Post-operative pain with orgasm?

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New Member

Date Joined Jun 2009
Total Posts : 11
   Posted 6/13/2009 10:41 AM (GMT -6)   
Hey guys --
It's been almost 2 months to the day since my prostatecomy via da Vinci robot. My prognosis is excellent. I was one of the lucky few who saw my Gleason Score do DOWN after the surgery and statistically, I have a 98% chance of being cancer-free five years form now. I still have some minor discomfort in my perineum and oddly enough, slight discomfort at the base of my penis where is joins my body. I haven't had an erection yet, but last week I did try to see if I could achieve an orgasm without being erect. It was difficult to do, but I THINK I achieved it. The only problem was that, while there was a definite release of tension, it was unlike any orgasm I've ever had in my life and it was painful! Also, to my astonishment, I "squirted" a little urine which depressed me. My surgeon, Dr. Ravi Munver at Hackensack Hospital here in NJ is an excellent surgeon and I'm very grateful to him, but we never discussed this part of my recovery and I can't really find any substantial information about it on the internet. Has anyone else had the same experience?

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 6/13/2009 3:37 PM (GMT -6)   
A squirt of urine with early orgasms is reported by a lot of guys. In fact, some have reported considerably more than a squirt. In most cases this seems to subside although you may want to limit prior liquid intake and hit the bathroom before embarking next time.

I initially had a small amount of pain too – I think that my urethra was damaged by the catheter and I still don’t get a full stream when voiding. So from my experience, small pain would be explainable. If the pain persists or is significant you should probably talk to your doctor.
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 Oct 2007
Total Posts : 300
   Posted 6/13/2009 4:14 PM (GMT -6)   
I had it for about a year.  It slowly subsided at about 16 months.  It is called "Climacturia" if you want to google it.  Mine was more than a squirt.  You can try using a vacuum pump with two constriction bands.  That solved the problem for me until I got over it.  Good luck.

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
Gleason 7 (3+4)
1 positive margin (.3cm)
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
03/02/09- 1 yr. post-op PSA .09 Undetectable
05/13/09   PSA .18 (ouch)
Start IMRT June 3, 2009

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 6/13/2009 5:47 PM (GMT -6)   
Greetings, Tim.  Both things are fairly normal.  I experienced the pain at orgasm for several weeks.  While I don't usually squirt urine at orgasm, I do tend to leak a little bit at inopportune times during sexual excitement. I have great control except at those intimate times.  Hang in there and please keep us posted on how things are going.  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

New Member

Date Joined Jun 2009
Total Posts : 11
   Posted 6/13/2009 6:29 PM (GMT -6)   
Guys, thanks for the information. It really did make me feel better. I was getting depressed and thinking I would never have another orgasm that felt "good" for the rest of my life!

I'm including my stats in this posting:

Age at time of diagnosis: 62
During my annual physical on Nov 28, 2008, my PSA had gone from 2.2 to 5.02. Referred to a urologist
Diagnosed on Feb 6, 2009 with prostate cancer, Gleason Score 7
Surgeon: Dr. Ravi Munver
Hospital: Hackensack Medical Center, Hackensack, NJ
Surgery: April 15, 2009 by da Vinci Robot
Dishcarged following morning, April 16, 2009
Catheter removed: April 22, 2009
Post-operative Gleason Score went down to 6
Prognosis: 98% likelihood of being cancer-free 5 years from now
Pads at current time: 1 during the day
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