Well, after dealing with our local URO who really didn't know what else to
do for my husband when Caverject didn't quite "do the job," we sought out a
true E.D. expert at Mt. Zion U.C. Medical Center in San Francisco, Dr. Tom Lue.
(Dr. Lue has been on the faculty at UCSF since 1982, and he is presently a
Professor of Urology at UCSF and the Chief of Urology at UCSF/Mount Zion
His major professional interests are male sexual dysfunction and Peyronie's
So there we sat on May 21st, nearly 3 years post treatment (6 mos. Lupron,
HDR brachytherapy, and EBRT), waiting anxiously in Dr. Lue's waiting room.
Jim had been left very impotent, Viagra didn't work for him, and even his
heroic attempts with Caverject didn't produce a "usable" erection for
intercourse. The cumbersome VED was our only tool - and we both disliked
it greatly. In addition, Jim did hardly any "exercise," and I felt
certain he was "losing it by not using it." Mostly we had shut down our
respective libidos and settled for cuddling, while secretly hoping that
somehow, someone like Dr. Lue might have a magic bullet for us.
Dr. Tom Lue turned out to be a delightful (and playfully funny) man with 13
new E.D. patients on the 21st. After considering our plight, he assured us
he could determine "what was wrong" by administering a particular test that
he had personally developed (duplex ultrasound of the penis using
high-resolution ultrasonography and pulsed Doppler analysis). He led us both
to a private
room where he had Jim lie down, face and belly up. Dr. Lue quickly and
injected Jim with tri-mix, we waited 10 min., and then Dr. Lue carefully pressed
special device/sensor along the sides of Jim's semi-erect organ. The device
was hooked up to a machine with computer screen which showed the image
of Jim's arterial blood supply, as his heart pumped blood into his penis, and
it measured that pressure at "about 1/3 of what it should be." The test also
revealed that Jim had poor circulation and his blood was leaking back out of
his penis, instead of staying in the organ and maintaining his erection.
Our hearts sank. We were both hugely disappointed. No magic bullet here!
We talked about options, even looked at the complex plumbing and piping of
a penile implant device. Dr. Lue then went on to make some recommendations,
and we've worked with those (very successfully, to our great surprise and
1) Dr. Lue reiterates the "use it or lose it" concept and instructed Jim
to inject/pump and be sexually active at least once or twice a week.
2) Dr. Lue prefers tri-mix to Caverject and says it's "often more effective."
He prescribed tri-mix for Jim, .3cc to .4cc per dose, and instructed Jim to
inject himself, then press the injection site for 5 min., and wait another
5 min. Then, while standing up and thus retaining a slightly stronger
erection than when lying down, to use the VED and add "the ring." This
results in a nicely firm and natural erection, which has been WONDERFUL
for intercourse! [great big smiles here!]
We've been married less than a year, and we now truly feel like
honeymooners - the honeymooners that we never had the chance to be
previously! It's been such a "resurrection" of our sexuality, so to speak...
and to think we had pretty nearly given up hope of ever having a
"normal sex life." Our libidos are coming back, Jim's tri-mix with "cock
ring" erections are lasting just wonderfully, and I'm feeling like a sexy
desirable woman again! I nearly wept with joy last night when we made love
again and "it worked"! We are grateful and thrilled at the results of our
"biting the bullet" and seeking out a true "E.D. expert."
Smiling Jeannie M.
from S.F. East Bay, California
[Images are for illustration only and do not represent those involved.]