Ejaculatory Urine

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Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 7/6/2008 10:30 AM (GMT -6)   
I am presently 5 months post- op with no incontinence issues and doing well with the Bi-mix injections and the vacuum pump.  My only problem is that I spray large amounts of urine at orgasm.  It is really putting a damper on our sex life.  Is this a permanent result of RRP that I have to deal with for life or does it eventually go away.  Any advice or information from someone who has dealt with this?
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
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C 
5/15/08- 1st Post-Op PSA 0.07 Undetectable


DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 7/6/2008 10:33 AM (GMT -6)   
check your email
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


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 7/6/2008 12:50 PM (GMT -6)   
I found myself in the same boat.  It's taken all of my 9 months to retrain my body and mind to use the valve and muscles I have now to control it.  In my case, the breakthrough came when I gained enough control to realize that I was actually pushing out during periods of intense stimulation or orgasm, rather than holding in.  What I had done before surgery no longer worked now that my main valves to retain urine had been removed or altered and the old way of pushing during orgasm wouldn't work anymore, and I had to consciously change how I allowed myself to respond.  I now can consciously clamp down during those same times, and no longer release urine at that time.  It takes practice and repetition to figure it out, which is why so many here recommend an active rehab and retraining program after surgery.  Hope this has helped somewhat, rather than muddying the waters, so to speak.... tongue
James C.
Co-Moderator- Prostate Cancer Forum

Age 61
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
7/4/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 7/6/2008 1:43 PM (GMT -6)   
Thanks for the reply and how you retrained yourself.  I will try it.  It doesn't sound easy but it worked for you.  I read an article that said it was a permanent thing.  I can't seem to find any info on the web on this subject or how to deal with it.  I think it is something most Uro's don't discuss before surgery.  At least mine didn't.  Thanks again for the info.

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
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C 
5/15/08- 1st Post-Op PSA 0.07 Undetectable


jackcc
Regular Member


Date Joined May 2006
Total Posts : 80
   Posted 7/6/2008 5:40 PM (GMT -6)   
Bootheel

Google this... Climacturia . Found it on another forum. Also, I still have this after 2 years.

DanmanBob
Regular Member


Date Joined Feb 2008
Total Posts : 467
   Posted 7/6/2008 8:17 PM (GMT -6)   
Bootheel,
 
In addition to the info I shared in my email, I forgot to mention that my urologist suggested use of an Actis Autoflow Controller.  It is an anjustable ring that is designed to keep blood in the penile veins, but because the urethra is somewhat constricted, it can prevent or reduce urine flow during sexual relations.
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


Hawkflyer
New Member


Date Joined Jun 2008
Total Posts : 9
   Posted 7/14/2008 9:32 AM (GMT -6)   
I don’t know how much urine you are experiencing with this but as a short term help you may want to consider a condom while having intimacy. This may make things a little less distasteful for your partner. Good luck with this.

47 Years Young.

PSA 5.4 - Discovered during Annual Physical with Family Practice Doctor.

First time I ever had a PSA drawn. I believe that my Doctor saved my life.

DRE negative.

3 of 10 cores positive, in left lobe only.

Pre Op Gleason score 4 + 3 = 7.

Biopsy pre-op - rated T2a.

Da Vinci Robotic RP surgery on June 4, 2008 – Both side of the nerves saved.

Biopsy post-op - rated T2c – both sides had cancer as noted in pathology.

Post-Op Gleason score 4 + 3 = 7.

All margins clear - no cancer outside prostate as noted in pathology.

Post-Op PSA not yet completed.

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