Urine on ejaculation

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 1/8/2010 4:18 AM (GMT -6)   
Nearly 8 months out from op and things seem reasonably good, just waiting for a blood test to be done. I am 99.9% dry with just an occassionable damp patch. ED is the problem, but as yet have taken no meds, but I can get partial inflation. I have noticed that on the point of climax there is a spurt of urine, but I do try to empty the bladder prior to stimulation. Is this a continuous problem or will it ease in time, I have long since done away with condoms as I had the snip many years ago. So, it looks like a trip to the pharmacy. All the best from a very cold England.
Diagnosed February 2009. Gleason 6, Psa 7.2, 12 core biopsy, and then Mri scan, which showed organ specific.
DaVinci at Addenbrookes, Cambridge, England 18th May 2009.  Nerves removed one side.
Catheter in for 8 days, no pain, no post op problems apart from an infection, cleared with antibiotics.
Some aching around the penis, which still occurs.
6 week psa 0.1, post op pathology all good, confirming pre op tests. Ed a problem, no treatment as yet.
Light ladies pad during the day, just to control a slight dampness and a Tena for  men pad at night for occassional leakage.
Awaiting 3 month consultation at the moment.
Sept 09 - still awaiting consultation. 99% dry during the day, tena pad at night just in case.
Sept 18th 09. PSA less than 0.1
Sept 29th follow up consultation at Addenbrookes. Staff happy with progress.
Nov 11th update. One small stress dribble in the last 2 months. Still some muscle stiffness in pelvic area.
 


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 1/8/2010 5:28 AM (GMT -6)   
It should ease up...
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 463
   Posted 1/8/2010 6:55 AM (GMT -6)   

I am 2 1/2 years post surgery and I still ejeculate urine, and I have seen no improvement since my surgery.  I was very lucky in not having any ED issues after my surgery, and I can achieve a pretty rock solid erection without taking any drugs, so I feel thankful for that.   But the major problem I do have is that as soon as I start feeling myself starting to get sexually aroused and an erection comming on,  I start to feel my splinckter muscle relaxing and I will start dripping urine.  Even if I try to empty my bladder before sex, I will still drip some urine with an erection, and I will still ejeculate urine with orgasm.   With a really good intense orgasm, I can ejeculate urine with such force I can hit the ceiling.tongue  Too bad you can not take a pill to color your urine white.

I talked to my uro and he said that this is just something you have to live with and is one of the side effects surgeons never tell you about.  He told me that if you ejeculate some urine into your partner, not to worry because urine is sterile and it can not cause any harm.  Try telling that to a woman!!!!

This has really put a damper on my sex life because now when ever I think about having sex,  first I have to go try to empty my bladder, then I have to get towels and put them on the bed so I don't drip all over the sheets, then I got to worry about ejeculating urine when I have an orgasm.  Maybe this is the contributating factor why I lost my libdo after surgery.

I sure hope your urine ejeculation improves, because I would not want anybody going through what I am going through.  It is like torture. I am lucky enough to have no ED issues after surgery and can get rock solid erections,, but I can't use them because I leak every where.  Well, I guess this is a small price to pay for not having cancer.



 
Age 56, Biopsy 6/2007 - PSA 4.5, 2 of 12 with  <5% cancer Gleason 6
Surgery 9/2007 Strong Memorial,  Rochester  NY with Dr. Jean Joseph (1300 plus surgeries)
 Path - Negative margins, cancer in 20% examined tissue, Gleason 6
 Post Op - No ED issues, full erections without drugs,  used 5-7 pads a day for 3 months. Now dry except for stress leaks now and then.
 All post op psa's <.04

Post Edited (NY-Sooner) : 1/8/2010 7:44:06 AM (GMT-7)


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 1/8/2010 9:04 AM (GMT -6)   
Had the same problem about 8 months out. I am going on about 2 years post RRP and it has cleared up. Most guys experience this after RRP. My doc never told me about it either.
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
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C
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)
Started IMRT June 13, 2009
Completed 37 treatments July 31, 2009 (66.6gy)
11/23/09 Post IMRT PSA .18


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/8/2010 9:20 AM (GMT -6)   
Never had that happen before, not even a drop. That could be a difficult thing to deal with on a regular basis.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/8/2010 10:18 AM (GMT -6)   
NYSooner: Several guys have your probloem and a few solve it by applying a tight (small) penis ring after gaining erection, to clamp off the urine flow. I had this problems for a few months a found that it does work. There's even a kit available with silicone rings and an applicator, for those who don't require a pump to gain erection. Here's the link:

www.vitalitymedical.com/Product/Encore-Impo-Aid-Ring-Kit-OTC-44023001.html

This may be your best and less intricate option. Plus you get the benefit of doubles if you wish, maybe.. blush
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN


Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 1/8/2010 10:49 AM (GMT -6)   
Thanks James. I may try that solution. Same issue here, 1 year out. Sometimes no urine, sometimes a lot, regardless of emptying before. One thing that seems to make some difference is how much fluid you've taken on in the couple of hours before becoming active. More means more urine production, so more in the bladder after emptying but before climax. Note that this statement is only about as accurate as english grammer rules.
51 YO
PSA at Dx: 8.2
DaVinci RALP: 10/31/08 -- Great MD in New Haven, CT
Negative margins, no extra-capsular involvement
One nerve spared
PSA at 0 for just over a year now.
 
 


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 1/8/2010 11:26 AM (GMT -6)   
My doctor DID tell me about this before surgery. When I told my wife she said; "We'll put down towels."
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 463
   Posted 1/8/2010 11:59 AM (GMT -6)   
Rolerbe,,,,I tried your solution about not drinking a lot of fluid hours prior, but I find that even with this, I will still drip some urine, and now because the urine is much more concentrated, it tends to have more of an oder to it which makes things worst.   Since I can not stop the leaking no matter what I do, then at least I want it some what less replusive, so I find by drinking a lot of water hours before sex, the water dillutes the urine so much as to make it have no oder what so ever and it almost clear in color.  This  helps makes it a little more less repulsive and acceptable.
 
I think I am going to try James solution and see if that helps. 
 
Age 56, Biopsy 6/2007 - PSA 4.5, 2 of 12 with  <5% cancer Gleason 6
Surgery 9/2007 Strong Memorial,  Rochester  NY with Dr. Jean Joseph (1300 plus surgeries)
 Path - Negative margins, cancer in 20% examined tissue, Gleason 6
 Post Op - No ED issues, full erections without drugs,  used 5-7 pads a day for 3 months. Now dry except for stress leaks now and then.
 All post op psa's <.04


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 1/8/2010 1:21 PM (GMT -6)   
Hey NY-Sooner
I understand your comment about the leak. It is hard to imagine but even a drop or two is significant. Concentrated pee leaves a stain and an odor.
I had my surgery with Dr. J at the same place but you're 2 years ahead of me. I leak too but also have the added "gift" of being totally ED challenged - even with 20 mg of Cialis and 100 mg of Viagra combined. So, I'm going the next step and have set up a date with the PA in 2 weeks. Looks like I will be learning about injections.
I hope James' technique will work for me too. Oh, and I also hope my PSA is zero. Some people are just never satisfied.
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next?
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
. 9/27 2 months: Still 3 pads per day.
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day Experimenting with Nyquil for 10 days: Can sleep through the night but withdrawal is bad. Stopped 12/20.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04 undetectable.


Jstars
Regular Member


Date Joined Oct 2005
Total Posts : 489
   Posted 1/8/2010 6:40 PM (GMT -6)   
I too have used the rings technique with good success.
Also when I used MUSE the last couple of times I simply used a not-too-tight ring-with-beads-inside ring just below the head of the penis -- not at the base. You can get those rings online anywhere (Adam and Eve for instance). That keeps the nuisance drips at bay, and it is quite decorative too -- and "adds that little extra bumpy roughness that women love" (quote from the description -- hah hah).

I am not sure if it would keep the orgasmic spurt at bay tho -- i usually chicken out and clamp down on penis no matter what kind of ring system I have in place.

As far as shooting urine at orgasm goes (away from the bed -- in the shower -- VERY far shoot) i would say that any spurting is better than no spurt at all -- brings back a little of the old times now gone.
Age 58, 195lbs, 6'4", 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
Biopsy Nov2008 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery , Nerve sparing both sides, 1 day in hospital, Day 4 first BM,
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
02/18/09 Cath out, passed a 1cm oblong STONE within hours.
03/06/09 Started Levitra@20mg / Viagra@100mg / (04/01) Cialis@20mg -- no real effect (thru 11/2009).
04/01/09, 07/07/09, 10/01/09 PSA <0.1 - Stone Was Oxalate stone -- X-ray no stones.
08/09 - started MUSE@1000mcg ... pump&plump - success(80-90%) (alpro ache).
09/09 @500mcg +pump&plump + 2 advil - success(80-90%) - (less Alpro ache).
10/09 TrimixGel (500/300/100mcg): 1st:60%, 2nd:(pump&plump) 60%, 3rd(added 500mcg muse):70-80% -- (no Alpro aches!) but none @ useful hardness!


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 1/8/2010 10:49 PM (GMT -6)   
When ejaculating, there are spurts of urine - sometimes large, othertimes small. I'm at the 16-month post-op timeframe.

Age:  60 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0; 9/09: 0.0

 


dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 1/9/2010 6:15 AM (GMT -6)   
I would have liked my pre op "spurts" to have been as powerfull as my post op "spurts". I have obviously found that emptying the bladder prior to the event cuts down on the amount of urine lost. Just wait and see how things progress. Allthe best from England.
Diagnosed February 2009. Gleason 6, Psa 7.2, 12 core biopsy, and then Mri scan, which showed organ specific.
DaVinci at Addenbrookes, Cambridge, England 18th May 2009.  Nerves removed one side.
Catheter in for 8 days, no pain, no post op problems apart from an infection, cleared with antibiotics.
Some aching around the penis, which still occurs.
6 week psa 0.1, post op pathology all good, confirming pre op tests. Ed a problem, no treatment as yet.
Light ladies pad during the day, just to control a slight dampness and a Tena for  men pad at night for occassional leakage.
Awaiting 3 month consultation at the moment.
Sept 09 - still awaiting consultation. 99% dry during the day, tena pad at night just in case.
Sept 18th 09. PSA less than 0.1
Sept 29th follow up consultation at Addenbrookes. Staff happy with progress.
Nov 11th update. One small stress dribble in the last 2 months. Still some muscle stiffness in pelvic area.
 


Zen9
Regular Member


Date Joined Oct 2009
Total Posts : 310
   Posted 1/11/2010 4:26 PM (GMT -6)   
How about this for a variation ...
 
On nights I have an orgasm I have no leakage before, during, or immediately afterwards.  But sometimes - not always - when I wake up a few hours later, I have leaked a few drops.  [Actually, if I didn't know better, I would swear that it is semen, not urine.  Just me losing my grip on reality, I guess ....]
 
Anyway, on other nights, never a drop.
 
I don't have a partner, so I've just ignored it.  Hopefully it will go away in time.  It's never a big leak.  Don't know what I'd do if I ever do have a partner again, but that is so unlikely it's not worth spending time thinking aboutshakehead
 
Zen9
 


No family history of PC.  PSA reading in 2000 was around 3.0 .  Annual PSA readings gradually rose; no one said anything to me until my PSA reached 4.0 in September 2007, at which point my internist advised me to see a urologist.   
Urologist advised a repeat PSA reading in six months = 4.0 .  Diagnosed May 2008 at age 56 as a result of 12 core biopsy.  Biopsy report by Bostwick Laboratories = Gleason 3 + 3. 
Interviewed two urologists - the one who did the biopsy and another - the latter had the biopsy slides re-examined = Gleason 3 + 3. 
Then went to M. D. Anderson Cancer Center in Houston in July 2008 and met with a urologist and a radiologist.  Biopsy slides re-examined yet again, this time by MDA's internal pathology department = Gleason 3 + 4.   
Chose da Vinci surgery over proton beam therapy; surgery performed at M. D. Anderson Cancer Center on August 15, 2008.  Post-operative pathology report = four tumors, carcinoma contained in prostate, clean (negative) margins, lymph nodes clear, seminal vesicles clear.  Gleason = 4 + 3. 
Minor temporary incontinence; current extent of ED uncertain due to lack of sexual partner; refused treatments for ED as being pointless under the circumstances. 
PSA readings: 
November 2008 = <0.1 ["undetectable"]
June 2009 = <0.1   
December 2009 = <0.1
 

Post Edited (Zen9) : 1/11/2010 3:45:21 PM (GMT-7)


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/11/2010 6:17 PM (GMT -6)   
Zen9, there is a good possibility the 'leak' you are seeing is from the Cowper's Gland, which often remains after surgery. It's the same clear pre-lub you saw in the past, not in as large amount, but still present. Several guys here have commented that they see it afterwards, in an oozing out manner.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN


Mike H
Regular Member


Date Joined Jan 2010
Total Posts : 72
   Posted 1/11/2010 7:02 PM (GMT -6)   
James C.

Thanks a million. I learned something new today. I've noticed the pre lube secretions and thought I was crazy since I had no prostate.
After your post I googled Cowpers Gland and I guess I must still have one.

I'm not imagining things or crazy. I was even worrying that there might be some prostate something or other left behind if I was having this secretion.

Thanks for the education. Your post is the first I ever learned about this gland.

Mike
8/12/09 Diagnosed at 49 years old. DOB. 6/11/60

10/29/09 Surgery at Memorial Sloan Kettering Cancer Center, NYC
11/25/09 Catheter Out (4 weeks)
99% continent the day the catheter came out
Wore the pads for 2 weeks to be safe but had minor drips at most.
12/16/09 First PSA (7 weeks) < .05 Undetectable

2003 Biopsy Negative
7/23/09 Biopsy Positive. 10% cancer in 1 of 12 cores. Gleason 3+3=6.

Post Surgical Pathology:
Gleason 3+3=6
Tumor confined to prostate
Seminal vesicles not involved
Bladder neck not involved
Surgical margins free of tumor
Lymph nodes not involved


Zen9
Regular Member


Date Joined Oct 2009
Total Posts : 310
   Posted 1/11/2010 7:54 PM (GMT -6)   
James,

THANK YOU!!!!!!!

I didn't think it was urine, but I just assumed it had to be - even though everything about it said it wasn't.

I very much appreciate the education, as always.

Zen9
No family history of PC.  PSA reading in 2000 was around 3.0 .  Annual PSA readings gradually rose; no one said anything to me until my PSA reached 4.0 in September 2007, at which point my internist advised me to see a urologist.   
Urologist advised a repeat PSA reading in six months = 4.0 .  Diagnosed May 2008 at age 56 as a result of 12 core biopsy.  Biopsy report by Bostwick Laboratories = Gleason 3 + 3. 
Interviewed two urologists - the one who did the biopsy and another - the latter had the biopsy slides re-examined = Gleason 3 + 3. 
Then went to M. D. Anderson Cancer Center in Houston in July 2008 and met with a urologist and a radiologist.  Biopsy slides re-examined yet again, this time by MDA's internal pathology department = Gleason 3 + 4.   
Chose da Vinci surgery over proton beam therapy; surgery performed at M. D. Anderson Cancer Center on August 15, 2008.  Post-operative pathology report = four tumors, carcinoma contained in prostate, clean (negative) margins, lymph nodes clear, seminal vesicles clear.  Gleason = 4 + 3. 
Minor temporary incontinence; current extent of ED uncertain due to lack of sexual partner; refused treatments for ED as being pointless under the circumstances. 
PSA readings: 
November 2008 = <0.1 ["undetectable"]
June 2009 = <0.1   
December 2009 = <0.1
 


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 1/12/2010 3:39 PM (GMT -6)   

I had the same problem and it lasted for a little while and if I do not void before having sex now I will still leak a few drops on climaxing.  When I asked my surgeon about it he told me studies have found about 40% of prostatectomy men have a small amount of leakage when climaxing. In my case it has gotten better and I do not use a condom.

Tamu 


Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
Da Vinci on 11/01/06, Catheter out on 11/13/06
56 Years Old
Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06, 6/25/07, 1/8/08
No more pads as of 1/13/07
Began injections in April '07
 

New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, June 21, 2018 2:57 AM (GMT -6)
There are a total of 2,974,029 posts in 326,234 threads.
View Active Threads


Who's Online
This forum has 161222 registered members. Please welcome our newest member, leroygertha.
250 Guest(s), 3 Registered Member(s) are currently online.  Details
leroygertha, Another UC Mum, KarloVen