testicular sensitivity

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Regular Member

Date Joined Aug 2007
Total Posts : 125
   Posted 10/24/2007 9:54 AM (GMT -6)   
I have looked all over the forum, but can't find anything pertaining to this. I never had any problems prior to my surgery, but I have some sensitivity now. It is not pleasant, but it is not necessarily painful either. It is not there all the time, but when it is I certainly feel it. I read an article after searching the net related to this happening to someone that was 6 years post prostrate removal. The response was that since the seminal vesicles and the vas deferens were no longer connected there was a build-up of semen that caused this. Has anyone heard of this or had this problem?

51 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
PSA after 6 weeks <0.1 - undetectable
11 weeks post-op - no more pads

Cedar Chopper
Regular Member

Date Joined Mar 2007
Total Posts : 432
   Posted 10/24/2007 10:55 AM (GMT -6)   

It is very normal to have testicular sensitvity only four months after a Radical Prostatectomy.

I am certain you feel much better. 
Still, there are a lot of things in your pubic cavity that have not fully healed at this point.
Due to the trauma of the surgery, several patients here had a swollen scrotum for weeks after surgery.

Your surgeon most likely removed both your vas deferens and seminal vessels as this is SOP for a Radical Prostatectomy.
My (limited, hopefully Swim will chime in here!) understanding is that you are left with short tubes that allow the experience of "ejacluation" and the sperm die there in these tubes.
Your body will have to adjust to this "absorption" and i recall one patient here (Rickard from Sweden) did report some kind of temporary infection in this regard.



2 Years of PSA between 4 and 5.5  + Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.  +  Gleeson 3+3=6
Radical Prostatectomy 16FEB07 at age 54.
1+" tumor - touching inside edge of gland.  + Confined:)
Pad Free @ 14 weeks.  Six Month PSA <.003  :)
At 6 months, ED treated with Pump Exercises & 50mg Viagra Daily
Texas Hill Country FRESH Produce Department Manager
Have you had your 5 colors today?

Regular Member

Date Joined Jun 2007
Total Posts : 152
   Posted 10/24/2007 3:08 PM (GMT -6)   
Yup, you get a vasectomy as part of the surgery so that's why your testicles are sore. Mine were too but it was short lived.

Age 44
PSA 4.8
Gleason 3+3=6
Biopsy - 3 of 12 (2@20% / 1@80%
Da Vinci 7/31/07 @ Duke
2.5 hr. surgery, released from Duke with in 14 hrs.
Saved both nerve bundles. 
Foley out 8/10/08
Positive Pathology Report 
Near left side nerve bundle
New Gleason 7
Oncology visit in the near future for radiation
Back to work 3 weeks following surgery - Sales
9/13/07 - 1 Post PSA Undetectable less than 0.1 
9/17/07 - Pad Free! 
10/11/07 - ED, Trimix injection .2cc Tooo much but it worked.
No luck with viagra or pump. 

Veteran Member

Date Joined Jul 2006
Total Posts : 686
   Posted 10/24/2007 9:52 PM (GMT -6)   


Hi KD & Cedar

The comment about a vasectomy almost got past me.  I was about to post because I had a question about orgasm. 

My orgasim experience has been decreasing lately.  My success with injections has provided very nice erections, but I seem to be having less intense orgasm.


My question is..35 years ago I had a vasectomy, is it possible that it has caused the shortened tubes to be too short? Did my earlier vasectomy have any affect on my current orgasm feelings?  I have never discussed this with my urologist, but I intend to on my next visit.  Do you know of any studies that might be helpful to me?

Biopsy 10/16/06
T2A,  PSA 4.7
Gleason 4+4=8 right side
adrenocarcinoma of prostate
DaVinci Surgery 01/16/07
Post op report,confirms Gleason4+4=8
no extra extension/invasion identified
age 65
no continence problems
Back on the golf course...
90 day PSA  less than 0.01 (undetectable)
Six Month PSA still undetectable
ED problems- 20mcg Caverject and 50mg Viagra-success

Cedar Chopper
Regular Member

Date Joined Mar 2007
Total Posts : 432
   Posted 10/25/2007 5:41 AM (GMT -6)   

In reference to your changing orgasmic response, I really have no clue.
Hopefully your Physician can consider things such as frequency and tissue/nerve regeneration times and suggest something helpful. 
(I can hear Swim saying something about the "patient patient....") 
My personal experience with vacuum erections suggests the intensity of orgasms is less with an assisted erection as opposed to with no erection.  Increased frequency also seems to mitigate the experience..
This is by way of saying, your increased success at erection might be at the expense of sensation loss.
Still, we must keep our tissues reaching for the ideal!  :)

I don't believe a conventional vasectomy - which in my understanding just severes the seminal vessels - has any bearing on how close the Radical Prostatectomy procedure was to your testicles.
I believe they still take the same amount of tissues, anyway, as an oncological precaution.

Regardless, if your are experiencing a decreasing sensation post surgery, all of these sensations are post surgery and it is doubtful the RP procedure has anything to do with that.....

I'm betting "Time heals all wounds."  In the meantime, water your horses....

Your Friend,



New Member

Date Joined Nov 2007
Total Posts : 4
   Posted 11/18/2007 4:08 AM (GMT -6)   

Hey Rip,

This may have already occurred to you, but it took me awhile to realize this myself.  The pads that I was using to soak up leaking urine, began to rob the "twins" of space that had earlier been allocated to their free swinging environment.  The resulting pressure caused some testicular ache that resolved when their freedom was restored.  cool PACrat

52 y/o, DRE negative due to anterior nodule in R lobe
3-2007: PSA 4.1, slowly rising from previous year
9-4-07: Biopsy +7 of 14 on R, 25%, Gleason 3+4, Stage T2a
10-4-07: LaproscopicRP in Miami, clear margins, 3+4 confirmed
10-29-07 PSA < 0.1, done in 3.5 weeks by my local urologist
11-17-07 (6wks) found this group, limp & leaky, but feeling like one of the guys due to all of the knowledge & caring of this group.

Regular Member

Date Joined Aug 2007
Total Posts : 125
   Posted 11/18/2007 6:26 AM (GMT -6)   

I don't believe this is the case. I have been off the pads for 5 weeks now. The sensitivity is still there. I meet with the urologist for my second PSA in the last week of November, then "test" out the injections 2 days later. I will have an opportunity to ask all my questions then.

51 years old
T1c 3+3=6
DaVinci July 16, 2007
largest cancer .2mm
Bladder Sling installed during prostate removal
nerve sparing with both nerve bundles intact
all cancer contained within prostate nothing near margins
PSA after 6 weeks <0.1 - undetectable
11 weeks post-op - no more pads

New Member

Date Joined Sep 2007
Total Posts : 11
   Posted 11/20/2007 11:05 AM (GMT -6)   
I had the same pain you are describing.  I asked the Dr. and he said it was normal but didn't explain other than like the previous post, lots going on down there.  I was very tender with pain for 3 or 4 months but it's gone now.  Not unbearable but very sensitive to touch especially. 
I also have had success with the injections but can't have an orgasm at all since 1 month after the HT, Eligard.  I have feeling but just can't get it done.  Anyone reads this and has a idea, please let me know.  I also have had little sexual desire since the shot but like most men I gotta try..
Best Regards to All,
ELIGARD 45 GIVEN 6-05-07

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