DR. KIRK GOODENDM UROLOGY RESIDENT

Common Mistakes with Trimix

Trimix

Penile injection for ED was first introduced in the early 1980s

What is Trimix

Combination therapy1. Papaverine2. Phentolamine3. Prostaglandin E1( Alprostadil)

Trimix

LiquidPowdered reconstituted with

sterile waterAn intracavernous injectionMost effective non-surgical

treatment for EDInjection can be done 5

minutes prior to sexual activity

Should last for an hour

Teach Patients

Require at least 2 visits Patient injected in Doctor’s office-1. To see how patient respond to dose given2. Note any side effects

Thanks to Trimix

Bottle not turned upside down

Inject Tunica Albugina

IINJECTING THE WRONG SITE

Press Syringe first, thenInjector

Injecting the same Site repeatedly

Failure to compress the injection site.

TO PREVENT HEMATOMA

Failure to report to doctor with erection > 4hrs

Failure to store in a refrigerator

Effectives will decrease

Conclusion

Mistakes are made by patients in using Trimix

These must considered in patients who report failure of erection after usage.

THANK YOU