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#15421 - 10/21/09 05:26 PM Re: I have been masturbating frequently [Re: softglans]
Big Al Offline
Sponsor
enthusiast

Registered: 07/16/08
Posts: 293
Originally Posted By: softglans
Yes, pump and Muse were alternatives proposed by my European specialist, and DDV surgery was his third option. The former are obviously not to improve the condition, but a way to "live with it".

For myself, at a young age, and where sex is a large part of my life, it was not an option to live with such devices, if it existed surgical methods that could restore a normal erection quality, and be safe and with minimal chances of side effects. I wanted to be able to have spontaneous sex at remote locations, outside in nature, and at any time without the need to use such assisting devices.

That is why I opted for surgery, even though he gave me only 30% chance of long term improvement. In the end though, I chose different surgery, after search for better success rate.

Yes, and one more thing, a penis ring. That is probably the most attractive tool to use for anyone, in order to live with similar condition. I opted out of that one, due to unsatisfying results though.


I appreciate your honestly and candidness. ED is a horrible condition that afflicts a great percentage of men, and finding a safe and affordable solution should be a priority.

Another few questions (if you don't mind). What are your contingency plans for long term erectile functioning? Has Dr. Hsu mentioned anything that you can do that may help prolong the success of your surgery?

Also, what happened on the day that you injured yourself- was there extensive bruising, swelling, or pain? Did any of your doctors identify any possible preexisting anomalies that may have contributed to your condition?


Edited by Big Al (10/21/09 05:26 PM)

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#15422 - 10/21/09 05:48 PM Re: I have been masturbating frequently [Re: Big Al]
softglans Offline
newbie

Registered: 08/29/09
Posts: 29
Contingency plan is "faith". Dr.Hsu is close to 60 years old, and after he ends his active surgery the chances of anyone making successful contingency surgery are not good. Except for his colleague who is now about 50 and also practicing and perfecting this technique, but not with the same experience.

However his patients do not suffer from return of venous leak after initial successful result. Except some patients of his earlier methods, where fewer veins were ligated. Dr.Hsu considers a return of such leaks as "residual veins" (surgeons responsibility), in contrast with other doctors, including my European one, who consider them as "recurrent"/growing back (patient's responsibility). Dr.Hsu see no evidence that veins grow back, but smaller residual veins may increase in size/flow after bigger ones are ligated. He does neither charge for any follow up surgery.

After the day of injury I lost erection for about a week or a bit more, including morning erections. Morning erections returned (along with healing pain), but soft glans and difficulties to get and keep erection persisted.

Edit: There was also mild bruising. And minor swelling during healing, like skin was a bit thick and soft, I think. But nothing like bulging with lymph fluid, as I recently had post-surgery


Edited by softglans (10/21/09 06:01 PM)

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#15423 - 10/21/09 06:03 PM Re: I have been masturbating frequently [Re: softglans]
Big Al Offline
Sponsor
enthusiast

Registered: 07/16/08
Posts: 293
Originally Posted By: softglans
Contingency plan is "faith". Dr.Hsu is close to 60 years old, and after he ends his active surgery the chances of anyone making successful contingency surgery are not good. Except for his colleague who is now about 50 and also practicing and perfecting this technique, but not with the same experience.

However his patients do not suffer from return of venous leak after initial successful result. Except some patients of his earlier methods, where fewer veins were ligated. Dr.Hsu considers a return of such leaks as "residual veins" (surgeons responsibility), in contrast with other doctors, including my European one, who consider them as "recurrent"/growing back (patient's responsibility). Dr.Hsu see no evidence that veins grow back, but smaller residual veins may increase in size/flow after bigger ones are ligated. He does neither charge for any follow up surgery.

After the day of injury I lost erection for about a week or a bit more, including morning erections. Morning erections returned (along with healing pain), but soft glans and difficulties to get and keep erection persisted.

Edit: There were also mild bruising, and during healing I believe some swelling due to lymph fluid.


Well, I truly hope that you continue in good sexual health. Perhaps some stamina work will help you maximize your EQ to the fullest of its ability.

It's likely that something may have been done to prevent your condition from fully manifesting itself if you had gotten immediate medical attention, but that's in the past frown

It's refreshing to hear that Dr. Hsu doesn't charge for follow ups as most surgeons do.

For anyone else reading this: Softglans suffered venous leak ED through the performance of a risky version of a penile exercise. If you're going to take up PE, please remember to start your intensity and volume in moderation and slowly add to your regimen as time goes by. Stick with the more traditional exercises- especially if you're a beginner. If you're an advanced trainee and wish to experiment with riskier movements (clamping, jelqs against a sink or other hard object, etc.), please be aware that you're putting yourself at high risk. Proceed with extreme caution!

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#15426 - 10/21/09 07:10 PM Re: I have been masturbating frequently [Re: Big Al]
softglans Offline
newbie

Registered: 08/29/09
Posts: 29
I think I will be fine thanks. But it was not a pleasant experience, and wasted a great deal of time. But there are people who have had ED for far longer than me, and with unsuccessful treatment, so I also feel lucky with my current recovery to full EQ.

Now, back to the question about alternatives to surgery, for full restoration. One interesting finding is:

Title: Intracavernosal vascular endothelial growth factor (VEGF) injection and adeno-associated virus-mediated VEGF gene therapy prevent and reverse venogenic erectile dysfunction in rats - International Journal of Impotence Research (2003)

Can be found freely download-able by google search. It's just a study on rats though, I found nothing indicating that this has been taken any further though, or even tested on humans. So this is not possible to pursue, but just for thought.

However, a realistic one:
You should make sure that your hormone levels are tested, even though this should be a standard test performed by your doctor/urologist, and indeed was in my case checked and confirmed good. Specially if you have no physical trauma that initiated your condition. It's shown that 20% of people with ED have low hormone levels. Further, if you fall into this category, a study from 2008;

Title: Testosterone Improves Erectile Function in Hypogonadal Patients With Venous Leakage

..indicates that testosterone therapy gives "marked improvement in erectile function domain" for 69% of the patients. This was for "Hypogonadal (Low testosterone) Patients". Study included 29 patients at age 32-65 (avg 47).

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#15427 - 10/21/09 07:27 PM Re: I have been masturbating frequently [Re: softglans]
Big Al Offline
Sponsor
enthusiast

Registered: 07/16/08
Posts: 293
As I noted the VEGF is still in the embryonic stages of research. I think that procedures like these hold great promise- and not just for ED either.

Your mention of testing hormone levels is definitely a great idea. Lower-than-normal levels of testosterone can have a vicious cycle effect that can compound into physical AND psychological ED.

As I'm fond of saying, start with the simple stuff first smile

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#15436 - 10/22/09 10:12 AM Re: I have been masturbating frequently [Re: davidjohnson]
stoneofrefuge Offline
stranger

Registered: 10/22/09
Posts: 7
Loc: Texas USA
Umm I can say this much. I been where you are. I still do it. I am only 36. There is nothing wrong with masturbation. I had been broken in by a female back in 2004. Her and I both had sex repeatedly until my penis went soft and dead. I am guessing that diabetes has alot to do with ED. I guess that is why doctors tell diabetics to take care of the blood sugar. Because it causes diabetic neuropathy along with other issues. Diabetes is when a blood turns acidic or thickens. . That is the reason why diabetes kills alot of people. It is better to keep the blood sugar between 120 and 80. Us men need to bind together and pray that we all love Jesus Christ first, then ourselves. Then things will follow in a path. I hope this helps out with everyone.

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#15444 - 10/22/09 12:09 PM Re: I have been masturbating frequently [Re: stoneofrefuge]
myrealname Offline
old hand

Registered: 04/21/08
Posts: 417
Loc: Indiana
Softglans: thanks for sharing your experience and the results of your research here. Thanks also for answering in detail a number of questions I posed to you in another thread.

I am going to outline my experience and ask you a few more questions, if I may. I am a 57 year old reasonably healthy male I have no chronic diseases but about 15 lbs over my ideal weight, a non-smoker, but I drink a little too much and don't get enough regular aerobic exercise. I have an extensive backgound in biology, medicine and physiology. I have no "axe to grind" either pro-PE or anti-PE. I have both a personal and a physiological interest in your experience.

Upon reaching the age of 55, like many males, I experienced some decrease in erection quality. Although I was always able to become erect enough for penetration, the quality was sometimes (not always) significantly less than when I was younger. Suprise, suprise.

I stumbled upon PE on the internet and read testimonies about how it improved EQ for many and I figured "why not?" I also lost a little weight and started to get a bit more exercise, so I can't say that any benefit I observed was solely, or even partially due to PE. But I did notice improvement in EQ, return of nocturnal erections (some of which seemed as hard as when I had been 19 yo) and improvement in intensity of orgasm. Needless to say, I kept it up.

I frankly did not believe that PE would make me any bigger and when I first noticed an increase in size, I attributed it solely to improvement in EQ. Then I became somewhat larger than I had ever been, even when younger, and realized that it really is possible to permanently stretch and enlarge the penile tunica, septum, and ligaments.

I have been married for 27 years. Although intercourse with my wife was still pleasurable, there is no question that she lost vaginal tone after childbirth x 2. Although she never mentioned it, I got the strong impression that this had an effect on her enjoyment of penile/vaginal sex. There is no question it had an effect on my enjoyment. Before childbirth, she had not only been significantly snugger, but I was also just able to touch bottom in some positions. This was no longer the case after childbirth, even after I experienced an improvement in EQ.

I decided that I would continue PE with two goals: 1. to maintain improved EQ, and 2. to try to gain a little more length and girth to accomodate my partner's somewhat larger size and get back to the way things used to be. If I felt there was a very significant risk that PE would induce ED, however, I would stop.

Now the questions:

1. In your research, how frequent do you sense is the incidence of PE causing ED? Is this something that you feel many guys have experienced and just don't want to talk about? Or is it a rarity? I'm talking about just jelquing, stretches, and Kegels, not clamping, pumping, or hanging.

2. Did you initially experience an improvement in EQ? At your age, perhaps there wasn't any room for improvement, as there was at my age.

3. I understand that there was a lanquage barrier with Dr, Hsu but did you glean from him, or from your research, any understanding of how your injury induced venous leak, and why it was confined to the corpus spongiosum? In other words, do you have any insight as to the mechanism of injury?

4. Do you feel that any PE is potentially dangerous? I think many people are able to accept some degree of risk depending on the perceived risk/benefit ratio. For example, car travel and air travel have proved fatal for many individuals, but few people would propose that everyone avoid automobiles and airplanes. After all, penile fracture has been reported (albeit rarely) with intercourse, and it has potentially severe consequences. But it hasn't caused too many guys to give up fucking. Do you feel that the potential risks with PE,are great enough to outweigh any potential benefit in improvement in EQ or size? Are there any forms of PE that you would endorse?

5. Prior to surgery, did you try Viagra, Levitra, Cialis or any of the generics and what was the effect?

Once again, thanks for your time, your responses, and best luck with the results of your surgery.

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#15449 - 10/22/09 01:46 PM Re: I have been masturbating frequently [Re: myrealname]
CaroleTucson Offline
Senior Member

Registered: 09/25/09
Posts: 1831
Loc: Tucson, AZ
Originally Posted By: myrealname
I also lost a little weight and started to get a bit more exercise, so I can't say that any benefit I observed was solely, or even partially due to PE. But I did notice improvement in EQ


I have heard other men say the same thing about their erections and physical condition. I date men in your age group fairly often, and so this subject is of some interest to me. One man also told me that his penis got larger as he lost weight and increased his physical conditioning. I thought that sounded strange, but then who am I to know?

My perspective on this is different than yours, obviously, but my experience is that, while men in their 50's take longer to get fully erect and longer to recover afterward, their performance itself is just as vigorous as younger men.

Combine that with the sexual knowledge they've gained over the years, and overall I think older men are much better lovers than younger men.

ps--One other difference I've noticed with older men ... the volume of semen ejaculated is less. I have no idea if that makes a difference to men in terms of their enjoyment of sex ... it certainly makes no difference to me.
_________________________
When they asked me, "when are you coming home?", I answered, "when they stop building roads."

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#15471 - 10/22/09 03:13 PM Re: I have been masturbating frequently [Re: CaroleTucson]
myrealname Offline
old hand

Registered: 04/21/08
Posts: 417
Loc: Indiana
Thanks for sharing your experience, Carole. While there are a substantial number of older men, and even younger men, who suffer from severe ED, I agree that age alone, in the absence of significant chronic disease, need not necessarily render a man incapable of being a fairly virile lover.

I think what most men experience as they age is some loss in erection angle and some variable loss in the intensity of erections. I remember having erections in college on a very frequent basis that would make me feel as if I was litorally going to explode ("stand back everybody, this baby's gonna blow"). I also find that I need rather continuous physical stimulation or my erection starts to subside a little and that visual or mental images alone are less likely to result in a full erection. No doubt refractory period does increase overall, but the other day I had two orgasms in four hours, which kind of made it a good day.

As for volume of ejaculate and vigor of ejaculation, I have found that Kegel exercises makes a big difference and substantially enhances the intensity of orgasm for men (at least for me).

So make a deal with your partner(s) to Kegel together.

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#15479 - 10/22/09 04:41 PM Re: I have been masturbating frequently [Re: myrealname]
CaroleTucson Offline
Senior Member

Registered: 09/25/09
Posts: 1831
Loc: Tucson, AZ
Originally Posted By: myrealname
So make a deal with your partner(s) to Kegel together.


Not to be confused with a kegger, which is something different.

Sorry. I'll go away and you can bring this thread back on track now.
_________________________
When they asked me, "when are you coming home?", I answered, "when they stop building roads."

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