Urology/Viagra

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Question
4 months ago,  I had penile fracture w severe eggplant deformity. Recently I went to my urologist and declared fracture healed.  He prescribed me viagra 100mg.  I have not take yet as I am some hesitant of side effects.  Vision loss and erection not going away.  

Over the past few weeks, I have more and more full erections when I wake up in morning,  now up to 4/5 days a week.  But no full erections the rest of the day only partial.

Question
1.  Does the erections becoming more frequent and more full a good sign off recovery and it only being a matter of time for more erections during the day?

2.  Is viagra typically prescribed after such a surgery to get the erection function going again with ultimately not needing viagra anymore?  Is 100mg to much or should I cut in half to start?  I was only prescribed 3 100mg which I thought was a little

Please let me know your thoughts.

Answer
Dear Ray,

1. Yes, this is a good sign of recovery.  After injury to the penis, it is quite possible for erections to improve during the first 6-12 months after the injury.  

2. Generally, but not always, when Viagra is given, patients are advised to try 50mg, and then try 100mg if 50mg is not effective.  

I can not give you specific advise because that would not be appropriate since you are not seeing me as my patient.  Best of luck.

Urology

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Joel Gelman, M.D.

Expertise

Urethral Stricture Disease, Peyronie's Disease and disorders of penile curvature, Erectile Dysfunction with a focus on penile implant surgery, Male Incontinence, Hypospadias

Experience

Dr. Gelman is a Board Certified Fellowship Trained expert in Male Reconstructive Urology and the Director of the Center for Reconstructive Urology in the Department of Urology at UC, Irvine Medical Center.

Organizations
American Urologic Association Society of GU Reconstructive Surgeons (Board of Directors) International Sexual Medicine Society Western Section, Americal Urological Association

Publications
Journal of Urology Urology Journal of Endourology

Education/Credentials
Residency in Urology, UCLA, completed 1995 Fellowship in GU Reconstruction, Devine Center, completed 1997

Past/Present Clients
The Center for Reconstructive Urology is a regional, national, and international Tertiary Referral Center for urethral stricture disease, penile curvature, erectile dysfunction, male incontinence, and other surgical disorders of the male urethra and penis. Patients have travelled from 24 different states and other countries to receive care at the Center for Reconstructive Urology. More information can be found at http://www.centerforreconstructiveurology.org

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