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I had a surgery to remove a carotid body tumor--benign--but the surgery did not go well. I recovered as far as I can. After 39 units of blood and fluids I was really bloated and was placed in 17 days of a drug induced comma....my optic nerves were permanently damaged I have only 20% vision is right eye, left eye no vision, I can not swallow--no even saliva so I have a feeding tube--everything by tube. NOt that bad You get use to it. I learned to walk and talk again. I was on 20 mg of Celexa for anxiety. I am down to 10 mg a day now. I take an arthritis med for osteoarthritis...in both knees  since I was 30.  I stay fairly active, I have no energy, loss all my muscle, tire easy, "just don't care", forgetful, short term memory loss,  no libido...married a great gal....we were very sexually active before my surgery. After my recovery I would go places now I stay home  At 55 I want to get out there and enjoy life. Seldom morning wood, slow to get an erection, once I am ready I stay hard and good sized, sex lasts a good long time and both are satisfied....but turning down my wife or not being in the mood has gotten real old. I had my testosterone tested 2007  total was 297..my doctor did nothing. 2010 I have a New doctor  now my test is total 453  free 11.6  My new primary doctor and I agree optimim total should be 800  free 18.0 Doc says my testicles have atrophied a bit.  I have a PSA of 2.3, colonscopy clear, had all the blood tests-- White and red cell count lower range of normal, thyroid is OK
My next appt is with an Endocrinologist to discuss testosterone replacement therapy. Injections every 2 weeks.
I want to go ahead and start, yes I know its a lifelong commitment but I want to feel better........do I need to convince the Endo at my next appt.?
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647273 tn?1292091141

I have had problems with ED since 1999, I'm 46 now.
After having lost my left testicle due to complications of a vasectomy and having had numerous infections of the urinary tract, kidneys and testicles I have had problems with low testosterone levels. I lost the testicle a year after the vasectomy due to a staph infection and nearly died.
I have problems with vision as well and had to give up driving in 2003. I have Rod/Cone dystrophy and have only 15 degrees of central vision.
In 2003 after having gone through a health clinic to determine treatment for neurological problems I was also referred to a urologist for sexual health.
After talking about my sexual problems with the urologist and after blood tests he put me on monthly injections of Delatestryl 1ml.
I than saw him again and informed him that the testosterone shots did not help my ED at all. Another urologist in 1999 had tried me on Viagra and after that Cialis. Non of them worked.
While in the office this new urologist suggested trying Caverject. I was told to take my pants and underwear off and to lie down on the examining table. He then injected my penis with California Tri-Mix and told me that he would see me in 15 minutes. After about 10 minutes I started to notice that my penis was getting erect for the first time in 4 years. The urologist checked me at 15 minuts and saw that it was starting to work. he than told me that he would be back in 5 minutes. This time he confirmed that the erection was firm enough for penetration. Due to the severity of my ED and neurological problems he prescribed me with a double dose of the California Tri-Mix. From 2003 to 2008 I once again was able to enjoy a good sex life with my wife.
In March off 2008, I ended up being hospitalized with a major kidney infection and pneumonia. In the past I had been using intermittant catheterization due to a neurogenic bladder. While in the hospital I noticed that I was passing gas through the penis and catheter. I was sent to the urollgist and after a cystoscopy was confirmed to have a fistula (hole) between my prostate and rectum. According to the urologist this was due to the intermittant catheterization. I had also had a TURP and resection of the bladderneck in 1995 due to an obstruction and believe that this weakened the area of the prostate.
I have had a urethral catheter in for a year and now up to current have a suprapubic catheter in. In March of 2011 it will be three years now. Due to that I have not been able to engage in any sexual activity.
The Caverject worked very well for me even with neurological problems. Over the last few years I have noticed a lack of sensation in the penis and groin area. Still the Caverject did work.

I believe that you definitely should talk about boosting your testosterone levels, however that might not make too much of a difference in regards to ED.
Viagra and Cialis work by dialating the blood vessels in the penis. With these 2 medications sexual arousal is need to obtain an erection.
Caverject works differently and was discovered by accident. While injecting male patients with this drug during heart surgery it was noticed that this produced an erection.
In my case with nerve damage, Viagra and Cialis did not work due to the nerve impairment. The Caverject will give me an erection when it is injected no matter whether I'm sexually aroused or not. For this reason it is more effective.

Talk to your doctor about the possibility of Caverject. It works.  

I have even used it to obtain an erection to make the application of a condom catheter easier. Even with the suprapubic catheter I at times leak urine from the penis due to the neurogenic bladder and nerve damage. To prevent this leakage I use condom cathters.
I am uncircumcised and the catheter is applied without retracting the foreskin. I think that you can understand that this is very difficult to apply when the penis is flacid. The Caverject will produce an erection. I just can't use it for intercourse right now.

I hope that this information is of help for you.

All the best.

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