Urology

Have Urology Questions? Ask a Urologist Online.

Ask a Doctor,
Get an Answer ASAP!

Urology

Viagra and Cialis stopped working. I am 81 years old. I

Customer Question
Viagra and Cialis stopped...

Viagra and Cialis stopped working. I am 81 years old. I cannot find an answer to the question "at what age does Viagra cease working?"

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

Atenolol and atorvastatin

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Just that Viagra worked fine for 16 years, then around age 80, with no change in prescriptions, it (Viagra and Cialis both) stopped working. I tried increasing the doseage and checking my blood pressure.Doses of 200, then 300, then 400 and the 500 mg worked for a while. At 600 mg my blood pressure was down to 104/58 and I stopped using more than 500, which no longer works. About 30 seconds of half stiff that is insufficient for penetration. I cannot find an answer to the basic question "at what age does Viagra stop working?"

Doctor's Assistant: In general, how has your health been lately?

No problems. My blood sugar is about 100, so no diabetes.

Submitted: 1 month ago.Category: Urology
Show More
Show Less
Ask Your Own Urology Question
Customer reply replied 1 month ago
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call.
Customer reply replied 1 month ago
Let me know if you need more information, or send me the service offer(s) so we can proceed.
Answered in 1 hour by:
1/11/2018
Urologist: Muneeb Ali, Emergency Medicine replied 1 month ago
Muneeb Ali
Muneeb Ali, Emergency Medicine
Category: Urology
Satisfied Customers: 8,691
Experience: MBBS,MD,ECFMG certified. Have dealt with urological emergencies in the ER on a regular basis
Verified

Hi,

Welcome to JA and thanks for this question. I'm sorry to hear about your situation. Actually, this is a problem faced by many men once they have used the drug for more than 10 years on average. The tissues or rather the vessels in the penis stop responding to viagra and at that time we consider changing the drugs. If Cialis is not working then Levitra or stendra can be tried which are newer agents and may work where others have failed HOWEVER the best option here would be the prostaglandins or injections which have an excellent response rate. These include the following treatments,

Alprostadil self-injection. With this method, you use a fine needle to inject alprostadil (Caverject Impulse, Edex) into the base or side of your penis. In some cases, medications generally used for other conditions are used for penile injections on their own or in combination. Examples include papaverine, alprostadil, and phentolamine. Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included).

Alprostadil urethral suppository. Alprostadil intraurethral (Muse) therapy involves placing a tiny alprostadil suppository inside your penis in the penile urethra. You use a special applicator to insert the suppository into your penile urethra.

The erection usually starts within 10 minutes and, when effective, lasts between 30 and 60 minutes.

It is also recommended that you have your testosterone levels checked as well as get other tests like thyroid function tests along with cortisol level checked too. If the above treatment does not work and the additional tests are normal then you could need the following,

Penis pumps. A penis pump (vacuum erection device) is a hollow tube with a hand-powered or battery-powered pump. The tube is placed over your penis, and then the pump is used to suck out the air inside the tube. This creates a vacuum that pulls blood into your penis.

Penile implants. This treatment involves surgically placing devices on both sides of the penis. These implants consist of either inflatable or malleable (bendable) rods. Inflatable devices allow you to control when and how long you have an erection. The malleable rods keep your penis firm but bendable.

But usually, the injections or even the Levitra or stendra does work.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do I am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going to the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own Urology Question
Urologist: Muneeb Ali, Emergency Medicine replied 1 month ago

Would you like to know anything else? Any clarifications or additional questions that you might have, i would be happy to answer them for you. If done for now, please remember to leave a positive rating as that is the only way we are compensated for our time spent helping you. You can continue to ask follow-up questions even after the rating.

Ask Your Own Urology Question
Was this answer helpful?
Ask Muneeb Ali Your Own Question
Muneeb Ali
Muneeb Ali
Muneeb Ali, Emergency Medicine
Category: Urology
Satisfied Customers: 8,691
8,691 Satisfied Customers
Experience: MBBS,MD,ECFMG certified. Have dealt with urological emergencies in the ER on a regular basis

Muneeb Ali is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. Y.

Dr. Y.

Urologist

20,150 satisfied customers

I am fellowship trained specializing in general urology and reconstructive urology.

Dr. Tharun

Dr. Tharun

Urology Resident

1,424 satisfied customers

MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.

urologyguru

urologyguru

Urologist MD

1,088 satisfied customers

I am fellowship-trained MD Urologist in active practice. I treat all types of cases from genital, cancer, urinary, stone and incontinence.

Dr Josh

Dr Josh

Physician

255 satisfied customers

General Physician, PGCSD

Ross

Ross

Urologist

62 satisfied customers

urologist

Dr. B

Dr. B

Urologist

62 satisfied customers

Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

< Previous | Next >

Related Urology Questions
I just noticed a tiny dark spot on the inside of my urethra.
I just noticed a tiny dark spot on the inside of my urethra. Should I get it checked out by a doctor or is it something that will go away on its own?… read more
Dr. Chip
Dr. Chip
M.D.
12,999 satisfied customers
I've been having a slight discomfort in my urethra like
Hi, I've been having a slight discomfort in my urethra like inflammation and my meatus doesn't look like normal as if it's developed little lips. I have now developed a discharge. I've been tested 3 t… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,157 satisfied customers
I have had swelling around the tip of urethra for around 6
I have had swelling around the tip of urethra for around 6 weeks all urinary tests negative and same for stds. Not thrush and antibiotics have not helped … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,700 satisfied customers
I have a slight pain at the tip of the urethra. I don't
I have a slight pain at the tip of the urethra. I don't think it is a std since I get tested regularly and do not have any discharge or increase frequency in urinating. Do you have an idea of what is … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,157 satisfied customers
I have this spot inside my urethra(male). Pretty sure I have
I have this white spot inside my urethra(male). Pretty sure I have had it a long time? Wondering if you had any idea. no pain, no redness, no discharge. I'm trying to figure out how to upload a photo.… read more
Dr. Chip
Dr. Chip
M.D.
12,999 satisfied customers
I empty my bladder, but my urethra(?) still tells me i may
I empty my bladder, but my urethra(?) still tells me i may need to go, when I know I'm empty. … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
773 satisfied customers
I have the following symptoms: Itching/burning in urethra of
Hello,I have the following symptoms: Itching/burning in urethra of my penis and itchy/discomfort in my anus area as well. So far I have no rash on penis and anus.I went to the doctor mid-august for it… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,730 satisfied customers
What is redness inside of urethra but no pain. Like a red
What is redness inside of urethra but no pain. Like a red line … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,700 satisfied customers
I have been having difficulties with my urethra/skenes gland
Hello. I have been having difficulties with my urethra/skenes gland after I thought I was urinating but that was not was happening … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,157 satisfied customers
My ob/gyn told me I have a cyst close to my urethra. So I
My ob/gyn told me I have a cyst close to my urethra. So I scheduled an appointment with an urologist. But in the last 2 days its has got ten times bigger. I think it finally opened. Cause there was al… read more
Dr. Norm S.
Dr. Norm S.
Doctoral Degree
8,191 satisfied customers
Slight burning in urethra when starting to urinate and
Slight burning in urethra when starting to urinate and burning ejaculation. what can this be?… read more
Medicaldoctor
Medicaldoctor
postgraduate resident,MD
Master\u0027s Degree
98 satisfied customers
I have urolume stent in my urethra since 20 years. Iam
I have urolume stent in my urethra since 20 years. Iam having constant UTI I am running out of antibiotic treatments, as microorganisms are getting resistant to I/V and oral treatments. Recently I hav… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,118 satisfied customers
I have a lump inside my penis near or around the urethra and
I have a lump inside my penis near or around the urethra and located about halfway between the base and the tip. It is painful if pressure is put on it but I have no pain or difficulty urinating. I'm … read more
Muneeb Ali
Muneeb Ali
Emergency Medicine
8,691 satisfied customers
This is weird, but what the. I have pain in my urethra Not
I have pain in my urethra Not while urinating. Only happens in certain positions. In bed. Getting up from a chair. Sharp movements left or right. It doesn't hurt much, but it's annoying. I checked for STDs and was negative. … read more
Dr. Chip
Dr. Chip
M.D.
12,999 satisfied customers
Age:23, Gender: Male Ive had an irritated urethra tip for
Age:23, Gender: MaleIve had an irritated urethra tip for well over a year now and am very concerned. It looks like a pair of lips amd just not normal. I think this started after receiving oral sex. I … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,118 satisfied customers
I have stinging pain in my urethra and pain in the back/top
I have stinging pain in my urethra and pain in the back/top of the testes. My urine culture and ultrasound of the scrotum came back negative. Rectal examination showed no prostatits. However, my urolo… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,118 satisfied customers
Does drinking lots of water improve urethra prolapse? What
Does drinking lots of water improve urethra prolapse? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,157 satisfied customers
Been having pain in urethra that came on suddenly and very
Hello Been having pain in urethra that came on suddenly and very strong sense of urgency to urinate. Feel like I have to go but nothing comes out sometimes. Went to ER because middle of back was achin… read more
Dr. K.
Dr. K.
Staff physician
547 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x