We (my 40-years-sweetie and I) had the post-surgery follow up with the doc last Friday, 7-1/2 weeks after surgery. As noted below, PSA is great - evidence so far is the little dragon is gone, gone, gone (yes, I know I'll have to watch regularly forever).
Continence has improved dramatically in the last couple of weeks. I'm still wearing a pad during the day, but down to about one "spurt" per day, small quantity, usually caused by getting out of bed or stepping forcefully and not thinking about squeezing as I do. I'm able to walk longer distances - which was a problem at first, couldn't go a block without needing to pee. Saturday, I walked all the way downtown (1/2 mile), including a digression of two blocks to thank the police officer for pulling over the idiot who failed to stop as I was crossing in a crosswalk; went to the video store; went to the library; came home; and peed just because it seemed safer than not.
OK, says the surgeon, you can check those two off, now it's time for erectile function. I'm prescribed one Viagra, twice a week, wait 20-30 minutes, then go at it (this is not the language he used, but is more or less the tone in which it was delivered). When I raised questions of urine release during orgasm, he minimized it, saying, "it's sterile." When I had asked earlier whether my internal sphincter had been removed, compromised (permanently), or just thrashed (won't know for a while how it's functioning), he also minimized that, saying there's no evidence that the internal sphincter is necessary for continence.
First off, my wife and I are both more than a little grossed out about the idea of me peeing into her. Second, at this stage in our lives (60's, with my wife seven years post-hysterectomy), it takes a while to get rolling anyway.
I understand everyone's history is different - but is urinating during orgasm always a lifetime thing, or does it fade away in some cases?
Any G-rated suggestions welcome (this being a public forum and all).
Age 60 at diagnosis, robotic laparoscopy January 20, 2009 at Univ. of California San Francisco
Gleason 4+3 (from pathology), T2A, tumor growing into wall but not extending beyond
Last pre-surgery PSA 4.4
Post-surgery PSA at six weeks 0.01 - looks like it's gone!