My husband is young for this prognosis, 53. Totally healthy otherwise-- healthy lifestyle. Got the diagnosis November, 2006. Gleasonscore of 6, PSA 3.5, biopsy: 3 malignant samples out of 12, scattered around the prostate-- no sign its left the prostate.
Our life together has been happy, fun, overall satisfying. Our sex life has been great during our 30 years together-- now we face the possibility of ED or at least the loss of ability to ejaculate... we'll be ok, whatever it is, we'll be doing this whole thing together...
We've been studying books and websites, gone to some support groups, seen several doctors -- but so far, I guess because each man is unique after his treatment, know one, so far, has been willing to speak openly with us about what it "might" be like for us... also, most of the men in the groups are much older than my husband, and are uncomfortable talking openly about sex.
For ease of sharing your thoughts, how about we just assume the best-case-scenario-- that my husband will do very well and be able to maintain a fairly good erection after complete recovery from surgery.
If there is no ejaculation of semen during orgasm:
1. How does the he know mentally, and feel sensually that his climax has reached its peak?
2. How does he know and feel that he is "finished" with his orgasm?
3. Is it a weird or bizarre experience for him, does it make him sad, this new kind of orgasm?
4. During the orgasm, does he feel the sudden relief from the sexual tension that (pre-prostatectomy) normally builds up during foreplay before orgasm? This seems to be very key to his satisfaction...