Spraying Urine

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Regular Member

Date Joined Oct 2007
Total Posts : 300
   Posted 5/4/2008 8:45 AM (GMT -6)   
I am about three months post-op. I am using the VED for intercourse. I spray a lot of urine during orgasm.  I read about other guys on the forum having the same trouble.  I read where this is caused by damage to the internal spinchter during surgery.  Does it go away with time or is it a permanent thing? Anyone out there had this problem where improvement was noted over time.  The rings restrict it sometimes.  I am scheduled for the shots in a couple of weeks and I am afraid that without the constriction rings,  it will become a real problem.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Gleason 7 (3+4)
1 positive margin (.3cm)

Regular Member

Date Joined Feb 2008
Total Posts : 467
   Posted 5/4/2008 9:54 AM (GMT -6)   


I use a pump, but only for therapy.  Started with injections about 10 days ago and still experimenting to find the right dose for me.  Have not tried sex yet with injections, as I want to make sure the erection is sufficient and that the urine situation, if present, is accounted for, so my wife does not freak out.

So far, two of the three times I injected I did not leak urine.  Did not stimulate the penis either, mind you, just injected to see what kind of erection I would get (around 80% at a 0.2ml dose of 30/1 bimix).

The other time I injected I leaked quite a bit of urine.  Went to the doctor Friday to ask a series of questions.  Copied and pasted below the part of my doc visit summary that deals with this topic:

Leaking urine while erect - Did not have this problem the first two times I used injections, but did have it the most recent time.  He said it is not uncommon.  Things he suggested to minimize this unpleasant situation:
1. Urinate several minutes before injecting.
2. Significantly reduce fluid intake the last couple of hours before injecting.
3. Try an Actis Venous Flow Controller.  The Actis device is an adjustable, reusable ring that can be tightened as much or as little as needed.  Designed for men with venous leakage to help them with ED, it also compresses the urethra and therefore does not allow much if any urine to escape.  Here is a link to info about using this device - http://www.phoenix5.org/sexaids/other/actis.html - and another link to the website of the company that produces it (see order link in left column of linked page) http://www.vivus.com/main.taf?p=2,2
4. Wear a condom if all else fails.
Bootheel, like you, I am curious about how long this condition lasts.  Even if the Actis constriction device works ok, I would rather not have to deal with it long term.
Hope this helps a little bit.
DanMan Bob
Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 5/4/2008 6:30 PM (GMT -6)   

I leaked a little during my first few orgasms, via masturb massage. It was rather like an old style ejaculation but with urine as the ejaculate. I now do a big kegel at the moment of orgasm and that has stopped it.

As I understand it, our new urinary sphincter is the same one that used to open during ejaculation, so I expect it will take a little training (or maybe a lot!) for it to get used to the new mode of operation.

Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix

Veteran Member

Date Joined Nov 2006
Total Posts : 1464
   Posted 5/4/2008 6:45 PM (GMT -6)   
My experience is like Piano's. At first I blew out a lot of urine at orgasm but as time passed, it slowed. Now I don't leak any even if I forget to pee before play. Orgasms are a lot different than before surgery and it took some time to get used to what to expect and get my brain back in tune with my body. Now they are stronger and more intense than ever before - one of the positive side effects of PCa.

Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
50 mg Viagra + 1000 mg L-Arginine + .03 cc Trimix = Excellent Results
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 5/4/2008 7:07 PM (GMT -6)   
Like the rest I have the same problem with leaking.  I haven't gotten far enough along to tell you when or how it ends.  I can tell you that the rings work well.  Using Bimix, I don't get the extra firm erection that results in cut off flow of urine like I do with Trimix.  Trimix gives a much firmer one and much less leaking.  Thought you would like to know this, as you are starting injections shortly.  It must all have to do with the ability of either drug to affect veinous valves to really close down.  If Trimix gives a much firmer erection, it stands to reason that the urine leakage is controlled better from the same action that holds the blood in also holds the urine out.  I haven't been able yet to deliberately cutoff the leaking during orgasm, must not be paying enough attention to the physical side of it to try to clamp down with a Kegel.   lol

James C. 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   (Open) Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08  Caverject started/stopped, aching.  2/24/08 .5ml Bimix started-success
3/24/08   ED- 6 mts.-Viagra, pump, no response- Bimix continues
Post-surgery PSA's:  3 mt:0, 6 mt:0,

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