Dry orgasms....I must have missed something......

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Sam Benton
Regular Member


Date Joined Dec 2008
Total Posts : 35
   Posted 12/14/2008 10:12 AM (GMT -6)   
I must have missed the part about dry orgasms!. I honestly had no idea that I would not shoot a load after this was over. Does the dry orgasm happen in all types of surgery ( I had Davinci) or is it just the type of surgery that I had? I can't even get an erection yet, but I gotta tell you, I feel kind of like I'm going to be missing something with the dry orgasm thing.
 
 
Sam

Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 12/14/2008 10:28 AM (GMT -6)   
Sorry Sam when they remove/destroy the prostate in any treatment you end up with dry orgasms. In fact I may be the only person here after treatment who has wet orgasms. I had focal point cryosurgery where only a small part of the prostate is destroyed(frozen by ice balls). That said I still have some ED problems that are being quickly corrected by the blue pill. As my surgeon said the nerves after are in shock and you need a kick start. It should be sop IMO to inform all of you going through radical treatments of dry orgasms afterward.
Diagnosed 10/08/07
Age: 58
3 of 12 @5%
Psa: 2.3
3+3=6
Size: 34g
T-2-A
 
2/22/08
3D Mapping Saturation Biopsy
1 of 45 @2%
Psa:2.1
3+3=6
28g after taking Avodart
Catheter for 1 day
Good Candidate for TFT
(Targeted Focal Therapy)
Cryosurgery(Ice Balls)
Clinical Research Study
 
4/22/08
TFT performed at University of Colorado
Medical Center at Denver Fitzsimons Campus
Catheter for 4 days
Slight soreness for 2 weeks but afterward
life returns as normal
 
7/30/08
Psa: .32
 
11/10/08
Psa.62
 
April, 2009
Final Biopsy scheduled to
complete clinical research study 
 
 
 


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 12/14/2008 10:39 AM (GMT -6)   
I think they tie off the seminal vessels during surgery. I'm no Dr. but if I'm not mistaken, they supply the semen to the prostate. I'm sure there are a lot of folks here who will provide you with similar information. I'm surprised that your Uro didn't tell you that prior to surgery. Well your alive and cancer free. I am getting used to the dry orgasms. Actually sex is better after 11 months.
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
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 12/14/2008 10:40 AM (GMT -6)   
I think they tie off the seminal vessels during surgery. I'm no Dr. but if I'm not mistaken, they supply the semen to the prostate. I'm sure there are a lot of folks here who will provide you with similar information. I'm surprised that your Uro didn't tell you that prior to surgery. Well your alive and cancer free. I am getting used to the dry orgasms. Actually sex is better after 11 months.
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
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable


Sam Benton
Regular Member


Date Joined Dec 2008
Total Posts : 35
   Posted 12/14/2008 11:46 AM (GMT -6)   
To be fair, the doc might have told me but I was so nervous about the PC itself, I was not all there mentally, anyway I did hear you say that the sex is better, now that's encouraging to hear. I'll let you know just as soon as I get that first erection! Am I hearing you right, Bootheel, it took 11 months to get it back?

Sam

Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 12/14/2008 1:39 PM (GMT -6)   
Actually I'm still not there without the use of a pump, viagra and bimix injections.  It is just starting to show some response naturally.  Be patient, we are all different with ED issues.. 

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
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 12/14/2008 3:17 PM (GMT -6)   
bootheel,
I think you'll find that the prostate produces the seminal fluid while the seminal vessels are like a mixing chamber for the fluid, sperm produced by the testes and and a couple of other minute additives. Thus no prostate=no seminal fluid (although a couple of other glands can supply a minute fluid quantity)
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 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 12/14/2008 3:42 PM (GMT -6)   
Thanks for the assist BillyMac. I wasn't sure what contributed to what. But thanks for clarifying it.
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
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 12/14/2008 7:08 PM (GMT -6)   
Hi guys,
Radical prostatectomy of any kind removes the prostate, the seminal vesicles, part of the urethra, and in many cases pieces or all of the nerve bundles and other tissues or nodes. The Vas Deferans are tied as well. Sorry you found out after, but, you have been bypassed in the reproduction department. Sterile, dry, and full control is your best results. In almost all cases, any secretion during sex is urine.

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
 
You can visit my Journey at:
 
STAY POSITIVE!
 
 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 12/14/2008 7:35 PM (GMT -6)   
Tony,
it is my understanding that because the testes are not affected by prostatectomy and are still producing sperm it is still possible to retrieve viable little fellas from the tied off Vas Deferans and/or testes themselves, whereby they can be used in artificial insemination.................can you confirm if this is so?
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 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 12/14/2008 7:50 PM (GMT -6)   
I can confirm this is so (but not by first-hand experience). The testes still produce all of the normal harmones which you get via the blood vessels to them. They produce sperm, but these guys have nowhere to go as the Vas Deferens is tied off, so they just get reabsorbed. I think they can be retrieved by a needle procedure of some sort if you want to try artificial insemination for conception.
50 YO
PSA at Dx: 8.2
DaVinci RALP: 10/31/08
Negative margins, no extra-capsular involvement
One nerve spared
No follow-up PSA yet (next week).
 


califguy
Regular Member


Date Joined Sep 2008
Total Posts : 72
   Posted 12/14/2008 9:26 PM (GMT -6)   
I think I was dreading the dry orgasms as much as anything. In the long run, even tho it is different, I think I actually like it better! tongue   No mess, no clean up. There is a positive side to most of these things that seem like downers.

Don't get discouraged!!
CalifGuy
 
Diagnosed Feb 2008  54 years old
3+4=7 gleason
7.5 PSA
4 out of 20 biopsies were cancerous
daVinci Robotic surgery July 24, 2008
Univ of Calif San Francisco Med Center  Dr Peter Carroll
In hospital 2 nights altho I had option of leaving the next day but stayed due to distance home.
Contained in prostate, not spread
Six weeks post surgery PSA less than .01


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 12/14/2008 10:50 PM (GMT -6)   
Billymac,
It is possible to extract sperm from the testes but we are talking about a very experimental and very expensive process. Not sure on Aussie terms, but not covered easily in US terms. Outside of sperm banking here, there are no advertised hypes of reproduction in the US after RP. One thing for sure ~ the testes are shooting into a blank tube after surgery for prostate removal. The "new" main tube goes from the tip of the penis to the bladder! There is no entry point for sperm.  There is some hope in artificial insemination but it is very expensive and very high risk.  That said, we have considered it.

Tony

Post Edited (TC-LasVegas) : 12/15/2008 12:08:21 AM (GMT-7)


John Bonneville
New Member


Date Joined Sep 2008
Total Posts : 15
   Posted 12/14/2008 11:35 PM (GMT -6)   
My TURP also ensured that I joined the dry brigade as well. But for me whilst a little weird initially, it has resulted in a substantial increase during the nice pleasurable phase. But learning to fake it, does require some advanced tuition, LOL.
Diagnosed March 2007, Age 57
Positive DRE, 12 Core Biopsy, 6 cores positive PCa,
Gleason 7 (4+3), Stage T2B
Rx 9 months LHRH ADT Lucrin, Neo Adjuvant,
Gold Seed implants 2 weeks prior to EBRT
70gy 3D Conformal EBRT

PSA: Nov 2006 = 6.0 ng/ml
May 2007 = 5.6 ng/ml * 1st Lucrin IMI
Aug 2007 = 0.85 ng/ml* 2nd Lucrin IMI
Nov 2007 = 0.45 ng/ml * 3rd Lucrin IMI
Jan 2008 = 0.29 ng/ml * 8 weeks EBRT and TURP in May
June 2008 = 0.12 ng/ml
Sept 2008 = 0.14 ng/ml
Dec 2008 = 0.1 ng/ml

* No incontinence, mild ED, which resoponds well to generic viagra.


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 12/15/2008 4:22 PM (GMT -6)   
Dry orgasms are the rule of thumb following prostatectomy, and I hope your MD mentioned this to you, it shouldn't be a "suprise" due to him. However, dry sure beats the "urine" orgasm, which is disheartening for those who suffer from it. Mine are dry, but at least they are there, and seem to be improving as time passes.
Randy
46 you when diagnosed, now 48
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, 9 Month PSA 0.01
One Year PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Occasional Success with Oral Meds
Success with BiMix


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 12/15/2008 4:27 PM (GMT -6)   
Chas -- have you tried pulling a big kegel at the moment of orgasm? I ejaculated a little urine on a few occasions at first, and a kegel stopped that for me. The only sphincter we have left is accustomed to opening for orgasms, and post-surgery it needs to be retrained -- my theory anyway. :-)


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 

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