On Viagra

Few people know of the circumstances around the development of Viagra.  That includes the medical profession as well.  I was in Tampa at the time, and reading a medical journal.  Medical journals took up almost 100 percent of my reading thru my life....for logical reason.  Anyway, I'm reading in a journal that at the International Congress of Urology, a doctor was giving a lecture.  Most people don't know that in doing a renal transplant, the kidney does not go back into their normal anatomic position.  The ureter (the tube that passes urine from the kidney to the bladder) does not have a big blood supply so the kidney is placed low in the pelvis and the ureter of the new kidney to the bladder.  So, this guy states that he "accidentally" injected a medication normally used in a transplant into the patients penis.  I find this a bit difficult to understand, much less explain but according to him, it happened.  And the patient got an impressive erection.  He then experimented with it, and was able to ascertain a proper dosage, and then...in front of the entire congregation of in International Congress of Urology...he dropped his pants....and injected himself...."and it Really worked"...as it was described in the article.  Not to long after that, every urologist in the country...well not "every" one...had a practice of selecting the right patient with "Erectile Dysfunction"...then teaching him AND his wife or lady of importance, how to inject into the corpora cavernosa (long tubes in the penis that are like sponges and cause erections by manipulating their blood flow.  The doctor had to be on 4 hr call and the instructions were very rigid.  On occasion...(and it happened a Lot more than is advertised) the erection would not go away and would require an antidote injected into the penis.  The condition is Very painful and yes, I've been there.  The dosage of the antidote was not well documented and was dangerous to potential heart related patients.  I treated a number of patients (not all mine), that had to have reversal and they were justifiably all gratified.  Thankfully, this research led to the invention of Viagra. To add to this subject....of Course I had to try it myself.  Most people don't know much of the anatomy of the penis and they also don't know there are not a lot of pain sensors in the skin of the shaft.  Using a 30 gauge needle one injects a small amount of the medication into the center of one of the tubular corpus cavernosa.  Since it is like a sponge, one does not even feel the injection.  An erection occurs within about 5 minutes, and one really Does have that thought.."best stand back, I don't know how big this thing is gonna get"!!  giggle.  Frankly it's quite wonderful and is even good for more than one "use".  I don't recall refractory times (sorry), but I DO recall what it's like when it doesn't go down.  Like one guy that came into the emergency room and said, "Normally this might be an enviable situation, but I've used it 5 times for 7 orgasms, I've taken a cold shower, I've put ice one it and frankly, I'd kinda like it to go away"!  So, normally the treatment is to inject a reversal medication into the corpus and Usually, that works, and the patient leaves perfectly happy with the entire ordeal.  Recall I said the prescribing doctor had to be on 5 hr call?  Well, one of the urologists in Tampa asked me to take call for him over a weekend, and one evening a guy came in to the emergency room in pretty severe pain.  I gave the reversal medication and for the first time in my experience with it, it didn't work.  The medication is quite violent in the wrong dosage and can lead to cardiac problems so I worried.  I gave the medication a while longer to take effect but to no relief.  So I called another urologist in town.  I explained the situation...and he said flatly "Oh, you're one of those...I don't want anything to do with it!!" and hung up on me!! Then I called another urologist and he had me literally flush out both corpus by placing a large 18 gauge needle into the base of each corpus AND one into the glans penis.  It was done naturally under local anesthesia but the sight of it, in itself, was awesome.  I even begged and got permission to photograph it as few people would ever get to witness such a scene.  Damn photo didn't come out.  sigh.  Well...after running some saline thru his penis for about 5 minutes, the erection subsided and the patient left happy.  No wonder there is a word for Priapism! On an aside, I should probably mention a adjoining subject, that a penis is able to be fractured when erect.  I've seen it once.  The corpus is so sponge like that a rapid hard angular thrust can cause it to fracture and it is very painful.
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