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Sex After Surgery: What can I expect?

Prostate Cancer | Last Active: 2 days ago | Replies (58)

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Profile picture for TurtBean @turtbean

@jim1961 -

“does anyone else want to share comments about the psychological and emotional challenges of ED post RARP?”

Sure, I don’t mind, and I think it fits squarely with the topic.

I’m fine with sharing, because I think, after reading ED-related posts here and other forums for the past four months, I must be some kind of oddball or outlier, because I don’t have any psychological or emotional fallout from ED. To me, it’s simply that it’s an expected side effect of the surgery, I knew that going in, so when it happened, it didn’t bother me in my mind or in my self-perception or general outlook on life. I feel like I’m pretty much the same person I was before Mr. Happy became Mr. Floppy.

Thing is, I’ve never gotten caught up in any kind of gender norms for masculine or feminine behavior. The idea that this thing is “manly” and that thing is “girly” just doesn’t register with me, nor does it my wife. We line up really well that way.

That follows through right to our sexual relationship - we’ve always just tried to make sure each other had a pleasurable, satisfied experience and that was that - I’m not even sure how to word it, because I guess I see the mechanics of sex as one thing and the emotionality of intimacy as something else. I’ve lost the ability for penetrative P-in-V sex for simple physiological reasons - something I can’t really help - but my ability for intimacy (as well as my libido) are still quite intact, so I guess it’s a matter of choosing intimacy over a purely physical act (like in some bizzaro world where I have the ability to achieve an erection, but no libido - sure, I could have sex, but would I want to? Would my wife want to have sex with me if there were no intimacy attached?).

Someone asked me, right after my surgery (and I mean just a couple of days after) if I felt like less of a man with my prostate plucked out, and I honestly thought to myself, “What a ridiculous question, of course not! Why would I?”

I doubt if that made any sense, but maybe all I’m saying is my identity and our marriage isn’t built around sex, sex is just a single component of many.

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Replies to "@jim1961 - “does anyone else want to share comments about the psychological and emotional challenges of..."

@turtbean I congratulate you on your ability to see this from a different perspective. I on the other hand lament the loss of my nerves that allowed erections. In the past, when I heard women discuss their emotional state after a double mastectomy, I was confused. I thought ridding the body of the cancer was far more important than maintaining the breasts. Now I understand. Yes, I am happy to be cancer free, and yes, I would very possibly do it all over again. But that doesn't change my memories and my life experiences. I have had erections since puberty and I miss them. My VED and/or Trimix can achieve reasonable facsimiles, but learning I will never respond to stimulation again was jolting. Notice I am not mentioning intimacy with my wife. I agree with your viewpoint. I just miss my erections. Am I in a depressed state? I don't think so, but when I'm out golfing with buddies and the juvenile jokes start up again, I have to resist the urge to vent my frustrations. They don't need Debby downer in their foursome.