Bittersweet

Who's around New Orleans for me to buy drinks? Yes, I had my first post-op psa screening and it came up 0.1. That was Tuesday, the same day I was prescribed and took a half Cialis (20 mg) and tried to engage my wife. No luck unfortunately. Today, I kept an appointment to learn the proper injection technique for Trimix. I had the shot and it worked (sort of) but ached a lot. So much so that when I got back from the hospital I *********d thinking (like old times) it would go away with release. No such luck. In fact, while the orgasm felt mostly the same, upon release, urine shot everywhere; it was disgusting. I can't imagine my wife enjoying that, albeit politely tolerating it.

Other than using condoms, which we have heretofore eschewed, does anyone have any insight as to whether this urinary ejaculate lasts.

Obviously, I know what's important, and that's the 0.1, but still, I have the fleeting notion that I would be the exception to the rule.

Lets see, your armed, dangerous, and disgusting, and now your looking to get someone drunk???? So glad I'm far from New Orleans. :)

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Woodys stats:
Age at daignosis 55
4/2010 PSA 26.5
Biopsy results 4 of 6 positive at 40% R&L mid; 60% L apex; 80% R apex - perineural involvement
Gleason 7 (3+4 in 3 and 4+3 at R apex)
Treatment choice: ADT/EBRT/HDR
First Lupron shot July 2010, 5 weeks radiation to begin in sep followed by 2 HDR treatments
Woodys father died of PC at age 55 (woody was 5yo), we did not know until after diagnosis

Father of Two, How's your everyday continence level?  I wonder if ejaculating urine might be related to general urinary continence issues. 

I've been fortunate that has not happened to me, though I'm always careful to completey empty my bladder before any sexual activity.  I don't know if actually having an erection changes things and won't know until I actually have one.

I hope your problem clears up as time goes by.   

While the prostate is in place, there is a sphincter muscle that closes just prior to ejaculation to prevent just that from happening ------- this stops semen from being blown back into the bladder (or urine being expelled with the ejaculate) and sends it where it is supposed to go (if this does not work as it should then it is called "retrograde ejaculation"). I should think that with prostate removal this close-off facility can be removed or drastically effected. As Clocknut said, time could fix things up though.
Bill

Post Edited (BillyMac) : 1/27/2011 7:19:42 PM (GMT-7)

I've stopped wearing pads and am generally leak free unless I have too many glasses of wine, in which case things loosen up, as it were. But as you say clocknut, even with an injection, mine can best be described as middle of the road. Hopefully, when/if things ever go back to "normal" then that will repair itself...

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Robotic Surgery 12/23/10
Age 40; PSA - 6.2; 3+4 Gleason

You need to empty your bladder before injecting the trimix. If I don't empty my bladder completely I lose few drops afterwords.

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Age: 67 at Dx on 12/30/08 PSA 3.8
2 cores out of 12 were positive Gleason (4+4)
Davinci surgery 2/9/09 Gleason 4+4 EPE,
Margins clear, nerve bundles removed
Prostate weighed 57 grams 10-20% involved
all PSA tests since (2, 5, 8, 11, 15, 18 months) undetectable
Latest PSA test (21 months) .005

It took me over a year but now urine on ejaculation is down to a few drops and tolerable for both of us. As others have said, empty your bladder first.

I'm almost two years out from surgery and I still shoot urine out like a geyser. I empty my bladder and do not drink anything, it does not matter. My uro said to try a condom, but there is way to much urine for a condom to hold. The urine starts coming out the back of the comdom.

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diagnosed 2/2009
age 48
davinci 4/2009
stage pT2c
gleason 3+4=7
PSA 3.4
all margins clear
both nerve bundles spared
incontinence 1 pad/day after 3 months
dry at 6 months
ed improving cialis, pump and tri-mix

Urine on orgasm seems to be a fairly common thing. I am nearly 2 years out from robotic and I spray on orgasm, whether or not I empty the bladder prior. I am otherwise 99.9% continent so the issue of leaking does not seem to be connected to the loss of urine on ejaculation.

I tend to squirt during sex rather than at orgasm, but reports here suggest squirting urine at orgasm is very common.

If you can, then try taking a very short pause during sex to have a pee, then if/when you do squirt it should be less. (I usually dash to the bathroom, stand by the bath as my penis is obviously pointing the wrong way to pee in the WC and let it flow, then dash back to the bedroom - I don't hang around to clean the bath either but do that afterwards!)

I also have a waterproof sheet on my side of our bed to protect the mattress anyway, so we always make sure we are on my side of the bed to have sex.

Another very simple option is to get carried away in the shower, either with the water on or not, but warm water splashing on both of you disguises any squirting or it makes it very easy to clean up.

Also note that fresh urine is sterile. If your partner gets some inside her it is not going to be a problem.

Yes a condom is an option, but you no longer need to use condoms that are for a contraceptive function, so remember there are not just regular ones but there are also ones that don't have lubricant etc, or smell of it, and also ones that smell of (or taste like!) strawberries, oranges, mint etc.

And when it comes to what you or your partner may or may not be comfortable with or happy about, then maybe there is something to be gained from making sure you are comfortable peeing in each other's presence anyway.

But don't let this be a reason to stop having sex or trying to have sex though.

Alf

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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 CT
66Gy 28 Apr to 11 Jun 10
Tired + weird BMs
14 Sep 10 PSA <0.1
12 Jan 11 PSA <0.1
Erection OK