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Post prostatectomy, any sexual release like nocturnal emission?
Prostate Cancer | Last Active: Jun 1 8:44am | Replies (15)Comment receiving replies
Jeff, there has been no change to my testicles. I still produce sperm and testosterone. I know that I don’t produce semen. I wonder whether the build up of sperm in my epididymus will cause some sort of release like a nocturnal emission like I used to when I had a prostate.
Replies to "Jeff, there has been no change to my testicles. I still produce sperm and testosterone. I..."
@bwjb
I had an RP in 2021. I have climaturia and ED. Trimix helped for years but has been getting less effective so I am scheduled for a penile implant in June.
The ejaculate/semen is 95% fluid from the prostate and seminal vesicles. The sperm from your testicles makes up a small amount. The physical tubular connection that carries the sperm to the prostate where it is mixed with the fluid from the prostate/seminal vesicles has been disrupted/resected. So, unfortunately, no more ejaculation. The pleasurable muscular contractions of orgasm are unchanged.
I ejaculate urine during orgassm. It feels very similar and pleasurable to ejeculating semen. Fortunately, my partner has no issue whatsoever with it and doesn't require me to wear a condom. It was a problem in my previous relationship (wife) which caused sex issues.
Read up on penile implants. They are covered by Medicare (and probably commercial insurance as well). Good luck!!
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@bwjb
Well, you got me. You are able to produce sperm, but the answer to your question is …..Yes, the testicles continue to produce sperm after a prostatectomy. However, because the prostate and seminal vesicles—which produce semen—are removed, sperm cannot physically leave the body and is instead safely reabsorbed