Ejaculation without prostate

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Ragman365
New Member


Date Joined Dec 2012
Total Posts : 4
   Posted 12/22/2012 8:15 PM (GMT -7)   
I had my prostate removed recently and have developed some curiosities about sex after surgery. Since the majority of the ejaculant before surgery came from the prostate, what does the ejaculant look like after surgery. What does "coming" feel like? Is there pre-cum? Will I need lube from hereon in? Should I wear a condom in case of dribbling during intercourse?

Told you I'm curious. Thanks for your help.

mspt98
Regular Member


Date Joined Dec 2008
Total Posts : 304
   Posted 12/22/2012 8:23 PM (GMT -7)   
There is no ejaculate after prostate surgery, you have dry orgasms. The only dribble may be from urine, sometimes that happens after prostate surgery, but it didn't happen to me. The orgasms feel different, more prolonged and intense. That's how it is for me anyway.............
My age= 52 when this all happened.
DRE=negative,
PSA went from 1.9 to 2.85 in one year, biopsy ordered,
Second biopsy on 08/14/08 found 2/12 cores positive for CA on R side, 1 core=5%CA, other core=25% CA, Gleason score= 6 both cores,
Bilateral nerve sparing robotic surgery on 09/11/08, pathological stage T2A,
No signs of spread, organ confined,
6 0's in a row, still use trimix for ED

IronReb
Regular Member


Date Joined Oct 2012
Total Posts : 172
   Posted 12/22/2012 8:36 PM (GMT -7)   
Your Cowpers gland can still produce a little slime too. So don't be suprised if you see a little of that as well. But that fluid will be inert as far as pollination goes. I would say my orgasms are a little muted, and different, not quite as intense. But they are satisfactory. Just and odd experience pumping out of a dry well.
Age 54 on DX
1st PSA 8.2 Biopsy negative 2010
80cc gland
PSA 11/11 8.7, 3/12 9.1
04/2012 Biopsy: 1 of 12 positive, another 2 suspect
Gleason: 3+3=6
DRE normal
DaVinci: 7/12
Path: G7, Contained, NoMargins, multiple suspicious spots
No incontinence
No ED
PSA 9/12=0.00
me

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24336
   Posted 12/22/2012 8:46 PM (GMT -7)   
Your surgeon should have told you all this in advance, with prostate removal surgery, you will never have ejaculate again. Only dry orgasms. If you cowper's gland is left, some are removed, some not, you could get small amounts of pre-ejaculate (the lubrication part for the urehtra). some guys do, some don't.

as for me, orgasms are so much better, than ever before surgery, once i got use to the dry part. they are very intense, and last probably 3 to 4 times longer. i personally have no complaints in that department.

david in sc
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incont & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA 4/12 = 37.x
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries
Member of Prostate Cancer & Chronic Pain HW Communities since 10/2008
“I live in the weak and the wounded” – Session Nine (Movie)

Ragman365
New Member


Date Joined Dec 2012
Total Posts : 4
   Posted 12/22/2012 9:25 PM (GMT -7)   
Thanks guys... I'm new in this area gas of 5 weeks but I wanted to get educated since I can't do anything else. One other question... how long before you attempted your first ejaculation? AND, is it true that the first one can be painful?
Thanks again.

IronReb
Regular Member


Date Joined Oct 2012
Total Posts : 172
   Posted 12/22/2012 9:37 PM (GMT -7)   
For me, 4 weeks and not painful, The erection at the time was not yet usable either, probably just a little over halfway there. We was just frolicking around so I could test juniors response. Next thing I know, I was getting that old familiaar feeling and I was so confused/scared/excited all at once, I didnt know whether to continue or ice him down. I figured what the heck, and before I could say OooWeee, it happened. It was such a shock, I dont remember all of how it felt, but it was in no way painful. As the erections became more normal, there were times the erections felt like they were stretching stuff that wasn't ready for stretching, but again no pain.
Age 54 on DX
1st PSA 8.2 Biopsy negative 2010
80cc gland
PSA 11/11 8.7, 3/12 9.1
04/2012 Biopsy: 1 of 12 positive, another 2 suspect
Gleason: 3+3=6
DRE normal
DaVinci: 7/12
Path: G7, Contained, NoMargins, multiple suspicious spots
No incontinence
No ED
PSA 9/12=0.00
me

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24336
   Posted 12/22/2012 9:38 PM (GMT -7)   
i was one of the lucky few, zero ED after surgery. i was on my orignal catheter for 63 days after surgery, and was having "wood" with the catheter in place, even had 2 orgasms with the catheter (though wouldn't reccomend that to anyone). never had any pain associated with sex after my surgery. sure different guys will have different stories about this question

david
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incont & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA 4/12 = 37.x
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries
Member of Prostate Cancer & Chronic Pain HW Communities since 10/2008
“I live in the weak and the wounded” – Session Nine (Movie)

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3278
   Posted 12/22/2012 9:45 PM (GMT -7)   
Hey Ragman, Welcome to Healing Well.
I had both nerve bundles removed and the Cowper's gland as well (I guess). My orgasms feel exactly the same as before. I even get the same pulsing but nothing comes out. They are dry.
There is no mess! You can orgasm on and in anything or anywhere and not leave a trace. You just became the perfect partner! ;-)
Jeff
Age: 60, Mar 37 yrs, 56 dx, PSA: 4/09 17.8, 6/09 23.2
Biopsy: 6/09 7 of 12 Pos, 20-70%, Gleason 4+3 Bone, CT Neg
DaVinci RP: 7/09, U of Roch Med Ctr
Path Rpt: Glsn 3+4, pT3aNOMx, 56g, Tumor 2.5x1.8 cm both lobes and apex
EPE present, PNI extensive, Sem Ves, Vas def clear, Lymph 0/13
Incont: 200ml/day ED: Trimix
Post Surg PSA: 10/09 .04, 7/10 <0.01, 7/11 <0.01, 1/12 <0.02
AdV Sling 1/10/11 Dry

HighlanderCFH
Veteran Member


Date Joined Dec 2012
Total Posts : 677
   Posted 12/23/2012 2:52 AM (GMT -7)   
Hi Ragman,

As you can see, there are variations among different patients because every case, and every person, is different.

In my case, I ejaculated a lot of urine for a few months after my prostatectomy. This is not uncommon and does clear up as time goes on. I have the same feeling with orgasm as before my surgery -- and actually MORE pleasurable than before.

Also, in my particular case, I DO have an "ejaculate." Others have mentioned the Cowper's glands. Mine were retained in my surgery. These two pea-sized glands produce the clear lubrication that everyone is familiar with. In most cases, there is a little bit of this fluid that comes out during orgasm.

I guess I'm one of the luckier ones because probably two out of every three of my orgasms produce a HUGE amount of this fluid -- which almost makes it feel as if I'm still producing semen. Naturally, I am not producing semen, but the large quantity of this fluid almost makes up for it.

Without going into too many details here, my girlfriend recently experienced one of those orgasms and was quite pleased and amazed. She also confirmed that it was all lubrication and no urine content.

So for anyone who is wondering about their post-op state of affairs, please be aware that it IS possible that you will still have some form of "ejaculate," depending on the Cowper's glands. And the sensation of orgasm, whether dry or not, is usually more pleasurable then before surgery.

Take care,
Chuck


7/11 PSA 6.41 (4.1 2009) DRE-BPH,no lumps PCa Dx 8/11 age 62 adenocarcinoma 3/20 cores,T2C Glea 3+3 DaVinci prostatectomy 11/1/11 Mayo Clinic, nerve sparing Dr. Matthew Tollefson-highly recommend! Pathology-tumor confined to prostate 5 lymph nodes, seminal vesicules, extraprostatic soft tissue negative 1x.6x.6 cm mass involving R post inferior, R post apex, L mid post prostate R post apex margin involved by tumor over .2 cm length
Catheter out 7 days, no incontinence
Post-op exams 2/13/12, 9/10/12, PSA <0.1
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6. CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62

JAVGuzzi
Regular Member


Date Joined Nov 2012
Total Posts : 270
   Posted 12/23/2012 3:57 PM (GMT -7)   
Purgatory said...
as for me, orgasms are so much better, than ever before surgery, once i got use to the dry part. they are very intense, and last probably 3 to 4 times longer. i personally have no complaints in that department.

david in sc
 OK, so maybe CyberKnife was a bad choice for me after all ......despite the lack of complications.
Diagnosed 9-2010 G6 , PSA 5.0 , @ 62 y/o
Second biopsy 1-2011 G7 , PSA 3.7 ( went off "T")
Cyberknife Treatment 4-2011
PSA 7-2011 0.9
PSA 11-2012 0.7

Ragman365
New Member


Date Joined Dec 2012
Total Posts : 4
   Posted 12/23/2012 6:20 PM (GMT -7)   
Thanks guys... what a support you have been for me. Now, to get this straight... nerve bundles, etc gone means no hard-on BUT you can still have an orgasm? How is that possible?

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3278
   Posted 12/23/2012 6:25 PM (GMT -7)   
I have no idea but that's what I've got. Both bundles removed but nice orgasms. And surprisingly the orgasms feel just like before. I'd swear there was a mess to be had but, nope, dry as a bone.
I know of one guy who had both bundles removed but can still have erections.
Jeff

HighlanderCFH
Veteran Member


Date Joined Dec 2012
Total Posts : 677
   Posted 12/23/2012 9:22 PM (GMT -7)   
The nerve bundles are required to produce natural erections. However, an erection is NOT required to have an orgasm. Nor is an ejaculation. The orgasm, itself, is just a series of muscular contractions -- something that is possible with or without erection.

Chuck

7/11 PSA 6.41 (4.1 2009) DRE-BPH,no lumps PCa Dx 8/11 age 62 adenocarcinoma 3/20 cores,T2C Glea 3+3 DaVinci prostatectomy 11/1/11 Mayo Clinic, nerve sparing Dr. Matthew Tollefson-highly recommend! Pathology-tumor confined to prostate 5 lymph nodes, seminal vesicules, extraprostatic soft tissue negative 1x.6x.6 cm mass involving R post inferior, R post apex, L mid post prostate R post apex margin involved by tumor over .2 cm length
Catheter out 7 days, no incontinence
Post-op exams 2/13/12, 9/10/12, PSA <0.1
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6. CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24336
   Posted 12/24/2012 8:41 AM (GMT -7)   
JAV - nothing i said mentioned anything about cyberknive, i know nothing about that procedure, was only describing orgasms for me post surgery and post radiation.

rag - yep, strange as it seems, you can clearly have orgasms without any errections, doesn't make sense, but it works for most

david
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incont & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA 4/12 = 37.x
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries
Member of Prostate Cancer & Chronic Pain HW Communities since 10/2008
“I live in the weak and the wounded” – Session Nine (Movie)

Ragman365
New Member


Date Joined Dec 2012
Total Posts : 4
   Posted 12/24/2012 9:55 PM (GMT -7)   
Thanks for the support... this is all verrry new to me and, since I have always been a very sexual person, somewhat unsettling. I'll let you know how my recovery from this whole episode turns out.
MERRY CHRISTMAS everyone!

(Now that may not be politically correct anymore but that's the way I feel.)

HighlanderCFH
Veteran Member


Date Joined Dec 2012
Total Posts : 677
   Posted 12/26/2012 4:56 PM (GMT -7)   
Things will probably get better & better as time goes on. I also have been a very sexual person (a couple hundred girls over the past 30 years would attest to that, LOL). I'm over a year out now and erections, with the help of some Cialis, are beginning to return. In the meantime, as noted in my prior post, the orgasms are even better than before the surgery.

It might be somewhat "different," but just as pleasurable. So you have a lot to look forward to as time goes on and the healing continues.

On another note, I truly appreciate your Merry Christmas wishes. This is still America and there are more people offended when some TV ad says "holiday" than those truly offended when someone says "Christmas." After all, it IS the reason for the season and the good cheer is intended for everyone.

Merry Christmas to you Ragman and everyone.

Chuck

NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 421
   Posted 12/27/2012 12:30 PM (GMT -7)   
I am 5 1/2 years post op from robotic surgery and I wish I had dry orgasms like most say they have, but I ejeculate urine like a fire hose.   A side affect the docs don't tell you about before surgery.
 
I was very lucky in that from the day the catheter was removed, I had no ED and I was getting rock solid erections without any drugs, and after 6 months I even started waking up every morning with a spontaneous solid erection, which I still have to this day.
 
With respect to orgasms, I find them not anywhere near as intense and long lasting as before surgery, but when I do have an orgasm now, the momentary contraction is so great , that I can hit the cieling when I ejeculate urine.  No matter if I try to empty my bladder right before sex, I still ejeculate some urine during orgasm and with a lot of force. 
 
The urologist says, not to worry, urine is steril and won't hurt your partner if you get some in her, but just try telling that to a woman!!!!!
 
One thing kind of comical is, when I had my prostate, I would just dribble seman during orgasm, there was no real force there.  Now without my prostate, I can ejeculate urine across the room with a good orgasm. :) Figure that one out. 
 
 

Post Edited (NY-Sooner) : 12/27/2012 11:35:40 AM (GMT-7)


HighlanderCFH
Veteran Member


Date Joined Dec 2012
Total Posts : 677
   Posted 12/27/2012 6:21 PM (GMT -7)   
Is there anything that can be surgically done for you, NY-Sooner? I have one friend who had his prostate removed, but had a terrible incontinence problem. So the doctor installed an artificial sphincter that is connected, believe it or not, to an activating device placed inside his scrotum.

He said that all he has to do is aim & press in on the button & he quickly empties his bladder.

I don't know how this would work with an orgasm, but it would seem that the artificial valve would block urine from being ejaculated -- unless someone's finger happened to hit the wrong spot. Sorry about the unintentional humor there.

Anyway, it would seem like this could be an answer for you.

Do you have any problems with leaks at all? If so, you might be a candidate for this type of procedure.

Good luck!
Chuck

NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 421
   Posted 12/28/2012 7:17 AM (GMT -7)   
HighlanderCFH,,,,,I am continent about 99% of the time and only leak during stress like passing gas or caughing o lifting something heavy. 
 
On the other hand, when I get sexually aroused, I am totally incontinent.   I can actually feel my splinkter muscle start to relax and I will start to drip uncontrolably.  It is really frustrating because I have put towels down so I don't drip on the bed and I have to be carefull not to drip on my partner. Even if I try to empty my bladder before sex, I still will drip a little.  My uro says I just have to live with it. I know about the surgery but I think since I don't leak other then when having sex, they would not preform this surgery on me because I don't qualify as incontinent.  
 
If I am going to ejeculate urine, then at least let it look like seman.  I have been looking for a way that I can change my urine color to white by maybe by drinking some colored  liquid or something. Well at least if I am going to ejeculate liquid, at least let it look white like seman :)
 
The only solution I have found is to drink a lot of water an hour or so  before sex so at least my urine is diluted and there is no smell.  Also staying my back and letting my partner be on top helps a lot because gravity helps the urine from dripping.  Other then that I just have learned to live with it.   

HighlanderCFH
Veteran Member


Date Joined Dec 2012
Total Posts : 677
   Posted 12/28/2012 3:38 PM (GMT -7)   
Hi,

You might (unless you already have) visit other urologists and ask about this surgery. Could be that the sexual problem might be enough to qualify you for the surgery. I'm not sure, but I do not think it is an extremely complicated procedure -- nothing life threatening, etc. So there could be surgeons out there who would do this for you.

I don't recall the specifics from what my friend had told me, but it did not seem like a huge thing when he had this performed.

Anyway, just thought I'd mention it in case it might be helpful.

Good luck,
Chuck

HighlanderCFH
Veteran Member


Date Joined Dec 2012
Total Posts : 677
   Posted 12/28/2012 5:24 PM (GMT -7)   
Hi NY-Sooner,

Regarding the possibility of surgery as we've discussed -- I just happened to be looking at an article that you can find at: http://www.healthy-male.com/male_incontinence.html.

When you find this article, scroll down to the very end and you'll see an illustration & some comments.

Don't know if this will be of any help to you, but I wanted to let you know about it anyway.

Thanks,
Chuck
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