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I'm 64 and 4 months post RALP. Not being well endowd, I was concerned about shortening. I was advised to use a vacumn pump and 5 mg cialis daily to keep the blood flowing to preserve what length and girth I had after sugery. I did lose the 1/2" I was told I would. These seem to be doing the job! So far Viagra and Cialis do nothing for a boner. The vacumn can be used with a constriction band and allows enough erection for sex. We were very active before and losing that was my biggest concern before and after surgery. Reluctantly, I asked about the Trimix injections a month ago, tried it and after the learning curve and some experimenting, have become comfortable and pleased with the results!! The OMG inject my willie factor was the biggest obstacle and it wasn't near the issue I had feared. It's like being 18 again and lasting longer than ever before! The wife was dually impressed! This was huge to an already damaged self image. Orgasm is possible and a little urine leak is easily compensated for. That is supposed to subside with time. All this to say, don't give up!! Read everything you can find on the subject and try to get-keep it UP!