Seminal Vesicles Removed & Sex

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New Member

Date Joined Mar 2008
Total Posts : 15
   Posted 6/4/2008 6:14 PM (GMT -6)   
How does your semen look if you've had your seminal vesicles removed?  For example is it still the milky white or is it clear?

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 6/4/2008 7:09 PM (GMT -6)   
As the vesicles are normally removed along with the prostate, there is no semen. The prostate is responsible for the bulk of the fluid. If you now have a clear ejaculate, chances are it is urine. Yeah, welcome to the club :-)
Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 6/4/2008 7:17 PM (GMT -6)   
that is my understanding as well, if there is no prostate there is no semen, however you can still have an orgasm, or so I am told.
peace to you
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
cancer in 4 of 6 cores

Veteran Member

Date Joined Feb 2008
Total Posts : 1858
   Posted 6/4/2008 8:22 PM (GMT -6)   
As the prostate's function is to produce the milky fluid in semen and the seminal vesicles mix the sperm from the testes with this, once the prostate is removed there can be no fluid from this source. If you have a clear fluid it may be from the bulbourethral gland (or Cowper's gland).

"During sexual arousal each gland produces a clear, viscous secretion known as pre-ejaculate. This fluid helps to lubricate the urethra for spermatozoa to pass through, it neutralizes traces of acidic urine in urethra, and helps flushing out any residual urine or foreign matter. It is possible for this fluid to pick up sperm, remaining in the urethral bulb from previous ejaculations, and carry them out prior to the next ejaculation".

This gland's function diminishes with advancing age. The prostate has nothing really to do with orgasm (other than supplying the fluid) Orgasm will still occur even if the prostate is removed.
Bill :-)
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07----4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.1 undetectable

Post Edited (BillyMac) : 6/4/2008 7:36:42 PM (GMT-6)

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 6/4/2008 8:43 PM (GMT -6)   
Yep, all the sensation, but nothing comes out. As my wife says, it makes for no clean up!
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at six weeks
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks.

New Member

Date Joined May 2008
Total Posts : 7
   Posted 6/5/2008 10:25 AM (GMT -6)   
I had a 4 week follow-up with my doctor on Wednesday and asked him if there would be any fluid with ejaculation since the prostate was removed.  The answer was no, but I should have the same intensity of orgasm as before.  In my case, which I believe is his standard practice for this precedure, not only was the prostate removed, but also the seminal vessicles and the cowpers gland. 

Age - 44
Biopsy - 3-31-08
Gleason 3+3  PSA 4.95
Radical Perineal Prostatectomy - 5-07-08 at the Medical University of South Carolina - Dr. Thomas Keane
Pathology - 40% of prostate was cancerous

Regular Member

Date Joined Jan 2008
Total Posts : 276
   Posted 6/5/2008 10:50 PM (GMT -6)   
Semen is/should be absent. Any fluid produced is from the Cowpers gland, thin and clear, no semen is present, tha vas deferens have been ligated (cut off or tied off). Hope this helps.

46 you when diagnosed, now 47
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Cialis 5 mg every night.
Success with BiMix

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