What is it like?

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mrhappy
New Member


Date Joined Nov 2008
Total Posts : 2
   Posted 11/28/2008 12:27 PM (GMT -6)   
I am looking at a robotic surgery next month.  Gleason 6 etc.  Can anyone who has had their prostate out comment on what an orgasm is like after having it removed...assuming normal function returns otherwise?

RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 11/28/2008 3:14 PM (GMT -6)   
The big "O" still exists after surgery. That part of function is not removed regardless of the nerve sparing or not nerve sparing. It is different in that they are dry, but feelings are still present. Now, I am no expert here because I for one have not found the right combo to return to prefunction conditions. It appears injections will bring that about once the right formula and amount is worked out.

I know that some on here claim their "O" is better than presurgery. Regardless, the decision for surgery certainly is not based on any of these things. The important issue is to rid yourself of the beast (cancer). Blessings.

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008

marang keru
Regular Member


Date Joined Dec 2007
Total Posts : 21
   Posted 11/28/2008 3:20 PM (GMT -6)   
As you can see in my notes below, I had a remarkable recovery and did not expereince any ED.  Within days of the catheter removal i was able to achieve a full errection.  As for orgasms, well, they are different.  It seems like they are less intense, they are still there but it just isn't the same most of the time.  There are however, instances when its exactly the same as pre-op.  Wierd.

Age - 57
PSA - July7, 2007 - 4.87
Confirming biopsy - August 30, 2007
Gleason scores of 6 (3+3) and 7 (3+4)
DaVinci surgery December 3, 2007 - Robert Wood Johnston Hospital, New Jersey
 
Cathether removed December 10, 2007
No incontinence after Day 2, December 5, 2007
Fully functioning sexual activity Day 2, December 5, 2007
 
Post-op pathology report confirmed Gleason of 7 (3+4), 30% involved by tumor, no positive margins.
 
Follow-up blood work scheduled for March, 2008
 
 


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 11/28/2008 5:53 PM (GMT -6)   
Can you still have orgasms? -- yes! Are they not as good, the same or better than before? -- yes!

I am making the point that our responses are variable -- it depends on the individual. I think generally orgasms are the same or better, in the sense that they are more intense and last longer (my experience) but others here have reported them to be weaker. Some feel the loss of ejaculate detracts too -- again not my experience.

Some ejaculate urine initially, and depending on the extent, that may put a dampener on things. But once you regain full continence, orgasms will be completely dry.

There are plus factors from prostate surgery too. No unwanted pregnancy, no mess, and with injections (if you need them) you can last a lot longer. If oral sex was out before because of the yuk factor, it may now be in.
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 and 7-month PSAs: 0
Bimix injections working well 


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 11/28/2008 11:16 PM (GMT -6)   
My O's seem to be stronger and last longer than before. But I'm sure everyone is different.
Wishing you well on your recovery.
KW
    43 at Dx and Surgery (RRP)
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.
    ED workable and usable with Viagra.
    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.
    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.
    March 27th, 2008 - Sling not working, Little or no improvement.
    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.
    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.
    July 14th, 2008 - AUS consultation with Dr. Morey at UT Southwestern (Dallas).
    July 30, PSA 0.00.
    Aug. 22nd, 2008 - AUS Surgery by Dr. Morey
    Oct. 6th, 2008 - AUS Activation by Dr. Morey
     


ghosttown
New Member


Date Joined Nov 2008
Total Posts : 4
   Posted 11/28/2008 11:26 PM (GMT -6)   
my surgery was in 2005 and the very few times that I was able to achieve an erection firm enough to experience orgasm, urine leakage was always involved.

Unless I have the urge to urinate I have no leakage during normal activity.

Bob D
Regular Member


Date Joined Mar 2008
Total Posts : 199
   Posted 11/29/2008 1:07 AM (GMT -6)   
My orgasmic contractions are as great as pre op, and I notice a longer
lasting orgasm with more contractions. I did not get a full erection until 3  months
post op. My fault for not using meds. See my notes below.
I will say that the quality of the orgasms and pleasure increased a lot as the firmness of
my erection improved.
It is important to keep blood flowing into your penis to keep it oxygenated. Impress on your
surgeon you want your nerves spared if at all possible.
Good luck with your surgery.
    1. Age 59, psa 4.7 in Jan. 08. Biopsy: one positive sample out of 13. 1% of one sample cancer. Prostate removed on 3/5/08. Open Surgery. Northeast Georgia Medical Center, Gainesville Ga. Nerves spared. Cath out 12 days later. Continence good. No pads needed since 6/10/08. First PSA: Less than 0.1 on 6/17/08. First erection five days post op and have been improving well since then. Full erection now possible (less than four months post op) with the assistance of Cialis.  Post Op Biopsy : No malignant cells in lymph node. Gleason 3=4=7. Tumor on both lobes. Urethral margins/apex free of neoplasia. Right and left seminal vesicles free of neoplasia. No invasion of prostatic capsule of the resection margins are noted by the tumor. Tumor occupies 10 to15% of the prostate gland. Path staging T2c, NO, MX- Group staging II.  Focal areas of perineural invasion by tumor are noted. 80% natural erections and full erections with 10mg Cialis. 9/22/08-Took 10mg Cialis on Monday night, had very usable full hard erection at night, the next morning, and the following Thursday morning, 60 hours after original dose !! Orgasm quality Excellent.!!!!! I am pleased with the progress so far. Married to same wonderful woman for 39 years. She is still beautiful and sexy as ever. A great help in my recovery !!:


Dave7
Regular Member


Date Joined Jul 2006
Total Posts : 202
   Posted 11/29/2008 1:32 PM (GMT -6)   

I guess I'm in the minority in finding the surgery had a negative affect on my orgasms.  They just aren't what they use to be.  The build up is there, but then they just kind of fizzle out.  Real duds.


Age:54
PSA 5/22/06: 5.6
Divinci surgery: 9/14/06
Gleason: 3+3
Organ confined, clean margins.
Both nerve bundles spared.


skapod
Regular Member


Date Joined Nov 2008
Total Posts : 35
   Posted 11/29/2008 6:59 PM (GMT -6)   
Piano, I agree with you about the plus factors. I told my husband, we have to look at the good that could come out of this...you never have to pull out again and we don't need to have a towel handy for clean up. LOL!

glabers
Regular Member


Date Joined Nov 2008
Total Posts : 31
   Posted 11/29/2008 7:02 PM (GMT -6)   
... no wet spots either :)
Diagnosed:  8/24/08, age-47
Father died of prostate cancer at age 72
PSA 1.5 early 2007, 4.5 mid 2008, all remedies tried & reduced to only 3.2, uh oh.
Biop - 2 positives of 20 samples
Gleason - 3+3
RRP - 11/13/08 via Da Vinci by Dr. David Samadi, Mt. Sinai Hosp. NY
Post op biopsy - 75% of samples positive for cancer, Post op Gleason 3+4
some lymph Nodes tested, all negative
all nerves spared - I'm told
Catheter in for 1 week, using 1 pad a day. 
 
 
 
 
 


Bob D
Regular Member


Date Joined Mar 2008
Total Posts : 199
   Posted 11/29/2008 9:16 PM (GMT -6)   
 I agree with you about the plus factors. I told my husband, we have to look at the good that could come out of this...you never have to pull out again and we don't need to have a towel handy for clean up. LOL!
 
Ahh Yes,
And it also allows men now to "fake orgasms" too. LOL !!! tongue
    1. Age 59, psa 4.7 in Jan. 08. Biopsy: one positive sample out of 13. 1% of one sample cancer. Prostate removed on 3/5/08. Open Surgery. Northeast Georgia Medical Center, Gainesville Ga. Nerves spared. Cath out 12 days later. Continence good. No pads needed since 6/10/08. First PSA: Less than 0.1 on 6/17/08. First erection five days post op and have been improving well since then. Full erection now possible (less than four months post op) with the assistance of Cialis.  Post Op Biopsy : No malignant cells in lymph node. Gleason 3=4=7. Tumor on both lobes. Urethral margins/apex free of neoplasia. Right and left seminal vesicles free of neoplasia. No invasion of prostatic capsule of the resection margins are noted by the tumor. Tumor occupies 10 to15% of the prostate gland. Path staging T2c, NO, MX- Group staging II.  Focal areas of perineural invasion by tumor are noted. 80% natural erections and full erections with 10mg Cialis. 9/22/08-Took 10mg Cialis on Monday night, had very usable full hard erection at night, the next morning, and the following Thursday morning, 60 hours after original dose !! Orgasm quality Excellent.!!!!! I am pleased with the progress so far. Married to same wonderful woman for 39 years. She is still beautiful and sexy as ever. A great help in my recovery !!:


skapod
Regular Member


Date Joined Nov 2008
Total Posts : 35
   Posted 11/29/2008 9:45 PM (GMT -6)   
Ahh Yes,
And it also allows men now to "fake orgasms" too. LOL !!!
-------------------------------------------------------------------------------------

LOL!!!! You are hysterical!

RLF
New Member


Date Joined Jul 2008
Total Posts : 14
   Posted 12/2/2008 4:27 PM (GMT -6)   
I agree with most of the guys.  My orgasm is really intense and lasts much longer than before surgery.  Nothing coming out takes a while to get used to but I like it.  Sometimes the build up is so intense that I feel like there is no way the ejaculation will be dry but it is and the contractions go on and on.  
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