The document provides instructions for administering Trimix injections for erectile dysfunction. It details the supplies needed, how to prepare the syringe, appropriate injection sites on the penis, and how to administer the injection and apply compression afterwards.
The document provides instructions for administering Trimix injections for erectile dysfunction. It details the supplies needed, how to prepare the syringe, appropriate injection sites on the penis, and how to administer the injection and apply compression afterwards.
The document provides instructions for administering Trimix injections for erectile dysfunction. It details the supplies needed, how to prepare the syringe, appropriate injection sites on the penis, and how to administer the injection and apply compression afterwards.
The document provides instructions for administering Trimix injections for erectile dysfunction. It details the supplies needed, how to prepare the syringe, appropriate injection sites on the penis, and how to administer the injection and apply compression afterwards.
Michael D. Friedman, M.D., F.A.C.S Diplomate American Board of Urology Charles N. Witten, M.D., F.A.C.S. Diplomate American Board of Urology
Trimix I njection Instructions
STEP 1: GETTI NG SET UP 1. Proper hygiene is important. Wash your hands and keep the penis clean. 2. Assemble the following: o Bottle of Trimix o Alcohol pad o Syringe 3. Keep the Trimix cold by returning the bottle to the refrigerator, or by placing the bottle in a cup of ice. STEP 2: PREPARE THE SYRI NGE 1. Wipe the rubber top of the vial with an alcohol pad. 2. After removing the cap of the needle, pull the plunger back to the desired dosage, filling this volume with air. Use a new needle and syringe each time. 3. Insert the needle through the rubber top and inject the air into the vial. 4. Turn the vial with needle and syringe inserted upside down. Pull back on the syringe plunger in a slow and steady motion until the desired dosage is achieved. 5. Tap the side of the syringe (1cc tuberculin syringe with a 29 gauge needle) to allow any air bubbles to float towards the needle. Avoid having these air bubbles in the syringe when self-injecting by first injecting out the collected bubbles that may form. 6. Remove the needle from the bottle and replace the protective cap on the needle.
STEP 3: SELECT AND PREPARE THE SITE FOR INJ ECTION
210 Rinehart Road, Suite 1000 1027 Town Center Drive Lake Mary, Florida 32746 Orange City, Florida 32763 (407) 332-7700 (386) 774-1777 Fax: (407) 332-9749 Fax: (386) 456-1206
www.centralfloridaurology.com 1. The proper location for injection is at the 9-11 and 1-3 o'clock positions, between the base and mid-portion of the penis.(see diagram) Avoid the midline because of potential for injury to the urethra (6 o'clock; for urinary passage) and the penile arteries and nerves (near 12 o'clock). Avoid any visible veins or arteries on the surface.
2. Grasp and pull the head of the penis toward the side of your leg with the index finger and thumb (use the left hand, if right handed). While maintaining light tension, select a site for injection. 3. Clean the site with an alcohol pad.
STEP 4: I NJ ECT TRI MI X AND APPLY COMPRESSI ON
210 Rinehart Road, Suite 1000 1027 Town Center Drive Lake Mary, Florida 32746 Orange City, Florida 32763 (407) 332-7700 (386) 774-1777 Fax: (407) 332-9749 Fax: (386) 456-1206
www.centralfloridaurology.com 1. With a steady and continuous motion, penetrate the skin with the needle at a 90 o angle. The needle should then be advanced to the hub. Slight resistance is encountered as the needle passes into the proper position within the erectile tissue (corporeal body). 2. Inject the Trimix over approximately 4 seconds. Withdraw the needle from the penis and apply compression to the injection site for approximately 1 minute. Several minutes of compression may be required to avoid bleeding, especially if you are an aspirin user. 3. Replace the cap on the needle and dispose of properly.
If your erection lasts longer than 3 hours, contact our office at 407-332-7700 so we can instruct you on what needs to be done.