I went back for my yearly checkup with my urologist in December. I have considered a penike implant for some time, had my list of questions for him. We talked, he answered all of my 15+ questions, and now wants me to try sildinafil (generic viagra) for a while to see if it works. He said that since I get erections every night, that indicates my nerves have healed and I should be able to maintain an erection hard enough and long enough for sexual intercourse. I have had large, hard erections with the pills, just not when my wife and I try to have sexual intercourse. I wake up at night with them! I have all the side effects from the pills except for staying hard for 3-4 hours. I get the stuffed up nose, rapid heartbeat, and headaches, etc. Have any of your doctors suggested trying the pills instead of the implant, when that is what he talked about for the past two years? He said I should be able to get hard and stay that way for intercourse and have orgasms as a result. Do I have a mental block about being able to get hard when I'm with my wife? Any suggestions?