more to explore and enjoy!

It's wonderful that you are getting your love life back on track and I so hope it goes from strength to strength. If you focus on enjoying what you have then I think nature will do the healing thing without you worrying about it. I suspect focussing on the erections will be counterproductive.

User
Posted 21 Sep 2026 at 21:23

Hi Harrjo,

welcome to the group.

Whilst I have not tried them myself (yet) Alprostadil urethral pellets known as MUSE Micro in Canada sound a more user friendly way of using Prostaglandin to obtain an erection than injections to me!

Has anyone on here tried them and can give any first hand experience of how they work compared to other methods?

5 to 10 minutes to work and 30 minutes or so of flight time sounds ok though.

Al

User
Posted 23 Sep 2026 at 20:38

There are two non-injection forms, MUSE as you mention (a pellet inserted into the urethra which dissolves), and Vitaros which is a cream which is either dripped into the urethra or spread on the glans (I think these are different products, but it might be that only the form you drip into the urethra still exists).

For an erection, the Alprostadil needs to get into the Corpus Cavenosum. When you use the injections, that is exactly where the injection goes. When put into the urethra, it has to diffuse through the urethra wall into the Corpus Spongiosum, and then diffuse into the Corpus Cavenosum. Obviously, that's a more obscure pathway, and hence the Alprostadil dose needs to be much higher. Even so, the effectiveness of MUSE and Vitaros is lower than the injections. By all means try them, but don't be surprised if they don't work.

The other thing is that like all the Alprostadil products, they go unavailable quite often for long periods of time. While the injections have several brands and unbranded makes now so you can switch products, MUSE and Vitaros are single-sourced, so you can't go and find a different brand when they go unavailable.

There are also non-Alprostadil injections. In the UK, Invicorp is the product which is a combination of two other drugs, similar to but maybe not quite the same as Bi-mix, as used in the US.

 
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