If he would rather die, but able to ejaculate, then I would say his priorities in life are so very wrong. I will be as blunt as that. With prostate surgery, yes, you will lose your ejaculate, you will have dry orgasms. But I can tell you first hand, its all in your mind. Once the man's brain disassociates ejaculation from the actual act and pleasure of an orgasm, then it starts to make sense. After six months,my orgasm are longer, stronger, and deeper, and will curl my toes every time, and there's no mess to clean up. Not a bad deal.
My wife would have rather had me with complete and total ED and incontinent then to lose me early to cancer. In our case, neither has happened, I had the
open surgery, I am 100% dry, and I havent' experienced any ED since the final removal of my long term on catheters. I tell this to give your guy hope.
But he needs to come to terms, that though right now in theory he looks like his has a low initial dose of PC, it can grow and get out of hand so fast. If it becomes an advance case, trust me, he will not even be worrying about
having sex, let alone ejaculating. I hope his mind turns around to the logic of his situation, it will make it easier for you to help him.
David in SC
56, 56 at DX, PSA
7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05, 5/9 .10 doubled in 3 months, new test in six weeks, then possibly off for salvage radiation