Had a great sex life until RP 10/21. Unable to get erections with pills. Used the pump with mixed results. Able to get erection and slide the ring onto the base of my penis to maintain the erection. Somewhat uncomfortable. Also, flopped around as it wasn't stiff beneath the ring.

So, I tried Trimix. Like most men, I was reluctant to put a needle (no matter how small) in my penis but the urge to have sex again won out. After finding the right dosage (a couple of times) I had the firmest section I have had in decades. Main issue (some would as "Is this a problem?!") is it took 2-3 hours for the erection to go down. I would Duse the pump for a few minutes before injecting the Trimix. Alternate sides and injection site.

Additionally I take generic Cialis, 5mg, daily. The docs warn against using any stronger oral ED meds in conjunction with the Trimix as it can cause priapism (prolonged erections requiring medical intervention, i.e putting a larger needle in the penis to drain the blood, don't want that!).

A year after my RP I had triple therapy for oligo metastatic disease and was on Lupron for a year. That killed my libido. Also had whole pelvic radiation after triple therapy. My MO said the pelvic radiation would result in permanent ED. Amazingly, after 2 years of no testosterone (never came back after Lupron discontinued) my MO put me on TRT (PSA undetectable >2 years) and I started having spontaneous nocturnal erections and then with foreplay. Never say never.