PSA from 3.2 to 4.3 in one yr
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
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
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
54 years old
PSA = First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1
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)
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.
Post Edited (pcdave) : 3/25/2007 3:11:21 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)
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--
Post Edited (PianoMan) : 3/25/2007 5:55:20 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!
Post Edited (B&B's World) : 3/26/2007 8:47:31 AM (GMT-6)
Responding to posting on pcdave’s help thread re: taking polls!
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
Link to our personal journey…>>> Our Journey ~ Sharing is Caring
Post Edited (bluebird) : 3/26/2007 4:58:16 PM (GMT-6)
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.
Post Edited (B&B's World) : 3/28/2007 10:47:04 PM (GMT-6)