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Prostatectomy - 6/27/2009 11:14:00 AM

LotusSong

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I have a question concerning those of you who have had a prostatectomy. You may not wish to answer here so feel free to email me your answer. My question is this.. the DaVinci method is to preserve all the nerves and cut down on disfunction after the healing.

Now.. it seems those that have had this still have impotency where it makes no sense to have it. All that's different is that they can't squirt. All the function is there for an erection..the sensation is there to have what is called a "dry" orgasm. So, what is holding them back? Is the inability to ejaculate the problem or is it more a mental thing that keeps you from enjoying sex? If you still enjoy sex, how did you come to terms with the transition and what is your new "orgasm" like to you? Do you strill ha ve your libido? Thanks in advance for your insight, guys :)

< Message edited by LotusSong -- 6/27/2009 11:43:08 AM >

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RE: Prostatectomy - 6/27/2009 11:41:47 AM

GrizzlyBear

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quote:

prostatectomy

No I haven't had the surgery. I'm not a doctor or other medical professional and do not play one on TV.

You must realize that every surgical outcome is different. The progression of disease determines how much and what must be cut out. Healing, scarring, infection, nerve trauma, reduction in blood flow, none of these are totally controllable and all will have some effect . Even in the best of circumstances patients are likely to experience 12-24 months of erectile dysfunction, and the best that they can hope for is a return to a similar level of erections that they could experience beforehand. Most prostate cancer patients are of an age where they already experience some ED.

The daVinci procedure just gives better odds and faster healing is all.

Also bear in mind that the prostate has an important role in male orgasm. It is richly enervated, and muscle spasms that put pressure on it and move fluid out of it are responsible for most of the volume of the semen as well as a large portion of the sensation of orgasm. Orgasm is not going to be the same without a prostate, even if the erection still works.

More information here: http://www.roboticoncology.com/sex_prostate_surgery/

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(in reply to LotusSong)

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RE: Prostatectomy - 6/27/2009 11:52:36 AM

LotusSong

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quote:

ORIGINAL: GrizzlyBear

quote:

prostatectomy

More information here: http://www.roboticoncology.com/sex_prostate_surgery/

Thank you. It was very informative. I'm also wondering what a post-prostatectomy orgasm feels like. And being sex is what.. 90% mental.. can it get relearned to any type of satisfaction?

Edited to add: While am researching the internet for this answer, I guess I'm more interested in personal experiences.

< Message edited by LotusSong -- 6/27/2009 11:55:24 AM >

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RE: Prostatectomy - 12/29/2009 6:56:28 PM

ayrn54

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I had the surgery at age 55. Outcome was a success--cancer gone.
But...erections possible only with Cialis or Caverject; orgasms possible
but obviously I can't "deliver the goods." Some penis length lost,
erections are not as strong, condom use mandatory since any minute
amounts of urine in bladder will "ejaculate."
How can I lengthen my tongue?
The cancer is gone!

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RE: Prostatectomy - 12/29/2009 7:08:48 PM

LafayetteLady

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I am wondering why anyone would choose not to have surgery that, to my understanding, is to correct a life threatening condition?

ayrn54, I am happy for you that you are cancer free. My guess is that regardless of the *relatively* minor after effects, it is way better than the alternative.

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RE: Prostatectomy - 12/29/2009 8:39:05 PM

ayrn54

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Every patient's situation is unique.
But, prostate cancer is a slow cancer. Three treatment options exist:
surgery, radiation, watchful waiting. The choice of treatment option
depends on the stage of the cancer when detected, current health
of the patient, the best guess of remaining life expectancy, and the
patient's desires. The decision is made when the patient is usually
in a state of shock. A good Urologist is key. I had a great Urologist.

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RE: Prostatectomy - 1/2/2010 7:04:04 PM

LadyOddsworth

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I had a lover who had prostate cancer and lost all of his nerves with the surgery. Hard to not since they run right through the center of the prostate. He was left completely impotent. He had a pump put in which was a bit of a joke since is blows up the penis a bit, but there is nothing to stablize it., so it just flops around.

He lost length, but not sensation. He had dry orgasms, at first they aren't that satisfying, but as time goes on they get better and better. He could have a good time. He didn't have any problems with urine leakage, but during the dry O he would have some secretion. His Dr. said it was normal, never bothered me.

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RE: Prostatectomy - 1/3/2010 2:03:16 PM

kiwisub12

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During the surgery, the surgeon removes, as well as the prostate, the seminal vesicals - which account for 60% of ejaculate. Thus your ejaculate is automatically decreased.

Usually at the presurgical screening the surgeon will ask about sexual health ie. quality and quantity of erections. If there is an absence of erections, the surgeon can plow ahead during the surgery without trying for nerve sparing. If impotence isn't a problem presurgery, then she/he can do a couple of different things to spare the nerves and (hopefully) allow the patient to retain the ability to have an erection.

There is no guarantee of course, surgery being as much of an art as a science, but they can try.

and I have had men come in after robot surgery to have implant surgery, so obviously sex is still fun and games.

ps. I am a surgery nurse, and do the robot surgeries. So , i can tell you anything you want to know about the surgery, and little about the aftermath.

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