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Date Joined Jul 2008
Total Posts : 14
   Posted 12/2/2008 12:25 PM (GMT -6)   
Has anyone every had a nocturnal ejaculation after surgery?  I know the prostate and seminal vesticules are gone and no fluid or pressure can build up there but the testicles are still producing fluid and seems like that would be enough pressure to produce a nocturnal ejaculation.  My testicles get so hard sometimes from pressure build up that they ache and then I have an ejaculation and they are all geared up to empty out but can't because the vas is tied off so they ache even more.  I had a nocturnal ejaculation about a week after I had my surgery and the catheter was still in.  I woke up in the middle of the night having and ejaculation but of course nothing coming out and I thought, is that what a dry ejac. feels like?  I had surgery 8 years ago and that is the only nocturnal ejac. I have every had since.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 12/2/2008 2:23 PM (GMT -6)   
I had a vasectomy 35 or so years ago, so my testicles have been not a part of the orgasm since then. The sperm produced is absorbed into the body inside the scrotum. The purpose of the seminal vessels and other related organs that were removed during your surgery is to store the sperm, along with other fluids that makeup the total of what we consider 'sperm' or ejaculate. Sperm really wasn't a large % component of that liquid. When you had an orgasm before surgery, the actual ejaculate was this mixture of fluids including prostate fluid, seminal fluid (sperm that was stored in the seminal vessels) cowpers fluid and other things, not a direct ejaculate coming straight from the testicles. The testicles were just a slowly producing feeder to the system (the seminal vessels stored it) and had no direct part of the ejaculatory function.

Wet dreams (dry dreams in our case) is still possible after prostate removal, of course, just as awake orgasms are, so it shouldn't be a big surprise that they still occur, although I haven't heard of anyone else mentioning them here. As to you feeling that your testicles were hard and aching, I wonder if your body and brain is confusing the origin of the feeling? The old teenage curse of "blue balls" created the same feeling, I guess. It's result was from sexual stimulation, an extended erection -distended? lol, over active sex drive, raging hormones and no ability to release it. I well remember the feeling. sigh...anyway it's possible that the aching and such is from the remains of your ejaculatory system, rather than from the testicles themselves. Others may have a different view of it. Interesting subject, thanks for bringing it here.
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
Present- 1 year: ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

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