Ejaculating urine

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Regular Member

Date Joined Aug 2010
Total Posts : 43
   Posted 9/16/2010 4:10 PM (GMT -7)   
This goes in the category of "things I never thought I would ever talk about on a web forum".

I'm about 3 weeks post-RRP, and doctor's orders were to practice getting an erection and having an orgasm. So I've done it twice this week. I was expecting a dry ejaculation, but both times I was totally surprised to find that some urine spurts out during orgasm.

I'd never heard of this. Has anyone experienced it? And more important, does it go away after a while?
Age 57, PSA 6.0, Biopsy - 3/12 cores , Gleason 3+4
Aug 27 2010: open RRP at UPMC Shadyside Pittsburgh, nerves spared
lab results: 0/23 lymph nodes involved, negative margins, woo hoo!

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 9/16/2010 4:25 PM (GMT -7)   
You're part of the club! Yes it is very common. Yes, it should get better. With good kegels and time, it might go away. But if you have a full bladder and are in missionary position, it will almost always leak. Keep **********. Some men find they squirt urine all the time. A condom takes care of it. Also, if you are on the bottom, it helps.

Many men find that at the first sign of arousal, they squirt a bit of urine. The valve that we are using to control the urine, is the valve that used to open wide at the first sign of arousal to allow semen to pass. The prostate took over the valve job. So, now that valve must learn to stay shut. Don't panic, it is probably not here to stay.
www.franktalk.org ED website for PCa guys

46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!

Regular Member

Date Joined Sep 2010
Total Posts : 148
   Posted 9/16/2010 5:06 PM (GMT -7)   
I am learning new things all the time.

Veteran Member

Date Joined Jul 2010
Total Posts : 3556
   Posted 9/16/2010 5:14 PM (GMT -7)   
Highwayman said...
I am learning new things all the time.

These kind of discussions can really frighten the children.....

Veteran Member

Date Joined Aug 2009
Total Posts : 652
   Posted 9/16/2010 5:14 PM (GMT -7)   
Had that the first few weeks after surgery. Has not been a problem since then. I think kegels probably helped the most.

Veteran Member

Date Joined Jul 2010
Total Posts : 3556
   Posted 9/16/2010 5:19 PM (GMT -7)   
I'm squeezing, I'm squeezing!

Regular Member

Date Joined Oct 2005
Total Posts : 487
   Posted 9/16/2010 6:31 PM (GMT -7)   
You know if the GFMPH meeting had a Urine Ejecting Contest ....

Would give Pissin' Contest a whole new meaning and put em to shame.

I know I can do a 'jection at least 10 feet ...

Something to think about ...


Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4774
   Posted 9/17/2010 2:50 AM (GMT -7)   
Yeppers. Its pretty common. Two years+ after surgery I still see urine from time to time. Its basically harmless.
Age 55 - 5'11" 215lbs
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
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
Growing old is mandatory; growing up is optional..

Worried Guy
Veteran Member

Date Joined Jul 2009
Total Posts : 3726
   Posted 9/17/2010 2:51 AM (GMT -7)   

If you are interested in doing your own urodynamics testing I have an area in the backyard that's covered in pee (pea) gravel. I put dayglo orange nails spaced at 6 inch increments so I can easily measure distance.
You enter the distance, and the height of your "nozzle" above ground into the excel program I wrote and it calculates the tip pressure using basic physics.

It's best to avoid windy days when doing this testing.

Jeff (the leaking one)

Sadly, the old timers here know I am not kidding.

Regular Member

Date Joined Sep 2009
Total Posts : 459
   Posted 9/17/2010 6:15 AM (GMT -7)   
It has been three years since my surgery and I have seen no improvement and I ejeculate urine with such force I can hit the ceiling with a good orgasm. Even if I empty my bladder before sex, I still will ejeculate some urine. My uro told me that urine is sterile so if you get some in your partner, not to worry. Just try telling that to a woman!

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

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2206
   Posted 9/17/2010 7:16 AM (GMT -7)   
Yup this is the forum that talks about things other forums dare not!

Have sex in the shower is one option, either together or alone.
I was given my best orgasm since surgery while I was in the bath and my wife was not.
You also start to notice which rooms in the house don't have carpet on the floor (or does that fall under TMI)

A condom may not work if there is a large quantity or urine, it won't leak or burst or anything it will simply be to wet slippery etc. And don't forget fruit-flavoured condoms (for you-know-what)

And even though pee is not what you or your partner wants to see at the wrong time remember that fresh pee really is sterile. Try laughing at the unexpected and have a towel handy or whatever and allow for a bit of extra time for a clean up. There have been a few comments here from wives who have (secretly) admitted that they actually find it easy to wipe a bit of pee off themselves than a bit of semen.

Protect your mattress. We now have a flannel undersheet and then a flannel coated PVC waterproof sheet under that on just my side of the bed so as not to make life difficult for my wife, but I've found it's fine, even in hot weather: it doesn't make me sweat.) All that's needed is to be on the correct side of the bed at the appropriate time. (And a spare sheet is on standby on a bedroom chair, so that if we have to change the sheet there's no need to go rummaging about in the airing cupboard. And thus far it's been okay.

But I definitely get that tiny little dribble when first aroused, so I have also worked out a routine to not only pee before sex, but also to dash to the bathroom ever five minutes or so during sex and just have a fast pee in the bath/shower to keep everything really empty. (If you pee there you don't have to bother about aiming when it's all pointing the wrong way) and once we're done, then I worry about cleaning the bath etc.

Jeff would be much better using the shower for experiments. My shower has built in graph paper, 10cm/4in tiles along the floor and 6in/15cm tiles on the walls. And a lot warmer than standing outdoors, and less likely to scare the neigbours.

A year ago escaping pee seemed like it might be a big problem, but now it's almost insignificant. But the less the better., so keep squeezing the kegels and more.

Born Jun ‘60
Apr 09 PSA 8.6
DRE neg
Biop 2 of 12 pos
Gleason 3+3
29 Jul 09 DaVinci AVL-NKI Amsterdam
6 Aug 09 Cath out
PostOp Gleason 3+4 Bladder neck & Left SVI -T3b
No perin’l No vasc invasion Clear margins
Dry at night
21 Sep 09 No pads daytime
17 Nov 09 PSA 0.1
17 Mar 10 PSA 0.4 sent to RT
13 Apr 10 CT
28 Apr 10 start RT 66Gy
11 Jun 10 end RT
BMs weird
14 Sep 10 PSA <0.1
Erections OK

Regular Member

Date Joined Aug 2009
Total Posts : 147
   Posted 9/17/2010 9:26 AM (GMT -7)   
16 months out from the op and I still ejaculate urine. Apart from this problem my continence is 99.9%. I still do pelvic floor exercises and hope that at some point the problem will resolve itself.
All the best from England.

Regular Member

Date Joined Aug 2007
Total Posts : 125
   Posted 9/17/2010 12:25 PM (GMT -7)   
I was 3 years in July. I have found that I always want to go to the restroom before any sexual activity. It has gotten much better though. It also seems like the harder the erection, the less chance anything is going to squeeze out. My wife still enjoys not having the old mess though.
54 years - 5' 11" 200 lbs.
T1c 3+3=6
DaVinci July 16, 2007
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
11 weeks post-op - no more pads
08/15/10 PSA < .01 - Undetectable

Red Nighthawk
Regular Member

Date Joined Oct 2009
Total Posts : 289
   Posted 9/17/2010 4:54 PM (GMT -7)   
Yeah, no one told me about the phenomenon and it scared me when it happened to me. At that time, I thought something was broken down there or the surgery was faulty and something wasn't right. I remember posting my situation here then and thankfully learned the same things you are learning from these replys.

I find it doesn't happen if I refrain from beer and empty the bladder several hours before. It gets better over time.
Age: 63
Gleason grade: 3+4=7, present in both lobes, pT2c NX MX
Robotic RP: Sept. 15th, 2009
PSA's: .04, .03, .02, .05 (darn)
ED: Improvement slow but there are positive signs. No incontinent issues.
Surgery: Dr. Jim Hu. Dana-Farber/Brigham and Women's, Boston

Regular Member

Date Joined Jul 2010
Total Posts : 33
   Posted 9/18/2010 10:14 AM (GMT -7)   
It happened to me after my surgery but it has since stopped.  Also the minor leaks have disappeared also.  I have a name of a good plumber if you need one!!
Age 49 years old with no family history of PCa. but had testicular cancer in 1985.

PSA on 3-8-2010 was a 5.6
PSA re-take on 3-17-2010 was a 4.4
Biopsy collected on 4-17-2010 showed 2 of 12 cores malignant with Gleason scores of 3+3 Stage T1C.
RALP surgery 7-21-2010 at Hopkins.
Pathology report revealed that the cancer was organ confined, all margins negative and a Gleason score of 6.

Regular Member

Date Joined Aug 2010
Total Posts : 43
   Posted 9/19/2010 5:32 AM (GMT -7)   
Well, thanks for all the replies, this really helps a lot. Now I won't be going back to my surgeon to ask him if, pardon me, I'm seeing urine at the strangest times, and did you accidentally connect tab A to slot C instead of slot B?

English Alf, I'd love to know how you manage to interrupt sex with your wife every 5 minutes to go to the bathroom, but I guess that's way too graphic even for this forum :-)

Don't know what I'd do without the HW forums...

Age 57, PSA 6.0, Biopsy - 3/12 cores , Gleason 3+4
Aug 27 2010: open RRP at UPMC Shadyside Pittsburgh, nerves spared
lab results: 0/23 lymph nodes involved, negative margins, woo hoo!

New Member

Date Joined Dec 2012
Total Posts : 1
   Posted 12/5/2012 6:43 AM (GMT -7)   
I had my TURP 11 years ago and I still ejaculate large amounts of Urine with great force. The first time it happened after my surgery urine hit the wall. I also leak a great deal of urine when I see or think about something stimulating, which can be embarrassing when a 67 yr old man has the front of his pants wet from arousal. At least I'm not married so I don't have those problems to contend with.

Forum Moderator

Date Joined Jul 2012
Total Posts : 5638
   Posted 12/5/2012 8:30 AM (GMT -7)   
I find it helpful to know the technical jargon for embarrassing problems. That way you can at least sound erudite as you complain. The word "aphasia", for instance, is endlessly useful when you block on a common word. You simply stop in mid sentence and say "Sorry. Bit of aphasia. Give me a moment; it will pass." That way you will sound more educated than senile.

The word for this thread is "climacturea" as in "So sorry, my dear. My climacturea seems to be acting up again; can I get you a mint?"
Slow PSA rise 2007-2012: 1.4=>8
4 biopsies 2010-2012:
1)neg (inflammation observed),
3)positive one of 14 cores GS6(3+3) 3-4%, 2nd opinion GS7(3+4)
Moderate Pre-op ED
DaVinci RRP 6/14/12. left nerve spared
Post-op path: pT3a pN0 R1 GS9(4+5) Pos margins on rt
Start 24 mo ADT (Triple w/ Lupron) 7/26/12
Start adjuvant IMRT 10/17/12 done 12/13/12
Incontinent, Trimix, VED for Rehab

Forum Moderator

Date Joined Jul 2012
Total Posts : 5638
   Posted 12/5/2012 8:44 AM (GMT -7)   
When I am insecure about the spelling of an uncommon word that my spell checker doesn't know I frequently type the word into Google to get a consensus from the universe about how it might most-often be spelled other places.

As well as confirming my spelling of "climacturea" Google also offered this study from Weill Medical College of Cornell University Sexual and Reproductive Medicine Program, Division of Urology, Memorial Sloan Kettering Cancer Center, New York.

Efficacy of a penile variable tension loop for improving climacturia after radical prostatectomy

Veteran Member

Date Joined Jul 2010
Total Posts : 3556
   Posted 12/5/2012 7:44 PM (GMT -7)   
There are LOTS of things the surgeon often forgets to tell you..This is just one of the minor ones..A prostatectomy involves MAJOR changes in a mans plumbing system..Pee BEFORE you take the Viagra....
Age 70
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5,
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA <0.1 10/'11, <0.1 2/12, <0.1, 4/12 <0.1, 9/12, 0.8

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2206
   Posted 12/6/2012 2:17 AM (GMT -7)   
Rick - Welcome to the forum:
I too leak urine during sex/orgasm. (I thought it was spelt "climacturia") and since my previous post on this thread it has got worse again, as has my continence in general.
Peter mentions a study about loops/rings and I think one type of variable tension loop is called the "Actis Ring".

I also found this report of a study of the problem
Not all the details are at that link, but the following link to another forum contains more of the text (and I note it also says that most men reported having penile skrinkage after surgery):

(had to edit post due to problems with pasting links and pasting text)

Post Edited (English Alf) : 12/6/2012 2:36:33 AM (GMT-7)

Mr R
New Member

Date Joined Jun 2014
Total Posts : 2
   Posted 6/29/2014 6:11 AM (GMT -7)   
I was talking with my urologist about this issue. I still cannot have an erection. I am 9 weeks out from my procedure. He says it is impossible. He says the fluid is coming from Cowpers Gland.This fluid is what you see during an erection and also known as precum.

I had my follow up last week. My PSA is 0.1%


Veteran Member

Date Joined Jun 2013
Total Posts : 1763
   Posted 6/29/2014 8:37 AM (GMT -7)   
I find that my bladder fills quickly post op and that frequency is a problem, particularly after ADT. So it's difficult to stop urine from being ejaculated during orgasm because bladder always contains urine and can't ejaculate quickly enough. If you can have an erection I suppose it's easier to cum more quickly. I'm no doc but since your seminal vesicles are removed there's nothing to ejaculate but urine. Yuk! I no longer have sex because of this plus I am totally flaccid so it's a lot of work trying to orgasm. The good old days are gone it appears so you just need to adjust your life accordingly. I'm 70 so it's no big deal. I feel for younger guys!!
DOB January 1944
1981: prostatitis corrected with meds.
2000-2013 BPH treated with finasteride & tamsulosin; low T treated with androgel PSA
PSA: Nominal / Adjusted*
Pre 2009 0.4-.6 / .8-1.2
11/2011 2.2 / 4.4
8/2012 2.7 / 5.4
2/2013 5.5/ 11.0
4/2013 6.1/ 12.2
5/2013 6.6/ 13.2
11/2013 0.1
1/2014 0.2
4/2014 0.3
6/2013 Bx:Dx: PCa Gleason 4+4=8 (Bostwick), 4+5= 9(Johns Hopkins), 2/6 cores on right positive, 10% & 40%, DRE neg. (Stage PT1c)
7/2013 bone scan and 1.5T pelvic MRI negative
9/7/13 open RRP, Johns Hopkins, Ted Schaeffer MD PhD.
9/9/13 Pathology: 33G, Gl 9, both nerves spared, SVI, EPE and 4mm pos. margin at base (Gl7), Stage PT3bN0M0)
9/20/13 Foley and staples removed
5/14/14 Lupron 22.5 mg.
5/20/14 3T pelvic MRI negative for PC
6/4/14 started 38 sessions of IMRT/IGRT at 68.2 Gy to prostate bed
Side Effects:
Continence: one pad per day for 13 weeks post op, now none.
ED: some pre op, since RP total ED. Tried Viagra and VED

*For finasteride effect

Veteran Member

Date Joined Mar 2014
Total Posts : 2598
   Posted 7/1/2014 8:25 PM (GMT -7)   
"The word for this thread is "climacturea" as in "So sorry, my dear. My climacturea seems to be acting up again; can I get you a mint?"" HA! turn

Jeff(OP), you are 3 weeks post op and you are getting wood enough for action? Or at all? Dude! yeah
Some guys get all the breaks! smilewinkgrin

Regular Member

Date Joined Nov 2010
Total Posts : 192
   Posted 7/2/2014 10:29 AM (GMT -7)   
This is well commented on. Just my input as to the why.

Men have (had) two sphincters.

One in the (internal) prostate that holds back the urine during sex.

The other is the outer (external) that opens up during orgasm and allows the seminal fluid to flow.

Some of us lost the internal sphincter. I do not see how you can train the external to keep closed. But some guys must have done it. The external is also very weak but has been trained to work pretty good. At night time, it relaxes and many men can only go a few hours without wetting the bed.

I would void the bladder before sex, and perhaps have the partner stay on top. Hopefully that would minimize the event.

Bladder Cancer fall 2008, age 53 (57)
MVAC Chemo fall 2008 to Jan 2009.
RC of Bladder/Prostate Feb 2009
Stage 2 high grade bladder cancer, post RC surgery, Tc2 high grade Prostate cancer, Gleason 7(3+4) detected
Had AMS 800 implanted July 2009 but surgeon nicked uretha and the cuff had to come out. Developed infection and they took it all out. Reimplanted Oct. 12 2010 after fistula/infection fixed
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