Dry Orgasm after surgery: Does it get better with time?

My Dr. recommended the Pos-T-Vac Battery System. Thinking that I needed the best, I bought the most expensive package available. Now I realize I didn’t need the most expensive one. The Pos-T-Vac Bos2000-2 Battery System has everything I need and is half the price of the most expensive.

The tubes carrying the ejaculate are severed, but the ejaculate is made up of fluid from the seminal vesicles (65-75%), prostate (25-30%) and sperm from the testicles (1-5%. Since the prostate and seminal vesicles are removed at surgery, even if the "tubes" were intact there would only be a slight dribble.

My “dry” orgasms with a half erect penis are more intense and last longer than before. Two days ago I had the best orgasm of my life. Hang in there! Experiment!
It gets better over time. I will be having IPP and AUS surgery very soon and am excited about having full erections and no pee leakage.

Well, Jeff, here you go again.

You wrote. “There is no reason they shouldn’t be just as intense as before surgery. it may just take a while for you to be adjusted to the new situation and then intensity will come back“

You’re not a doctor. You’re a cancer patient like the rest of us and to make matters worse you have no first-hand experience with recovery from surgery because you chose radiation.

Your comments aren’t constructive and helpful to those of us on this form who chose surgery and are struggling to get quality of life back.

I want to believe that your heart is in the right place, so if you want to help other men in this community, don’t tell other cancer patients who chose surgery what to expect. You can relate your experience and personal struggles any day of the week, but for the rest of it, let it go.

Do the right thing and good luck on your journey with prostate cancer.

Congratulations on having an erection that is 80 to 90% of what you had prior to surgery. If you told me that in person I would high five you. There’s a lot of reason to hope that you’re going to have a full recovery of sexual function.

There are a number of us on the forum that have not had the same good fortune to have return of natural erections but we’re all rooting for you.

I can’t speak medically to your issue, but I can tell you that I had a similar experience initially. My first erection post surgery and before I started ADT was about 70 to 75% and I felt like a stallion. Unfortunately, I recall my first orgasm post surgery was almost nonexistent. I remember commenting to my wife when I first experienced that and we were both shocked, looked at each other and said “now what?”

From my own experience, nine months after surgery things have improved to the point where orgasms are worth the effort to achieve them. Prior to starting ADT some were absolutely mind blowing and left me breathless.
Even after being on both first and 2nd generation ADT for 6 months, I think they’re still worth the effort for me.

I recently completed eight weeks of pelvic floor therapy. My therapist who is a woman had access to my medical chart and saw that I am dealing with ED. She told me that it was her belief that levels would help me not only with urinary urgency, but would aid in the quality of erections and result and stronger orgasms. She was correct.

Good luck on your journey with prostate cancer. Never give up.

Robert, I was only speaking of my own experience. I had exactly the same problem he did at first and after a while, the orgasms became much stronger, equal to before surgery.

Other people have confirmed the same thing with their experience

I had surgery 14 years ago and salvage radiation 3.5 years later. I have spoken of this many times in this forum. Apparently you haven’t followed my saying this many times. Hard to do that on this forum, can’t just search for some particular person’s comments.

I suspect strengthening the pelvic floor is not just "kegels." @robertmizek or anyone else, do you have other exercises that help rebuild the muscles in this area? Does restrengthening the abdominal wall or whatever that is called also make a difference? I've been doing slow pushups, bridges, and leg lifts but I have received no coaching along these lines. I also had back pain which I suspected was due to a weaker "core." I'm not sure where to go to get advice on further muscle support and recovery. I did get a good start on pelvic floor thanks to a physical therapist around the time of RALP, but she was about 50 miles away and I didn't want to keep making the trek once I got some initial relief and continence.

My therapist had me doing planks, side planks, clamshells with resistance bands, bridges with resistance bands, squats with resistance bands, bossa ball balance, and several others, along with kegels. For me it dried me up and improved ed function. A good therapist really helped.

I had the rezum procedure done for bph 3 years ago. Have had dry orgasm ever since. when i went back for 6 month checkup and told doc this he said why does that matter at your age (60). I never went back. From what i can gather, he did nerve damage which is not reversible. He never told me this could happen and i didn't know to ask. I have since read multiple times that he could have avoided the nerves. Be sure to ask if you have any procedure done. Still disappointed.

There is this mindset with the doctors that you should be happy you dont have cancer. They arent as aggressive with helping with the side-effects. Don't get me wrong, I think I made the right choice about surgery. But, it was implied they had several options to help with the other issues. But when I emailed my doctor I was told, just increase your Cialis dosage. I was hoping for something a little more helpful.