Orgasms After Prostatectomy

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B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/24/2007 9:05 PM (GMT -6)   
Can anyone out there comment about absence of orgasm and reduced quality of orgasm after prostatectomy?  I started to research and found some studies showing a pretty large group of respondees reporting lack of sensation at time of climax and different sensation...it seems the mainstream medical sites pretty much only address erectile function.  Thank you; I know I can count on you men out there!
 
Becky

Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery

Full potency, 12th day after surgery
 
 


StrictlyInc
Regular Member


Date Joined Dec 2006
Total Posts : 331
   Posted 3/24/2007 10:07 PM (GMT -6)   
Looking at the info in your signature, if you are already having orgasms, you are ahead of where I was at one month past surgery!

It might help if you describe if you are having erections, and if you are using a vacuum device and/or medication.

For me, my orgasms have been more subtle, and sometimes are difficult to generate, but I think that is partially due to the tension rings I use with the vacuum erection device.
____________________
 
Prostate cancer diagnosed:  May 15, 2006 (age 40)
Gleason score:  3+3=6
daVinci radical prostatectomy:  July 25, 2006
size of tumor:  approx 1.1 inches
post-surgery Gleason score:  3+4=7; negative margins from surgery
number of pads/day at 3 months after surgery:  3 to 5
number of pads/day at 4 months after surgery:  1 to 2
number of pads/day at 6 months after surgery:  0 to 1
1st post-surgery PSA:  0 (Nov 2006)
2nd post-surgery PSA:  0 (Feb 2007)
ongoing post-surgery treatment:  Cialis every other day, Viagra "on-demand", ErecAid pump daily Cialis every other day, ErecAid pump twice daily (when I can manage it)
 


Joes411
Regular Member


Date Joined Mar 2007
Total Posts : 87
   Posted 3/24/2007 10:28 PM (GMT -6)   
Becky, I bumped an earlier discussion on orgasm to the top for you.

Age: 51

PSA  Jun06  4.1  (PSA Jun05  1.2)

1st Biopsy Nov06 – Atypical cells but no cancer

2nd Biopsy Jan07 – 1 of 16 cores positive

Stage T1c   Gleason  3+3=6

 


PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 3/24/2007 10:56 PM (GMT -6)   
I didn't know what to expect in the way of orgasms after surgery and wasn't in a hurry to experience one, because I was unsure of the
effects an orgasm would have on the healng of my insides.
One fallacy I had in mind was that I would no longer be able to feel the contractions of orgasm, which I thought were caused by the prostate contracting.  Not so, though -- the contractions are still there.
Anyway, about four weeks out of surgery, I was doing my prescribed self stimulation to get the blood flowing as best possible and was literally surprsied by first orgasm without my prostate.  It felt pretty much the same -- contractions and everything -- just seemed to last a little longer.  Since then I have had about four or five more orgasms (all without complete erection of course) and they feel great -- not exactly the same -- but about 95 percent the same, to me.
Hope this is encouraging.
 


54 years old

PSA = First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06 (6 out of 8 cores positive), both lobes, Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.

First post-surgery PSA -- Undetectable, 2/20/07

Post Edited (PianoMan) : 3/24/2007 10:13:23 PM (GMT-6)


pcdave
Regular Member


Date Joined Oct 2006
Total Posts : 444
   Posted 3/25/2007 1:02 PM (GMT -6)   

hi becky

my comments are from research rather than experience.  keep in mind that after surgery and eventually after radiation, that there will be no more semen ejaculated.  from what i have read on this website and elsewhere, many men experience much more intense orgasms after surgery, notwithstanding that they are dry orgasms.

dave



68, Biopsy 9/27/06, Stage T1c, PSA 7.1, Gleason 6 [less than 5% in two areas], Gleason 7 (3+4) [less than 20% in third area], negative DRE, bone scan and MRI. Starting proton radiation therapy 2/22/07.

Post Edited (pcdave) : 3/25/2007 3:11:21 PM (GMT-6)


B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/25/2007 2:38 PM (GMT -6)   

Thank you everyone, so far, and Joes411 for bumping the other thread up to the top. HOWEVER,  my husband has experienced diminished orgasmic feelings up to now, although he has not experienced diminished erection ability.  Last night's intercourse produced a slightly better orgasm.  Granted, this was only 25 days post surgery!  We are not complaining!  BUT, my initial research (after the fact of surgery, mind you) is producing studies mainly from the UK and Japan showing that a rather signifcant percentage of men experience either pain upon orgasm, diminished feeling of orgasm or absence of orgasm.  I am including a small excerpt of one study here, and a link to another, and will continue to share my findings.

www.Bmj.com 1997;314:319 (1 February)

Editorials

Surgery, drugs, and the male orgasm

Informed consent can't be assumed unless effects on orgasm have been discussed

William D Dunsmuir, Research fellow,a Mark Emberton, Senior registrar b

a Department of Urology, St George's Hospital, London SW17 0QT, b Institute of Urology and Nephrology, London W1P 7PN

“…In a large, nationally representative study of prostatectomy, about half the men who were sexually active both before and three months after their operation reported altered or absent orgasmic sensation.11 This was most common in men reporting retrograde ejaculation–a side effect of transurethral prostatectomy that can be expected to occur in three quarters of men. A proportion of these men expressed their disappointment and on occasions anger (through free text replies) at not having been warned about this side effect.12 Equally important is the increasing number of men with prostate cancer who are being considered for total (radical) prostatectomy. These men are generally younger than those undergoing prostatectomy for benign disease. Most (80%) will lose their ability to experience orgasm.13


11.    Dunsmuir WD, Emberton M, Neal DE, on behalf of the steering group of the National Prostatectomy Audit. There is significant sexual dissatisfaction following TURP. Br J Urol 1996;77:161A.

12.    Meredith P, Emberton M, Wood C, Smith J. Comparisons of patients' needs for information on prostate surgery with printed materials provided by surgeons. Quality in Health Care 1995;4:18-23.

13.    Koeman M, Van Driel MF, Weijmar Schultz WCM, Mensink HJA. Orgasm after radical prostatectomy. Br J Urol 1996;77:861-4.

 

LINK TO ANOTHER STUDY:  Orgasm after Radical Prostatectomy--   

http://www.blackwell-synergy.com/doi/pdf/10.1046/j.1464-410X.1996.01416.x?cookieSet=1

 


Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery

Full potency, 12th day after surgery
 
 


PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 3/25/2007 6:47 PM (GMT -6)   
Hi B&B -- A few thoughts.
 
Your husband's progress with the erectile and incontinence issues is remarkable, considering that he is only about a month out of surgery.  I had a 95 percent erection about two weeks out of surgery and it has not happened since.  Orgasms do happen though.
The nurses at City of Hope explained that as the internal swelling goes down and the area (including the spared nerves) heal, things change once again.  We may feel funny sensations from time to time, which I have.  Some days I feel as though I never had surgery.  Others, I feel sensations like a finger trying to poke its way out of the area where my prostate used to reside.  It can be anywhere from just behind my scrotum, straight back and continuing to right above the crack of my you-know-what.  It's like a gentle tap tap tap thing.

My theory is that when the nerves are spared and are no longer attached to a prostate, they become ships without rudders (or vice-versa), wondering what they are supposed to do next.  And they do funny things.
One fallacy I've discovered in talking to guys who have not been through PCa is they think we lose sensation in our penis, which we do not.  Another is that you cannot achieve orgasm without an erection, which is false.  (I guess some guys never had enough drunken sex in their lives -- LOL!  
 
On the lighter side, I keep alluding to the idea that we PCa suriviors are now more like women in so many ways.
!) Like women, we have only one sphincter to control our urethra, which means we can experience incontinence in varied degrees
from laughing too hard, sneezing, etc.
 
2) We can pee on command much faster and easier than in the past.  A dentist friend of mine and fellow PCa survivor recently said to me, "When you're in a public men's room, you can always tell which guys have had their prostates out -- they just let it rip while the other guys stand at the urinals, trying to work things out."
 
3) AND MEN -- SINCE WE NOW HAVE DRY ORGASMS, WE CAN FINALLY "FAKE IT" TOO!  THERE'S NO NEED FOR US TO DELIVER PHYSICAL EVIDENCE ANYMORE!!  We can just say, "Ooh, aah, Ooh, ahh," and do a few Kegels at the alleged time of climax and she'll never know the difference!
But that's a secret fellas!  Keep it under wraps!  LOLOLOLOLOL
Love ya,
(Hope I don't get thrown out of here.)


54 years old

PSA = First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06 (6 out of 8 cores positive), both lobes, Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.

First post-surgery PSA -- Undetectable, 2/20/07

Post Edited (PianoMan) : 3/25/2007 5:55:20 PM (GMT-6)


Bob116
New Member


Date Joined Dec 2006
Total Posts : 15
   Posted 3/25/2007 8:40 PM (GMT -6)   
Hi B&B
Although I have yet to have a full erection I have experienced 5 dry orgasms. Basically the same as Pianoman. After the first one there was a period of about 4-5 hours of pain in that area which my surgeon told me would happen but that has reduced with each session. The intensity is very good.
It is great that you two can have relations in a normal manner. To regain your intimacy with your spouse is wonderful.
Congratulations!
Bob
Diagnosed 12/14/06
Age: 54
Gleason 6
PCA - Positive
PSA 5.3
Biopsy 3 of 12 positive
T1C
Right Lat Mid - Gleason 3 + 3 = 6 - 4% of specimen
Right Lat Base - Gleason 3 + 3 = 6 - 5% of specimen
Left Base - Gleason 3+ 3 = 6 - 5% of specimen
RRP 2/20/2007


B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/25/2007 10:55 PM (GMT -6)   

Gentlemen, I commend you! 

Who of you ever thought that "sex toys" would be prescribed by doctors...that you would be proud of peeing like racehorses next to your unamended counterparts in the urinals...that you would experience exquisite feelings without benefit of the priapus you thought was so important, once...

None of it really matters, except for a tender look of love in your direction, a broad smear of yellow, pasted on the hills in Spring, and a fresh, brightly inhaled breath as you survey your domain, each in your corner of the world, hurrah!

Becky

 

 


Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery

Full potency, 12th day after surgery
 
 


M. Kat
Veteran Member


Date Joined Jul 2006
Total Posts : 715
   Posted 3/26/2007 7:29 AM (GMT -6)   
Pianoman, you are making me laugh too much this morning! Becky, Jeff says his orgasms are better than before - more intense and longer, and there are still contractions. we both like the fact that there is no semen....no mess! He says somedays he has the sensations of getting an erection, other days he doesn't. I think it's great to read all the research, but realize that we are all a little different from each other. I know the people who wrote the article are experts, but I've never heard that 80% of men will lose the ability to have an orgasm after surgery. I'm glad I hadn't read that before! hang in there and keep doing what you can; heck - it's just been a month. :) kat
Husband Jeff 56 years old diagnosed July 27, 2006
PSA 6.5, 2 positive areas in biopsy, Gleason 3+3=6
Radical Retropubic Prostatectomy August 30, 2006
pathology report - all clear - cancer gone
1st post-surgery PSA test <0.1, 2nd post-surgery PSA test <0.1, 3rd PSA <0.1
no more pads Oct 12, 2006
first "real" erection with use of pump 12/16/06
3/07 - occasional dribbles and erections with Cialis and pump


B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/26/2007 9:35 AM (GMT -6)   
Thanks M.Kat and everyone...I still have research to do...the quoted study was done in 1996; who knows how many had nerve sparing in it, and perhaps the study was conducted of men who already had complaints.

However, I am surprised at the lack of discussion about quality of orgasm on the websites devoted to prostate cancer education.

You are so right about how different each of our husbands are recovering!

B's doctor never mentioned use of a pump; only daily Viagra. He and all the suppport staff were quite insistent that it be used every evening. We were told to use Viagra, but no one talked about stimulating the organ. I have learned so much in here. Because of this site, I realize how important stimulation is to recovery.
 
Since first intercourse on Mar 11, we have been having sex every other day---a step up from pre-PCa for these 50+ year olds! According to B, the sensations are excellent up to the point of no return, then there are the contractions of orgasm, but they're "empty".  He noted some better feelings during the orgasmic contractions at last sex on March 24.

Becky


Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery

Full potency, 12th day after surgery
 
 

Post Edited (B&B's World) : 3/26/2007 8:47:31 AM (GMT-6)


daveed
Regular Member


Date Joined Jul 2006
Total Posts : 172
   Posted 3/26/2007 10:33 AM (GMT -6)   
Becky and Pianoman
 
Ouuuutstaaaanding Pianoman!!!!!!!!!!!!!
never thought of the fake orgasm. Boy will this get us out of future tight spots.
One of the problems regarding urinating without a prostate is the backsplash. I have to be careful because the stream is so powerful i get a lot of backsplash from the urinals which gets on my pants.
Becky: except for the incontenence and waiting for ED recovery I would recommend eveyone get rid of the prostate. My orgasms are a lot more intense than pre surgery. My whole body feels like it is convulsing at the climax now, not just the penis. Added benifits, no gagging, wet spots or clean up from M***tion. You just zip up, done, no muss, no fuss,thank you very much!!! 
 
Hope this helps your research tongue tongue tongue tongue tongue tongue tongue tongue
Diagnosed March 06
PSA 4.4
Two biopsies. One core of each 5% cancer, two suspicious
Gleason 3+3=6
DaVinci surgery Nov 1, 06
Cancer confined to prostate
Ist PSA 6 weeks post op less than 0.02
 


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 3/26/2007 5:55 PM (GMT -6)   

Responding to posting on pcdave’s  help thread re: taking polls!

 

Hey Becky,

There may be something in these.. but not sure….  I will be placing a special note on the Helpful Hints page to remind members that titles with specific info in them… helps when searching for them in the future.  I have found it very difficult to find some things I know are there….

Hope this helps!!  J Lee

 

Links… click on Refresh when you get there

Sex After Radical Prostatectomy - HealingWell.com Forum

Sex and Incontinence - HealingWell.com Forum

just found out - HealingWell.com Forum

Vacuum Erection Device Recommendations - HealingWell.com Forum

Introduction to Prostate Cancer - HealingWell.com 

Recovering from Robotic Prostatetectomy - HealingWell.com Forum

Total Incontinence After Prostatectomy - HealingWell.com Forum


mama bluebird - Lee & Buddy… from North Carolina

Link to our personal journey…>>>     Our Journey ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy with "wide excision"

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

2nd PSA 02-06-2007 Less than 0.1 Non-Detectable :)

Post Edited (bluebird) : 3/26/2007 4:58:16 PM (GMT-6)


B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/26/2007 11:13 PM (GMT -6)   
Thank you, Bluebird!
I noticed that there are two search buttons in here, the "search site" on the top and the "search" on the slightly lower right. I am not sure if there is a difference,  but I have been trying to use the lower right. Thank you for your guiding hand, always appreciated.
Becky 

Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery

Full potency, 12th day after surgery
 
 


Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 3/27/2007 8:25 AM (GMT -6)   

Hello folks,

Mind if I put in my two cents? Unlike most of the guys have replied to you Becky, my surgery was over 3 1/2 years ago. Chances are you haven't read any of my post concerning this subject because they are so old. So I may be repeating myself to some of you long timers, I'll take that chance if it helps out the newbees. I didn't have a doc that told me anything about what to expect after surgery or maybe I was in a state of shock and didn't pay attention. No Viargra, no pumps, no theropy at all and although I was lucky that I didn't have any problems as far as leaking and didn't use pads after the first week, I had no idea what the future had instore for me. I didn't belong to any online forums like this one so I was totally ignorant when it came to my post RP heath. I was able to get a usable erection by 3 months when the doc said it was OK to have intercourse. My 1st orgasm scared the crap out of me! and it did hurt a little, especially inside where my prostate used to be. I had all the contractions and yes, it did last longer but I wasn't sure that I enjoyed it compared to presurgery. Something was missing! My story gets way too involved to tell y'all about here and now so I'll make it short. I went into a severe depression which lasted about 3 years when there was hardly any sex at all and twards the end none! It turned out to be low testosterone causing all my problems which thanks to my friend Swimom, I've finally got under control. I thought my penis was done! through dealing! shriveled up little hard nub that was going to be useless for anything except peeing! I was wrong! I'm back and it grew back! Granted not all the way but I'm happy w/ what I have and so says the Mrs. My orgasms are now fantastic! I am learning how to use and control them and the length of them is almost unbeleivable. I get so out of breath as I try holding it like I used to. It takes practice but I can get them to last an estimated minute! I never timed them. I don't have any contractions like I used to, you know that pumping feeling like something is going to come out but I have never enjoyed sex more! I'm not sure how my testosterone replacement has effected this but I'm only back to a low average range now. Well I hope this helps! I'd be glad to answer any questions if you have any.

Your friend,

 Pete  


54 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. Testosterone Theropy since 12/06, Erect, Dry & Lovin Life!!! I am's what I am and that's all that I am!!! 


B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/27/2007 10:13 AM (GMT -6)   
Dear Pete, I am most grateful for your information. You were about the same age as my husband when you had your surgery. I am happy to see that you have not had a reoccurance of PCa. Your post makes me think that I want to know more about low testosterone; it seems that several of the guys in here suffer from it...why? Does it have anything to do with PCa treatment? Actually, I wouldn't mind hearing the long version about "something missing", because that was what prompted the creation of this thread! The other thing your post punctuated is the difference in orgasmic feeling after prostatectomy. Most men, so far, have reported extended orgasms, even if the feeling is altered (most, to the better I think). Some of the studies I have perused talk about how much orgasm sensation is felt from the brain.

I think I will start a poll to find out whether the doctors addressed the possibility of altered orgasmic function after surgery.

Again, I so appreciate your sharing such personal information...it really, really helps.

Becky

Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery

Full potency, 12th day after surgery
 
 


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1727
   Posted 3/27/2007 12:51 PM (GMT -6)   
Becky,

If you read the different hypogonadism causes in here, everyone appears to have a different reason. Paul had cancer, Biker's is from a congenital problem and Pete....well lets just say Pete thought he was a crash dummy as a younger man. The vhicles didn't hold up well but Pete sure did! Not sure about the other 2-3 guys.

Swim

Samphl
New Member


Date Joined Mar 2007
Total Posts : 1
   Posted 3/27/2007 10:14 PM (GMT -6)   
Group:
 
I have finally stumbled onto this chat forum, having searched for some time to find others dealing with these post prostatectomy issues.
 
I had a Gleason 3+3, T1C small tumor removed by DaVinci system in 1/06, so I'm just over 1 yr out.
All my PSA numbers are, clinically, zero.  So that's good.
 
Continence fine...still have light pad and very minor mostly "stress" leakage, but for the "ease" of urinating now, it's a small price to pay after years on Flomax.
 
Reading the posts, I am in the group with "no problem" on orgasm...very intense and, generally satisfying.
 
My question is more one of mechanics: even with Viagra (and recently, Levitra) at "hi" dose levels (100 Mg Viagra, 20 mg Levitra), my erections are 50 -75% at best. (By the way, had very bad headache on Levitra and probably won't continue with it).
 
So...while we CAN get to orgasm, it isn't easy to manipulate and make it happen.  And...there's some leakage of urine when it does.
 
I have the vacuum pump, but haven't tried it yet.
 
Any comments from the "pump" users?  Would it be easier to stimulate using the "pump" for better erection?
 
Thanks...I'll try to help others with my story as well, if any are interested.

Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 3/28/2007 6:58 AM (GMT -6)   
Becky,
To answer your question about something missing let me start by saying your husband is doing GREAT so far! There is still a lot of healing going on "down there" and it will take some time before he gains full feeling back from those nerves that were disterbed. But he will, I'm sure of it! The "empty feeling" he describes is understandable. We guys were used to exploding at the end and delivering "the goods" if you know what I mean. Now that that part is gone, I'm sure he feels the "something missing part" I was talking about. Now I beleive we have to relearn how to enjoy this new and different orgasm that we have. It gains speed much slower than it used to and does not just end like it used to either. His orgasms will continue to get better and better as he heals. Most of the guys I've talked to say it lasts longer and as I said it certainly does for me. The peak can last longer also although it may not be as intence as before with the ejaculation and all, the sustained orgasm makes up for it for me anyway. Some guys including myself morned the loss of our ejaculation and miss it and some guys don't. But we must get over it because its gone and for me over time I also lost the contractions or "dry heaves" that I used to experiance. After time and much practice, I've learned to use what I have and suprisingly it has become wonderful for me. Like I said, I enjoy sex more now than ever, its different but learning how to ride that orgasm has changed everything. Now as long as I heart can handle these new long powerful and extreamly pleasurable orgasms, I'll be fine. I hope this has helped you and your husband, it certainly isn't an easy thing to describe. Please Becky, if I've said something you don't understand, ask me and I'll try to reword it for you. Have fun and keep practicing, your husband will be fine. It takes time, but he will be fine.
Your friend,
Pete
54 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. Testosterone Theropy since 12/06, Erect, Dry & Lovin Life!!! I am's what I am and that's all that I am!!! 


B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/28/2007 9:33 PM (GMT -6)   
Dear Pete,

I am so appreciative of you right now! I just read both of your recent posts to my husband, and he laughed along with me; I could hear some relief in his! I invited him to visit this place of comfort and, by gosh, I think he will soon.

You have done a wonderful job in describing what is obviously difficult to do even in the most normal of circumstances, so candidly and kindly.

Kindest Regards,

Becky


Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery

Full potency, 12th day after surgery
 
 

Post Edited (B&B's World) : 3/28/2007 10:47:04 PM (GMT-6)


1588ap
Regular Member


Date Joined Feb 2007
Total Posts : 32
   Posted 3/28/2007 10:25 PM (GMT -6)   
yes quality is decreased after surgery, for me--1 I can't get it up but 2 a muscle spasm is possible--this is 30 days post op w/ no meds
-g------ps muscle spasm feels very similar but no ejectulate---just the facts jack--better than cancer multiplying
Age 47 excellent health
First PSA test ever 12/06 was 17.2
Biopsy - Gleason 3+4=7 involving all core biopsies 80% on right and 30% left
DaVinci 2/28/07
Post-op biopsy-Gleason 3+3=6 Stage 3Tb
Lupron shot 3/15/07, no PSA level yet.


B&B's World
Regular Member


Date Joined Mar 2007
Total Posts : 120
   Posted 3/28/2007 10:42 PM (GMT -6)   
Okay, 1588ap, you are only 30 days post surgery, just about where we are. What I want to know is, why aren't you using meds? Our doc said it is very important to get the blood to the organ--very important--what did your doc say? Also, aids told us that some men don't like to take the meds, so are you using a pump? Thanks for your post.

Becky

Age 51

Gleason 3+3

PSA from 3.2 to 4.3 in one yr

Biopsy 11/06

DRE negative

4 of 12 cores positive, one lobe, less than 10%

Inflammation only second lobe

Stage T1C Clinical Dx

PSA prior to surgery: 3.9

Da Vinci Prostatectomy 2/27/07:

PCa in BOTH lobes 5-10% of gland

Gleason 3+3

Negative tissue margins

Bladder, seminal ves, vas deferntia negative

Two inguinal hernia repairs

Catheter removed 1 wk after surgery

Full continence (no pad needed) 1 wk after surgery

Full potency, 12th day after surgery
 
 


puget
Regular Member


Date Joined Mar 2007
Total Posts : 237
   Posted 3/29/2007 6:33 PM (GMT -6)   
I'm registered with the website and have posted comments and questions. Thanks so much to all of you for the valuable information. I'm still anxious and conflicted about my treatment options but am working through it. I am interested in starting my own thread. I'm pretty computer illiterate and haven't fugured out how to do that. Can someone walk me through it? THANKS.

Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 402
   Posted 3/29/2007 7:07 PM (GMT -6)   
up at the top of any thread, on the left, immediately above where the message starts there are three gray "buttons" ... one of them is "new topic".

Click on that and it will open a brand new thread ... put in your topic in the title area that will pop up then post your question, etc. It will show up as a new thread.

Tanya
Significant other diagnosed: 10/30/06
PSA: 3.7 (up from 3.4 prior year)
Gleason: 3+3
Biopsy: 1/10 positive, 5% cancerous, right apex.
Da Vinci Scheduled: 4/10/07


Izzyblizzy
Regular Member


Date Joined Oct 2006
Total Posts : 402
   Posted 3/29/2007 7:09 PM (GMT -6)   
P.S. just noticed the same buttons are at the bottom of every thread too, so you can click "new topic" here too (at the bottom of a thread) and start a new thread.
Significant other diagnosed: 10/30/06
PSA: 3.7 (up from 3.4 prior year)
Gleason: 3+3
Biopsy: 1/10 positive, 5% cancerous, right apex.
Da Vinci Scheduled: 4/10/07

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