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shayes914 avatar

My wife is furious at me 3 weeks post RARP

Prostate Cancer | Last Active: Nov 30, 2025 | Replies (66)

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Profile picture for jeff Marchi @jeffmarc

While it is common to be able to get an erection after nerve sparing, there is one problem that comes up related to the surgery. Even though you may have no incontinence problems when you have an Orgasm it is not uncommon for urine to come out. You might have to wear a condom while having sex.

I’d like to hear what other people have to say about this issue.

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Replies to "While it is common to be able to get an erection after nerve sparing, there is..."

@jeffmarc Climacturia. Annoying, but partially kept under control by emptying your bladder as much as possible before.

@jeffmarc Yup, climacturia is a real thing. I am at the point, five months post-surgery, that I experience some hardening with cialis. I still have a urine release when having an orgasm, but I want to believe that it is getting less.

@shayes914 I have heard that ED usually hits bottom 3-4 months post-surgery. So, don’t lose hope if the twigs of hope disappear. Make sure to see an ED specialist asap to get on cialis and a penile rehabilitation plan. The most important thing now is to prevent atrophy in the muscles. Also, RT has similar or sometimes worse long-term ED outcomes than surgery, if that is what your wife wanted you to do.