Ejaculation After Surgery
I’m just curious about this notwithstanding the sensitivity surrounding sexual intercourse! The big elephant in the room, battling ED and the hope that the nerves will be fully restored!
I’ve experienced the full sensation of ejaculation - sometimes light sticky but most times actual spurts of urine! For me, it’s embarrassing to some degree and my wife wonders about the health aspects.
What has been your experience?
I also had the robotic surgery at age 63. As i was told; the ejaculate did indeed stop completely - no discharge at all. However the orgasmic sensation is unchanged.
As for ED everyone is different. For me I was needing the pills prior to surgery. However; that was no longer enough after surgery. I have since been successful with Trimix injections. In fact the injections turned the clock back to my 30'sI have that same issue with urine. yes its def embarrassing but from what i found it does happen - lucky us? I have an appt with my onco urologist in June and I will def ask about it. I'm about 7 months since surgery - I did kegels regularly before and after surgery and have no incontinence issues but maybe I'll start regular kegel exercises again to see if it helps. This is what I found when I searched for it:
Leaking urine during orgasm after prostate removal (radical prostatectomy) is called climacturia and is a common, often temporary, side effect affecting up to 93% of men to varying degrees. It occurs because the prostate, which helps seal the bladder, is removed, and the remaining sphincter muscle may be weak.
How to Manage or Stop Climacturia:
Pelvic Floor Exercises (Kegels): Consistently performing Kegel exercises strengthens the muscles that control the bladder, which is the most effective way to reduce leakage.
Empty Your Bladder: Urinate immediately before sexual activity to minimize the amount of urine in the bladder.
Use a Penile Clamp: A penile clamp or a condom catheter can be used during intercourse to apply slight pressure and stop leakage.
Limit Fluids: Reduce fluid intake a few hours before sexual activity.
Medical Consultation: If symptoms do not improve after 6–12 months, discuss options with your urologist, such as a male sling or artificial urinary sphincter.
Key Takeaways:
It is not uncommon to experience this for 6 to 12 months after surgery.
Pelvic floor physical therapy or biofeedback can help identify and strengthen the correct muscles.
Do not hesitate to talk to your doctor about this issue; it is a known, manageable side effectAfter radiations in November I year ago I noticed a change in the ejaculations, not what it used to be, just a small amount of clear fluid now my oncologist said to me Don't forget your prostate was fried like a pice of bacon, it can happen but at least you still have some.
As I understand it, urine is sterile. I guess it's like any sexual relationship...if it's between a faithful husband and wife there should be no problems. If the man had several sexual encounters prior to marriage, he should have already had an STD testing prior to marriage. I believe it is possible to pass on Hepatitis by urine if the male has been exposed to Hepatitis.
