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Chapter 6
His Prostate and Me
Discouraged with the vacuum device and his continued
state of impotence, he and Charlotte waited a very long year
to seek other solutions. When Dick was ready to move
forward, he visited Dr. Irving Fishman, a leading urologist in
Houston who specializes in impotence. First, Dr. Fishman ran
a Color Duplex Doppler test and determined that Dick had a
venous leak, because the blood would return to the
bloodstream before intercourse could be completed. Having a
venous leak made it unlikely that Dick could ever sustain an
erection on his own again. After this disheartening news, the
doctor suggested that he try the tri-mix shots, a mixture of
papavarine, prostaglandin and phentolamine, which are
injected directly into the penis. While these shots produced a
satisfactory erection in about five minutes, it was necessary for
Dick to use the highest dosage in order to overcome the
venous leak.
Using such a high dose concerned him, because he was
beginning to experience residual pain.
When Dick learned that there was a clinical trial
underway using MUSE (Medicated Urethral Suppository for
Erection), he decided to try it. MUSE is a suppository about
the size of a pencil lead, which is composed of one of the same
drugs found in the shots. It is placed in the penis with a short
wand and creates an erection in ten to fifteen minutes. The
first administration of MUSE should be performed under
medical supervision. The man should urinate prior to
inserting the pellet. The small amount of urine left in the
urethra is enough to lubricate the urinary tract for easier
application of the MUSE. Other lubricants like Vasoline can
interfere with the absorption of the drug. The penis should be
pulled upward and outward to straighten the urethra before
inserting the wand. This helps minimize or prevent pain for
most men.
Dick quickly enrolled in the trial with the thought that a
suppository sounded much better than shots. As part of the
protocol, he returned to his doctor's office each week, where
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