Trimix Injections for ED: Treatment of Impotence in Men
Trimix Is Effective ED Treatment for Many Men
How Does Trimix Help with Getting and Maintaining Erections?
Trimix is an effective treatment option for men with erectile dysfunction. Trimix contains 3 medications that work synergistically to dilate blood vessels of the penis to allow better blood flow in the penis.
Improved blood flow to the penis allows the penis to get hard and helps men to maintain better erections. Trimix in combination with penile rings may be useful for men with veno-occlusive insufficiency.
How Can I Get Started with Trimix?
Consultation with a board-certified urologist who is experienced in treating men with Trimix is an important first step in getting started with Trimix. At New York Urology Specialists we will perform a full evaluation to determine the cause of your erectile dysfunction. We will present treatment options that are optimal for your situation.
Penile duplex ultrasound with an intracavernosal injection of Trimix or prostaglandin E1 as a test dose as well as to evaluate the vascular function of the penis will be performed. Subsequently, the dose of Trimix may be adjusted to achieve an optimal erection quality while limiting the duration of erection to under 1 hour to avoid the risk of priapism.
What is Trimix?
Trimix is a combination medication consisting of 3 components: papaverine, phentolamine, and prostaglandin E1. Trimix is prepared or compounded at special compounding pharmacies. At New York Urology Specialists we only use FDA certified compounding pharmacies to assure high-quality and safety.
It is important to understand that Trimix does not refer to a single medication. Just like “milk” can refer to goat milk, cow milk, and almond milk, Trimix is a general term for medications that contain papaverine, phentolamine, and prostaglandin E1.
Trimix can be prepared with different proportions of 3 component medications resulting in significantly different dosing and concentrations of papaverine, phentolamine and prostaglandin E in each bottle. Each pharmacy prepares its own “mixes” and typically doses cannot be easily interchanged between different pharmacies or different Trimix preparations from the same pharmacy.
Can I Continue Using Cialis with Trimix Injections?
We advise patients to stop using oral medications for erectile dysfunction such as Viagra, Cialis, and Levitra when using Trimix injections. There is no obvious benefit that can be achieved by using oral medications that cannot be achieved with Trimix alone. Oral medications add to the cost of treatment, a cost that can be safely avoided in most circumstances. If you require taking oral medications for ED for a particular reason, this should be discussed with your urologist prior to initiation of Trimix therapy for ED.
Is important for us to determine the correct dose of Trimix that allows good erections and avoids the risk of priapism. Introducing medications such as sildenafil (Viagra) and Cialis (tadalafil) introduces an additional variable of unpredictability to Trimix response which could increase the risk of priapism.
How Painful is it to Inject Trimix in the Penis?
Most men report minimal to no pain from Trimix injections. Many men are hesitant to try penile injections due to fear of needles or pain. Fortunately, most men are relieved to find that penile injections with Trimix are no more uncomfortable than sitting in a car for 1 hour.
How Successful is Trimix in Achieving Good Erections?
When an appropriate dose of Trimix is chosen for a patient, the success rate of Trimix is very good with up to 80-90% of men successfully achieving good erections. Trimix may not be effective in some men with endocrine problems (hormonal problems), severe peripheral vascular disease, and penile fibrosis from conditions such as Peyronie’s disease or priapism. When Trimix does not work, other treatment options such as penile implant are available.
What are the Risks of Trimix Injections?
Trimix injections can expose patients to the risk of pain from injections, allergic reactions, risk of infection from medications if not used or prepared properly, risk of bleeding, ‘black and blue” hematoma, risk of scar formation in the penis from penile injections called Peyronie’s disease and risk of prolonged erections called priapism which may lead to worsening erectile function.
Scheduling Appointments for Trimix Injection Treatment of Impotence and Erection Problems in Men at New York Urology Specialists
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.
Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns. He has successfully treated hundreds of men with sexual problems including ED and poor libido.
ED is Treatable in Nearly Every Man
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction. We understand the challenges that ED creates for our patients, their relationships and their self-esteem. We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.
Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED. We offer medical and surgical treatment for erectile dysfunction.
We treat some of the most complex ED problems including:
- erectile dysfunction in men with prostate cancer after radical prostatectomy
- ED in men with multiple sclerosis
- impotence in men with diabetes.
- Priapism in men and other emergency penis problems.
- Erectile dysfunction in men with Peyronie’s disease
- Erectile dysfunction in men for whom Viagra and Cialis do not work.
- Erection problems in men with low testosterone.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men and women using modern effective and proven treatment methods. He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to Contact Us with any questions.