I will do my best to respond given my experience.... I head into my 4th and final round next week.
1- My uro did not do an ultrasound because the plaque
location was obvious from the physical exam; however I don't believe you need to have an erection to locate the plaque via ultrasound. Definitely have an ultrasound done if the uro can physically locate the plaque and therefore know exactly where to inject xiaflex
. He may want to provide an injection to produce an erection to measure the degree of curvature....this allows him to measure progress. I supplied several pictures and he was able to estimate off of that. You need to have at least a 30 degree curvature to qualify for xiaflex treatments
2- You can receive an anesthetic but I was told the anesthetic injection was more painful that the xiaflex because they are delivered in 2 different size needles....the xiaflex is smaller. So you can skip it. That being said I found it painful so I use a topical cream (lidocaine based) which doesn't help a ton but is better than nothing
3- I was told to model immediately after injection and you uro may want to counsel you on how best to do it in the office after your first shot....there does seem to be some variance based on uro for how often and how long. I was told 3x day for 90 seconds and gently straighten at night only once if I have a nightime erection
4- I may not be the best to answer on traction but for whatever it is worth I waited until 5 days after my second injection to do traction...primarily do to the bruising from the shots
5- A rupture can only happen if you have an erection so it is critical to avoid sexual activity for the first 2 weeks after your second injection of each cycle. during the trials the only reported ruptures were those that had sex prematurely after the injection. However a hematoma
is very possible. I have had 2 out of my 6 shots thus far... and they were very painful for me. I will attempt to mitigate this by having a coflex bandage in place between the two shots are for two days after my second shot which means I will not start modeling immediately. My understanding is that the hematoma is a bit of a crapshoot.... the penis is a very vascular body part and nicking a blood vessel is a possible consequence. On both occasions the swelling took approx. 2 weeks to disappear
6- I don't want to speak for QuackAttack but he recommended I use a Coflex bandage which I will next week
7- My uro said his approach was standard.... he did not recommend traction because he had seen a lot of clinical data. i have reviewed some data and know some of the leading uros are including traction in their protocol. There are separate threads on traction and the pros and cons
8- Number 1 side effect is swelling.... you will get it but don't be too worried. Number 2 is a hematoma which can be scary so if it happens get in to see your uro as soon as you can to make sure it is nothing more serious
9- Ibuprofen is what has been recommended....but outside the shot itself and the hematoma the pain wasn't too bad.
Please let me know I can answer anything else.... and again, this has just been my experience. And for what it is worth I started with a 40degree bend down and to the left and am currently at approx 20 degrees....so really good improvement