mastrubation post op

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Charlierobert
Regular Member


Date Joined May 2009
Total Posts : 24
   Posted 5/26/2009 7:10 PM (GMT -6)   
I had non-nerve sparing de vinci surgery done in March.  Although I know I will not get erections in the future, I have experience feelings which with stimulation have lead to orgasm.  This is a one man show.  When I do this, I feel what is close to pain in the penis and scrotum.  Have any of you experienced this reaction?  Is there any reason I should not do this?
70 year old male
PSA of 5.1
3/9/09 robotic surgery
non nerve sparing surgery
5/5/09 PSA Non detectable
5/24/09 slowly regaining bladder control. 
 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 5/26/2009 9:03 PM (GMT -6)   
Yes Charlie. If my recollection is correct, shortly after surgery, orgasm seemed to feel to be somewhat of a mixture of "the agony and the ecstasy". However any feeling of discomfort at the moment of truth vanishes with the passing of time, but I must say it is definitely my experience that the ecstasy now is more intense than pre-surgery.
yeah
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)
PSA February 09 <0.01


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 5/26/2009 9:14 PM (GMT -6)   
I'm about as far from surgery as you are. My urethra still has some tenderness from the catheter but not pain. Nothing else even close to pain. Did you have pain in the scrotum just after surgery? If so you might still be healing there. I wish I had something more definite to help you.
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.


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/27/2009 5:54 PM (GMT -6)   
I didn't have the pain, but I have read here of others who have, and it seems to pass with time. But if in doubt, check with your doctor that it is OK to continue.

Musterbation is good therapy, and along with pump and injections, helps to keep everything working until we recover natural erections. Yes I know for the non-nerve-spared, there is only slim chance, but let's live in hope. Have you ever wondered why a slim chance and a fat chance are the same thing? :-)

Like Billy, I find orgasms longer and more intense than before surgery, so there is an added reason to continue!
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
ED:
After a learning curve, Bimix injections (0.2ml) are working well. VED also works but we find it inferior to Bimix.


mlbsm
Regular Member


Date Joined Mar 2008
Total Posts : 85
   Posted 5/28/2009 3:48 PM (GMT -6)   
As most men have found out to their great surprise, it is not necessary to have an erection in order to achieve orgasm. It may take a little longer, but anyone who wants to test the plumbing has found that they're still in the game.

Unless the testicle's are removed, it's ED and not OD (Orgasm dysfunction).

I would agree that the pain comes from the area still healing.

It's not for everybody, but trimex or some other therapy may be in order if you asked your Dr.

I'm 15 month's out from RRP and still haven't seen Junior come to attention, and that's with the right nerve's spared.
DIAG. 2/08
DRE POSITIVE
PSA 6.8
CONTAINED, LEFT SIDE, GLEASON 9
LUPRON, (3 MO.) 2/28
RRP, 3/26, HOME 3/31
GLEASON SCORE, 3+4
TUMOR CONFINED TO THE PROSTATE, INKED EXTERNAL SURFACE FREE OF INVOLVEMENT. VD AND SV CLEAR AS WELL AS LYMPH NODES AND A BLADDER SECTION.
PSA 5/21 O.O1 UND TESTOSTERONE 0
PSA 6/30 O.OI UND TESTOSTERONE 10
PSA 9/30 O.O1 UND TESTOSTERONE 311
PSA 1/12 O.O1 UND. TESTOSTERONE 219
ED, BUT I CAN FIND WAYS AROUND IT.
PSA 4/10 O.O1 UND. TESTOSTERONE 119 Rx. FOR CREAM TO RAISE LEVEL.

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