Never discussed it. I am sure some Dr might discuss it but mine never did. We discussed ED and incontinence as a complication. My wife became sick after healing from the surgery so I did nothing for 4 years and then found out on this site that I could orgasm without an erection. I also have no fluid. I fixed my erections with trimix. I have a reasonably good orgasm with no fluid. I occasionally have some urine that comes with it. sort of irritating. Orgasms take a little longer with the trimix.
No, my doctor didn't bring up the subject of orgasms and I didn't know enough to ask about it. Nor did he bring up that penile sensitivity would be reduced, which was something I experienced as well. I had RARP at age 70 and definitely had some ED after surgery. Sexual function recovery was slow and orgasms, when they happened, were sometimes good and sometimes less good. By 15 months after surgery I had recovered pre-surgery sexual function. Since that point orgasms were pretty much back to normal and consistently satisfying and good. At the beginning I thought I'd never get used to a dry orgasm, but now I don't notice the difference. In fact, my wife's commented multiple times she prefers not having the mess. I think, for me, as my nerves woke up and then slowly recovered (which took 15 months) the orgasms improved right beside the return of penile sensitivity. But early on, progress was so slow I thought I'd never get back to normal. I also followed a penile rehab program the whole way (eg. daily low dose 5mg cialis (generic), on demand 100mg viagra (generic), and for a while at first a vacuum pump (although I never figured out how to make it work to help the sex act). Best wishes.
The more important question would be: When, if ever, will I be able to have an erection? I asked, and my doctor said, "most men will regain their ability to have an erection between 3 - 6 months. I call "B.S." on that one. I am starting month "9", and I am still absolutely DEAD down there, DESPITE my urologist saying that he "preserved the neuromuscular bundles" that are necessary for an erection. Now at 9 months post-op he is saying, "It can take some men between 9-12 months to have erections return." I quoted the numerous accounts from this blog, of men who have never had a post-op erection, going on between 2-5 years. My urologist said, "yes, that can and does happen." I asked, "so what about me?" He just raised his eyebrows, shrugged his shoulders, and said "everyone is different...you are still recovering from the surgery...nerves are still regenerating or regaining their function." I said, "yes, but you told me that you preserved my neuromuscular bundles, so I should be having erections now right?" He again said, "everyone is different...you are still healing", and then he smiled and gave me an encouraging pat on the knee like a school boy who just did well on a quiz. Yet another example of why they say physicians "practice" medicine...there is no perfect or "always works" surgery, procedure or treatment. We're just finally part of the fortunate group or the unfortunate group, depending on the permanence of our outcome. We just don't know when to "call it"...when to say "I'm cured and restored as well as I'll be", or "I'll never be cured and restored to full function." Good luck to you.
Following RARP, my doctor handed me a several page document listing most likely and possible physical results as well as side effects. Regarding sexual function, he made clear it is not necessary to have an erection to have an orgasm. It is similar to a dry orgasm, which I had experienced previously using Avodart and Flomax (except for the unfortunate addition of leaking urine)
The more important question would be: When, if ever, will I be able to have an erection? I asked, and my doctor said, "most men will regain their ability to have an erection between 3 - 6 months. I call "B.S." on that one. I am starting month "9", and I am still absolutely DEAD down there, DESPITE my urologist saying that he "preserved the neuromuscular bundles" that are necessary for an erection. Now at 9 months post-op he is saying, "It can take some men between 9-12 months to have erections return." I quoted the numerous accounts from this blog, of men who have never had a post-op erection, going on between 2-5 years. My urologist said, "yes, that can and does happen." I asked, "so what about me?" He just raised his eyebrows, shrugged his shoulders, and said "everyone is different...you are still recovering from the surgery...nerves are still regenerating or regaining their function." I said, "yes, but you told me that you preserved my neuromuscular bundles, so I should be having erections now right?" He again said, "everyone is different...you are still healing", and then he smiled and gave me an encouraging pat on the knee like a school boy who just did well on a quiz. Yet another example of why they say physicians "practice" medicine...there is no perfect or "always works" surgery, procedure or treatment. We're just finally part of the fortunate group or the unfortunate group, depending on the permanence of our outcome. We just don't know when to "call it"...when to say "I'm cured and restored as well as I'll be", or "I'll never be cured and restored to full function." Good luck to you.
@rlpostrp My Dr did not also emphasize that you use it or lose it. That turns out to be a little bit true. At least the 4 years for me I spent without an erection caused me some penil length and girth. I have seen it mentioned several times. I have it back with the trimix injections but its not nearly the same partner I had prior to surgery. Just not as robust. I guess if you were above average before maybe not such a big deal. I would pursue what needs done now until it does come back. Or if....
The more important question would be: When, if ever, will I be able to have an erection? I asked, and my doctor said, "most men will regain their ability to have an erection between 3 - 6 months. I call "B.S." on that one. I am starting month "9", and I am still absolutely DEAD down there, DESPITE my urologist saying that he "preserved the neuromuscular bundles" that are necessary for an erection. Now at 9 months post-op he is saying, "It can take some men between 9-12 months to have erections return." I quoted the numerous accounts from this blog, of men who have never had a post-op erection, going on between 2-5 years. My urologist said, "yes, that can and does happen." I asked, "so what about me?" He just raised his eyebrows, shrugged his shoulders, and said "everyone is different...you are still recovering from the surgery...nerves are still regenerating or regaining their function." I said, "yes, but you told me that you preserved my neuromuscular bundles, so I should be having erections now right?" He again said, "everyone is different...you are still healing", and then he smiled and gave me an encouraging pat on the knee like a school boy who just did well on a quiz. Yet another example of why they say physicians "practice" medicine...there is no perfect or "always works" surgery, procedure or treatment. We're just finally part of the fortunate group or the unfortunate group, depending on the permanence of our outcome. We just don't know when to "call it"...when to say "I'm cured and restored as well as I'll be", or "I'll never be cured and restored to full function." Good luck to you.
7 months after radiation and Lupron ADT and i have absolutely no feeling down there. Very few men i talk to recover any if at all. The problem is definitely ignored by the doctors.
I can't fathom sticking a needle in my penis...even a 24- or 26-gauge narrow bore needle. Man...just typing that literally sent a chill through my body.
Yes...that is the majority of what I read here. But again, we here are a subset of everyone that has had one or more unexpected (or expected) negative consequences and outcomes to RP surgery. The guys who had successful RP surgery with no bad pathology don't ever contribute here. I just want to know how long it took the "other" 60% who, after RP surgery, did in fact successfully restore their sex lives with full erections. The 40% that don't means that 60% DO regain the ability to have an erection. But no one ever writes about it here. It's weird that they don't. The literature says it can take up to two years, including those men who had their entire neuromuscular bundles preserved during surgery. Angers me beyond belief, especially as a 69 year man prior to surgery who could rise to the occasion" quickly and with sustained vigor right up to having my surgery. Now...it is dead. Very frustrating too because I was divorced one month before my surgery, and I was looking forward to eventually getting back into dating and finding someone with whom to enjoy a frequent and fun sex life. "Not."
I can't fathom sticking a needle in my penis...even a 24- or 26-gauge narrow bore needle. Man...just typing that literally sent a chill through my body.
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Never discussed it. I am sure some Dr might discuss it but mine never did. We discussed ED and incontinence as a complication. My wife became sick after healing from the surgery so I did nothing for 4 years and then found out on this site that I could orgasm without an erection. I also have no fluid. I fixed my erections with trimix. I have a reasonably good orgasm with no fluid. I occasionally have some urine that comes with it. sort of irritating. Orgasms take a little longer with the trimix.
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7 ReactionsNo, my doctor didn't bring up the subject of orgasms and I didn't know enough to ask about it. Nor did he bring up that penile sensitivity would be reduced, which was something I experienced as well. I had RARP at age 70 and definitely had some ED after surgery. Sexual function recovery was slow and orgasms, when they happened, were sometimes good and sometimes less good. By 15 months after surgery I had recovered pre-surgery sexual function. Since that point orgasms were pretty much back to normal and consistently satisfying and good. At the beginning I thought I'd never get used to a dry orgasm, but now I don't notice the difference. In fact, my wife's commented multiple times she prefers not having the mess. I think, for me, as my nerves woke up and then slowly recovered (which took 15 months) the orgasms improved right beside the return of penile sensitivity. But early on, progress was so slow I thought I'd never get back to normal. I also followed a penile rehab program the whole way (eg. daily low dose 5mg cialis (generic), on demand 100mg viagra (generic), and for a while at first a vacuum pump (although I never figured out how to make it work to help the sex act). Best wishes.
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4 ReactionsSince I chose non-nerve-sparing surgery, I just expected my sexual life would be over, & was surprised when it wasn't.
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3 ReactionsThe more important question would be: When, if ever, will I be able to have an erection? I asked, and my doctor said, "most men will regain their ability to have an erection between 3 - 6 months. I call "B.S." on that one. I am starting month "9", and I am still absolutely DEAD down there, DESPITE my urologist saying that he "preserved the neuromuscular bundles" that are necessary for an erection. Now at 9 months post-op he is saying, "It can take some men between 9-12 months to have erections return." I quoted the numerous accounts from this blog, of men who have never had a post-op erection, going on between 2-5 years. My urologist said, "yes, that can and does happen." I asked, "so what about me?" He just raised his eyebrows, shrugged his shoulders, and said "everyone is different...you are still recovering from the surgery...nerves are still regenerating or regaining their function." I said, "yes, but you told me that you preserved my neuromuscular bundles, so I should be having erections now right?" He again said, "everyone is different...you are still healing", and then he smiled and gave me an encouraging pat on the knee like a school boy who just did well on a quiz. Yet another example of why they say physicians "practice" medicine...there is no perfect or "always works" surgery, procedure or treatment. We're just finally part of the fortunate group or the unfortunate group, depending on the permanence of our outcome. We just don't know when to "call it"...when to say "I'm cured and restored as well as I'll be", or "I'll never be cured and restored to full function." Good luck to you.
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Helpful -
Hug
2 ReactionsFollowing RARP, my doctor handed me a several page document listing most likely and possible physical results as well as side effects. Regarding sexual function, he made clear it is not necessary to have an erection to have an orgasm. It is similar to a dry orgasm, which I had experienced previously using Avodart and Flomax (except for the unfortunate addition of leaking urine)
@rlpostrp My Dr did not also emphasize that you use it or lose it. That turns out to be a little bit true. At least the 4 years for me I spent without an erection caused me some penil length and girth. I have seen it mentioned several times. I have it back with the trimix injections but its not nearly the same partner I had prior to surgery. Just not as robust. I guess if you were above average before maybe not such a big deal. I would pursue what needs done now until it does come back. Or if....
@rlpostrp
7 months after radiation and Lupron ADT and i have absolutely no feeling down there. Very few men i talk to recover any if at all. The problem is definitely ignored by the doctors.
I can't fathom sticking a needle in my penis...even a 24- or 26-gauge narrow bore needle. Man...just typing that literally sent a chill through my body.
-
Like -
Helpful -
Hug
1 ReactionYes...that is the majority of what I read here. But again, we here are a subset of everyone that has had one or more unexpected (or expected) negative consequences and outcomes to RP surgery. The guys who had successful RP surgery with no bad pathology don't ever contribute here. I just want to know how long it took the "other" 60% who, after RP surgery, did in fact successfully restore their sex lives with full erections. The 40% that don't means that 60% DO regain the ability to have an erection. But no one ever writes about it here. It's weird that they don't. The literature says it can take up to two years, including those men who had their entire neuromuscular bundles preserved during surgery. Angers me beyond belief, especially as a 69 year man prior to surgery who could rise to the occasion" quickly and with sustained vigor right up to having my surgery. Now...it is dead. Very frustrating too because I was divorced one month before my surgery, and I was looking forward to eventually getting back into dating and finding someone with whom to enjoy a frequent and fun sex life. "Not."
@rlpostrp I'm with you. There are other methods.