Libido after surgery

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Jeff M
New Member

Date Joined May 2009
Total Posts : 10
   Posted 5/25/2009 4:23 PM (GMT -6)   
Has anyone noticed an increase in their libido after surgery?   I had my surgery April 15.   I am finally starting (hopefully) to move on the right track...but my libido is going nuts.   This may seem like a good thing...but it isn't right now, because I am worried about if the orgasim will be painful, or if it could cause more complications (I've already had a lot, and am still weary.)

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 5/25/2009 8:21 PM (GMT -6)   
At 5 weeks out it is probably safe to try. A couple of points: it is possible to have an organism even without an erection, you may have urine leakage (some have reported considerable) at this stage, after surgery all your Os will be dry because the prostate produced the fluid. As with anything, listen to your body and stop if there is any hint of pain.

If I may suggest, a part of your libido may be from the uncertainty of where your responses will go from here. No matter what happens now the chances are very good that you will be able to add functionality to go with your libido as you continue to recover.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7
At 6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.

Regular Member

Date Joined Jul 2006
Total Posts : 202
   Posted 5/25/2009 8:24 PM (GMT -6)   

Hi jeff,

It could be you're experiencing an increased libido because you haven't had an orgasm.  I would think you're far enough out from surgery to have one without it compromising your healing.  Maybe try a self-induced orgasm to see how it feels.  You don't need an erection to have an orgasm.


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

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 5/25/2009 8:47 PM (GMT -6)   
Know exactly what you are saying. I was done April 14th. For me, the orgasm was the trick. The first one was just a fleeting feeling. The second one was much better. The third one was sort of normal, but dry of course. No pain, just some pleasure.

My spouse is glad I did something, because I was bugging the heck out of her. Can;t wait til next week when I go in for 6 week check up. Hopefully we can talk about getting an E !
Age 58
PSA 4.47
Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09
Nerves spared
0/23 lymph nodes involved
pT3a NO MX
Neg Margins, bladder neck negative
Thankful for early diagnosis, and U.S. healthcare

Regular Member

Date Joined Nov 2008
Total Posts : 299
   Posted 5/26/2009 8:19 AM (GMT -6)   

Yes, I had the same thing happen. And it hasn't reduced itself at all. Even a year after surgery.

A more common complaint has been the loss of libido after surgery.

 A new thing for me is having noctural erections now for hours every night. It seems like the one year anniversary of the surgery promoted some additional healing.

Age 60
PSA 2007 4.1
PSA 2008 10.0
Diagnosed April 2008
Biopsy: 6 of 12 cores positive
Gleason 4 + 5 = 9
CT and Bone Scan negative
Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared
Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th
lymph nodes negative
PSA Sept 28, 2008 0.00
PSA Jan 22, 2009 0.00

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 5/26/2009 5:15 PM (GMT -6)   
Greetings, Jeff.  I am a little over a year post surgery.  I don't always know if it is increased libido or just needing to know I can get an erection.  I need more stimulation now and my wonderful wife is always willing to do what is needed.  We don't always use it but sometimes I just need to know I can.  David
Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 5/30/2009 9:37 PM (GMT -6)   
wow what a problem. What I would give to have some libido. I say that in just because I can't get an erection so I suppose I am happy not to have a libido.
Take it slow and easy and you will be find. Enjoy life my friend

peace and love
My PSA at diagnosis was 16.3
age 47 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes (3 positive) was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .016
PSA Mar 30th, 2009 is .02
Testosterone keeps rising, the current number is 156, up from 57 in May
T level dropped to 37 Mar 30th, 2009
cancer in 4 of 6 cores

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