Testicular pain after orgasm/Was No Subject

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New Member

Date Joined Aug 2008
Total Posts : 3
   Posted 8/1/2008 7:24 PM (GMT -6)   
 I had Robotic Radical surgery on June 19th. Minor leakage which I expected..Libido is good but cannot acheive erection also no surprise, however can acheive dry orgasm. My concern is after orgasm I have testicular pain, mild but it lasts sometimes for a day or two. Anyone else have this situation? I take 20mg of Cialis per day as prescribed for blood circulation but dont think the pain is a side effect.
I'm taking the liberty of giving your post a Subject, so others can readily respond to it.  Tks  James C. Co-Moderator

Post Edited By Moderator (James C.) : 8/1/2008 8:43:33 PM (GMT-6)

Veteran Member

Date Joined Apr 2008
Total Posts : 1132
   Posted 8/1/2008 8:52 PM (GMT -6)   
i have not had the pain. actually have not been able to obtain a useable erection since surgery. did have one orgasm but not not have much pain afterwards.
Age 48
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
decision - surgery (robotic)
surgery may 9, 2008 - houston, tx
pathology report -gleason 8
margins clear
4 week and 6 week PSA .04 (undetectible)
continence ok during day - 1 pad
night time different story
kegel's twice a day 20 reps

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 8/1/2008 9:42 PM (GMT -6)   
                                                           tongue    Hi ~bgerber21 and Loved Ones,


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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
7/31/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0, 9 mts.-0.

Regular Member

Date Joined Aug 2007
Total Posts : 125
   Posted 8/4/2008 6:37 AM (GMT -6)   
bgerber, I had that problem after surgery as well. I believe it will eventually go away. Mine did. However, if you are concerned, or if it doesn't seem to get better, talk to your surgeon. Let us know how things go.
52 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
11 weeks post-op - no more pads
4 PSA's all < .1 - Undetectable

Regular Member

Date Joined Jun 2007
Total Posts : 176
   Posted 8/5/2008 8:17 PM (GMT -6)   
I also had pain after my early dry orgasms. When I read your post, I was reminded of a funny conversation I had with someone from this site. I asked him the same question because I was concerned that perhaps it was too early. I told him it hurt like heck. His response to me was funny because he said it very knowingly and it made us both crack up...he said, "I bet the pain didn't keep you from doing it again now did it?" I had to admit it didn't. Just goes to show what us guys are willing to endure for that orgasm :)

Good luck. It has been a long time since I remember experiencing any pain. I think it's all a normal part of the healing process.
42 yo. now
5/07 PSA 4.65 at routine physical
6/07 biopsy positive for cancer...Gleason 3+4...diagnosed at 41 y.o.
6/07-9/07 manic research and interviews with physicians across the country in search of the "right" decision.  I went to Mass General in Boston, Loma Linda, University of Chicago and Northwestern.
9/17/07 - Radical Retropubic Prostatectomy Surgery at Northwestern Memorial in Chicago by Dr. William Catalona.  Thankful the father of the PSA test was right here in Chicago.
Post op pathology was Gleason 3+4 with negative margins, no seminal vesicale involvement, no lymphatic or vascular invasion, bladder and urethral free and tumor volume was 5% of 27.3g.  
9/27/07 - Catheter removal...let the games begin...
12/07 - Threw out the pads.  I only had to use 1 pad per day for protection against minor drips. 
I started Trimix 8 weeks after surgery with success.
I hope someday I won't need injections, but I hope more that my PSA stays at 0 forever.

M. Kat
Veteran Member

Date Joined Jul 2006
Total Posts : 715
   Posted 8/6/2008 7:17 AM (GMT -6)   
Jeff had pain the first few times he had orgasms after surgery. We think it was part of the healing process, but like someone else said, check with your doctor just to be sure. even now, almost 2 years later, Jeff will say that sometimes his orgasms are very, very intense. best wishes on your continuing recovery...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
8/07 - 1 yr PSA <0.1
9/1/07 - achieved erection with Viagra - no pump!
3/08 - 18 mo PSA <0.1
switched to Levitra - works much better than Viagra & Cialis - fewer side affects
summer of 2008 - have had a few erections with no drugs! yeah!!

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