Is multi-orgasm possible post-prostatectomy?

Posted by rlpostrp @rlpostrp, Feb 28 11:57pm

I just started to ponder something, wondering about an unexpected possibility in my post-radical prostatectomy sexual life:

If we no longer have a prostate, seminal vesicles, and vas deferens, all involved in ejaculation, but...we can still have a dry orgasm (assuming I will ever be able to get an erection again), is it "possible" to have multiple orgasms like a woman does? My premise:

If I remain erect due to a Trimix injection, Cialis/Viagra, or my recovery finally allows a natural erection, why would the erection end when I orgasm if I do not ejaculate? The stimulus to the penis to allow orgasm is on the underside...the frenulum that responds to friction and stimulus. Why wouldn't that continue if I no longer ejaculate, which has always been the beginning of going flaccid? There should be no change in the blood flow in my penis, so in theory, multiple orgasms should be possible. Has anyone had them?

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I elected to have the nerve bundles cut during surgery. My surgeon & his staff wanted to make sure I was happy with the state of affairs after surgery, & offered whatever assistance I might want in this regard. Then I found out that I was multi-orgasmic. When I reported this to my surgeon's staff, his physician's assistant (a female) called me & wanted to know the specifics (technique) with a flaccid penis. I was VERY uncomfortable discussing that level of detail with her (& didn't).

I do give my surgeon & his staff credit for this level of follow-up.

The ability to be multi-orgasmic continues to be true to today, five years after surgery.

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@readandlearn "You're the man!!!" I can only hope...but my neurovascular bundles were spared/retained during surgery. Each day I awaken with the hope that I might actually "feel" something...a twinge, a tweak, a tickle to get things going. I've got nothing. If this doesn't change, my newly single life and dating will become something vastly different than what I was hoping for. I am 71, but right up to the day before my RP surgery, I was as virile as a 30-40 year old. I still have the mind and desire of that 30-40 year old, but...being 71 years old, the women that I attract and date will likely be 50-years old and older, when their own desire starts to wane for a lot of them. I guess my relationship(s) will be more "cerebral" in nature...unfortunately. Trouble is the desire. I am in one way fortunate...I look 15-20 years younger than I am. I attract 40-50 year olds. I guess I will just have to "not engage" with them since they would reasonably expect me to be able to "perform", and would be very disappointed...turned off...if I couldn't. Thus, I'll be focused on the "over 50 disinterested/frigid gals I guess! Haha.

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Profile picture for rlpostrp @rlpostrp

@readandlearn "You're the man!!!" I can only hope...but my neurovascular bundles were spared/retained during surgery. Each day I awaken with the hope that I might actually "feel" something...a twinge, a tweak, a tickle to get things going. I've got nothing. If this doesn't change, my newly single life and dating will become something vastly different than what I was hoping for. I am 71, but right up to the day before my RP surgery, I was as virile as a 30-40 year old. I still have the mind and desire of that 30-40 year old, but...being 71 years old, the women that I attract and date will likely be 50-years old and older, when their own desire starts to wane for a lot of them. I guess my relationship(s) will be more "cerebral" in nature...unfortunately. Trouble is the desire. I am in one way fortunate...I look 15-20 years younger than I am. I attract 40-50 year olds. I guess I will just have to "not engage" with them since they would reasonably expect me to be able to "perform", and would be very disappointed...turned off...if I couldn't. Thus, I'll be focused on the "over 50 disinterested/frigid gals I guess! Haha.

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@rlpostrp being a married man for 51 years and recently a widow I find myself in the same predicament. I could not stand the thought of giving it up. This is coming from someone with limited practice but I googled gay womens sex aides and bought a couple of toys. I never had to use them in my past life but they work pretty well. Enough so that I considered an implant. However the trimix is working for now. I just need to be careful of any leakage. That sort of kills the moment. How sweet it is!!

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Profile picture for rlpostrp @rlpostrp

@tuckerp "OMG"..."five years"..."with" Trimix? Heaven help me. All of the literature and Dr. Patrick Walsh's book offer "one year, up to two years" before you can get an erection...if you are unfortunate compared to the men who got them just 3-6 months after surgery ("the lucky ones"). Well...I have new verbiage to add to my nightly prayers. Thank you!

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@rlpostrp A lot of my issues were self imposed. My wife was diagnosed with cancer 5 months after surgery. We had not tried to have sex. I then became a caretaker for the next 4.5 years. I never tried self stimulation, never took any medications. I thought I was done with that part of my life. My wife passed and I found I was still very interested. That's when I went to Mayo clinic for some help. The urologist told me it really is true that you use it or lose it. Not only do the nerves scar over but the cells in penis for erection become atrophied. He felt I would be lucky to have any erection without an implant. The Cialis gave me some life which was encouraging but really just occasionally during the middle of the night. I then tried trimix and it worked. I only need 5 units for 2.5hr erection. It is penetrable most of that time.

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