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Shrinking penis after surgery and radiation

Prostate Cancer | Last Active: Oct 4, 2023 | Replies (52)

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@kujhawk1978

Interestingly, I "discovered" that masturbation and orgasm is not tied to erection.

It took a good 12 months after my surgery before I began to have any hint of erection but under the use it or lose it part of penile recovery therapy I "masturbated" 2-3 times a week. Though flaccid, I did orgasm. That's when I learned an erection was not necessary for an orgasm. Even when I was on 18 months of Lupron and my genitalia shrunk to it's pretty-pubescent phase I could masturbate and achieve orgasm though certainly no erection. I

I am one of the fortunate ones, by 18 months after nerve sparing surgery I was able to achieve an erection albeit not what it was before.

I was one of the 20% or so who do not lose their libido while on Lupron,

Today, over eight years from my surgery I can achieve a pretty good erection with Cialis and stimulation. There is no intercourse with my wife though, she quit awhile back

It may be early given your surgery to begin having erections orgasms but both are possible though you may find only one, orgasm.

Do much depends on your pre-surgery function, whether your surgery was nerve sparing, the skill of your surgeon and your rehabilitation therapy.

I am probably outside the norm in terms of my recovery of function, sadly, I am probably well within the normal when it comes to my wife of 32 years and no sex, and I mean none!

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Replies to "Interestingly, I "discovered" that masturbation and orgasm is not tied to erection. It took a good..."

Thank you for being candid. It means a lot, particularly since most of the guys I know would be uncomfortable talking about this.

Thanks for your candidly honest comments. I am in a similar circumstance to yours but I’m probably 20 years older. I don’t have much to add to what’s already been said; however, regarding your relationship with your wife, I would get a good couples and/or sex counselor. If your wife won’t go, then you go. There are many reasons a woman gives up on sex. Some, perhaps most, can be overcome, if she’s willing. You seem willing to communicate openly about this. I truly hope your wife is. If she’s not and sex is really that important to you, then you may have another decision to make. You’re young yet. I wish you and your wife well.

I had the radical prostatectomy 4 years ago.
Fortunately some nerve endings were saved.
The surgeon suggested masturbation to maintain some level of sexual normality.
With the use of sexual images on the web I managed to get a weak erection which was enough to reach orgasm.
What i noticed was that it was best when the bladder was not empty.
The orgasm contractions caused a strong ejaculation but with urine.
This was an improvement over ejaculation without urine.
For those who can still have relations with a partner a condom is recommended....