Hello there……..Many of us can certainly relate to your current challenges. First and foremost, get your Testosterone Levels checked, (TOTAL & FREE). I was HYPOGONADAL and was on Testosterone Replacement Therapy for 13 years before having my RALP performed on October of 2022. When I am not on my “TRT” I am technically “ medically castrate” with a Total Testosterone Level of between 20-90! You’ve got to make sure you have enough Testosterone in your body or you won’t have any libido at all! You also need a sufficient amount of “T” in your body just to maintain overall good health etc!
Hopefully your incontinence will continue to improve. Mine is pretty much back to normal but it took about 6 months to get there. Then I discovered something nobody had told me about nor had I even read about while studying about incontinence. I only experienced CLIMACTURIA once with my wife, ( I ejaculated urine during an orgasm)! Thankfully, this has only occurred on one occasion. However, I recently developed what is called, “Arousal Incontinence, or Foreplay Incontinence!” I will ejaculate a very small amount of clear urine when I get an erection standing up and my wife strokes my cock during foreplay. Very surprising indeed. Now, just before we engage in foreplay or dive right into penetrative intercourse, I go into the bathroom and clean my genitals stroking my erect cock a few times which will release the small amount of urine ejaculate, (CLIMACTURIA) so now I don’t dribble or leak it on my wife during foreplay or right before penetration!
Regarding erections. Although I had nerve sparing surgery I can only get about 60%-70% of a normal erection on my own. Almost strong and erect enough for successful penetration but not quite enough. I can muster one up strong enough on occasion but that’s not reliable enough for us and I don’t like the anxiety of worrying about whether I will get a strong enough erection on my own or not! From about mid shaft to the tip I am naturally hard enough, however, the base is not firm enough. I tried the pills, Vacuum Device,(worked but the ring was too uncomfortable to maintain my erection). Cut to the chase………..I have great success obtaining and maintaining a very stiff erection using TRIMIX injections. I make an injection into my penis and I am ready for intercourse within 5-10 minutes. My cock gets quite stiff and my erection will last about an hour!!!! I don’t have any anxiety about whether or not I will be able to get or maintain an erection strong enough for sexual, (penetrative) intercourse. The needle is very small, similar to the diabetic’s needle used to inject insulin. I mention the above because even if your current libido is very low to non existent now. You will be amazed about how you will feel with getting almost an instant erection and then experiencing penetrative sexual intercourse again with your wife, (who will also appreciate your stiff hard cock as well). Once she starts getting wet and you continue to stay hard you will as they say…….”Be back in the Saddle!”
The more sex you have, the more sex the two of you will want. When your wife knows that you will be able to obtain and continue your erection she will get more and more enthused about your sex life again as well. You should still utilize Testosterone Replacement Therapy if you need it. However, ask your Urologist about TRIMIX. He can inject you with a small sample amount to test it out on you. Then he can prescribe it. It’s easy to use. There are several or more very good videos on YouTube on how to inject yourself.
I am so thankful that TRIMIX works so well for me. It has given us the sex lives my wife and I enjoyed before my Radical Prostatectomy with the stiff and always reliable erection to support my strong and healthy libido.
Best wishes and good luck.
Phil