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Old 03-23-2009, 02:13 PM   #1
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after prostate surgery: Dry Orgasm

I am interested in feedback from guys who have had a prostatectomy (either open or robotic). I have read in some books (including Walsh's excellent book), and in discusssion sites (including this one), that following nerve sparing Prostatectomies, that guys can still have an orgasm. It is my understanding that the orgasm will be a "dry orgasm" - since the prostate was removed.

I read in the closed thread (in this message board), that the dry orgasms are not quite the same as pre-op orgasms. I am curious to hear more details.

Specifically what i am wondering is, (even though there is no liquid/semen coming out) do you still have any sense of thrusting in your penis, or muscle contractions ?

I am probably not finding the best way to describe the details of my question. Probably, because i have never (before) tried to analyze the details of what happens in a normal male orgasm.

I remember, before my surgery, the wonderful feeling of climax. It was more than just the semen coming out. It was a feeling of muscles moving, of contractions occurring. As I tried to describe above, i would feel a sense of thrusting.

My surgery was only a month ago, so i realize that it may be weeks, months, or maybe even longer before things reach the maximum post-surgery capabilities.

My wife and i have experimented a few times. As was suggested by the surgeon, i have been taking some Viagra (twice per week). I have not yet had a full erection, but have had a partial erection. Even without a full erection, it does still feel nice to have my wife touch me. Twice, she has stimulated me to the point of orgasm (or something seemed like an orgasm).

During our recent activity, my heart rate, and my breathing intensifies. And, i reached some point (a peak) where my breathing kind of peaks, and then I experience that "post orgasm" type of release (like where you feel relaxed afterwards). It is almost identical to what occurred in sex (prior to surgery) except for the feeling in my penis.

Unfortunately, even though it felt very nice being touched leading up to (what seemed like) an orgasm. At the point of climax, it was almost like there was no (zero) sensation in my penis. There definitely was not thrusting, or muscle contractions, etc. It was weird.

I am wondering if any guys can comment. Anyone who has reached the maximum post-op capabilities. Does what i am describing sound familiar?

Prior to my surgery, but after reading Patrick Walsh's book, my image of how sex (and orgasms) might work - was that they would feel like a regular orgasm - except nothing would come out. What i have experienced so far differs greatly from that.

Can any one share what they have found to be true?

(p.s. I am not trying to turn this thread into some explicit discussion of sex. But i do want to know, with some level of details, what to expect, going forward).

thanks.

Prostatectomy Feb/2009
Pre-Op PSA 6.2
Pre-Op Percent Free PSA= 13%
Pre-Op Biopsy= 1 sample out of 10, with Gleason 3+4.
Post-Op Pathology = Gleason 4+3.
Post-Op Pathology = Margins clear (negative).
Both nerve bundles spared.

 
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Old 03-24-2009, 12:31 PM   #2
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Re: after prostate surgery: Dry Orgasm

I had RPR Nov 07. The sexual part and orgasm has not changed. But despite of the fact that I only lost 1/4 of nerve on one side, I still experience ED. So I am using the pump and it is working out great. Of course getting a handle on how to use the pump itself requires patience and practice.

 
Old 03-24-2009, 06:35 PM   #3
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Re: after prostate surgery: Dry Orgasm

I guess I would characterize the orgasm as more of a full body experience than pre RP. Before, the orgasm was more centralized in the prostate/pubic area as you mentioned, while afterward, they are extremely intense but less centrally located, and still most pleasureable. I think you'll find it to be so when you're further down the road to recovery. One month is fairly soon, and as you have complete healing, your orgasms will be better, at least that was my experience.

 
Old 03-24-2009, 06:35 PM   #4
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Re: after prostate surgery: Dry Orgasm

My husband had his first orgasm about 5 days ago. He did not have an erection but he did orgasm. It was dry and he said it felt the same but I am not so sure it did. He didn't act the same as he did before surgery after the big O.

 
Old 03-25-2009, 04:31 PM   #5
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Re: after prostate surgery: Dry Orgasm

Going on 8 years post RRP with bilateral nerve sparing, I've run the gamut of dry and wet orgasms. The dry orgasm feels very much like the pre-op ones except that they come with less warning, can have great intensity and are very localized with me at least. They also leave the penis very sensitive for several minutes after. However this being said, the erections aren't as strong as before and thus the orgasms during coitus are less intense whereas when the orgasm is induced manually or orally with simultaneus manual support the orgasm is as intense as pre-op. Graphic enough?
There is also a wet variety which involves ejaculation of the pre-ejaculatory fluid from the Cowpers Glands which is clear,tastless and includes no semen. I've only experienced ejaculations manually or with masturbation which accompanies the familiar pulsations of pre-op ejaculations. At first my wife and I thought these were involuntary urine squirts but which on examination they were not. These occasional ejaculations are almost identical to the female ejaculation which occurs with very few women and then only with the most intense digital manipulation of the G spot in my limited experience.
Hope this adds to your understanding from my own experience. I should emphasize that all these orgasmic experiences evolved gradually after my open RPP, starting with very mild sensations and becoming more intense both over time and with a good deal of experimention. I too used Viagra,Lavitra at first as well as the VED (pump). I still use the pump to firm up an erection for penetration but its only necessary for coitus and not manual and/oral sex play. By the way I'm now 77 and my wife's 75 but sex is still an important part of our lives albeit less frequently and with more preparation, foreplay and sensitivity to our respective needs.

 
Old 04-06-2009, 06:56 PM   #6
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Re: after prostate surgery: Dry Orgasm

Wow, I have experienced the same thing, I have ejaculate during masturbation (somtimes) and it's pretty significant at times, other times it's dry orgasm. Freaks me out . I'm trying to figure out what I did to get the wet ones, my wife and I like those better.
I had a prior TURP and was dry for 6 months,, now some wet ones after RP,, wierd huh?
Bill

 
Old 04-07-2009, 05:06 PM   #7
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Re: after prostate surgery: Dry Orgasm

Yep, lots of things changed after radical prostatectomy. Sex became like a new adventure all over again, never being sure what to expect. It kind of adds new mystery to an old experience.
I think I've noticed a relationship between the intensity of the orgasm and whether its wet or dry. The more intense the pulsations the greater the chance and extent of an ejacualtion. More irregular with intercourse than masturbation since the latter is more under my unilateral control.

 
Old 04-08-2009, 11:36 AM   #8
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Re: after prostate surgery: Dry Orgasm

I am wondering about the dry orgasm (for most) and some (in other threads) have commented that they have had a slightly wet orgasm (even after Prostatectomy).

Does it matter if the patient has had a vasectomy or not, in terms of having a "dry orgasm" after a Prostatectomy?

I know that i had a vasectomy years ago, when we had finished having all the kids that we wanted to have.

I know that a vasectomy stops the sperm, that creates the babies, with the egg, and all that.

but it seems like when the surgeon removes our Prostate, it seems like he also REMOVES the "vas deferens"? (spelling) also. And it think it was the "vas deferens" that were clipped, or cut, during the Vasectomy?

so maybe my whole line of questioning is mute.

any thoughts?

thanks
__________________
Prostatectomy: Feb/2009
Pre-Op PSA = 6.2
Pre-Op %Free PSA= 13%
Pre-Op Biopsy= 1 / 10, with 3+4.
Post-Op Pathology = 4+3.
Post-Op Pathology = Margins clear (negative).
Both nerve bundles spared.

 
Old 04-09-2009, 09:55 AM   #9
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Re: after prostate surgery: Dry Orgasm

A vasectomy severs the Vas Deferens which deliver sperm and often results in retrograde or internal ejaculations. A radical prostatectomy removes the seminal vesicles through which the seminal fluid passes. Men who've had vasectomies may still experience wet orgasms but the seminal fluid will not contain sperm. Once the seminal vesicles are removed during a prostatectomy no seminal fluid or sperm will ever flow. However, its still possible to ejaculate during an orgasm or leak when first excited a clear, thin, viscous fluid which is expelled from the Cowper Glands( which are not affected by either vasectomy or prostatectomy) and is referred to as pre-ejaculate or in the vernaculer "pre-***".

Last edited by shs50; 04-09-2009 at 09:57 AM.

 
Old 06-27-2010, 01:45 PM   #10
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Re: after prostate surgery: Dry Orgasm

I'm about 70 days post Brachytherapy.

I have had these dry orgasms for last month or so.

Obviously, my experience might be very different from those who are post surgery but in my case it really has zero effect on enjoyment. All the feelings are almost identical.

I do find orgasm takes considerably longer to happen (not a bad thing) and that erections are more easily lost in foreplay, however, I'm sure that a lot of that is psychological simply from apprehension that it might happen.

 
Old 06-13-2011, 09:15 AM   #11
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Talking Re: after prostate surgery: Dry Orgasm

good to here your results. the pump works good but have thought of injections? at 62 sex is still important to me and my lovely wife. our best fullfilling results have come from trimix injections. you get avery firm erection and is pain free and cheap.

 
Old 05-13-2012, 01:00 AM   #12
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Re: after prostate surgery: Dry Orgasm

I am now four and a half months out from open RPP w/o nerve sparing. I use trimix which gives me a firm erection but I hate the achy feeling that it causes my penis to have. I have had intercourse with my wife 3 times since surgery, the first time being 2 months after surgery. I found that there was not much satisfaction for me and the feeling was not the same. My wife enjoyed herself and I was able to satisfy her. I know exactly what you are talking about when you tried to describe before surgery orgasm. I would feel a warning that I was about to ejaculate and then I could feel the build (climax) and then the contraction feeling of my prostate gland. The contraction feeling is what is missing now. Now, after having the prostate gland removed there is nothing to contract. I feel about half of the sensation of an orgasm that I did before surgery. I am going to be brutally honest here, I miss my prostate and as I have read in many forums, you will never be the same after your prostate is removed. My orgasms are not the same and I do not see them getting any better. I have masturbated without using trimix so my penis is limp and have been able to get to an orgasm but with the same exact feeling as if I had a firm erection. It totally sucks having to masturbate with a limp penis but I do not have that achy feeling that I get when I use trimix. I guess in summing up a dry orgasm for me would be this: It lacks the intensity, the contraction of the prostate and the thrusting of the sperm mixture and leaves me unsatisfied. I hope that there are no others out there that has the same problem as me. On the bright side, having the surgery gave me the best chance to live a long life.

 
Old 05-13-2012, 01:44 AM   #13
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Re: after prostate surgery: Dry Orgasm

The achy feeling is usually caused by alprostadil, one of the three chemicals in Trimix. Trimix is compounded to order by a compounding pharmacy, so you can have it compounded with less alprostadil in the mixture. Some guys can't stand any alprostadil in the mix and have a Bimix compounded instead with just the other two ingredients - papaverine and phentolamine. Ask your doctor for a prescription with, say, half the amount of alprostadil in it. Keep trying different mixes until you find the one that works but doesn't ache. You'll have to experiment -- everyone's different.

- Allen

 
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Old 05-14-2012, 11:01 PM   #14
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Re: after prostate surgery: Dry Orgasm

When you have your prostate removed usually the seminal vesicles are taken along with the prostate. In any case you are disconnected and it is physically impossible to have an ejaculation.

 
Old 05-15-2012, 02:38 AM   #15
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Re: after prostate surgery: Dry Orgasm

Quote:
Originally Posted by Tall Allen View Post
The achy feeling is usually caused by alprostadil, one of the three chemicals in Trimix. Trimix is compounded to order by a compounding pharmacy, so you can have it compounded with less alprostadil in the mixture. Some guys can't stand any alprostadil in the mix and have a Bimix compounded instead with just the other two ingredients - papaverine and phentolamine. Ask your doctor for a prescription with, say, half the amount of alprostadil in it. Keep trying different mixes until you find the one that works but doesn't ache. You'll have to experiment -- everyone's different.

- Allen
I have read elsewhere what you say in this post and had thought about either #1 trying straight bimix or #2 experimenting with much lower levels of alprostadil. I am going to ask my urologist if we can start to experiment with the mixes and see we can come up with something that does not cause that achy feeling. For the sake of keeping this thread clean I have started a new thread called "Experimenting with Bimix and Trimix after RPP" which I will continue to post my walk on the path to getting past this next hurdle!

 
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